The hormonal mechanism

Short or poor-quality sleep is associated with elevated ghrelin, the hormone that signals hunger, and reduced leptin, the hormone that signals fullness. The combination tends to increase appetite and calorie intake the following day.

Beyond hormones: decision fatigue

Poor sleep is also linked with reduced impulse control and higher preference for high-calorie, high-carbohydrate foods specifically -- not just increased hunger in general. This compounds the hormonal effect with a behavioral one.

Why this matters for adherence, not just willpower

Framing a slip after a bad night's sleep as a willpower failure misses the physiological piece -- hunger signaling genuinely shifts, making the same discipline require more effort on poor-sleep days than well-rested ones.

Practical implications

Because sleep quality measurably affects real-world adherence, it's a legitimate input for any realistic weight-loss timeline model -- which is part of why tools that account for adherence variance include a sleep quality factor rather than assuming uniform discipline regardless of rest.