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TABLE 1

Impact of Chronic Sleep Loss in Adolescents

Physical health and safety 
 Increased obesity risk 
 Metabolic dysfunction (hypercholesterolemia, type 2 diabetes mellitus) 
 Increased cardiovascular morbidity (hypertension, increased risk of stroke) 
 Increased rates of motor vehicle crashes (“drowsy driving”) 
 Higher rates of caffeine consumption; increased risk of toxicity/overdose 
 Nonmedical use of stimulant medications; diversion 
 Lower levels of physical activity 
Mental health and behavior 
 Increased risk for anxiety, depression, suicidal ideation 
 Poor impulse control and self-regulation; increased risk-taking behaviors 
 Emotional dysregulation; decreased positive affect 
 Impaired interpretation of social/emotional cues in self and others 
 Decreased motivation 
 Increased vulnerability to stress 
Academics and school performance 
 Cognitive deficits, especially with more complex tasks 
 Impairments in executive function (working memory, organization, time management, sustained effort) 
 Impairments in attention and memory 
 Deficits in abstract thinking, verbal creativity 
 Decreased performance efficiency and output 
 Lower academic achievement 
 Poor school attendance 
 Increased dropout rates 
Physical health and safety 
 Increased obesity risk 
 Metabolic dysfunction (hypercholesterolemia, type 2 diabetes mellitus) 
 Increased cardiovascular morbidity (hypertension, increased risk of stroke) 
 Increased rates of motor vehicle crashes (“drowsy driving”) 
 Higher rates of caffeine consumption; increased risk of toxicity/overdose 
 Nonmedical use of stimulant medications; diversion 
 Lower levels of physical activity 
Mental health and behavior 
 Increased risk for anxiety, depression, suicidal ideation 
 Poor impulse control and self-regulation; increased risk-taking behaviors 
 Emotional dysregulation; decreased positive affect 
 Impaired interpretation of social/emotional cues in self and others 
 Decreased motivation 
 Increased vulnerability to stress 
Academics and school performance 
 Cognitive deficits, especially with more complex tasks 
 Impairments in executive function (working memory, organization, time management, sustained effort) 
 Impairments in attention and memory 
 Deficits in abstract thinking, verbal creativity 
 Decreased performance efficiency and output 
 Lower academic achievement 
 Poor school attendance 
 Increased dropout rates 
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