I used to wonder why some people in our community age gracefully while many others struggle with memory loss, heart problems, chronic illness, and low energy as they get older. In fact, when I see how many older adults struggle in our community and the burden they place on their families, I begin to rethink my desire to grow old.
But aging gracefully is not a very hard nut to crack. One of the secrets to it is hidden in something many of us overlook every night: sleep. Licensed Clinical Psychologist, Dr. Raquel Martin, who is also one of the leading voices championing Black mental health, said, “Prioritizing sleep is an act of resistance, and survival, for Black humanity.”
As adults, most especially those of us in our middle age and later life, sleep is more than just a rest. Just as a saying that has been part of Black culture goes, “Sleep is the best medication.” It is a powerful factor that shapes physical health, memory, and emotional well-being, and that helped our fathers live long and gracefully.
Today, everybody is busy, and sleep is no longer important; even those with sleep problems often ignore it, seeing it as part of getting old. But the National Library of Medicine has associated sleep deprivation with long-term sleep loss, which leads to different kinds of detrimental health conditions, like:
- Stroke
- Obesity
- Depression
- High blood pressure
- Diabetes
- Memory decline
Sadly, Blacks are less likely to get 7 hours of sleep a day when compared to Whites, and the number of Black people likely to get less sleep every night stands at 58%. Therefore, understanding the connection between aging and sleep can help members of the Black community, especially adults, protect their health and improve their quality of life.
Why Sleep Matters More With Age
As we age, our sleep patterns naturally change. Older adults tend to:
- Fall asleep earlier
- Often wake up during the night
- Have fewer hours of sleep
- Begin to feel sleepy in the early evening
- Sleep more lightly instead of deeply
Because of these, many people find it difficult to have quality rest, depriving them of important things sleep provides, like:
- Restoration of muscles and tissues
- Strengthening of the immune system
- Regulation of hormones
- Supporting the functions of the brain and memory
- Control of blood sugar and pressure
- Reduction of inflammation
Without enough sleep, we deprive the body of its ability to repair itself, and over time, it becomes more susceptible to disease.
The Sleep Crisis Among Black Adults
Several studies have shown that Black adults are more likely than other races to:
- Have a worse case of insomnia severity, which, in many cases, goes untreated;
- Work night shifts or irregular hours, which greatly impacts their health by the time they reach 50 years old.
Sadly, despite the negative impact of sleep deprivation, Black people still spend their sleeping hours balancing demanding jobs, financial pressure, stress, and caregiving responsibilities.
But it doesn’t end there. We also have social and environmental factors that make it increasingly difficult to get a good night’s sleep. These include:
- Living in a noisy or crowded neighborhood, which is common in many Black communities
- Poor housing conditions, which may include the presence of pests, leaks, and inadequate sanitations
- Financial stress
- Limited access to a sleep specialist and, in the worst case, even health care
- Working night jobs, sometimes every single night
- Chronic stress and discrimination
It is almost impossible to expect someone living through these experiences to enjoy deep sleep. Yet, this is the reality of many Black people. Sadly, in our later years, our bodies pay the ultimate price for less sleep.
How Poor Sleep Speeds Up Aging
According to Sleep Education, the problem with less sleep isn’t just that it makes you tired the next day; it also accelerates your body’s aging process. Here’s how:
- Increased Inflammation
Chronic inflammation has been linked to:
- Arthritis
- Heart disease
- Diabetes
- Stroke
- Damaged DNAs
- Certain cancers, like stomach, liver, colorectal, lung, cervical, and esophageal cancers
- Faster Memory Decline
Sleep is important for storing memories. Older Black adults who experience poor sleep may be at risk of:
- Dementia and Alzheimer’s disease
- Memory decline
- Forgetfulness
- Slower thinking
- Trouble concentrating
- Hormonal Changes and Weight Gain
Sleep affects appetite control, according to Stanford Lifestyle Medicine. Therefore, people who get less sleep tend to crave food high in sugar, fat, and salt. The result is:
- Slow metabolism
- Weight gain
- Increased appetite
- Difficulty in managing diabetes
Black people in the US are twice as likely to be diagnosed with high blood pressure or diabetes, and poor sleep can worsen these conditions among our people.
Five Practical Ways to Improve Sleep Health
Sleep can improve at any age; this is good news, but it will require small daily changes. These daily changes, however small, can make a big difference.
- Maintain a Regular Sleep Schedule.
A regular sleep schedule helps the body know when to sleep. If you try to go to sleep and wake up at a particular time, even on weekends, it will help improve your sleep schedule.
- Create a Calm Bedtime Routine.
Before you sleep, relax by:
- Reading
- Listening to soft music
- Gentle stretches
- Taking a warm bath
- Praying or meditating
- Reduce Caffeine and Heavy Meals at Night.
Coffee, soda, energy drinks, and large meals make it harder to sleep, even in the evening. When it’s past afternoon, try to avoid them.
- Make the Bedroom Comfortable.
For optimal sleep, it’s best to remove distractions from phones, television, and other pieces of technology that can lead to doom scrolling.
A good sleeping environment should be:
- Dark
- Quiet
- Cool
- Comfortable
If you live in a noisy environment, try using earplugs or a calming background sound.
- Talk To a Doctor.
According to a recent study, Black men have experienced more deaths resulting from obstructive sleep apnea than white people or even Black women. Culturally responsive care, CPAP treatment adherence, and targeted screening can help reduce the number of deaths.
Consult a doctor if you:
- Snore loudly and wake up gasping for air
- Feel tired every day
- Use sleeping pills often
- Have trouble sleeping for several weeks
Many sleep disorders can be treated. To this end, it is important to seek help early to avoid serious health complications later.
To Learn More:
- Martin Psychological Services: Empowering Minds, Enriching Lives. https://www.raquelmartinphd.com/
- National Library of Medicine: Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. https://www.ncbi.nlm.nih.gov/books/NBK19961/#:~:text=The%20cumulative%20long%2Dterm%20effects,widespread%20effects%20on%20human%20health.
- Elevate Black Health: Stress Fuels Diabetes Risk in Black Adults. https://www.elevateblackhealth.com/stress-fuels-diabetes-risk-in-black-adults/
- Medical News Today: Do Black Americans get less sleep than white Americans? https://www.medicalnewstoday.com/articles/do-black-americans-get-less-sleep-than-white-americans
- Word in Black: Quality Sleep is a Basic Human Need. https://wordinblack.com/2023/03/quality-sleep-is-a-basic-human-need/
- National Sleep Foundation: Neighborhood social vulnerability as a mediator of racial disparities in insomnia severity. https://www.sleephealthjournal.org/article/S2352-7218(24)00220-1/fulltext
- Yahoo! Finance: People of color are more likely to work long, irregular hours that could lead to severe health issues by age 50. https://finance.yahoo.com/news/people-color-more-likely-long-153655292.html
- Sleep Education: How Sleep Deprivation Ages You Quicker. https://sleepeducation.org/how-sleep-deprivation-ages-you-quicker/
- Elevate Black Health: Anxiety and Dementia Burden in Black Communities. https://www.elevateblackhealth.com/anxiety-and-dementia-burden-in-black-communities/
- Stanford Lifestyle Medicine: How Sleep Deprivation Affects Your Metabolic Health. https://lifestylemedicine.stanford.edu/how-sleep-deprivation-affects-your-metabolic-health/
- UChicago Medicine AdventHealth: Health Conditions that Impact Black Communities. https://www.uchicagomedicineadventhealth.org/blog/health-conditions-impact-black-communities
- UBNow: Study finds racial disparities in sleep apnea mortality. https://www.buffalo.edu/ubnow/stories/2022/05/sleep-apnea-racial-disparities.html

