
You may not give much thought to how quickly you start dreaming after falling asleep—but science suggests you probably should. New research reveals that a longer wait to reach REM sleep may be more than just an odd quirk of your sleep cycle—it could be an early red flag for Alzheimer’s disease. Even one night of poor sleep can elevate brain toxins linked to dementia. So how long are you waiting to dream—and what could that delay really mean for your future brain health?
Key Takeaways
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Delayed REM = Elevated Risk: People who took longer to reach REM sleep had up to 29% more tau and were more likely to have Alzheimer's disease.
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Even One Night Matters: Just one night of sleep deprivation can raise amyloid and tau levels, even in healthy young adults—impacting brain regions like the hippocampus and thalamus.
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Melatonin May Help: Natural melatonin supports REM sleep and may protect against brain plaque accumulation, offering a potential preventive strategy.
Sleep: The Foundation of Sharp Memory Consolidation
‘To sleep, perchance to dream,’ said Hamlet, except that many people wait an inordinately long time to start dreaming after they fall asleep.
We know insomnia and poor-quality sleep harm the brain, increasing the risk of cognitive decline, but whether a delay in having dreams has any significance is unclear, so a team of scientists from the US, Spain, and China set about finding out.
Sleep disturbance in patients with dementia are common but even healthy middle aged people who report a decline in sleep quality have a greater burden of beta amyloid brain plaques in later life, putting them at greater risk of dementia.
Why?
Sleep plays a critical role in cognitive function, with research from Harvard Medical School highlighting the importance of sleep for memory consolidation and learning. Sleep's role in memory consolidation is supported by research into the neural mechanisms underlying human sleep, which shows how different sleep stages contribute to learning and memory processes. According to an associate professor specializing in memory research, these findings reflect the expertise of academics who study how episodic memories form and develop. When we fail to get adequate rest, our brains struggle to form new memories effectively and retrieve existing ones. Additionally, sleep may facilitate the integration of new information into existing knowledge structures, helping us better understand and generalize what we learn. This fundamental relationship between sleep and mental acuity underscores why prioritizing quality rest is not a luxury but a necessity for optimal brain health.
Critical Factors in Brain Health
Achieving optimal brain health goes far beyond simply getting enough hours of sleep—it’s about the quality and balance of your sleep stages. Each night, your brain cycles through different phases, including slow wave sleep (SWS), REM sleep, and lighter stages. Slow wave sleep, often called deep sleep, is marked by slow oscillations in brain activity and is essential for memory consolidation, especially for declarative memory, which involves facts and knowledge you want to retain long-term. During this stage, your brain works to strengthen memory traces and support overall cognitive function.
REM sleep, distinguished by rapid eye movement, is equally vital but serves a different purpose. This stage is where emotional memories are processed and integrated, and where information is transferred from the hippocampus to the frontal cortex for long term storage. The interplay between slow wave sleep and REM sleep ensures that both factual and emotional memories are consolidated, supporting robust brain function and memory performance. Without a good night’s rest that includes all these sleep stages, your brain’s ability to process, store, and recall memories can be significantly compromised. Prioritizing deep sleep and healthy sleep patterns is one of the most effective ways to protect your cognitive function and keep your brain performing at its best.
The Science Behind Sleep Stages and Memory Formation
The intricate process of memory formation occurs during specific sleep stages, with slow-wave sleep and rapid eye movement (REM) sleep being vital for memory consolidation, as each stage affects brain function differently. Both slow-wave sleep and REM sleep are components of NREM sleep and REM sleep, respectively, and each sleep stage contributes uniquely to the consolidation of different types of memories.
During the deep stage, also known as slow wave sleep (SWS), the brain consolidates factual information and procedural memories. Slow wave activity and sleep spindles during NREM sleep play a key role in declarative memory consolidation and the integration of newly encoded information. In contrast, REM sleep, or dream sleep, appears to be crucial for creative problem-solving and emotional memory processing. The cerebral cortex is actively involved in interpreting sensory information during REM sleep, and dreaming occurs primarily in this stage, supporting the processing of emotions and memory integration. For example, think about your most cherished memories—your wedding day, your child’s first steps, or that incredible vacation sunset.
While you’re resting, your brain is actually hard at work in the medial prefrontal cortex, carefully filing away these precious memories and strengthening the neural pathways that help you recall them vividly years later. Procedural memory and semantic memories are also consolidated during sleep, with targeted memory reactivation helping to strengthen specific memory traces. These distinct phases work together in a carefully orchestrated cycle, and other sleep stages beyond SWS and REM also contribute to overall cognitive function and memory processing.
Without adequate sleep, this crucial process breaks down, making it harder to both form new memories and retrieve the ones you’ve already stored. Disruptions in sleep stages can impair the consolidation of episodic memory, semantic memory, and long term memory. During sleep, waking experience and newly encoded information are reactivated, contributing to the content of dreams and the integration of memories. Unfortunately, many people struggling with sleep disorders like insomnia or sleep apnea find themselves in a frustrating loop where poor sleep not only leaves them exhausted but also robs them of their ability to hold onto life’s meaningful moments, highlighting just how essential quality rest is for preserving the experiences that make us who we are.
You don’t have to miss out on good sleep for long to be impacted.

One Night Without Sleep Harms Young Brains
Even young men deprived of sleep for one night showed increased levels of tau protein - the other hallmark of dementia – in the blood. In these studies, human participants either slept normally or experienced sleep deprivation, with learning or activities often occurring in the hours prior to sleep.
And in a study of healthy people aged 22 to 72, just one night of sleep deprivation led to increased amyloid levels in the brain, particularly affecting regions such as the hippocampus and thalamus, which are critically involved in Alzheimer’s disease development. Older adults may experience changes in sleep architecture, such as reduced slow waves, which can affect memory consolidation.
Lack of sleep and poor-quality sleep are clearly not good for the brain, and so are disruptions during different stages of sleep. Reduced sleep duration and changes in sleep time can impair cognitive function.
Slow wave sleep has been studied the most because it plays a key role in both memory consolidation and metabolic waste clearance. Studies show disruption in this stage increases amyloid deposits over time, and age-related reduction in slow wave sleep increases the risk of dementia. Slow waves decrease with age and are associated with cognitive decline, particularly in older adults.
Much less is known about the dream, or rapid eye movement stage, even though it has a well-recognized role in learning and the transfer of memories into long-term storage.
Studies conducted so far suggest disrupted REM sleep makes the brain more vulnerable to dementia, but this needed clarifying.
So, researchers carried out a study of Chinese people to see if it would confirm previous findings. And they did.
Delayed Dream Sleep Boosts Tau by 29 Percent
Of the 128 men and women aged 60 to 80 who took part, 64 had Alzheimer’s, 41 had mild cognitive impairment, and 23 were cognitively healthy.
All were given a brain scan to look for evidence of amyloid deposits, and blood tests to look for p-tau181, and neurofilament light (NfL), which have high accuracy in detecting Alzheimer’s. They also looked for brain-derived neurotrophic factor (BDNF), a key brain protein with many positive roles that’s lower in people with Alzheimer’s.
Each had to sleep overnight in the clinic, so brainwave activity, eye movement, heart rate and breathing could be measured. The importance of tracking such details as sleep latency, sleep stages, and daily activities was emphasized to better understand the impact on cognition. Participants were then divided into a sleep group and a wake condition to compare the effects of sleep on memory consolidation. They were further divided into five groups according to how long it took to reach REM sleep.
Memory tests included cued recall as one of the assessment methods to evaluate memory performance.
After tweaking the stats to take many brain-impacting factors into account, the researchers found that compared to those in the bottom fifth, who reached rapid eye movement in less than 98 minutes after falling asleep, those in the top fifth, who reached REM after more than 193 minutes had:
- 16% more amyloid
- 29% more tau
- 39% less BDNF
- a greater likelihood of being an Alzheimer’s patient
Such effects highlight the importance of sleep for brain health.
The researchers concluded their paper, published in Alzheimer’s & Dementia, that delayed REM “may serve as a novel marker or risk factor for Alzheimer’s disease.”
Senior author Dr. Yue Leng from UC San Francisco said: “The delay in rapid eye movement sleep disrupts the brain’s ability to consolidate memories by interfering with the process that contributes to learning and memory. If it is insufficient or delayed it may increase the stress hormone cortisol. This can impair the brain’s hippocampus, a critical structure for memory consolidation.”
What can you do? Improve your sleep hygiene so you can rest.
The Impact of Sleep on Daily Life
The effects of sleep extend far beyond the bedroom, shaping how we think, feel, and function every day. When you don’t get enough sleep, or your sleep is fragmented, it can lead to sleep deprivation—a state that impairs cognitive function, disrupts emotional regulation, and increases the risk of developing sleep disorders. One of the most immediate consequences is a decline in memory encoding, making it harder to absorb new information and recall recent memories. Over time, poor sleep patterns can interfere with the consolidation of episodic memories, which are the personal experiences and events that form the fabric of your life.
Sleep also plays a critical role in transforming these recent memories into long term memories, ensuring that important information isn’t lost overnight. Beyond memory, sleep deprivation can sap your problem-solving abilities, reduce creativity, and make it more difficult to manage stress or regulate your emotions. Understanding how sleep influences every aspect of daily life highlights the importance of maintaining healthy sleep habits—like sticking to a regular sleep schedule and avoiding stimulants before bed—to support memory, emotional well-being, and overall cognitive health.
6 Ways To Improve Sleep
1. Stick to a Consistent Sleep Schedule
Go to bed and wake up at the same time every day—even on weekends. This helps regulate your body’s internal clock (circadian rhythm) and improves sleep quality.
2. Limit Screen Time Before Bed
Blue light from phones, tablets, and TVs can suppress melatonin production and delay rapid eye movement sleep. Aim to power down screens at least 60 minutes before bedtime.
3. Create a Sleep-Friendly Environment
Keep your bedroom cool (60–67°F), dark, and quiet. Use blackout curtains, white noise machines, and remove disruptive lights or electronics from the room.
4. Avoid Stimulants Late in the Day
Caffeine, nicotine, and even large meals or alcohol close to bedtime can interfere with falling or staying asleep. Cut off caffeine at least 6 hours before bed.
5. Establish a Relaxing Pre-Sleep Routine
Wind down with calming activities like reading, stretching, deep breathing, or taking a warm bath. A routine signals your brain it’s time to sleep, promoting faster and deeper rest.
6. Try Natural Remedies
Some people swear by a warm cup of milk, chamomile tea, or Green Valley Naturals’ nutritional supplements, which safely and naturally calm the body and mind, such as My Sleep Miracle.
Nutrition and Brain Health
What you eat can be just as important for your brain as how you sleep. Nutrition has a direct impact on brain function and cognitive performance, with certain dietary patterns shown to support memory and reduce the risk of sleep disorders. Diets rich in fruits, vegetables, whole grains, and lean proteins provide the nutrients your brain needs to function optimally, while diets high in processed foods and sugars can have the opposite effect, potentially impairing cognitive function and memory.
Research from institutions like Harvard Medical School underscores the connection between nutrition, sleep, and brain health. For example, deficiencies in key nutrients such as vitamin D have been linked to an increased risk of sleep disorders, which in turn can affect memory and cognitive function. On the other hand, a balanced diet can promote better sleep quality, supporting the brain’s natural processes of memory consolidation and emotional regulation. By combining good nutrition with regular exercise and sufficient sleep, you can take a holistic approach to maintaining cognitive fitness and protecting your brain for the long term.
Melatonin Improves REM Sleep and Memory Consolidation
Dr. Leng also points to the potential of the natural sleep hormone and robust antioxidant melatonin for neuroprotection and for relief in Alzheimer’s patients. Melatonin can boost REM sleep, and in mice, it decreases the accumulation of amyloid and tau. Getting more sleep and ensuring a good night's rest can further enhance memory consolidation and support overall brain health, as a good night's sleep is essential for optimal cognitive performance.
Joint senior author Dantao Peng from the China–Japan Friendship Hospital in Beijing added that certain antidepressants and sedatives reduce REM sleep, so if patients are taking these and have concerns, they should speak with their doctor.
As for getting a better night’s sleep, he suggests people should practice healthy sleep habits that facilitate the transition from light sleep to REM sleep. “This includes treating conditions like sleep apnea and avoiding heavy drinking, since both can interfere with a healthy sleep cycle.” Positive sleep's effects on cognitive function and emotional well-being have been well documented, and sleep research continues to uncover new ways to optimize sleep for memory and brain protection.
Summary
Delayed REM (rapid eye movement) sleep—taking longer than usual to enter the dream stage of sleep—may be a newly identified early warning sign of Alzheimer’s disease. A study of adults aged 60 to 80 found that people who took longer to reach REM sleep had significantly more amyloid and tau proteins in their brains, lower levels of protective BDNF, and a greater likelihood of having Alzheimer’s. Even a single night of poor sleep can increase brain toxins linked to cognitive decline. The findings underscore the importance of high-quality REM sleep for memory and brain protection—and suggest that melatonin, sleep hygiene, and addressing conditions like sleep apnea may offer a path toward prevention.
Frequently Asked Questions
What is REM sleep and why is it important?
REM (rapid eye movement) sleep is the dream stage of deep sleep, essential for memory consolidation, learning, and emotional processing.
How is delayed REM sleep linked to Alzheimer’s?
People who take longer to enter REM sleep show higher levels of amyloid and tau proteins—hallmarks of Alzheimer’s—plus reduced levels of brain-protective BDNF.
Can poor sleep really affect brain health in just one night?
Yes. Studies show even one night of sleep deprivation impacts slow wave sleep, REM sleep and raises brain amyloid and tau levels, especially in memory-critical brain areas.
Can melatonin help improve REM sleep?
Yes. Melatonin has been shown to improve REM sleep and reduce the accumulation of amyloid and tau in animal studies. It also helps slow wave sleep.
What lifestyle changes support better REM sleep?
Healthy sleep habits to promote deeper, more restful slow wave sleep and REM sleep include treating sleep apnea, limiting alcohol, avoiding REM-suppressing drugs, and going to bed at consistent times.
1Jin J, et al. Association of rapid eye movement sleep latency with multimodal biomarkers of Alzheimer's disease Alzheimer’s & Dementia. 2025 Feb;21(2):e14495
2UCSF: Delayed REM sleep could be an early sign of Alzheimer’s January 27, 2025