By Dr. Natasha Turner, ND
Being sleep deprived can prevent you
from effectively shedding extra pounds.
• Do you fall asleep as soon as your head
hits the pillow?
• Do you routinely sleep through your alarm?
• Do you often awaken feeling unrefreshed?
• Are you plagued by daytime sleepiness?
If you answered yes to one or more of these questions, you
may be sleep deprived.
Most adults require seven to nine hours of sleep for optimal
rest. Some texts say nine hours is the perfect amount for
slowing the aging process, for recuperation from stress
and for complete rejuvenation. Adequate and effective sleep
is crucial to health. This is because hormones, like melatonin
and growth hormone, which have beneficial effects on our
body tissues, healing mechanisms and metabolism are released
during sleep.
Not sleeping enough or not sleeping in complete darkness
will decrease our production of melatonin, while insomnia,
sleep apnea or just not making sleep a priority will result
in decreased levels of growth hormone. Decreased amounts
of growth hormone have also been found in individuals with
poor quality sleep or insufficient amounts of deep sleep.
Along with low levels of melatonin and growth hormone, stress
hormone levels—particularly cortisol—increase.
Cortisol results in increased appetite despite ample food
intake, typical of people with sleep deprivation.
The increased fat storage also found with sleep deprivation
seems to be a result of an impaired ability to properly
metabolize carbohydrates which leads to high blood sugar
levels. High blood sugar levels then lead to increased levels
of insulin, our body’s signal to store unused energy
as fat. The end result is weight gain or an inability to
lose weight easily.
Sleep apnea, an obstructive breathing disease, is much more
common in overweight people, further perpetuating this situation.
Back problems as well as symptoms of depression (which sometimes
accompanies obesity) may interfere with healthy sleep patterns
and habits.
1. Watch your sleep habits as closely as
your eating habits. Watch your diet to help you keep your
blood sugar levels steady and your insulin levels low, both
of which are essential for weight loss.
2. If you have tried our sleep
tips for two weeks with no improvement in your sleep,
consider one of our natural sleep aids like melatonin, GABA
or valerian.
3. Consider taking the amino acid glutamine.
A dosage of 2,000 mg per day was found to increase growth
hormone secretion as well as improve recovery time after
exercise.
References:
1. Veldhuis, JD; Iranmanesh, A. "Physiological
regulation of the human growth hormone (GH)-insulin-like
growth factor type I (IGF-I) axis: predominant impact of
age, obesity, gonadal function, and sleep." Sleep:
Dec, 1996;19 (10 Suppl):S221-4.
2. www.soundsleepsolutions.com
Sleep Tips
If you cannot sleep, get
out of bed and do something else until you feel the urge
to sleep.
Lying in bed unable to sleep will leave you feeling frustrated.
Staring at the clock will also make your sleepless situation
worse so remove the clock from view.
Avoid napping
Avoid napping or keep naps to a maximum of 30 minutes. It
is best to stay awake until the evening.
Avoid bedtime snacks that are high in sugar or simple carbohydrates.
Carbohydrate-rich snacks such as breads, cereals, muffins,
cookies or other baked goods raise blood sugar levels for
a short time, causing them to fall later. When there is
a drop in blood sugar, adrenalin, glucagon, cortisol and
growth hormone are released to regulate blood glucose levels.
These hormones can be stimulating to the brain causing you
to awaken and be unable to fall back to sleep. Try not to
eat for at least one hour before going to bed. If you do
need to eat something, have a snack that contains protein
such as a few almonds and half of an apple. Protein provides
a source of the amino acid tryptophan. The body converts
tryptophan to serotonin and melatonin, hormones that are
important for sleep. The sugars from the fruit may help
the tryptophan reach the brain more easily. See your Truestar
dietary plan for healthy snack choices.
Sleep in complete darkness.
Your room should be as dark as possible – you should
not be able to see your hand in front of your face. When
light hits your eyes, it disrupts the circadian rhythm of
the pineal gland and the production of melatonin and serotonin.
Studies have shown that even a small amount of light can
cause a decrease in melatonin levels which can affect sleep
and may raise cancer risks.
Turn on the lights or open the blinds first thing in the
morning.
Letting in the daylight and the sounds of the morning imprints
the stimulus associated with awakening on the brain. This
is the proper way to reset your body clock and will ensure
that your melatonin levels stay set on "awake"
until the evening. Ensure that you get adequate exposure
to sunlight by getting outside during the day.
Do not turn on the light if you go to the bathroom during
the night.
Even brief exposure to light can shut down melatonin production
which is important for sleep.
Do not drink any fluids two hours before going to bed.
This will reduce the likelihood, or the frequency, of urination
during the night. Men who make regular trips to the bathroom
each evening should see their doctor as it could be an indication
of prostate enlargement. If you have to go to the bathroom
during the night, it is best not to turn on the light. Turning
on the light, even for just a second, shuts down melatonin
production and can contribute to fatigue or insomnia.
Keep your bedroom cool – not warmer than 70°F.
We naturally feel sleepier when we are cold or are cooling
down than when our body temperature is rising.
Avoid stimulating activities before bed, such as watching
television or using the computer.
Watching television in the bedroom is too stimulating. It
also emits light which can be disturbing to sleep and electromagnetic
energy that may increase your risk of cancer. Also, do not
work in bed. Use the bed and the bedroom only for sleeping
and sex.
Use your bed for sleeping and sex only.
Do not do any other activities in bed as you may start to
associate the bedroom with more stimulating activities and
not as the place to sleep.
The optimal amount of sleep is between seven and nine hours
per night.
The American Cancer Association found higher incidences
of cancer in individuals who consistently slept six hours
or less or more than nine hours nightly. However, some people
may require more or less sleep than others. If you awaken
without an alarm and if you feel rested upon rising, you
are most likely getting enough sleep.
Purchase a white noise device.
Purchase a white noise device or try running a fan if you
find that you are easily awakened by sounds.
Wear socks to bed.
Because they have the poorest circulation, your feet often
feel cold before the rest of your body does. A study has
shown that wearing socks to bed reduces the frequency of
waking up at night.
Establish regular sleeping hours.
Try to get up each morning and go to bed each evening at
the same time. Oversleeping can be as detrimental as sleep
deprivation. Aim for seven to nine hours of sleep nightly.
How you feel each day is an important indication of how
much sleep is right for you. Also, look for signs of sleep
deprivation as outlined in our healthy sleep tips. If you
constantly require more than nine hours of sleep per night,
see your doctor. There are some health conditions such as
anemia or hypothyroidism that cause fatigue.
Meditate in the evening.
Performing relaxing activities in the evening will help
you wind down before bed.
Avoid using loud alarm clocks.
Waking up suddenly can be a shock to your body. If you are
regularly getting enough sleep, an alarm clock should be
unnecessary. Sleeping through an alarm or needing an alarm
daily indicates that you may be sleep deprived. If you do
use an alarm, you should awaken just before it goes off.
Make a “to do” list or try writing in a journal.
If you find that you often lie awake in bed with thoughts
of what you must do or of things you have done, get out
of bed and write down your thoughts. You will be surprised
by how much relief this may provide.
Try to get to bed before 11 pm – optimally, by 10
pm.
Since the invention of electricity, we have begun to stay
up later and later. This has resulted in a society that
is, for the most part, sleep deprived. Our stress glands,
the adrenals, recharge or recover most between 11 pm and
1 am. Therefore, it is best to go to bed before 11 pm to
rebuild your reserves. Growth hormone, which is essential
for repairing lean body tissues like muscle and bone, is
also released during sleep.
Check your bedroom for electro-magnetic fields (EMF).
These can disrupt the pineal gland and the production of
melatonin and serotonin, and may have other negative effects,
including increased risk of cancer. This includes digital
alarm clocks and other electrical devices. If you must use
these, try to keep them as far away from the bed as possible
– at least 3 feet away.
Avoid using sleep-aid drugs.
Sleep has two phases – non-REM and REM sleep. Research
has found that REM sleep is essential to rest and recuperation.
We also dream during this stage. Many people who take sleep
medications, either over-the-counter or prescription, may
experience insufficient amounts of REM sleep. The result
is feeling unrested when you awaken, increased fatigue,
moodiness and irritability. Studies have also found that
a decrease in life span is associated with the use of sleeping
medications and that they may be addictive.
Exercising less than three hours before bedtime may be too
stimulating and may impede your ability to fall asleep.
According to Dr. Gregg Jacobs of the Mind/Body Medical Institute
of Harvard Medical School, we should exercise three to six
hours before bed to maximize the benefits of exercise on
sleep. Dr. Jacobs says the body increases deep sleep to
compensate for the physical stress exuded on the body during
exercise; he recommends walking or yoga for improving sleep.
Exercise also promotes healthy sleep patterns because of
its positive effect on body temperature. After exercise
our body gradually cools down and we naturally feel sleepy
when we are cooler or cooling down. Dr. Jacobs also recommends
that we exercise our minds. People who are intellectually
and mentally stimulated during the day feel an increased
need to sleep to maintain their performance. Uninterested
or bored people seem to not sleep as well.
Take a hot bath, shower or sauna before bed.
According to Dr. Gregg Jacobs of the Mind/Body Medical Institute
of Harvard Medical School we should take a hot bath about
two hours before bedtime, keeping the water hot for at least
25 minutes to stimulate the drop in body temperature that
makes us tired.
Read something spiritual or listen to calming music.
Develop a calming bedtime routine to help you relax. Carefully
choose your nighttime reading selections – if they
are too enticing you may stay up too late reading. Also,
do not read anything stimulating, suspenseful or exciting
because it may keep you awake.
Avoid caffeine.
Caffeine may be metabolized at different rates in different
people. A dose of caffeine usually takes 15 to 30 minutes
to take effect and lasts for four to five hours. In some
people it may last much longer, making caffeine use in the
afternoon a bad idea. If you do use caffeine, limit it to
small amounts in the morning. Caffeine may also negatively
affect the natural release cycle of the stress hormone cortisol.
Cortisol is naturally highest in the morning then declines
throughout the day and into the evening. It peaks slightly
at 2 am, 4 am and then is at its highest again around 6
am. If this pattern is disrupted it may keep you awake or
cause you to awaken and be unable to fall back to sleep.
Green tea is one of the only products containing caffeine
that is not harmful because it also contains theanine, which
blocks the effect of the stress hormone cortisol.
Check your medications.
Some medications, particularly diet pills, may contain caffeine.
Other medications may affect your ability to fall asleep.
Check with your pharmacist or primary health care provider
if you find your sleep habits have changed since starting
a new medication.
Avoid alcohol.
Although alcohol makes you drowsy, the effect is short-lived.
The body metabolizes alcohol as you sleep, resulting in
symptoms which can cause sleep interruption. Alcohol may
cause sleep disorders because it seems to affect the brain
chemicals that influence sleep. It may also change the amount
of time it takes to fall asleep, total sleep time and may
keep you from falling into the deeper stages of sleep, where
the body does most of its healing. Dr. Gregg Jacobs of the
Mind/Body Clinic at Harvard suggests one glass of wine with
dinner will most likely not affect your sleep since it takes
about 90 minutes to metabolize one ounce of alcohol. However,
one ounce within two hours of bedtime or amounts greater
than one ounce may disrupt your sleep.
Lose weight.
Being overweight can increase the risk of snoring or sleep
apnea, preventing a restful night’s sleep. See the
Truestar Weight Loss Program.
Avoid foods that you may be sensitive to.
This is particularly true for dairy and wheat products,
as they may affect sleep and serotonin levels. This may
result in sleep apnea, snoring, heartburn, nasal and sinus
congestion or gastrointestinal upset. See the Truestar Healthy
Digestion Page for more information.
Have your adrenal glands checked by a naturopathic doctor
or a doctor of complementary medicine.
Scientists have found that insomnia may be caused by adrenal
stress. This is related to a change in the secretion of
the stress hormone, cortisol. See the Truestar Stress Page
for information on healthy adrenal function.
If you are menopausal or perimenopausal, have a checkup
by naturopathic doctor or a doctor of complementary medicine.
The hormonal changes that accompany menopause may cause
problems if not properly addressed. Insomnia may be related
to low progesterone levels or changes in thyroid hormone
levels.
Do not work past the point of feeling drowsy at night.
Go to sleep if the urge comes while watching television,
using the computer or reading.
If all else fails
Smoking and exposure to nicotine can disrupt your sleep.
Like caffeine, nicotine can be
stimulating resulting in increased heart rate, rapid breathing,
increased brain activity and higher levels of stress hormones.
This stimulation can make it difficult for most smokers
to fall asleep and stay asleep. Smoking can also exacerbate
snoring because of irritation on the airway.
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Dr. Natasha Turner, ND
Vice President of Natural Medicine
Dr. Natasha Turner is Vice President
of Natural Medicine for Truestar Health. Her role
is to develop and oversee the Vitamins and Supplements,
Sleep and Natural Health sections of Truestarhealth.com.
Dr. Turner has also developed a thriving practice
in Toronto, built solely by referral. Her clinical
specialty is in digestive complaints and hormonal
issues including blood sugar, thyroid, women's health,
prostate, weight loss, stress, anxiety, depression
and immune system concerns. Her thorough approach
to patient care and warm, compassionate manner has
allowed her to devise a health care system that, if
followed closely, may allow for optimal health.
Bright, energetic and practicing
what she preaches, Dr. Turner motivates her patients
as well as members of Truestar to make positive lifestyle
choices. Her passion for promoting wellness, fitness
and integrated medicine radiates and ultimately makes
her a sought after speaker in both corporate and private
settings.
A graduate of The Canadian College
of Naturopathic Medicine, Toronto, Ontario, and an
alumni of Mount Allison University, Sackville, New
Brunswick, Dr. Turner continues her professional development
through studies in functional medicine, which utilizes
nutritional supplements and foods for therapeutic
effect, based on clinical study.
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