Smart metric

Deep Sleep

Deep Sleep (slow‑wave sleep) is a smart metric that quantifies the amount of restorative, high‑amplitude brain activity occurring during the deepest stage of sleep. Higher levels of slow‑wave sleep generally indicate better physiological recovery, supporting cardiovascular health, metabolic regulation, and immune function, while lower amounts can suggest insufficient rest, stress, or disruptions such as sleep apnea, shift work, or excessive alcohol consumption. Factors that commonly influence this metric include overall sleep duration, sleep hygiene, and lifestyle habits like caffeine intake or intense evening exercise. Because it is derived from wearable or polysomnographic data rather than a laboratory test, the metric reflects relative changes in an individual’s sleep architecture rather than an absolute diagnostic threshold.

Deep sleep, also called slow-wave sleep, is the stage your wearable flags as the deepest and hardest to wake from. It is when your body does most of its overnight physical repair, and it clusters heavily in the first few hours after you fall asleep. On a sleep-tracking device, deep sleep shows up as one slice of your night alongside light and REM.

Sleep stageTypical share of a night (adults)
Deep sleepAbout 13–23%
Light sleepAbout 45–55%
REM sleepAbout 20–25%

Wearable stage estimates approximate a clinical sleep study, not replace it. Deep sleep naturally declines with age, so compare against your own trend.

What deep sleep measures

Deep sleep reflects the stretch of the night dominated by slow, high-amplitude brain waves, when your heart rate settles, breathing steadies, and you become difficult to rouse. A wearable cannot read brain waves directly. Instead it infers this stage from signals like movement, heart rate, and heart rate variability, sometimes with skin temperature or blood oxygen. The number it reports is an estimate of how much of your night looked like slow-wave sleep, which is why the trend matters more than any single reading.

Why deep sleep matters

Deep sleep is the workhorse stage for physical recovery. It is when tissue repair ramps up, growth hormone is released, and the nervous system downshifts, giving your cardiovascular and metabolic systems a chance to reset. It also plays a role in memory consolidation, helping the brain move and stabilize what you learned during the day into longer-term storage, and in overnight clearance of metabolic waste. Consistently low deep sleep often tracks with feeling unrecovered, and over the long run adequate slow-wave sleep is tied to better heart, metabolic, and cognitive health. Because deep sleep tapers with age, steady personal trends tell you more than comparisons to other people.

How to get more deep sleep

The biggest lever is simply giving yourself enough sleep opportunity, since deep sleep loads into the early hours. Keep a consistent bed and wake time, even on weekends. Cut off alcohol well before bed, since it fragments slow-wave sleep, and avoid late heavy meals. Keep the room cool and dark, and get morning light to anchor your body clock. Regular daytime exercise helps, though hard sessions right before bed can work against you. None of this is medical advice, but these habits give deep sleep the best conditions to happen.

Deep sleep FAQ

How much deep sleep do I actually need?

Most adults land somewhere around 13 to 23% of total sleep. Rather than chasing a fixed number, watch whether your own average holds steady or drifts.

Why does my deep sleep drop as I get older?

Slow-wave sleep naturally declines with age for almost everyone. A gradual downward trend over years is expected, not a sign something is wrong.

Is wearable deep sleep accurate?

It is a useful estimate, not a diagnosis. Devices infer stages from movement and heart signals, so use the pattern over time rather than one night. Read alongside Light Sleep, Total Sleep Duration, and Heart Rate Variability (HRV) to see how your recovery fits together.

References

  • Sleep Foundation, stages of sleep and slow-wave sleep
  • CDC, Sleep and Sleep Health
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Your membership includes four targeted lab panels each year, continuous monitoring from the wearable device of your choice, and continuous monitoring of your smart scale to track weight and body composition. You’ll also receive access to our proprietary health scoring system, built on the American Heart Association’s Life’s Essential 8, which gives you a clear picture of your cardiovascular and metabolic health. Membership comes with ongoing support from a dedicated health coach, custom supplements, and access to prescription treatment through independent licensed providers, all managed directly through your dashboard. Additional devices and monitoring tools can be purchased at discounted member pricing.

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What we do is give you a clearer picture of your own health. Your membership includes quarterly lab testing, integration of your wearable data, and an AI-powered view of your biomarkers and trends over time. The focus is optimization and prevention for people who are generally healthy and want to stay that way, not the treatment of disease.

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If you're managing a diagnosed condition, OneTwenty is not a substitute for your physician. We're a complement to the care you already receive, focused on helping you understand and improve the long-term inputs to your health.

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Why can't I use my insurance for these labs?

Currently, we do not support direct insurance billing for lab orders. We made this decision to protect our members from unexpected and excessive costs.

Here is why:

The "Medical Necessity" Requirement: Insurance companies typically only cover lab tests that are tied to a specific illness or diagnosis code (ICD-10). Because many of our panels are proactive and focused on longevity (preventive wellness) rather than treating an active sickness, they are frequently rejected by insurers as "investigational" or "not medically necessary."

The Cost Risk: If we submitted these orders to your insurance and they were denied, the lab would bill you their standard "retail price." This retail price can be 5x to 10x higher than the negotiated rates we have secured for you.

Our Solution: By operating on a self-pay basis, we guarantee you access to our heavily discounted wholesale rates, ensuring you know exactly what you are paying upfront with no surprise bills in the mail later.

We are working on it: We understand that using insurance is preferred for basic labs. We are actively working on a solution that will allow us to safely bill insurance for standard preventive tests while keeping advanced longevity markers separate. We hope to introduce this hybrid option in the future.

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