38 studies of continuous white or broadband noise. Findings ranged from improved to disrupted sleep, and by GRADE criteria the evidence that continuous noise improves sleep was very low quality; the authors caution it may harm sleep and hearing.
Steady sound can mask sudden noises, but the evidence that it improves sleep is very low quality. Keep it quiet, especially near babies.
Sound machines play a steady sound: white noise (all frequencies equally, a hiss), pink or brown noise (weighted towards low frequencies, more like rushing water or a rumble), fan sounds or nature loops. The idea is masking: a constant background makes sudden changes such as traffic, doors or snoring less likely to wake you.
The features that matter are practical: sounds that don't audibly loop, fine volume control at the quiet end, and a timer.
A 2021 systematic review of 38 studies rated the evidence that continuous noise improves sleep as very low quality: results ranged from better sleep to worse, and the authors warned it may affect sleep and hearing. The widely reported 'pink noise boosts deep sleep and memory' findings come from lab systems that play brief sound pulses timed to brain waves, not from a machine playing all night.
38 studies of continuous white or broadband noise. Findings ranged from improved to disrupted sleep, and by GRADE criteria the evidence that continuous noise improves sleep was very low quality; the authors caution it may harm sleep and hearing.
14 infant sound machines at maximum volume all exceeded 50 dBA (the hospital nursery limit) at 30 cm, and three exceeded 85 dBA, a level that risks hearing damage if played for hours.
In sleeping adults, brief sounds timed to the up-phase of slow brain waves enhanced slow oscillations, spindles and next-day memory; sounds played out of phase did nothing. This is timed stimulation, not continuous noise.