The architecture of sleep
Authors: Melinda Smith, M.A., Lawrence Robinson, and Robert Segal, M.A. Last updated: April 2015. Condensed version from HelpGuide.org.
You may think that once you go to bed, you soon fall into a deep sleep that lasts for most of the night, progressing back into light sleep in the morning when it’s time to wake up. In reality, the sleep cycle is a lot more complicated.
You may think that once you go to bed, you soon fall into a deep sleep that lasts for most of the night, progressing back into light sleep in the morning when it’s time to wake up. In reality, the sleep cycle is a lot more complicated.
During the night, your sleep follows a predictable pattern,
moving back and forth between deep restorative sleep (deep sleep) and more
alert stages and dreaming (REM sleep). Together, the stages of REM and non-REM
sleep form a complete sleep cycle. Each cycle typically lasts about 90 minutes
and repeats four to six times over the course of a night.
The amount of time you spend in each stage of sleep changes as
the night progresses. For example, most deep sleep occurs in the first half of
the night. Later in the night, your REM sleep stages become longer, alternating
with light Stage N2 sleep. This is why if you are sensitive to waking up in the
middle of the night, it is probably in the early morning hours, not immediately
after going to bed.
Deep
sleep
The most damaging effects of sleep deprivation are from
inadequate deep sleep. Deep sleep is a time when the body repairs itself and
builds up energy for the day ahead. It plays a major role in maintaining your
health, stimulating growth and development, repairing muscles and tissues, and
boosting your immune system. In order to wake up energized and refreshed,
getting quality deep sleep is essential. Factors that can lead to poor or
inadequate deep sleep include:
•
Being woken during the night by outside
noise, for example, or in order to care for a crying baby.
•
Working night shifts or swing shifts. Getting
quality deep sleep during the day can be difficult, due to light and excess
noise.
•
Smoking or drinking in the evening. Substances
like alcohol and nicotine can disrupt deep sleep. It’s best to limit them
before bed.
REM
sleep
Just as deep sleep renews the body, REM sleep renews the mind by
playing a key role in learning and memory. During REM sleep, your brain
consolidates and processes the information you’ve learned during the day, forms
neural connections that strengthen memory, and replenishes its supply of
neurotransmitters, including feel-good chemicals like serotonin and dopamine
that boost your mood during the day.
To get more mind and mood-boosting REM sleep, try sleeping an
extra 30 minutes to an hour in the morning, when REM sleep stages are longer.
Improving your overall sleep will also increase your REM sleep. If you aren’t
getting enough deep sleep, your body will try to make that up first, at the
expense of REM sleep.
Improve daytime habits for better sleep
•
Be engaged. Social activities, family, and
work can keep your activity level up and prepare your body for a good night’s
sleep. If you’re retired, try volunteering,
joining a seniors’ group, or taking an adult education class.
•
Improve your mood. A more positive mood and
outlook can reduce sleep problems. Find someone you can
talk to, preferably face-to-face, about your problems and
worries.
•
Exercise regularly. Exercise releases
endorphins that can boost your mood and reduce stress, depression, and anxiety.
•
Expose yourself to sunlight. Bright
sunlight helps regulate melatonin and your sleep-wake cycles. Try to get at
least two hours of sunlight a day. Keep curtains and shades open during the
day, move your favorite chair to a sunny spot, or consider using a light
therapy box to simulate daylight.
•
Limit caffeine, alcohol, and nicotine. All are
stimulants and interfere with the quality of your sleep.
Encourage better sleep at night
•
Naturally boost your melatonin levels. Artificial
lights at night can suppress your body’s production of melatonin, the hormone
that makes you sleepy. Use low-wattage bulbs where safe to do so, and turn off
the TV and computer at least one hour before bed.
•
Don’t read from a backlit device at night (such as an
iPad). If you use a portable electronic device to read, use an eReader
that is not backlit, i.e. one that requires an additional light source such as
a soft bedside lamp.
•
Make sure your bedroom is quiet, dark, and cool, and your
bed is comfortable. Noise, light, and heat can cause sleep problems. Try using
a sleep mask to help block out light.
•
Use your bedroom only for sleep and sex. By not
working, watching TV, or using your computer in bed, you’ll come to associate
the bedroom with sleep and sex, so when you get into bed your brain and body
get a strong signal that it’s time to nod off or be romantic.
•
Move bedroom clocks out of view. Anxiously
watching the minutes tick by when you can’t sleep is a surefire recipe for
insomnia. Light emitted from a clock, telephone or other device can also
disrupt your sleep.
Keep a regular bedtime routine for better sleep
•
Maintain a consistent sleep schedule. Go to bed
and wake up at the same times every day, even on weekends.
•
Block out snoring. If snoring is keeping you
up, try earplugs, a white-noise machine, or separate bedrooms.
•
Go to bed earlier. Adjust your bedtime to
match when you feel like going to bed, even if that’s earlier than it used to
be.
•
Develop bedtime rituals. A soothing
ritual, like taking a bath or playing music will help you wind down. Relaxation
and stress management techniques, such as deep breathing and progressive muscle
relaxation, take some practice but their benefits can be substantial.
•
Limit your use of sleeping aids and sleeping pills. Many sleep
aids have side effects and are not meant for long-term use. Sleeping pills
don’t address the causes of insomnia and can even make insomnia worse in the
long run. Therefore, it’s best to limit sleeping pills to situations where your
health or safety is threatened.
•
Combine sex and sleep. Sex and physical intimacy,
such as hugging and massage, can lead to restful sleep.
The
importance of regular exercise in overcoming sleep problems
Exercise releases chemicals in your body that promote more
restful sleep. There are four main types of exercise:
•
Aerobic activities, such as walking, swimming, or riding
a bike, increase your heart rate and breathing to improve the health of your
heart and circulatory system.
•
Strength exercises build muscle tissue and reduce
age-related muscle loss.
•
Stretching exercises keep your body limber and flexible,
allowing a greater range of motion as you age.
•
Balance exercises build leg muscles to reduce the
chances of a fall.
While adults need some of each type of exercise, studies have shown that participating in moderate aerobic activity can have the greatest impact on improving sleep.
Adding exercise to your life does not necessarily mean signing
up for a gym membership. There are countless activities you can do to increase
strength, improve aerobic capacity, burn calories, and prepare yourself for a
good night’s sleep at the end of the day. Always consult your doctor before
embarking on any new fitness program.
•
Swim/Water exercises – Swimming laps is a gentle
way to build up fitness and is great for sore joints or weak muscles. Many
community and YMCA pools have swim programs just for older adults, as well as
water-based exercise classes such as water aerobics.
•
Dance – If you love to move to music, go
dancing or take a dance class. Dance classes are also a great way to extend
your social network.
•
Take up lawn bowling, bocce, or pétanque –
Variations on throwing a ball on an earthen or grassy court are gentle ways to
exercise. The more you walk, and the brisker the pace, the more aerobic benefit
you’ll experience.
•
Golf – Golf is a form of exercise that requires precise,
strong movement of particular parts of your body, but which doesn’t require
vigorous movement. Walking can be an added aerobic bonus to your game.
Cycle or run – If you are in good shape, you can run and bicycle until late in life. Both can be done outdoors or on a stationary bike or treadmill.
Cycle or run – If you are in good shape, you can run and bicycle until late in life. Both can be done outdoors or on a stationary bike or treadmill.
Getting
back to sleep at night
It’s normal to wake briefly during the night but if you’re
having trouble falling back asleep, the following tips may help:
•
Don’t stress. Try not to stress over the fact
that you can’t get back to sleep, because that very stress encourages your body
to stay awake. Focus on the feelings and sensations in your body instead.
•
Make relaxation your goal, not sleep. Try a
relaxation technique such as deep breathing or meditation, which can be done
without getting out of bed. Remind yourself that although they’re not a
replacement for sleep, rest and relaxation still help rejuvenate your body.
•
Do a quiet, non-stimulating activity. If you’ve
been awake for more than 15 minutes, try getting out of bed and doing a
non-stimulating activity, such as reading a book. Keep the lights dim so as not
to cue your body clock that it’s time to wake up, and avoid TV and computer
screens.
Postpone worrying. If you wake during the night feeling anxious about something, make a brief note of it on paper and postpone worrying about it until the next day when you are fresh and it will be easier to resolve.
Cognitive behavioral therapy (CBT) for insomnia
CBT is aimed at not only improving your sleep habits but also
changing your thoughts and feelings about sleep that may be causing stress and
contributing to your insomnia.
If you don’t have access to or can’t afford face-to-face
therapy, some online CBT for insomnia programs may offer a cheaper but viable
alternative. No online program can take the place of professional medical
evaluation, so it’s important to see your doctor for a diagnosis first.
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