Tag: bedtime

  • Get Enough Sleep 2

    Healthylife® QuitWell™

    Part 5

    Women sleeping.

    Not getting enough sleep can affect nearly every aspect of your day:

    *  Less energy and desire to work on your goals

    *  Feeling down, anxious, or other negative feelings

    *  Decreased creativity, making it harder to solve problems or imagine doing things differently

    *  Increased cravings for tobacco/nicotine to stay alert

    *  More unstable blood sugar levels, leading to less healthy eating and stronger cravings for nicotine

    Tips for Improving Sleep

    *  Get to bed a little earlier than normal when quitting. This may help cut out an evening cigarette and can help your body recover.

    *  Create a comfortable place to sleep. Make sure your bed, pillows, and bedding are comfortable.

    *  Maintain a slightly cooler temperature in the bedroom.

    *  Avoid looking at a screen (TV, laptop, smartphone, tablet, etc.) 30 minutes before bed.

    *  Create a bedtime and waketime routine.

    *  Reserve the bed for sleep and sex. Avoid doing other activities in bed, like work or having a tough discussion.

    *  Have a small snack before bed if you are hungry.

    * Avoid foods high in sugar or refined carbohydrates just before bed. The rise in blood sugar can provide a burst of energy that keeps you alert and makes it difficult to fall asleep.

    *  Avoid foods that are likely to cause acid reflux (heartburn), gas, cramping, or indigestion if you are prone to these problems. Fatty or spicy foods, beans, garlic, peanuts, and dairy cause discomfort for some people.

    What action can you take tonight to improve your sleep?

    © American Institute for Preventive Medicine

  • Insomnia 3

    SleepWell® Program

    Week 1

    Image of male in bed awake.

    Insomnia includes problems falling asleep, staying asleep, or waking up too early. It is normal to have a bad night of sleep every now and then. Occasional poor sleep becomes insomnia when this pattern continues for several weeks AND fatigue or feeling drowsy during the day occurs due to lack of sleep.

    There are many causes of insomnia. Too much caffeine, travel, taking care of an ill loved one, or stress can affect your sleep. Quite often, insomnia is a result of conditioning your body to be awake in bed, even if you feel tired or know you need sleep. Having trouble sleeping over several nights may lead to worrying about being able to fall asleep or expecting to lie awake for hours.

    Whether your sleep issues are transient (come and go) or chronic (occur all the time), this guide can help to improve your ability to fall asleep and stay asleep.

    Sleep Problems & Health Conditions

    If you have trouble sleeping or have daytime sleepiness for longer than three weeks, consult your doctor.

    Any condition, illness, injury, or surgery that interrupts sleep due to pain, discomfort, or waking to urinate can cause sleep problems. Health conditions that affect sleep include: arthritis, asthma, COPD, fibromyalgia, narcolepsy, and thyroid disorders. Sleep problems are also linked to many mental illnesses. These include anxiety, depression, bipolar disorder, PTSD, and substance abuse. Over-the-counter medicines, such as decongestants and diet pills can affect sleep, too.

    Sleep Apnea Signs:

    *  Loud snorting sounds while sleeping on the back

    *  Repeated periods when breathing stops for 10 or more seconds during sleep

    *  Waking up many times during the night and excessive daytime sleepiness

    *  Exhaustion and having a hard time concentrating during the day

    Periodic Limb Movements in Sleep (PLMS) and Restless Leg Syndrome Signs:

    *  Creeping, crawling, pulling and/or painful feelings in one or both legs

    *  Jerking or bending leg movements that you can’t control during sleep

    © American Institute for Preventive Medicine

  • Insomnia 4

    Sleep Well

    Image of woman in bed awake at 2:40am.

    Do You Have Insomnia?

    Answer these questions:

    1. Do you have trouble falling asleep?

    2. Do you have problems staying asleep?

    3. Do you wake up too early and can’t get back to sleep?

    4. Do any of these problems last at least 3 weeks?

    If you answered yes to number 4, answer these questions about problems that occur when you are awake:

    5. Do you feel like you do not get enough refreshing sleep?

    6. Do you yawn and feel tired?

    7. Do you lack energy or have fatigue?

    8. Do you have a hard time concentrating?

    9. Do you feel depressed and/or cranky?

    If you answered yes to question number 4 and yes to any question from number 5 through 9, you could have insomnia.

    Why You Need Sleep

    Getting enough sleep and good quality sleep helps you maintain good health and function your best during the day. You need sleep to:

    *  Have energy.

    *  Think clearly.

    *  React quickly.

    *  Be productive.

    *  Learn and remember things.

    *  Help your immune system fight infections.

    According to the National Sleep Foundation, about 50% of adults in the U.S. have problems with sleep at least a few nights a week. And recent studies find that the average person gets less than 6 hours of sleep per night. (On average, adults need at least 7 to 8 hours of sleep each night.)

    A lack of sleep or getting poor quality sleep can lead to a wide range of health problems.

    Health Problems from a Lack of Sleep

    *  Anxiety, depression, and alcohol abuse.

    *  Obesity.

    *  Heart disease.

    *  High blood pressure.

    *  Diabetes.

    *  Stroke.

    *  Gum disease.

    *  Accidents and an increased risk for injury and death. About 20% of all serious car crashes are linked to driver sleepiness. Also, workers with severe insomnia make 2½ times more serious work errors than persons who get proper sleep.

    Getting enough, quality sleep is as vital to good heath and long life as are healthy eating and regular exercise.

    Do’s & Don’ts for Insomnia

    Do’s

    *  Do regular exercise daily. Physical activity releases muscle tension, relieves anger, and improves mood.

    *  Do mild exercises four or more hours before bedtime.

    *  Do relaxation exercises as needed throughout the day and before you go to bed.

    *  Follow a regular daily schedule for meals and snacks.

    *  Choose larger meals at breakfast and lunch than at dinner. At each meal, have complex carbohydrate foods, such as whole-grain breads and cereals, fruits and vegetables.

    *  Limit caffeine to 300 milligrams (mgs.) a day. More than 500 to 600 mgs. a day may cause you to be anxious, nervous, and makes it harder to sleep well.

    *  Cut down on caffeine gradually. Daily usage of caffeine can result in physical dependence. If caffeine is stopped abruptly, withdrawal symptoms can occur. These include headache, feeling down, having a hard time concentrating, and fatigue.

    Don’ts

    *  Don’t do vigorous exercise within six hours of going to bed.

    *  Don’t have large meals near bedtime. These may keep you awake, especially if you have heartburn or a similar problem.

    *  Don’t have caffeine for 6 hours before bedtime.

    HealthyLife SleepWell by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Insomnia

    Women’s Health

    Insomnia is having trouble falling asleep. It can last from a single night to a few weeks. It can occur from time to time or be a chronic problem.

    Signs & Symptoms

    *  Waking up during the night and not being able to get back to sleep.

    *  Waking up too early.

    *  Not getting enough sleep or getting poor quality sleep.

    *  Fatigue or feeling drowsy during the day because of lack of sleep.

    Causes

    *  Too much caffeine or having it before bedtime.

    *  Changes in sleep/wake schedules, such as work shift changes and jet lag.

    *  Going to bed with a full bladder or any problem that causes you to urinate or have a bowel movement during the night.

    *  Too much noise when you fall asleep. This includes a snoring partner.

    *  Menopausal symptoms, such as hot flashes.

    *  A lack of physical exercise.

    *  Lack of a sex partner.

    *  Side effects of some medicines, such as decongestants, corticosteroids, and stay-awake pills.

    *  Emotional stress. Depression. Anxiety.

    *  Posttraumatic Stress Disorder (PTSD).

    *  Fibromyalgia.

    *  Any condition, illness, injury, or surgery that causes pain and/or discomfort which interrupts sleep.

    *  Asthma, allergies, and early-morning wheezing.

    *  An overactive thyroid gland.

    *  Heart or lung conditions that cause shortness of breath when lying down.

    Treatment

    *  Self-care and prevention measures.

    *  Treating the problem.

    *  Prescribed short-acting sleeping pills.

    Questions to Ask

    Self-Care / Prevention

    *  Avoid caffeine for 8 hours before bedtime. Caffeine is in coffee, tea, chocolate, colas, and some other soft drinks. Check labels for caffeine content in over-the-counter medicines.

    *  Avoid long naps during the day.

    *  Have no more than 1 alcoholic drink with or after dinner. Even though alcohol is a sedative, it can disrupt sleep. Check with your doctor about using any alcohol if you are taking medicines.

    *  An hour or two before going to bed, dim the lights in the house.

    *  Before you go to bed, have food items rich in the amino acid L-tryptophan, such as milk, turkey, or tuna fish. Do not take L-tryptophan supplements, though. Eating foods with carbohydrates, such as cereal, breads, and fruits, may help as well.

    *  Do regular exercise, but not within a few hours of going to bed.

    *  Before bedtime, take a warm bath or read a book or do some type of repetitive, calm activity. Avoid things that hold your attention, such as watching a suspense movie.

    *  Keep your bedroom quiet, dark, and comfortable. Use clean, fresh sheets and pillows. Keep the room temperature neither too warm nor too cool.

    *  Ban worry from the bedroom. Don’t rehash the mistakes of the day as you toss and turn.

    *  Follow a regular bedtime routine. Lock or check doors and windows, brush your teeth, etc.

    *  Count sheep! Picturing a repeated image may bore you to sleep.

    *  Listen to recordings that help promote sleep. Look for them at a library or bookstore.

    *  If you’ve tried to fall asleep, but are still awake after 30 minutes, get out of bed. Read a relaxing book or sit quietly in the dark. Do this for about 20 minutes. Then go back to bed. Repeat this as many times as you need to until you are able to fall asleep.

    *  Take over-the-counter sleep aids (e.g., melatonin, Tylenol PM, etc.) as advised by your doctor. Don’t take anyone else’s sleeping pills.

    Resources

    National Center on Sleep Disorders Research

    www.nhlbi.nih.gov/about/ncsdr

    National Sleep Foundation

    www.sleepfoundation.org

    Women's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Insomnia 2

    General Health Conditions

    Image of woman in bed awake at 2:40am.

    Do You Have Insomnia?

    Answer these questions:

    1. Do you have trouble falling asleep?

    2. Do you have problems staying asleep?

    3. Do you wake up too early and can’t get back to sleep?

    4. Do any of these problems last at least 3 weeks?

    If you answered yes to number 4, answer these questions about problems that occur when you are awake:

    5. Do you feel like you do not get enough refreshing sleep?

    6. Do you yawn and feel tired?

    7. Do you lack energy or have fatigue?

    8. Do you have a hard time concentrating?

    9. Do you feel depressed and/or cranky?

    If you answered yes to question number 4 and yes to any question from number 5 through 9, you could have insomnia.

    Why You Need Sleep

    Getting enough sleep and good quality sleep helps you maintain good health and function your best during the day. You need sleep to:

    *  Have energy.

    *  Think clearly.

    *  React quickly.

    *  Be productive.

    *  Learn and remember things.

    *  Help your immune system fight infections.

    According to the National Sleep Foundation, about 50% of adults in the U.S. have problems with sleep at least a few nights a week. And recent studies find that the average person gets less than 6 hours of sleep per night. (On average, adults need at least 7 to 8 hours of sleep each night.)

    A lack of sleep or getting poor quality sleep can lead to a wide range of health problems.

    Health Problems from a Lack of Sleep

    *  Anxiety, depression, and alcohol abuse.

    *  Obesity.

    *  Heart disease.

    *  High blood pressure.

    *  Diabetes.

    *  Stroke.

    *  Gum disease.

    *  Accidents and an increased risk for injury and death. About 20% of all serious car crashes are linked to driver sleepiness. Also, workers with severe insomnia make 2½ times more serious work errors than persons who get proper sleep.

    Getting enough, quality sleep is as vital to good heath and long life as are healthy eating and regular exercise.

    Do’s & Don’ts for Insomnia

    Do’s

    *  Do regular exercise daily. Physical activity releases muscle tension, relieves anger, and improves mood.

    *  Do mild exercises four or more hours before bedtime.

    *  Do relaxation exercises as needed throughout the day and before you go to bed.

    *  Follow a regular daily schedule for meals and snacks.

    *  Choose larger meals at breakfast and lunch than at dinner. At each meal, have complex carbohydrate foods, such as whole-grain breads and cereals, fruits and vegetables.

    *  Limit caffeine to 300 milligrams (mgs.) a day. More than 500 to 600 mgs. a day may cause you to be anxious, nervous, and makes it harder to sleep well.

    *  Cut down on caffeine gradually. Daily usage of caffeine can result in physical dependence. If caffeine is stopped abruptly, withdrawal symptoms can occur. These include headache, feeling down, having a hard time concentrating, and fatigue.

    Don’ts

    *  Don’t do vigorous exercise within six hours of going to bed.

    *  Don’t have large meals near bedtime. These may keep you awake, especially if you have heartburn or a similar problem.

    *  Don’t have caffeine for 6 hours before bedtime.

    HealthyLife SleepWell by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Set Up Good Sleep Habits

    Student Health

    *  Plan ahead. Don’t start writing a paper the night before it is due or cram for a test the night before you have it. Doing these things starts a cycle of staying up all night and never catching up on sleep.

    *  Get at least 30 minutes of sunlight exposure daily.

    *  Get regular exercise, but not within a few hours of going to bed.

    *  If you have a roommate, discuss and decide when your room will be used for studying, socializing, and sleep.

    *  If your dorm is too noisy to sleep, talk to your resident advisor and/or learn to tune out the noise in order to get to sleep. If it helps, listen to soft music with earphones when you fall asleep. Wear earplugs, if necessary.

    *  Make your dorm room or bedroom as comfortable as possible. Create a quiet, dark atmosphere. Keep the room temperature comfortable (neither too warm nor too cold). Don’t wait longer than a week to change the sheets on your bed.

    *  Have food items rich in the amino acid  L-tryptophan, such as milk, turkey, or tuna fish, before you go to bed. Eating foods with carbohydrates, such as cereal, breads, and fruits may help as well. (Do not, however, take L-tryptophan supplements.)

    *  Develop a regular bedtime routine. Brush your teeth, lock or check doors and windows, get your backpack ready for the next day, etc. Try to go to bed and get up at the same time every day.

    *  Take a long, warm bath or shower before bedtime.

    *  Read a book or do some repetitive, calm activity. Avoid distractions that may hold your attention and keep you awake, such as watching a suspenseful movie.

    *  Avoid caffeine in all forms after lunchtime. Caffeine is in coffee, tea, chocolate, colas, other soft drinks, such as Mountain Dew, and some bottled water, such as Cup of Joe.

    *  Don’t take No-Doz. Avoid alcoholic beverages at dinnertime and during the rest of the evening, too. Even though alcohol is a sedative, it can disrupt sleep.

    *  Don’t take over-the-counter sleeping pills or friends’ or relatives’ sleeping pills. Only take sleep medicine with your health care provider’s permission.

    *  Count sheep! Picturing a repeated image may bore you to sleep.

    Student Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Get Enough Sleep

    Healthylife® Weigh

    Part 3

    Man sleeping.

    Not getting enough sleep can affect your appetite and make it harder to manage your blood sugar. A shortage of sleep also:

    *  Triggers ghrelin, a hunger hormone. Ghrelin increases appetite, especially for sweets, salty foods, and starches.

    *  Decreases another hormone, leptin. Leptin helps your body know when you are full.

    *  Increases anxiety and negative feelings, which can lead you to eat unhealthy snacks and overeat “comfort foods.”

    *  Decreases energy to exercise.

    Tips for Improving Sleep

    *  Create a comfortable place to sleep. Make sure your bed, pillows, and bedding are comfortable.

    *  Maintain a slightly cool temperature in the bedroom.

    *  Avoid looking at a screen (TV, laptop, smartphone, tablet, etc.) 30 minutes before bed.

    *  Create a bedtime and waking routine.

    *  Reserve the bed for sleep and sex. Avoid doing other activities in bed, like work or having an argument.

    *  Have a small snack before bed if you are hungry.

    *  Avoid foods high in sugar or refined carbohydrates just before bed. The rise in blood sugar can provide a burst of energy that keeps you alert and makes it difficult to go to sleep.

    *  Avoid foods that are likely to cause acid reflux (heartburn), gas, cramping, or indigestion if you are prone to these problems. Fatty or spicy foods, beans, garlic, peanuts, and dairy foods may cause discomfort for some people.

    © American Institute for Preventive Medicine

  • Books And Bedtime Routine

    WELL-BEING

    Image of a mom reading a book to her young toddler.

    Whatever happened to the good old-fashioned bedtime story? Not an iPad app or a TV show before bed. But a real story, read in bed to a child by a parent.

    Seems that bedtime routines help kids sleep better, say researchers at Penn State in this NIH-funded study. They say well-established rules such as a regular bedtime and no caffeine drinks led to children getting adequate sleep for their age. In contrast, when parents and kids had electronic devices in the bedroom after bedtime, lack of sleep was more likely.

    Poor sleep could lead to behavioral problems, impaired learning and school performance, sports injuries, mood issues, and health problems such as obesity.

    © American Institute for Preventive Medicine

  • Simple Ways To Get Better Sleep

    WELL-BEING

    Image of man sleeping.

    Lack of sleep can affect the body in many ways. Beyond just feeling tired, long-term sleep deprivation may be linked to health problems such as heart disease, obesity and depression. Try these tips to get better sleep each night:

    *Have a consistent schedule.Get up at the same time each morning and go to bed at the same time each night. This will help to set your body’s internal clock. Over time, you’ll fall asleep quicker and may sleep better throughout the night.

    *Skip screens.The light given off by smartphones, tablets and computers can actually keep you awake. Avoid electronics in the evening, at least 2 hours before bedtime.

    *Think about skipping naps.Although a nap may feel great when you’re tired, it could be causing more sleep problems. Napping can interfere with your sleep schedule and make you too alert at bedtime. If you have trouble falling asleep at night, skip the nap and get to bed a little sooner.

    *Get moving.Exercise during the day has been shown to improve sleep quality. Walking, jogging, or any activity you enjoy can be helpful. Don’t exercise within 2 hours of bedtime, though, if you have trouble falling asleep.

    *Be careful about caffeine.That afternoon cup of coffee could still be in your system at bedtime, making it difficult to fall asleep. Try to avoid soda, tea and coffee after lunch.

    *Don’t smoke.Nicotine interferes with sleep and harms your health in many other ways. If you need help quitting, talk to your doctor or visitsmokefree.govfor free help with quitting. It’s never too late to quit.

    *Don’t eat a big meal before bed.Heavy meals can interfere with sleep and make you restless. Eat dinner about 2 to 3 hours before bedtime. If you need a snack, make it small and light, such as yogurt and fruit or a handful of nuts.

    Source: National Sleep Foundation

    © American Institute for Preventive Medicine

  • Sleep-Wake Cycle Needs To Be Consistent

    WELL-BEING

    Image of vintage yellow clock.

    Sleeping late now and then may feel like a luxury. But an inconsistent sleep schedule can throw off your body’s sleep and waking pattern, or circadian rhythm, according to sleep specialists writing in the Harvard Health Letter. Inconsistent cycles can lead to sleepless nights.

    To get sleep and waking patterns back on track, talk to a sleep expert. The first step is a physical exam to rule out underlying health conditions that may cause insomnia. If no underlying cause is found, try a sleep journal. Each morning, write down the wake time, the bedtime from the night before, how long it took to fall asleep, and whether there was any waking in the night-and if so, how many times. After two weeks, a pattern will emerge. It can help pinpoint any changes that need to be made.

    The wake time is most important to getting on a schedule again because it anchors the circadian sleep rhythm. Use an alarm clock to stick to the schedule. Make bedtime about seven or eight hours before the alarm will sound.

    It also helps to make a wind-down period part of the bedtime routine. That means stopping the use of all electronics an hour and a half before bed, keeping the lights low, and doing a relaxing activity such as reading.

    Filling the day with more structure will also reinforce the circadian rhythm. Keep a regular schedule for work, meals, exercise, and activities such as grocery shopping, socializing, or housework.

    © American Institute for Preventive Medicine