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Bedroom temperature can influence nocturnal thermoregulation and sleep. To date, limited, small experimental studies have shown that bedroom temperatures outside the recommended range of 65 and 70°F can negatively impact sleep. However, this association has not been studied in a large-scale data set. Using over 3.75 million nights of objectively measured data, we analyzed the associations between habitual bedroom temperatures and sleep. Methods Over 3.75 million nights of sleep and bedroom temperature data were collected using S+ by ResMed technology from 34,096 Individuals (57% male, 20-90 years, mean age 48.7 +/-14.5 years, all US residents). Multilevel regression analyses were used to analyze associations between bedroom temperature and sleep. A stricter alpha level of 0.001 was used to account for the large number of observations in the dataset. Results Bedroom temperature was above 70°F for 69% of nights, with the average temperature ranging between 68.8 and 76.2°F. For each 1°F increase in bedroom temperature between 60-85°F, sleep efficiency decreased by 0.06%. Likewise, higher bedroom temperatures were linked to shorter Total Sleep Time duration (-0.45 mins/°F), longer Sleep Onset Latency (+0.04 mins/°F), and longer Wake After Sleep Onset (+0.11 mins/°F), all ps&amp;lt;0.001. Conclusion Analyzing data from over 3.75 million nights, we found that many people sleep in a bedroom warmer than the optimal temperature. Further, higher bedroom temperatures - even within the recommended range for optimal sleep - are associated with poorer sleep and higher wakefulness. Bedroom thermostats and cooling options should be considered to achieve optimal sleeping temperature conditions. Support

1214 Higher Bedroom Temperature Associated With Poorer Sleep: Data From Over 3.75 Million Nights