Tag Archives: Sleep

In love and health: Dealing with spring allegeries

By Dr. Erik Johnson
Love & Health Chiropractic

Baby’s immune system can benefit from chiropractic, too. (Supplied)

Spring has sprung — and for a lot of folks here in Michigan, that means spring allergies. Before making a run to the local pharmacy to stock up on OTC allergy relievers, consider the root cause. It really isn’t the pollen’s fault. The reason why your body reacts to pollens and other allergens is that your personal immune system isn’t working as well as it should.

What can you do to boost your immune system? Well, first of all, avoid sugar. Cutting out cookies, candy, and sweetened beverages isn’t enough. Processed foods contain a lot of hidden sugars. Surprisingly, food we think is good for us often has more sugar than is optimal. For example, one serving of Yoplait Original Strawberry Yogurt has 19 grams of sugar. That’s 10 more grams of sugar than are in a Famous Amos Chocolate Chip Pecan Cookie. To reduce the amount of sugar in your diet, read the nutrition information labels on the foods you buy.

Another reason your immune system may not be at its best is that you’re not drinking enough water. Dr. Jyothi Tirumalasetty, assistant professor of medicine at UCLA Health in the department of clinical immunology and allergy states, “Water is vital for the functioning of all of your organs, and it’s a huge part of keeping your immune system functioning at an optimal level. We are made of 60 percent water. If we are dehydrated, the whole system of immunity could start breaking down.”

Proper hydration, along with adequate nutrition and sleep, is an essential component of a healthy immune system. Try to drink half your body weight in ounces of water a day. And remember, caffeinated beverages drive water out of your system. So, if you drink a lot of coffee or Coke, you’ll need to drink even more water every day.

Making other healthy lifestyle changes can boost your immune system, as well. In fact, the Harvard Healthbeat says, “Following general good-health guidelines is the single best step you can take toward naturally keeping your immune system working properly. Every part of your body, including your immune system, functions better when protected from environmental assaults and bolstered by healthy-living strategies.” These strategies include dos like eating lots of fruits and veggies, exercising, and getting a good night’s sleep as well as don’ts — quit smoking, drink alcohol only in moderation, and minimize stress.

Another way to boost your immune system is with regular chiropractic adjustments. An aligned spine helps your brain communicate with all of your organs and body systems. We’ve seen patients’ allergy symptoms dwindle and even disappear. And we can help you tune up your immune system, too!

In Love and Health: Tune-up your immune system!

By Dr. Erik Johnson
Love and Health Chiropractic


Now is the time to do what you can to boost your and your family’s immune systems. Cases of COVID-19/Delta variant are on the rise. Kids are back in school. And the fall flu season is just around the corner. In addition to heeding the good advice of the Kent County Health Department, you can take five easy steps to make yourself less vulnerable to colds, flu, and COVID. 1. Eat. 2. Drink. 3. Move. 4. Sleep. 5. Align!

1. Eat healthy foods. When fall activities take a bite out of your time, avoid falling into the fast-food trap. The time you spend cooking healthy foods from scratch today may well save you time and money spent on illness tomorrow. Nutritious local fruits and veggies are still in season so make them most of your plate. On its website, the Mayo Clinic talks about the importance of good foods to the immune system, sharing that recent studies have identified a few key nutrients as being critical to immune cell growth and function: Iron, zinc, and vitamins A, C, D, and E.

2. Stay hydrated. I suggest drinking half your body weight in ounces of water each day — if you weigh 150 pounds, drink 75 ounces of water. According to Johns Hopkins Health Library, your body needs water to power the lymph fluid, which helps your immune system fight off sickness. Water also helps you to maintain a normal body temperature.

3. Exercise. Though they may seem like opposites, both exercise and sleep provide huge boosts to your immune system. According to WebMD, people who don’t exercise regularly get more colds than people who do. WebMD advises, “Try to get regular, moderate exercise, like a daily 30-minute walk. It can help your immune system fight infection.” Exercise also relieves stress that also puts a damper on immune function.

4. Sleep. This is just as important. Adults usually require at least eight hours a night, children and teens more than that. People who don’t get enough sleep are more apt to catch colds or other infections.

5. Align your spine. Published studies have established that the nervous system controls the immune system — a compromised nervous system can cause the immune system to function less than optimally. Other studies show that a single chiropractic adjustment stimulates increased immune system activity for hours after an adjustment Chiropractic adjustments correct spinal subluxations and can help restore this communication link.

Regular chiropractic wellness care keeps your body, and your immune system, functioning the best they possibly can for a lifetime!

Dr. Erik Johnson DC is a chiropractor at Love and Health Chiropractic in Wyoming at 1586 44th Street SW.

In Love and Health: Back to School

Dr. Johnson adjusts one of his younger patients. (Supplied)

By Dr. Erik Johnson
Love and Health Chiropractic


For many American families, back to school means back to waking up early, stressful schedules, and junk food. All three of these can wear down children’s immune systems, leaving them more vulnerable to colds, the flu, and, these days, COVID-19. What can parents do keep their kids’ immune response strong? The answer is a lot!

Sleep, the great healer

As the new school year approaches, start encouraging kids to wake up and go to bed a little earlier each day. That way, the 6 a.m. alarm won’t be such a shock on the first day of school. According to the Mayo Clinic, when we don’t get quality sleep we are more likely to get sick when exposed to a virus. And, when we do get sick, we might not recover as fast.

When we sleep, our immune system releases cytokine proteins, which not only help promote sleep but help our bodies handle infections and stress. When kids don’t get enough sleep, their bodies may make fewer cytokines. Lack of sleep also reduces our bodies’ production of the antibodies that fight off infections.

Over-scheduled and overwhelmed

Another hallmark of the school year is the full calendar. Between schoolwork, sports, clubs, music lessons, and other appointments, many families rarely have time to enjoy some good old-fashioned downtime. One lesson we learned during the COVID lockdowns was how to be with our families. Resist the urge to step back into overbooked routines amp up stress and reduce quality family time.

 

On its website FamilyDoctor.org, The American Academy of Pediatrics advises, “Finding a balance between school, activities, and play can mean the difference between a well-adjusted child and a stressed-out one. Finding this balance is different for every child. It’s up to you, as the parent or guardian, to find the mixture of scheduled time and play time that works best for your child.”

Try to arrange your schedules so kids have free time every day and a day every week with nothing to do.

Overfed and undernourished

Back to school too often means back to junk food. We cave into sugar cereals at breakfast to get them to eat something. If kids eat hot lunch at school, they may eat the sugary treats and throw the real food. In the trash. And, when school activities dominate the calendar, it’s way too easy to serve them a fast-food dinner.

Plan ahead

Make a list of healthy breakfast, lunch and snack items that your child will eat and stock your pantry accordingly. Look for items without added sugars or chemicals and 100% whole grains. Stock up on fresh fruits and veggies—bring baggies of carrots, celery and green pepper with you when you go to pick the kids up. Keep them on the table for munching. Serve them alongside meals. Instead of chips and cookies, stock up on nuts, seeds, 100% whole grain cracker snacks. Don’t forget the cheese and peanut butter! Pop some popcorn the old-fashioned way–in a pan on the stove where you control the additives.

Plan healthy dinners, too. Put that crock pot to use or cook two portions and keep one for the next day to cut your prep time in half. As you cook dinner, relax. The simple act of preparing healthy food can bring solace to the soul as well as health to the body.

A well-adjusted child

You may not have realized that chiropractic care is for kids, too. Many spinal problems seen in adults begin at childhood. Children experience bumps, falls and accidents almost daily. These incidents can cause their spine to misalign the same as they do in adults. Chiropractic care keeps children’s spines and nervous systems healthy, too! Chiropractic adjusting techniques are modified to fit a child’s size, weight and unique spinal problem. Parents of children, who are regularly adjusted, report that their children seem healthier than other children their age.

It’s good to see schools opening and kids getting back to normal. Let’s all do the best we can to support the kids in our lives with good sleep, good times, good food, and good care!

Dr. Erik Johnson DC is a chiropractor at Love and Health Chiropractic in Wyoming at 1586 44th Street SW.

Up early? You’re a rare bird

Extreme early birds seem to function well in the daytime but they have trouble staying awake for evening social commitments, according to researchers. (Courtesy Spectrum Health Beat)

By Robert Preidt, HealthDay


Early to bed and early to rise? In its extreme form, this tendency is more common than previously believed, according to a new study.


Going to sleep at 8pm and waking up as early as 4am is called advanced sleep phase. It was believed to be rare, but this study concluded that it may affect at least one in 300 adults.


In advanced sleep phase, your body clock (circadian rhythm) is on a schedule hours earlier than most other people’s. You have premature release of the sleep hormone melatonin and shift in body temperature.


Advanced sleepers also wake more easily than others and are satisfied with an average of five-to-10 minutes extra sleep on non-work days, compared with the 30-to-38 minutes more sleep that other people would take advantage of, according to study senior author Dr. Louis Ptacek. He’s a professor of neurology at the University of California, San Francisco.


Advanced sleep is not the same as early rising that develops with normal aging, or the waking in the early hours linked to depression.


“While most people struggle with getting out of bed at 4 or 5am, people with advanced sleep phase wake up naturally at this time, rested and ready to take on the day,” Ptacek said in a university news release.


“These extreme early birds tend to function well in the daytime but may have trouble staying awake for social commitments in the evening,” he added.


In order to determine the prevalence of advanced sleepers, the researchers analyzed data from more than 2,400 patients at a sleep disorder clinic. Of those, 0.03% were determined to be advanced sleepers. This is a conservative estimate, the study authors explained, because it did not include patients who didn’t want to participate in the study or advanced sleepers who had no need to attend a sleep clinic.


The researchers also said that all of the advanced sleepers in the study reported at least one close relative with the same early sleep-wake schedule.


“We hope the results of this study will not only raise awareness of advanced sleep phase and familial advanced sleep phase, but also help identify the circadian clock genes and any medical conditions that they may influence,” Ptacek said.


The report was published recently in the journal Sleep.


Reprinted with permission from Spectrum Health Beat.






Deep sleep—cleansing for the brain

While the biological processes are still a bit murky, researchers suspect a proper night’s rest gives your brain a chance to rid itself of toxic molecules. (Courtesy Spectrum Health Beat)

By Amy Norton, HealthDay


The deep stages of sleep may give the brain a chance to wash itself free of potentially toxic substances, a new study suggests.


Researchers found that during deep sleep, the “slow-wave” activity of nerve cells appears to make room for cerebral spinal fluid to rhythmically move in and out of the brain—a process believed to rinse out metabolic waste products.


Those waste products include beta-amyloid—a protein that clumps abnormally in the brains of people with dementia, said researcher Laura Lewis, an assistant professor of biomedical engineering at Boston University.


Lewis stressed that the findings, reported in a recent issue of Science, do not prove that deep sleep helps ward off dementia or other diseases.


But the ultimate goal of research like this is to understand why poor sleep quality is linked to higher risks of various chronic conditions, from dementia to heart disease to depression, she said.


Researchers have known that cerebral spinal fluid helps clear metabolic byproducts from the brain, so that they do not build up there.


They’ve also known that the process appears to amp up during sleep.


But various “hows” and “whys” remained.


So the investigators recruited 11 healthy adults for a sleep study using noninvasive techniques: advanced MRI to monitor fluid flow in the brain and electroencephalograms to gauge electrical activity in brain cells.


Sleep is marked by REM and non-REM cycles.


During REM sleep, breathing and heart rates are relatively higher and people often have vivid dreams.


Non-REM sleep includes stages of deep—or slow-wave—sleep. During those stages, there’s a slow-down in brain cell activity, heart rate and blood flow, and research has found that deep sleep may aid memory consolidation and allow the brain to recover from the daily grind.


“There are all these fundamental things your brain is taking care of during deep sleep,” Lewis said.


Her team found that housecleaning may be one.


When study participants were in deep sleep, each pulse in slow-wave brain activity was followed by oscillations in blood flow and volume, which allowed cerebral spinal fluid to flow into fluid-filled cavities in the central brain.


The spinal fluid moved in “large, pulsing waves” that were seen only during deep sleep, Lewis explained.


Based on what’s known about the work of cerebral spinal fluid, experts said it’s reasonable to conclude that slow-wave sleep promotes the flushing of waste from the brain.


The study “elegantly” illustrates the importance of deep sleep, according to Dr. Phyllis Zee, a sleep medicine specialist not involved in the work.


It “helps to explain how and why sleep is important for keeping neurons healthy—facilitating the removal of toxic molecules,” said Zee, a professor of neurology at Northwestern University Feinberg School of Medicine, in Chicago.


“One can think of sleep as a top way to take care of your brain,” she said.


Another sleep medicine specialist agreed.


“There is growing evidence, with this study and others, that sleep plays a role in clearing toxins from the brain,” said Dr. Raman Malhotra, an associate professor of neurology at Washington University in St. Louis.


Other research has suggested that sleep loss can promote the buildup of “unwanted proteins” in the brain, said Malhotra, who also serves on the board of directors of the American Academy of Sleep Medicine.


A recent government study, for instance, found that one night of sleep deprivation triggered an increase in beta-amyloid in the brains of healthy adults.


“As we learn more about this role of sleep,” Malhotra said, “it may help explain why individuals who don’t get enough sleep, or suffer from sleep disorders, are at higher risk of certain chronic health conditions.”


The latest study involved younger adults with no health problems.


Lewis said that it will be important to find out whether healthy older adults, or people with certain health conditions, show any differences in cerebral spinal fluid dynamics during deep sleep.


A big question for future research, she said, will be whether alterations in those dynamics precede the development of disease.


Reprinted with permission from Spectrum Health Beat.






Daytime fatigue? A nap could help

If you find yourself struggling to stay alert, it could hint at an underlying medical problem—or the need for changes to your nighttime sleep routine. (Courtesy Spectrum Health Beat)

By Allan Adler, Spectrum Health Beat


Napping isn’t just for infants and children. Adults can get in on the action, too—they need only recognize the right time, place and circumstance.


Feeling fatigued or groggy during the day? That’s a good place to start. But you first need to determine why you’re feeling that way.


A nap can be refreshing and invigorating, helping you reenergize for a trip or for the workday, or whatever activity you’re undertaking, said Mary Barr, adult nurse practitioner in sleep medicine at Spectrum Health.


But the circumstances allowing for a nap will vary.


Generally speaking, you should only be napping during the day if you’re ill or if you’re trying to relieve pain. You could also nap amid abnormal circumstances—when you’re recovering from an acute injury, for example, or managing chronic illness.


Sometimes your schedule might deprive you of some much-needed sleep. If you find there’s no way to make it through the day without stealing a few quick moments of rest—or if you’re engaged in an activity that is simply wearing you down—a short nap is entirely acceptable.


Just be sure it’s a temporary solution. You should change your activities so you can keep to your regular schedule.


If you feel sleepy while driving, pull over in a safe place and catch a few Zzzs, Barr said. Likewise, when performing tasks that require high levels of attention, consider a nap to ward off fatigue.


If you’re at work, your nap needs to happen while on break or during your lunch hour.


“A 15-minute nap—often called a power nap—can refresh you when you are feeling sluggish or inattentive, groggy or not focused,” Barr said.


Generally, a 15- to 30-minute nap is enough. You can tell if you’ve slept too long because you’ll wake up feeling more groggy than before, she said.


There’s no ideal nap time, just whenever you feel sleepy during the day. Generally, this is after lunch for most people.


Falling asleep when napping is good, although you may not necessarily fall into any deep sleep stages.

Not all naps are equal

A word of caution: Don’t nap too late in the day or too close to your typical bedtime. Such naps can interfere with normal nighttime sleep routines, Barr said.


And make no mistake—you need a good night’s sleep every single night. Usually, if your sleep routine is good, you won’t need additional napping.


Barr offered a good rule of thumb: Make sure your nap is at least six to eight hours before your normal bedtime.


She also said that napping every day could be an indication you’re not getting enough rest at night. Bad sleep habits could cause this, but there could also be a medical problem. Sleep apnea or restless legs syndrome, for example, can make people feel sleepy during the day.


One American Academy of Sleep Medicine study that found frequent napping is associated with an increased risk of Type 2 diabetes in older adults.


Adults who don’t sleep well at night should analyze their sleep habits to see what might be interrupting their sleep. Stimulants such as caffeine or nicotine could be to blame, but bad sleep habits could also be the culprit.


Some other napping tips from Barr:

  • Keep the nap short—ideally about 30 minutes.
  • Make sure the nap is in a safe, comfortable place where you won’t be disturbed.
  • Avoid long weekend naps, especially if you don’t nap during the week.
  • Don’t resort to napping to make up for sleepless nights.

If sleepless nights are a recurring problem, you may need to seek help from a sleep professional to determine if there is an underlying medical cause.


Reprinted with permission from Spectrum Health Beat.



Rethink those sleepy Saturdays

By Amy Norton, HealthDay

Sleeping in on Saturday and Sunday mornings may feel like a reboot from a harried week, but it’s unlikely to compensate for what your body really needs: consistently good sleep. (Courtesy Spectrum Health Beat)


People who are sleep-deprived during the week often try to make up for it on weekends. But a new study suggests the tactic may backfire.


Researchers found that weekday sleep loss had negative effects on people’s metabolism—and “catch-up” sleep on the weekend did not reverse it.


In fact, there were signs that the extra weekend shut-eye could make matters worse, said senior study author Kenneth Wright, a professor at the University of Colorado, Boulder.


The bottom line, according to Wright, is that people need to consistently get sufficient sleep.


“If you want to lead a healthy lifestyle,” he said, “that has to include good sleep habits.”


The study, published online recently in the journal Current Biology, included 36 healthy young adults. They were randomly assigned to one of three groups that all spent nine nights in the sleep lab.


One group was allowed to sleep for up to nine hours each night. A second could sleep only five hours. The third group was allowed five hours of sleep for five days, then a weekend “recovery” period where they could sleep in as late as they wanted. After that, they returned to five hours of sleep for two nights.


Wright’s team found that in both sleep-deprived groups, people lost some of their sensitivity to insulin, a hormone that regulates blood sugar. They also began to eat more at night and gained some weight, on average.


The group that was allowed to sleep in on the weekend saw one benefit: There was less late-night eating on those days.


However, they went right back to post-dinner munching once they returned to five-hour nights. And their insulin sensitivity remained impaired.


In addition, Wright said, they showed decreased insulin sensitivity in the liver and muscles, specifically—which was not seen in the group that got no catch-up sleep over the weekend.


Over time, decreased insulin sensitivity can be a precursor to Type 2 diabetes. And a number of studies have linked chronic sleep loss to heightened risks of diabetes and obesity, Wright noted.


In general, experts recommend that adults get seven or more hours of sleep each night for the sake of their overall health. Yet, studies show that more than one-third of U.S. adults fall short of that goal.


Dr. Phyllis Zee, a sleep specialist and professor at Northwestern University School of Medicine, in Chicago, said, “We tend to buy into the myth that by ‘catching up’ on sleep on weekends, we’ll (reverse) the adverse effects of repeated sleep loss.”


But, according to Zee, who was not involved in the new research, “the results of this study support that it is indeed a myth. In fact, even the muscle and liver ‘remember’ the adverse and persistent effects of sleep loss.”


It’s true, Wright said, that real life can get in the way of optimal sleep. But he added that people should take an honest look at their habits and see if they can make time for a good night’s sleep.


“What are the ‘sleep stealers’ in your life?” Wright said. “Are you up late watching TV or on your computer?”


Late-night “screen” use is a problem not only because it takes time away from sleep, he pointed out. Staring at a blue light before bedtime can actually disrupt your ability to fall asleep.


Sleep is vital for a range of body processes, not only metabolism. And Zee said there’s evidence that other effects of chronic sleep loss—including dampened alertness and mental performance—cannot be erased with a couple of nights of catch-up sleep.


“Regularity in both timing and duration of sleep is key to brain and body health” she said.


Reprinted with permission from Spectrum Health Beat.



Deadly duo: Work stress, no sleep

Being trapped in a pressured work situation where you lack power to make change is harmful to your health. (Courtesy Spectrum Health Beat)

By Steven Reinberg, HealthDay


Job stress, high blood pressure and poor sleep may be a recipe for an early death, German researchers report.


In a study of nearly 2,000 workers with high blood pressure who were followed for almost 18 years, those who reported having both a stressful job and poor sleep were three times more likely to die from heart disease than those who slept well and didn’t have a trying job, the investigators found.


“As many as 50% of adults have high blood pressure,” said Dr. Gregg Fonarow, a professor of cardiology at the University of California, Los Angeles.


It’s a major risk factor for heart attack, stroke, heart failure, kidney disease and premature cardiovascular death, said Fonarow, who had no role in the new study.


“A number of studies have found associations between greater work stress and subsequent risk of cardiovascular events. Impairment in sleep has also been associated with increased risk,” he said. However, these associations did not prove a cause-and-effect relationship.


In the new study, the researchers reported that among people with high blood pressure (“hypertension”), those who had work stress alone had a twofold higher risk of dying from cardiovascular disease, as did those who reported having poor sleep alone.


According to lead researcher Dr. Karl-Heinz Ladwig, “Sleep should be a time for recreation, unwinding and restoring energy levels. If you have stress at work, sleep helps you recover.” Ladwig is a professor at the German Research Centre for Environmental Health and also with the Technical University of Munich.


“Unfortunately, poor sleep and job stress often go hand in hand, and when combined with hypertension, the effect is even more toxic,” he added in a statement.


According to the study authors, a stressful job is one where employees have many demands but little control over their work. For example, an employer demands results but denies authority to make decisions.


“If you have high demands but also high control, in other words you can make decisions, this may even be positive for health,” Ladwig said. “But being entrapped in a pressured situation that you have no power to change is harmful.”


Poor sleep was defined as having difficulty falling asleep and staying asleep. “Maintaining sleep is the most common problem in people with stressful jobs,” Ladwig said.


These problems combine over time to sap your energy and “may lead to an early grave,” he added.


Ladwig suggested that to lower the risk of an early death, people have to keep their blood pressure low, develop good sleep habits and find ways to cope with stress.


Mika Kivimaki, a professor of social epidemiology at University College London, thinks this study provides a unique look at workplace risk.


Most previous research on work stress has targeted the general working population, he said.


“The effects on health have been relatively modest. However, recent findings suggest stress might be a much bigger problem for those with pre-existing disease. This new study supports this notion,” said Kivimaki, who had no part in the study.


Focusing on people with high blood pressure was a good choice, he noted.


“In this group, atherosclerosis (hardening of the arteries) is common,” Kivimaki said. And for these patients, “stress response could increase cardiac electrical instability, plaque disruption and thrombus (clot) formation,” which can contribute to an irregular heartbeat (arrhythmia), heart attack or stroke.


The researchers think that employers can help by implementing programs that teach employees how to relax.


Employers should provide stress management and sleep treatment in the workplace, Ladwig added, especially for staff with chronic conditions like high blood pressure. Such programs should also include helping employees to quit smoking.


It is well known that people with high blood pressure can substantially lower their risk of heart attack and stroke by achieving and maintaining healthy blood pressure levels, Fonarow said. Whether or not workplace programs designed to reduce stress and improve sleep will pay off remains to be seen, he said.


The report was published recently in the European Journal of Preventive Cardiology.


Reprinted with permission from Spectrum Health Beat.



Wakeful nights, woeful days

Courtesy Spectrum Health Beat

By Alan Mozes, HealthDay


If you were up all night and you ache all over the next morning, your lack of sound slumber might be to blame.


New research found that sleep loss delivered a double whammy to the brain that all but guaranteed greater levels of body pain.


“Activity in the somatosensory cortex, previously associated with the location and intensity of pain, was enhanced following sleep loss,” explained study author Adam Krause.


And “in two regions called the striatum and the insula, sleep deprivation decreased the activity associated with pain (relief),” he added. These regions control the release of dopamine, often called the “feel-good” hormone.


Krause is a Ph.D. candidate with the Center for Human Sleep Science at the University of California, Berkeley.


During the study, 25 healthy, young participants got the normal eight hours of sleep one night. A week or so later, the same group underwent a night of no sleep whatsoever.


After each session, all the volunteers underwent “thermal pain sensitivity” tests, followed by MRI scans to monitor brain activity while their legs were exposed to uncomfortable levels of heat.


After a full night of sleep, most participants reported feeling heat discomfort at about 111 degrees Fahrenheit.


But after a night of no sleep, that pain threshold dropped to 107 degrees F.


Brain scans pinpointed the neurological basis for the uptick in pain sensitivity following sleep loss.


The research team then surveyed 60 adults (average age 38) over a 48-hour survey period. All had reported experiencing pain during the survey period, and all were asked to keep sleep diaries and report mood and anxiety levels, as well as rank pain intensity when experienced.


“We found that reductions from one night to the next in the quality of the sleep, rather than just the quantity—total hours asleep—predicted worse pain the following day,” Krause noted.


“The optimistic takeaway here is that better sleep can help manage and lower pain. (It’s) a natural analgesic that we can all pick up in repeat prescription each night, if we choose,” he said.


“It is our hope that this research especially encourages health care systems to bring sleep closer to the center of treatment. If we can improve sleep conditions in the setting in which patients are most often in pain—the hospital ward—perhaps we can reduce the dosage of narcotic drugs and clear hospital beds sooner,” Krause suggested.


The findings were published recently in the Journal of Neuroscience.


Monika Haack is an associate professor of neurology with Beth Israel Deaconess Medical Center’s Human Sleep & Inflammatory Systems Laboratory in Boston. She expressed little surprise at the findings.


“There is very strong evidence to date—and the current study supports this again—that short or disturbed sleep, either in clinical (settings) or in the general population, increases our experience of next-day pain,” Haack said.


“And a number of studies, including the current study, have shown that sleep is a stronger predictor of pain than pain is a predictor of how we sleep,” she added.


“I think the most important and novel finding of the study is that the authors found a biological basis, neuronal brain structures, that correspond to the pain sensitivity increase observed after sleep loss. Only if we understand the biology and mechanisms underlying this relationship will we be able to develop target- or mechanism-specific strategies to prevent pain-processing changes associated with short or disturbed sleep,” Haack concluded.


Reprinted with permission from Spectrum Health Beat.

Having trouble sleeping?


A restless night may be the result of poor habits before bedtime. A helpful hint: Leave the cell phone out of the bedroom. (Courtesy Spectrum Health Beat)

By Diana Bitner, Spectrum Health Beat


Sleep is everything. It needs to be a high priority for all of us to be happy and healthy.


It is truly the basis of good health, because it gives our brains a chance to rest and process the events of the day and then make brain chemicals for the next day.


Do you have trouble sleeping? If so, you’re probably dealing with a host of negative side effects.


Without sleep, we may experience bad moods and perform poorly at work, at school or at home with our families. A lack of sleep also puts us at risk for heart disease, diabetes and depression.


Researchers have spent years analyzing sleep patterns to learn why sleep is so important to our overall health and wellness. Their observational studies of people with and without good sleep patterns show a strong effect on chronic disease.


People who get less sleep have a higher risk of being overweight, developing diabetes, experiencing high blood pressure and having a heart attack. Overall, these people have a lower life expectancy than those who get a consistent eight hours of sleep each night.


Typically, those who consistently sleep less than six hours a night are plagued with the highest weight, while those who sleep eight hours or more have the lowest weight.


Is it really that simple? For the most part, yes.


Less sleep leads to a rise in cortisol—our stress hormone—and also causes a rise in insulin, which promotes belly fat storage. Decreased amounts of sleep also cause an increase in ghrelin—a brain hormone that stimulates appetite—and a decrease in leptin, which signals when we feel full.


Of course, it goes without saying that when we don’t have enough sleep, we don’t feel like exercising and we often gain weight due to inactivity.


Unfortunately, sleep (or a lack of it) can have a strong effect on our moods and coping skills. Lack of sleep puts people at a greater risk for depression, anxiety and mental stress. All of this makes it difficult for these people to remain optimistic and thrive in social situations.


The bottom line? To be happy, sleep is a prerequisite.


We know we should be getting our sleep, but what really happens when we are having trouble sleeping?


There are several different types of sleep problems that can cause us to sleep less than we should at night.

Sleep disorders

Chronic insomnia, narcolepsy, sleep apnea and parasomnias are some of the more common sleep issues my patients experience.


Insomnia can be a result of too much overstimulation from watching TV or working on a computer late at night. Consumption of alcohol, sugary foods or caffeine before bed can also interfere with the ability to fall asleep easily.


Insomnia can be caused by taking certain medications such as antidepressants, oral steroids or allergy pills. Medical conditions that cause pain—arthritis, for example, or breathing problems such as asthma—can also be underlying causes of insomnia.


The good news is that insomnia can be improved.


The best treatment starts with awareness, which begins with a close examination of our habits and rituals around bedtime. Turning off the computer or TV several hours before going to bed can help you fall asleep more quickly. Sometimes, prescription medications or over-the-counter remedies can also be helpful.


Narcolepsy, associated with excessive daytime sleepiness, can be genetically linked. A diagnosis of narcolepsy can be determined with a sleep study.


Medications aimed at improving sleep quality and stimulating daytime wakefulness are typically prescribed to help with this condition.


Sleep apnea, typically linked to obesity and heart disease, is also diagnosed by completing a sleep study.


Treatments for sleep apnea range from changing sleep positions to using a Continuous Positive Airway Pressure machine to keep airways open.


Weight loss is also an effective treatment for sleep apnea.


Parasomnias occur when people are fearful of going to sleep because they are afraid of what might happen to them during sleep. Night terrors, sleepwalking or sleep eating without memory are common things they may fear.

Sleepless nights

Many women come to see me because they are having trouble falling asleep or staying asleep during the night.


A woman I’ll call Jane is one of those patients.


At age 49, she began experiencing irregular periods, night sweats and disturbed sleep around the time of her period. She led a very busy life with teenagers, a husband who traveled for work and parents who required more care.


Her sleep issue was causing problems in her life.


Jane would have difficulty falling asleep and, if she woke up during the night, she had trouble getting back to sleep because her mind would start racing and she couldn’t turn it off.


As a result, she was chronically tired and unmotivated to exercise. She began to gain weight. She felt irritable and crabby most days and she just didn’t know how to get off the roller coaster.


Jane had tried to fix her sleep problems by herself, but it wasn’t working.


She tried every tea and over-the-counter medicine she could find, including melatonin. She had recently resorted to drinking a glass of wine in the evening, but that just made her feel even less rested.


It was time for a new plan for Jane.

Simple changes

We started by discussing what she probably already knew: Lack of good sleep made her very unhealthy and caused her bad moods.


I then explained the correlation between hormones and brain chemicals.


We worked on deconstructing her nighttime routine. I asked her how she could structure her day so she wouldn’t have so many chores to complete at night, leaving her more time to prepare for the next day.


As Jane talked out loud to me, she realized she could make some simple changes—packing lunches and doing a load of laundry at night—that could help her be more efficient in the morning.


I then pressed Jane about making time for herself before bed.


I also made some suggestions.


I recommended that she write down her worries or duties on paper and then make a list for the next day (or several days), detailing how she would conquer these obligations.


Other suggestions I made: Avoid screen time 30 minutes before bed, refrain from alcohol in the evening, write in a gratitude journal before going to sleep.


And, finally, I suggested that Jane practice metered breathing every night before going to bed.


Metered breathing is a technique I discuss with many of my patients to help them fall asleep at night or get back to sleep if they wake in the middle of the night.


Here’s how it works:

  • Find a quiet place in your home and sit in a comfortable chair.
  • Begin staring at a spot somewhere in the room and focus on the sound of your breathing.
  • Continue breathing like this for five minutes, uninterrupted.

I felt confident Jane’s plan would be effective if she followed it. After tracking her progress, we would consider menopause hormone therapy to treat her night sweats if they continued to be an issue.


Jane took my recommendations seriously and changed her routine. She began to sleep again and she started exercising, lost some weight and improved her overall mood.


More than anything, she felt like herself again.


Reprinted with permission from Spectrum Health Beat.

Good Night, Sweetheart

By Dr. Jenny Bush, Cherry Health

Anyone who has ever had a bad habit to break knows that life would have been easier if they had never started the habit in the first place. Bad sleep habits in young children can cause fatigue for the caregivers along with irritability and learning difficulties for the child. The following are tips for starting your child off with a good night sleep:

  • Newborn babies typically go through cycles of playing, eating and sleeping every 3-4 hours. If your baby has been recently fed and seems fussy, try to calm them by walking or rocking them. When they seem calm but are not quite asleep, place them in a crib on a firm surface on their back with nothing extra present. Doing this while they are tired but still awake will help them develop the ability to fall asleep on their own, which eventually helps them get back to sleep when they awaken at night.
  • If the baby gets fussy when put in the crib, try rubbing their tummy and softly shushing or singing a lullaby.
  • Never let a baby fall asleep with the bottle or breast in their mouth, as this habit is very hard to break and can cause severe dental infections that are often painful and require surgery to fix.
  • Establish a firm bedtime routine. It is good to have bedtime at the same time every night. Choose 2-3 things to do the same prior to saying goodnight. For example, you could read a book, sing a song and say ‘goodnight’ to a favorite stuffed animal.
  • Avoid stimulating activities such as television, phone or tablet use for 30 minutes prior to bedtime. This tip can help people of any age sleep better!

Reprinted with permission from Cherry Health.

10 Things You Can Do To Get Some Sleep

By Ronald Christian Rivera, LMSW, Outpatient Therapist, Leonard Street Counseling Center

sleep
Courtesy Cherry Health

We know that sleep problems can cause some forms of obesity, irritability, memory problems, immune concerns,  anxiety and depression. Check out this article with a list of 10 things we can do to promote a good night’s sleep:

  1. Understand that every person needs at least 7 to 8 hours of sleep per night.
  2. Develop a sleep hygiene plan that becomes routine every night, if possible.
  3. Get rid of your television and i-technology in your bedroom.
  4. Go to bed at the same time every night.
  5. Do not eat a heavy meal before bedtime, but do eat some small carbohydrate before bed.
  6. Exercise daily but not at night.
  7. Avoid emotional conversations or arguments right before going to bed.
  8. Don’t drink too much caffeine or alcohol during the night.
  9. Don’t nap during the day…exercise instead.
  10. If you can’t sleep, get up and clean your toilet instead or wash your floors.

Reprinted with permission from Cherry Health.

Sound solutions for better sleep

Bye, bye baaaad sheep! We’re sleeping soundly tonight. (For Spectrum Health Beat)

By Diana Bitner, MD, Spectrum Health Beat

 

One of the most frequent complaints women have about midlife and menopause is trouble sleeping.

 

Although not every woman walks through my office door saying, “My problem is poor sleep,” quite a few do.

 

Many talk about their sleeping issues in other ways. What they say usually goes something like this:

 

“I am so irritable, I do not like myself.”

 

“I cannot seem to remember anything.”

 

“Why am I so tired?”

 

But I know the real problem is they are either not sleeping well or enough.

 

Sleep disturbances are common and have many causes. And, although I am not a sleep doctor, I have learned about sleep during midlife and menopause.

 

First of all, just before your periods, the hormone drop can cause little night sweats, which disturb sleep just enough to be noticeable. Many women also describe falling asleep without any problems, but then waking up between 1:30 a.m. and 2 a.m. and not being able to fall back asleep.

 

Does this scenario sound familiar? If so, keep reading.

 

Your normal sleep consists of cycles that vary between deep sleep and light sleep. When you are in light sleep, you can usually get yourself back into deep sleep without waking. However, in midlife and menopause, you are more likely to be awakened by a full bladder, your bed partner’s snoring or a little hot flash.

 

Unfortunately, once you are awake and alert, your brain tends to go into overdrive: “Oh, no, I’m awake—what if I can’t get back to sleep? I have a big day tomorrow, and I have so many things to do. There’s that big presentation, cookies for John’s class and my mom’s doctor’s appointment.”

 

The worry machine goes into high gear and the adrenaline starts flowing.

 

Here’s how to fix the problem. Get out of bed, go to the bathroom, get a drink of water and go to a quiet spot in your home (not the bedroom) to practice metered breathing.

 

First, find a comfortable spot with just enough light so it is not totally dark. Glance at the clock so you can keep track of the time. The goal is five minutes. After you are comfortable, close your mouth, open your eyes and find a focal point—a spot on the wall or anything fixed and neutral. As Baron Baptiste says, “By focusing on one spot, it will send soothing messages to your mind.”

 

Then, just breathe through your nose, not deep or forced. Just be and breathe, focusing on the sound of your breath for five minutes. If you think of something that is worrying you, it’s OK. Focus for a second on the thought and then let it go.

 

Then go back to bed. If you find you can’t go back to sleep, get back up, go to your spot and repeat the metered breathing. It may take your body several times to retrain. Just be patient.

 

In addition to metered breathing, keep in mind the Seven Essential Elements of Daily Success (SEEDS) that will help you sleep better and be ready for your day. Not doing these things will trigger more night sweats.

  • Drink plenty of water
  • Get plenty of sleep
  • Take your vitamins daily
  • Eat a balanced diet with minimal sugar, caffeine and alcohol several hours before bed
  • Exercise regularly
  • Eat plenty of fiber
  • Start a gratitude journal

If you have tried the metered breathing and all of the SEEDS, and you’re still having trouble sleeping, it may be time to consult with a Spectrum Health Medical Group sleep specialist. Remember, sleep is everything.

 

Reprinted with permission from Spectrum Health Beat.

Sleep for the health of it

Not only does a good night’s rest feel great, it also plays a vital role in our health.

By Christi Demitz, Michigan State University Extension; Colleen Kokx, MSU Dietetic Intern 

 

Over 37 percent of Michigan adults get less than 7 hours of sleep a night, according to the Centers for Disease Control and Prevention (CDC), compared to the recommended 7-9 hours. Sleep deprivation impacts nearly all aspects of human functioning. A person’s memory, communication skills, reaction time, situational awareness and ability to make decisions are decreased when sleep is insufficient. In addition to impaired cognition, one’s physical health is impaired as well.

 

Not getting enough sleep can increase your risk for a number of chronic conditions. Type 2 diabetes and weight gain are two common consequences of not getting enough shut eye. Inadequate sleep affects your judgment, causing you to be more likely to choose unhealthy foods. It also affects our hormone levels that regulate hunger. The body will not be able to signal when it is full versus when it is hungry as efficiently, causing you to eat more than you need. A Northwestern University study showed that night owls consumed 248 more calories a day than those who went to bed at a reasonable time. This can add up to a weight gain of over 25 pounds per year! Extra weight is associated with many diseases such as heart disease, cancer and arthritis. Additionally, too little sleep causes you to be fatigued, likely decreasing physical activity, which contributes to an unhealthy lifestyle.

 

In today’s fast-paced world, it may seem impossible to add an extra hour or two of sleep into your daily routine. The CDC provides tips to help improve your sleep health:

  • Be consistent and go to bed at the same time each night and wake up at the same time each morning; even on the weekends.
  • Be sure to sleep in a dark, quiet and cool room.
  • Avoid eating a large meal and drinking alcohol and caffeine before bedtime.
  • Leave electronics out of the bedroom, including TVs, smart phones and computers.
  • Exercise during the day; it can help you fall asleep more easily at night.

While you may think that guzzling coffee in the morning replaces any sleep you may have missed, it is not so. The only way to truly recharge your body is to get enough sleep. Challenge yourself to get at least 7 hours of sleep at night. Your mind and body will thank you.