Can you build up sleep pressure?

Good quality sleep means that we can build up enough pressure to induce sleep. It is part of the equation with your circadian rhythm. If you are finding it difficult to get to sleep and stay asleep it may be that you haven’t build up enough sleep pressure.

What stops you building pressure to sleep? The major areas that you can influence are chronic pain, blue light, and stress. Age and genetics also play a part but these factors are less influenceable.

Chronic Pain affects your ability to get to sleep and stay asleep. Lack of sleep can also increase the risk that you develop a chronic pain condition. There are a number of natural medicine options in pain management however it will depend on what medications you are taking. Generally these conditions will be helped by regular gentle movement. Supplements which can be helpful include high strength fish oils, curcumin and PEA.

It can also be helpful to manage chronic pain with regular bodywork such as osteopathy or massage. If you are very sensitive it can be worthwhile to look at gentle treatments such as craniosacral therapy or lymphatic massage.

Most people seem to know that they shouldn’t use devices in bed but don’t necessarily realise that using the devices for up to 3 hours before bed may affect their sleep. How does it do that? At night the body increases its production of melatonin, this helps activate and maintain sleep. The blue light emitted by your device signals the brain that it is still daytime and can delay production of melatonin for 1-3 hours. Ideally stop using your phone or other device at least 1-2 hours before bed. Watching TV from a distance of up to 2 metres and looking away every 20 minutes can be a good way to reduce the impact.

Some non- pharmaceutical options for blue light exposure include wearing anber reading lenses two hours before bed which improved sleep quality after just a week. Getting morning sunlight has also been shown to be helpful in resetting the circadian rhythm. the nutrient lutein and Zeaxanthin assist in filtering blue light. These nutrients are found in green leafy vegetables and egg yolks.

Stress is of course another big area for interrupting sleep. Chronic long term stress elevates cortisol and can result in the pattern of early morning waking (4-5) and difficulty getting back to sleep. Stressors are different for different people but two of the most common concerns at the moment are unrewarding jobs and anxiety about health. Generally being in a job where your efforts are not rewarded can be a source of ongoing stress.

There are a number of stressors which result in a job being perceived as unrewarding and surprisingly its not about dollars for many people. A British study by Micheal Marmot found that cardiovascular risk as a marker for stress was not highest amongst those at the top but actually lower. It actually correlated with the amount of control that people had over their work and working environment. It is essential to build in processes that allow people flexibility in their work and increase their control as well as avoiding micro management. If you are in an environment where your work is subject to rigid control and micro management it can be worthwhile looking at whether changes can be made.

The second area of anxiety for many people is anxiety about health and this can be particularly acute when a “pandemic” is declared. Worse still with the media constantly triggering you with daily corona counting it can be difficult to stay calm. If this is affecting you generally staying off social media and looking at some routines to calm your brain such as meditation can be helpful. There are a couple of useful apps in this regards including Calm and my current favourite Gaia, which has a range of meditations as well as yoga classes. Still its ideal to do this a couple of hours before bed and avoid screen time before bed as recommended.

The other way to reduce your anxiety about health is to ensure all your regular health checks are up to date and there is no physical reason for the anxiety. For some people who may be prediabetic or insulin resistant difficulties with blood sugar can result in problems with sleep. It can be a good idea to not only get a fasting blood glucose test done annually but also consider whether a more comprehensive test like a 2 hour glucose tolerance test may provide more insight. Frequently in clinic the problems are early stage and occurring at the one to two hour mark.

Reducing caffeine intake and incorporating some carminative herbs can also be useful and you could substitute some calming chamomile tea or peppermint tea as an alternative. These teas before bed could assist in improving sleep pressure.

For more information about sleep have a look at 6 Sleep Myths Debunked .

Christine Pope is a naturopath and nutritionist based at Elemental Health St Ives. If you would like more help with identifying the causes of your poor quality sleep and modifying them you can book in for appointments on 02 8084 0081.

Upskilling and recharging

Spending time at home gives you the opportunity to try things that you may have been wanting to try but may never had the time.  One of my goals is to meditate daily and work my way through all the webinars I signed up for but never got the time to watch. Below are a few ideas to keep you occupied over the next few weeks whilst nurturing mind, body & spirit.

Take an Online course

There are lots of online courses available to cater for every need. TAFE NSW is currently offering 21 courses free of charge.  These range from business administration through to e marketing and are aimed at upgrading skills and giving a qualification which can be used to get back into the workplace.  Further information can be found at Tafe NSW Fee Free Courses .

Coursera offers a range of courses from business and universities, some of which are free.  These are mainly IT and technology based.

Khan academy offers short videos on a range of subjects from mathematics, science through to history.  These are informative and very easy to follow.

Udemy also offers a wide range of short courses free of charge.

Exercise

Staying physically active is important not only for cardiovascular health but also for flexibility.  If you are not used to exercise, then it is important to start with postural exercise to prevent injury.  If you use Instagram then #Move U have some good stability demonstrations.  If you are looking for classes then the Les Mills app is great for classes ranging from Bodypump through to Bodyjam which is a dance type class. F45 in Mona Vale are live streaming HITT classes but do require a membership.  Conny Pulvermacher is livestreaming Yoga classes from The Yoga Room at St Ives have a look at the timetable and see what works for you.

Get Google Arts and Culture

Google arts and Culture, allows you to take virtual tours of some of the top museums, galleries and theatres of the world.  So whether you want to visit  the Natural History museum in London or the teatro bibiena then try Arts and Culture google.

Meditate

Life at the moment can leave many of us feeling stressed, anxious and overwhelmed not knowing what the future will bring.  Meditation and mindfulness apps can help aid in relieving some of these feelings.  Puregym gives a good summary of some of the more popular mindfulness apps. My personal favourite is Gaia which offers you the option to choose the length as well so I have a favourite 12 minute meditation.

Ferment

Fermented foods are great for gut health and general wellbeing, but can be quite expensive.  They include Kombucha, Sauerkraut, Kimchi, Kefir and a whole range more.  Each different type of ferment has a different array of friendly bacteria.  Once you get the hang of them they are very simple to create and quite addictive to make.  If you would like to know more then Holly Davis has written a beautiful book called Ferment.  She also has some beautiful recipes on her website .

Learn a language

There are a number of free online language courses available so if you have ever thought you would like to expand your lingual skills try these websites.

French http://www.bbc.co.uk/languages/french/

Spanish http://www.bbc.co.uk/languages/spanish/

Italian http://www.bbc.co.uk/languages/italian/

Go to the Theatre

Whilst we can’t travel overseas one advantage of the current situation is that theatres are opening up production libraries to enable us to have the experience from the comfort of home. Time Out has produced a list of productions with streaming options in New York and London and Sadler Wells dance company is offering a range of shows free online as well .

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives. You can make appointments for an online consultation currently but she will be back in her clinic at St Ives from 1 May.