All you need to know for a better night's sleep

In this second part of the blog post on sleep, we'll run through our top tips for a good night's sleep

These build on the info we discussed in the first post we shared today - so check this out if you haven't already!! 

Good sleep is generally defined as :

• usually taking less than 30 minutes to fall asleep

• broken sleep is not a common issue

• usually not waking for longer than 30 minutes during the night

• feeling reasonably refreshed the next day, with no major impairment on daytime functioning due to sleep

Sleep tips are often divided into various areas - sleep environment, exercise, temperature, light, caffeine alcohol, day naps, meditation, diet, and circadian meal timing.

We run through each of these in a bit more detail - everyone has different factors that affect their sleep, so the more tools you have to help it, the better 😉

Sleep environment:

✔️Aim to keep your bedroom for sleep (and sex) only, and avoid working there, especially on screens

This creates a positive association in your mind, where your brain links being in the bedroom with relaxing and sleeping, rather than working. When you do this, even just the act of going into the bedroom can help you feel sleepy, and signal to your body it’s time to start winding down. Our brains are powerful, and our sub conscious mind has far more effect on our bodies than we often realise!

✔️Try putting all screens out of the bedroom by a set time each night (ideally an hour before desired bed time) , and using a simple alarm clock instead - again this helps signal to your brain its time to ‘switch off’, and also removes that temptation to check social media one last time…

✔️If you tend to watch the clock when you can't sleep, turn it around so you can't see the time

✔️If you can't fall asleep within 20 minutes of being in bed, get up out of bed, do some quiet activities (reading, listening to music, gentle stretches or yoga etc) and go back to bed when you feel sleepy. The same rule applies if you wake up overnight and can’t get back to sleep

This helps avoid the association of lying awake with your bedroom, which can cause sleep anxiety and make it even harder to get to sleep!

✔️If you are disturbed by noise, some people find white noise (there are many apps for this on phones), or earplugs can be helpful

Temperature: 

Before and during early sleep, the blood vessels in our extremities (lower arms and legs) dilate to divert heat away from the centre of the body, dropping our body temperature slightly. This is partly due to the effect of melatonin (sleep hormone) that our brain produces to help us sleep

✔️A hot shower or bath, socks, or a non-caffeinated hot drink before bed can improve this process

✔️Keeping the bedroom cooler and bedding light can also help, especially if you suffer from hot flushes. A fan can also help, or opening a window

Exercise :

Regular exercise improves sleep quality, in particular by promoting deep sleep. Any type of exercise is helpful! The aim is to get your body moving and your heart pumping - this also helps reduce stress (which we discuss below)

✔️If you can exercise outdoors in natural light this has a double bonus - see light section next. Even a 20 minute walk in the morning can improve sleep that night

✔️Try avoid vigorous exercise just before bed, as this activates our 'fight or flight' nervous system and releases stress hormones such as cortisol and adrenaline - which can wake you up! 

Save this for earlier in the day, and try do gentle yoga or stretching just before bed instead


Light: 

Light is vital in setting our circadian rhythm (body clock) , its what our brain relies on to set our body clock and keep it running well. We covered this in part 1 of the blog post, so please check this out if you haven’t already

✔️Outdoor light is around 500x stronger than indoor light, so getting it earlier in the day helps create a healthy sleep cycle, and affects our sleep quality at night as well as our body clock 

✔️Bright lights in the evening suppress melatonin production (sleep hormone) and impact negatively on our sleep - blue lights (from screens) are particularly bad for this, as they are twice as powerful in suppressing melatonin as normal light!

They basically ‘trick’ our brain into thinking its still daytime, so can delay both the onset of sleep (how long it takes to fall asleep), as well as the quality and duration of sleep (how long and well we sleep for)

✔️Try to avoid bright light 2 hours before bed if possible, and avoid screens for at least 1 hour before bed

✔️Using blue light blockers or a non blue light function if possible which may help reduce the effects of blue light on melatonin and sleep quality 

✔️If you wake at night and can’t get back to sleep, try keeping any lights dim, as this also has an effect on melatonin


Caffeine:

It takes about 6 hours for the amount of caffeine in your blood to halve, meaning those mid afternoon coffees can keep you awake at bedtime!!

✔️Try limit caffeine to earlier in the day (at least 8-10 hours before bed), as well as to a maximum of 2-3 cups /day

✔️If you are sensitive to caffeine and are having trouble sleeping, try cutting it out altogether - some people do not metabolise caffeine well, and will be affected by it regardless of how many cups they drink

Day naps: 

Although it can be tempting to nap during the day if you're tired, this can alter your body's sleep clock, so it's best avoided

✔️If you are desperate for a nap, try limit day sleep to one nap of 30 minutes or less, ideally before mid afternoon, and aim to keep your bed time at the same time (ie don’t go to bed later due to having a nap, as this can throw our your circadian rhythm)

ALCOHOL and TOBACCO: 

ANY alcohol consumed in the evening reduces our overall sleep quality, which can result in a shorter sleep, with more sleep disruptions, and poorer quality sleep. Even half a glass can have an effect!

✔️Try to limit alcohol to as little as possible, and if you do drink, ideally don't consume it within 3 hours of bed time

✔️Nicotine is also a stimulant, ideally not smoking is best, but if you're having trouble quitting, then try avoid smoking in the late afternoon and evening

Diet: 

✔️A whole food diet high in carbohydrates, fruit and vegetables and low in saturated fat has been linked with better quality sleep in several studies 

✔️Foods high in magnesium such as green leafy veges, nuts and seeds can also help

✔️Avoid high sugar foods and high fat foods close to bedtime, as these can wake us up, as well as causing symptoms such as reflux and indigestion which impact on sleep

We covered diet and sleep in more detail in another blog post, so please check this out if you’d like to know more

Salt: 

✔️Try to avoid high sodium foods and stay well hydrated, especially at dinner 

Salt and dehydration inhibit dilation of the vessels in your hands and feet, which is needed for good sleep

✔️High salt meals at dinner also increase the likelihood you'll need to wake up to use the toilet overnight, which can significantly disrupt sleep!

Stress: 

✔️Meditation, mindfulness, and deep breathing strategies can all be  helpful for sleep, as they help us relax, and actually mimic how our brain acts in deep sleep by creating a similar ‘brain wave’ pattern

✔️Writing thoughts down before bed, and keeping a journal next to your bed to write down any middle of the night thoughts can be helpful if you struggle to switch off

✔️If you find your mind switches on as soon as your head hits the pillow, try setting aside a ‘worry time ‘ a couple of hours before bed, where you write down or talk through all the things on your mind. This helps your brain to ‘shelve’ them, taking them out of your subconscious

✔️Sleep stories are also great (there are lots of these online or on meditation apps) as these relax us and help to ‘turn off’ our thinking mind

✔️Psychology input can be up 70% effective in treating chronic insomnia and is well worth trying if you still struggle with sleep despite sleep hygiene strategies - talk to your doctor about funding options for this if it's something you'd like to consider

Alternatively there are many online programs or apps that teach some of these strategies 

Circadian eating:

Every cell in the body has a circadian rhythm, and there is research showing that when you eat, as well as what you eat, can impact on health

✔️Ideally avoid eating at least 2-3h before bed, and try to eat all your calories within a 10-12h window (this is known as time restricted eating or intermittent fasting), as this can help sleep quality, and also has benefits for other areas of health

This is a great link from the sleep foundation discussing it in more detail

https://www.sleepfoundation.org/nutrition/circadian-rhythm-fasting

 

If you've enjoyed this post and would like to know more about how to improve sleep, please check out our sleep focus module!

We also cover sleep in our full Reboot Your Health course.

In these, we discuss all about how sleep works, take a deep dive into its effect on our health and wellbeing, and teach you evidence based ways to get a better night's sleep - as well as sleep meditations, breathing tutorials, and wind downs to help you on your way!!

REFERENCES:
https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia

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