Sleep & heart · topic 2 of 5
Sleep timing
Four ways to read one bedtime diary
In the app
Last night’s hours, then three short readings. Your average bedtime over the last seven nights and how far it moved from the seven before. How much your bedtime moves, night to night and around your average. And the Sleep Regularity Index for the last 30 days, beside your own median. Spread and the index settle over 44 nights, and the page counts them for you. What each number means is on this page, not in the app.
A dot is a night, week 1 dim and week 2 light. | a week’s average, dashed for week 2. ○ an afternoon nap.
Video walkthrough — Sleep Timing
In production, coming soon
The short version
How regular your sleep is, not only how long it lasts, is linked with survival. In 60,977 UK Biobank adults who wore wrist sensors, how regular their sleep was predicted their risk of dying better than how long they slept.
But “regular” hides four different questions, and each needs a different amount of data before it can answer:
- Bedtime average: where the middle of your bedtimes sits.
- Drift: whether that middle is moving.
- Spread: how much your bedtime moves, measured two ways.
- Sleep Regularity Index: whether your whole day, asleep and awake, repeats.
Four diaries
Picture four people writing down the time they fall asleep, every night for two weeks.
- Person A is steady. Asleep within about ten minutes of 23:00, every night.
- Person B slides. Five nights around 23:00, then each night lands 12 to 15 minutes after the last. No single night looks unusual.
- Person C is scattered. 23:00, 02:00, 22:00, 01:00, 23:30. Late and early, with no direction.
- Person D sleeps Person A’s nights to the minute, but naps for two hours on some afternoons and not others.
Here is what each measure makes of them:
| Bedtime average, week 1 → week 2 | Drift | Spread: night to night · around the average | Regularity index | |
|---|---|---|---|---|
| Person A, steady | 23:03 → 23:03 | none | 8 min · ±5 min | 91 |
| Person B, sliding | 23:08 → 00:20 | 1 h 12 later | 11 min · ±41 min | 91 |
| Person C, scattered | 23:47 → 23:51 | 4 min | 2 h 30 · ±83 min | 73 |
| Person D, naps some days | 23:03 → 23:03 | none | 8 min · ±5 min | 80 |
No single measure catches all three. Only drift catches Person B’s slide. Spread and the regularity index both catch Person C. Only the regularity index catches Person D. The average alone flags no one.
1. Bedtime average: where the middle is
It answers what time do I usually fall asleep?
Clock times sit on a circle, so they have to be averaged as angles. With plain arithmetic, 23:50 and 00:10 are 23 hours 40 minutes apart and average to noon. On a clock face they are 20 minutes apart and average to midnight.
The average settles fast. In 10,412 adults who wore a WHOOP band for a year, three nights gave a reliable average time of falling asleep, and seven a reliable average total sleep time (Leota, Sleep 2026).
It can’t tell you how consistent you are. Person C’s average, 23:47, looks perfectly ordinary.
2. Drift: whether the middle is moving
Compare one week’s average with the next. Person B’s moved from 23:08 to 00:20: an hour and 12 minutes later in a single week, though no night was more than 15 minutes from the one before.
Drift is the only one of the four with a direction. It needs two windows to compare, so two weeks of nights.
3. Spread: how much your bedtime moves
It answers how much does my bedtime bounce around? Verve measures it two ways, because each one sees something the other doesn’t.
Night to night is the average size of the move from one night to the next, in minutes, whichever way it goes: 8 for Person A, 11 for Person B, 2 hours 30 for Person C.
Around your average is the standard deviation: how widely your bedtimes scatter around their own average. It is one of the measures of regularity listed in the American Heart Association’s 2025 statement on sleep health, which gives 60 minutes or less as a commonly used cut-point while noting there is no agreement on the best threshold (St-Onge, Circ Cardiovasc Qual Outcomes 2025). Person A reads ±5 minutes and Person C ±83.
Read the two together. Person B’s nightly moves are small, 11 minutes, but around the average Person B reads ±41, because measured from the middle the slide looks like scatter. When around-your-average is much wider than night to night, the gap is drift.
Both are slow to trust. In the same 10,412 adults, a reliable standard deviation took 41 to 65 nights depending on the measure, and 44 for the time of falling asleep. Estimates from 7 to 14 nights, the length of most sleep studies, were poor, and a single week could misjudge the variability of total sleep time by as much as 50 minutes either way (Leota, Sleep 2026). No study has measured this for night-to-night moves, so Verve applies the same 44 nights to both.
4. Sleep Regularity Index: whether your whole day repeats
It answers am I asleep and awake at the same clock minutes today as yesterday? It checks every minute of the 24 hours against the same minute a day earlier, so waking up, naps and time awake in the night all count, not just bedtime. 100 is a day that repeats exactly. 0 is no better than chance.
That is why Person D scores 80 to Person A’s 91 despite identical nights. It is also why Person B scores 91: a slow slide changes each day only a little from the day before, and the index compares only neighbouring days (Fischer, Sleep 2021).
This is the measure the outcome data rest on. Across 60,977 UK Biobank adults followed for an average of 6.3 years, the four most regular fifths had a 20 to 48 per cent lower risk of death from any cause than the least regular fifth, and regularity predicted it better than duration did (Windred, Sleep 2024). A second analysis, of 88,975 participants, found the risk concentrated at the irregular end: a hazard ratio of 1.53 at the 5th percentile against 0.90 at the 95th, both relative to the median (Cribb, eLife 2023). The extra risk sat mostly in the irregular tail.
What the scores looked like in those studies
In Windred’s sample the median was 81.0, marked, and half the sample sat between 73.8 and 86.3. The least regular fifth scored below 71.6 and the most regular fifth above 87.3. Cribb’s analysis of UK Biobank put the median at 60.
Why Verve doesn’t put your score on that scale.Those two medians come from the same biobank. When two widely used SRI calculators were run over the same 73,794 adults, their scores differed enough to change what the outcome models concluded (Czeisler,Sleep 2026). A score only compares with scores from the same calculation, so Verve reads yours against your own past months, and the study figures stay here as context.
It needs time. It takes at least five to seven days of continuous sleep data to calculate. Related regularity scores built from fewer than seven days carry measurable bias and don’t compare with longer recordings (Lok, J Sleep Res 2025). How long one person’s score takes to settle has no agreed answer yet.
How many nights each one needs
| Measure | Can be calculated from | Worth trusting from |
|---|---|---|
| Bedtime average | 2 to 3 nights | 3 nights (7 for total sleep time) |
| Drift | two weekly averages | two weeks |
| Spread, both ways | about 7 nights | 41 to 65 nights |
| Sleep Regularity Index | 5 to 7 days | no agreed figure yet |
So the average can be trusted within days, and drift within a fortnight. Spread and the regularity index stay provisional much longer. Verve counts both as settled at 44 nights, about six weeks; for the regularity index, where there is no agreed figure, that is Verve’s own choice.
What these measures are not
- Not hours. A steady six-hour sleeper can look more regular than an erratic eight-hour one. Timing and duration are separate markers, each linked with health in its own right.
- Not sleep quality. The regularity index sees only asleep or awake, not how deep the sleep was.
- Not travel-proof. They compare clock times, so crossing time zones reads as irregular even when your body’s rhythm is steady.
In Verve
Verve reads the sleep your watch or ring writes to Apple Health and works out all four measures the way this page describes.
- The Sleep page keeps to numbers, under three headings. Bedtime average with drift: your average bedtime over the last seven nights, and how far it moved from the seven before, in amber once the move passes 20 minutes. Bedtime spread: night to night, and around your average, in green or amber against the 60-minute mark. Sleep regularity index (SRI): the last 30 days, beside your own median. Until 44 nights are in, spread and the index stay grey with a count toward 44.
- Trends shows the same three cards. The Snapshot sets this week’s average bedtime against last week’s, with spread and the index as on the Sleep page. Over Time shows all three for the period you pick, each with a thin line of how its number moved: night by night, week by week, month by month or year by year. On the spread and index lines, points resting on fewer than 44 nights are hollow; on the months view, the index line also carries your median for the year.
Take-home
Start with the two you can trust soonest: your average bedtime, within a few nights, and whether it is drifting, within two weeks. Give the spread and the regularity index about six weeks, then read them against yourself.
Connecting Oura, Whoop or Garmin.Verve reads only Apple Health, so a third-party wearable reaches it through its own app’s Apple Health setting. Oura: the Oura app → menu → Settings → Apple Health, and allow it to write Sleep, Workouts, Heart Rate and Respiratory Rate.Whoop: More → App Settings → Integrations → Apple Health, and allow the same categories. Garmin: Garmin Connect → More → Settings → Apple Health. Then in Verve, Settings → Apple Health on. How far back an app writes when you switch the integration on varies by app; from that day on every night arrives. Stages appear when the app writes them; a plain asleep record shows as one block. Steps come from whatever writes them to Health: the phone in a pocket, an Apple Watch, and Oura or Garmin through their apps; Whoop does not write steps. In Verve, Settings → Wearables shows which app wrote the latest sleep, heart-rate and workout sample, and when.
More than one wearable.An Apple Watch writes to Health directly; Oura, Whoop and Garmin write through their apps. Someone with a Watch and a Whoop therefore has two writers, and Health keeps both copies. What reaches Verve then depends on the data. Steps: Verve asks Health for its own daily total, which follows the source order set in Health, so one source counts at any moment. Sleep and heart rate: Verve reads the samples themselves, and Health returns every source’s, so two devices both writing the same night can overlap. Two settings in Health decide it; Verve has none of its own. Which app may write what: Health → your picture → Apps → the app → untick the types it should not write. This is the lever for sleep and heart rate, because it stops the duplicate at the source. Which source wins when both exist: Health → Browse → the data type, say Steps → Data Sources & Access → Edit → drag the sources into order. This governs totals such as steps.
Windred et al — Sleep regularity vs sleep duration, SLEEP 2024
60,977 UK Biobank adults wore wrist accelerometers for a week and were followed for a mean of 6.3 years, up to 7.8. The Sleep Regularity Index predicted all-cause mortality more strongly than sleep duration did: the four most regular fifths had 20 to 48 per cent lower risk than the least regular fifth. The median score was 81.0, with half the sample between 73.8 and 86.3. The least regular fifth scored below 71.6 and the most regular fifth above 87.3.
doi.org →
Cribb et al — Sleep regularity and mortality, eLife 2023
88,975 UK Biobank adults, scored with a different SRI calculation: median 60. Risk rose at the irregular end rather than falling steadily toward 100: a hazard ratio of 1.53 at the 5th percentile (a score of 41) against 0.90 at the 95th (75), both relative to the median.
doi.org →
AHA 2025 — Multidimensional Sleep Health scientific statement
The American Heart Association's statement describes sleep health in seven dimensions: duration, continuity, timing, regularity, daytime functioning, architecture and the absence of sleep disorders. For regularity it lists within-person variability, such as the standard deviation of sleep timing or duration, alongside rest-activity rhythm measures and social jet lag. Its table of commonly used cut-points gives a standard deviation of 60 minutes or less, and the text notes there is no agreement on which thresholds are best. Verve's around-your-average spread is the standard deviation of the time you fall asleep, drawn against that 60-minute mark. The statement does not mention the Sleep Regularity Index.
doi.org →
Leota et al — How many nights are needed?, SLEEP 2026
10,412 adults with a year of WHOOP data. Averages settled fast: 3 nights for the time of falling asleep, 7 for total sleep time. A reliable standard deviation took 41 to 65 nights, and estimates from 7 to 14 nights were poor. This is why Verve marks spread and the regularity index as still settling until 44 nights.
doi.org →
Why Verve shows a number nothing else does
CommentarySRI is a research metric. As of 2026 no FDA-cleared device and no major consumer wearable — Oura, Fitbit, Apple Watch, Whoop — reports a Sleep Regularity Index by that name; they report duration, staging, and proprietary sleep or readiness composites. Published SRI values come from academic pipelines such as GGIR and sleepreg run on raw accelerometry. Verve is ahead of the field here, and that is a reason for more disclosure rather than less: no clinical guideline recommends SRI for individual patient management, and a 2025 systematic review, while finding the evidence on mortality and cardiometabolic outcomes consistent, called for regularity to become a public-health recommendation rather than describing existing clinical use.
doi.org →
Why your score is not comparable with anyone else's
CommentaryThe 2026 RIRI statement applied two accepted open-source SRI calculators, sleepreg and GGIR, to the same 73,794-adult accelerometer dataset. Their scores differed enough to change how clinical outcome models read, and a 14-item reporting standard came out of it. So the SRI is a method, not a standard. Verve states its own: 1-minute epochs, sleep taken from Apple Health whichever device wrote it, naps included, everything outside a recorded sleep interval treated as awake, local clock times compared, both partial edge days of the window dropped, and a day compared only when the nights either side of it are both on record, so a night the watch spent on the charger is not scored as a night awake. Verve reads your score against your own past months, never against a friend's or a study's.
doi.org →
Why a slow slide needs its own measure
CommentaryThe standard deviation measures regularity across many days; the Sleep Regularity Index compares each day only with the day before (Fischer, Klerman and Phillips, SLEEP 2021). So a bedtime that slides a few minutes later each night barely moves the index. Verve shows drift, one week's average against the next, so a slide that neither the index nor the nightly moves would flag still shows.
doi.org →
What Verve needs before it shows each measure
CommentaryA bedtime average from 3 nights, and drift once there are two weeks to compare. Spread and the regularity index appear after about a week and stay marked as still settling until 44 nights. Regularity-type scores built from fewer than seven days are biased and don't compare with longer recordings (Lok, J Sleep Res 2025). Any device that writes sleep to Apple Health counts, including Oura, Whoop and Garmin; an Apple Watch is not required.
doi.org →