AIIMS-trained gastroenterologist explains what ‘sleep fragmentation’ really means; shares tips to improve sleep quality
Sleeping eight hours every day can still leave a person feeling tired if the quality of sleep is reduced, shares Dr Sethi.
The importance of sleep in leading a healthy life can rarely be overstated. While it is a natural process for all living beings, how it exactly works continues to be a complex and fascinating phenomenon.

While we consider sleep as a time of rest, our bodies are very much active throughout the period. According to the Cleveland Clinic, important things taking place while we are sleeping include:
- Energy conservation and storage: When we are awake, the cells in our body use stored energy to function. When we are asleep, they use less energy and restock.
- Self-repair and recovery: The body finds it easier to heal injuries and repair itself at a time when we are less active.
- Brain maintenance: The brain “reorganises and catalogues memories and learned information” when we are asleep, making it easier to learn and remember.
While an adult needs between seven to nine hours of sleep every day, it is possible for an individual to remain tired after sleeping for eight hours. Dr Saurabh Sethi, a California-based gastroenterologist trained in AIIMS, Harvard, and Stanford Universities, took to Instagram on February 6 to explain the phenomenon.
According to Dr Sethi, being tired even after sleeping for a sufficiently long period of time is often the result of sleep fragmentation. This means that one wakes up more than they realise.
Signs of low-quality sleep
Dr Sethi listed some signs by which we can identify poor sleep. These include:
- Waking up tired
- Needing caffeine to feel normal
- Brain fog
- Afternoon crash
The most common sleep disruptors, according to the gastroenterologist, include:
- Late caffeine
- Alcohol
- Late heavy meals
- Scrolling through the phone or bright lights while in bed
How to improve sleep quality
Dr Sethi’s checklist for quality sleep contains the following steps:
- Stop caffeine eight hours before bed
- Finish dinner three hours before bed
- Drink alcohol only occasionally, less, and not near bedtime, if at all
- Keep the bedroom cool and dark
- Do not take the phone to bed
If tiredness persists, it may be because of sleep apnea, restless legs, medications, stress, or low iron levels. It is better to discuss these with the doctor, shared Dr Sethi.
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.
ABOUT THE AUTHORDebapriya BhattacharyaDebapriya Bhattacharya is a Content Producer at Hindustan Times. He started his career in 2022, working in newsrooms in beats like education, US news, trending stories, and entertainment. In his new role in the lifestyle desk, he seeks to deliver a balanced blend of research-driven reporting and creative storytelling from health and recipes to art and culture. Science, philosophy, food and pop culture are what pump his veins and help bring heart to his stories. Debapriya tries to see out subjects that will allow him and readers to explore new frontiers and improve the quality of life for all. The explorations can be both external and internal, as thoughts seek to be as chaotic as the greater universe. As a citizen of the world, Debapriya has been fascinated by the lives of people across the globe throughout time. His curiosity leads him to explore new linguistic and cultural landscapes to broaden his horizons and deepen his understanding of global narratives. Beyond the newsroom, Debapriya loves to participate in debate and theatre, spaces that he considers to be holy grounds for nuance and self-expression. A graduate from Ashutosh College, University of Calcutta, Debapriya completed his Master's degree from the same university in 2022. An ambiverted bibliophile, he loves his solitude as much as he adores stimulating conversations. And despite his reverence for tech, libraries continue to be his favourite place for research.Read More
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