Elon Musk doesn't sleep much, if I remember right he said about 4 hours per night once.
Me personally, I do NOT feel well if I haven't had a solid uninterrupted 8 hours of sleep.
I realize that it's not always that cleanly zero sum, and yes, it's definitely possible to live a life that is both full and long, but in the case of Musk and perhaps others who put their heart and soul in their companies (especially during the early period), it's not so clearcut.