Why Do I Get Cold When I’m Sleepy?

The feeling of coldness, often noticeable in the hands and feet, is a normal physiological response to becoming sleepy. This sensation signals that the body is actively preparing for rest. It is a direct consequence of the body’s internal thermostat being reset to optimize conditions for a deep, restorative sleep cycle.

The Circadian Rhythm and Core Temperature Drop

The body’s internal 24-hour clock, known as the circadian rhythm, dictates the timing for sleep and wakefulness. This rhythm is closely tied to changes in core body temperature (CBT). For sleep to be initiated efficiently, the body must first reduce its overall internal temperature, which is a prerequisite for the brain to transition into the state of rest.

The drop in CBT is an active process that begins one to two hours before sleep, coinciding with the release of the sleep-regulating hormone melatonin. This hormone, signaled by the suprachiasmatic nucleus (SCN) in the brain, helps initiate the cooling process. The SCN coordinates the body’s various rhythms, including this nightly thermal shift.

The core temperature needs to fall by approximately 1 to 2 degrees Celsius (2 to 4 degrees Fahrenheit) from its daytime peak for efficient sleep to occur. The steepest part of this temperature decline usually intersects with the moment of sleep onset. This programmed drop conserves energy and signals to the brain that it is time to slow down metabolic processes.

The Role of Vasodilation in Feeling Cold

The mechanism that produces the actual sensation of coldness, especially in the extremities, is called vasodilation. Vasodilation is the widening of blood vessels, which in this context occurs primarily in the skin of the hands, feet, and face. The circadian clock actively signals for this increase in blood flow to the skin’s surface.

This process works like a radiator, shunting warm blood away from the body’s core to the periphery. As the blood reaches the surface, the heat it carries radiates away into the surrounding environment. This heat loss is precisely what allows the core body temperature to decrease, achieving the drop needed for sleep initiation.

The sudden rush of warm blood to the skin’s surface and the subsequent rapid heat loss can create a stark contrast with the ambient temperature. This rapid dissipation of heat triggers the conscious perception of feeling cold or chilled, particularly in the hands and feet. People who have difficulty with peripheral vasodilation often experience longer sleep latencies, highlighting its importance in falling asleep.

Temperature Regulation During Sleep

The active cooling process that occurs while a person is becoming sleepy is distinct from how the body manages temperature once sleep is established. During Non-Rapid Eye Movement (NREM) sleep, particularly in the deepest stages, the body’s ability to regulate its internal temperature is significantly impaired. The hypothalamus, which normally functions as the body’s thermostat, becomes less responsive to small changes in temperature.

This means that the body’s automatic responses to being too cold or too hot are temporarily suppressed. During deep sleep, a person cannot easily shiver to generate heat or effectively sweat to cool down if they overheat. This vulnerability emphasizes why the initial core temperature drop is important, as it establishes a cooler baseline for the rest of the night.

The body becomes more reliant on the external environment and bedding to maintain a comfortable temperature during these deeper sleep stages. If the room is too hot or too cold, the body may be forced out of deep NREM sleep to activate thermoregulatory behaviors. This leads to fragmented and less restorative rest, contrasting sharply with the active cooling process used to initiate sleep.