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Sleep duration is a major driver of biological aging across nearly every organ system, with both too little and too much sleep accelerating the body's decline. Research using aging clocks across 17 organ systems found the least aging in people sleeping between 6.4 and 7.8 hours nightly. Disrupted circadian rhythms also trigger brain inflammation linked to Alzheimer's disease, making sleep one of the most powerful levers for long-term health.
Sleep quality matters far more than duration for older adults — nightly wake time, not total hours, predicts next-day cognitive performance. Meanwhile, social determinants like income and education drive biological aging acceleration more broadly, meaning fixing sleep habits alone won't close the health gap. Addressing the structural conditions people live and work in is the more effective path to slowing aging and preventing disease.