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What's really keeping you awake at night?

Is modern life preventing you from sleeping well? The author of Why We Sleep shares the science behind some of the most common causes of poor sleep, and what you can do to improve your nightly rest

Do you think you got enough sleep this past week? Can you recall the last time you woke up without an alarm clock feeling refreshed, not needing caffeine? If the answer to either of these questions is 'no,' you are not alone. Two-thirds of adults throughout all developed nations fail to obtain the recommended eight hours of nightly sleep.

For those of us who do not have a sleep disorder, there are several factors that are the cause poor sleep.  They are often responsible for many an individual’s mistaken belief that they are suffering from clinical insomnia.
 


1. Caffeine

At this very moment, a chemical called adenosine is building up in your brain. The longer you are awake, the more adenosine will accumulate. One consequence of increasing adenosine in the brain is an increasing desire to sleep. For most people, this happens after twelve to sixteen hours of being awake. You can, however, artificially mute the sleep signal of adenosine by using a chemical that makes you feel more alert and awake: caffeine.

Caffeine blocks and effectively inactivates adenosine receptors, tricking you into feeling alert and awake, despite the high levels of adenosine that would otherwise seduce you into sleep.

What is problematic, though, is the persistence of caffeine in your system as caffeine has an average half-life of five to seven hours. Let’s say that you have a cup of coffee after dinner, around 7:30 p.m. This means that by 1:30 a.m., 50 percent of that caffeine may still be active and circulating throughout your brain tissue. In other words, by 1:30 a.m., you’re only halfway to completing the job of cleansing your brain of the caffeine you drank after dinner.

Another issue is that caffeine decreases the electrical quality of your deep sleep. So even if you can drink caffeine in the evening and fall asleep and stay asleep without a problem, the depth of your deep sleep will not be sufficient. As a result, people often wake up feeling unrefreshed. They now reach for two cups of coffee rather than one, developing a dependency cycle.

Most people do not therefore realize how long it takes to overcome a single dose of caffeine, and therefore fail to make the link between the unrestorative sleep they wake from in the morning, and the cup of tea or coffee they had ten hours earlier with dinner. Caffeine and related chemicals—which are not only prevalent in coffee, certain teas, and many energy drinks, but also foods such as dark chocolate and ice cream, as well as drugs such as weight-loss pills and pain relievers—are one of the most common culprits that keep people from falling asleep easily and sleeping soundly thereafter.


2. Body Temperature

Thermal environment, specifically the proximal temperature around your body and brain, is another underappreciated factor determining the ease with which you will fall asleep tonight, and the quality of sleep you will obtain. Ambient room temperature, bedding, and nightclothes dictate the thermal envelope that wraps around your body at night. It is ambient room temperature that has suffered a dramatic assault from modernity. This change sharply differentiates the sleeping practices of modern humans from those of pre-industrial cultures, and from animals.

To successfully initiate sleep, your core temperature needs to decrease by 2 to 3 degrees Fahrenheit, or about 1 degree Celsius. For this reason, you will always find it easier to fall asleep in a room that is too cold than too hot, since a room that is too cold is at least dragging your brain and body in the correct (downward) temperature direction for sleep.

Your body is not passive in letting the cool of night lull it into sleep, but actively participates. One way you control your core body temperature is using the surface of your skin. Most of the thermic work is performed by three parts of your body in particular: your hands, your feet, and your head. All three areas are rich in crisscrossing blood vessels that lie close to the skin’s surface. Like stretching clothes over a drying line, this mass of vessels will allow blood to be spread across a large surface area of skin and come in close contact with the air that surrounds it. The hands, feet, and head are therefore remarkably efficient radiating devices that, just prior to sleep onset, jettison body heat in a massive thermal venting session so as to drop your core body temperature. Warm hands and feet help your body’s core cool, inducing inviting sleep quickly and efficiently.

A luxury for many is to draw a hot bath in the evening and soak the body before bedtime. We feel it helps us fall asleep more quickly, which it can, but for the opposite reason most people imagine. You do not fall asleep faster because you are toasty and warm to the core. Instead, the hot bath invites blood to the surface of your skin, giving you that flushed appearance. When you get out of the bath, those dilated blood vessels on the surface quickly help radiate out inner heat, and your core body temperature plummets. Consequently, you fall asleep more quickly because your core is colder. Hot baths prior to bed can also induce 10 to 15 percent more deep NREM sleep in healthy adults.
 

3. Electric lights

We are a dark-deprived society. Before Thomas Edison, and before gas and oil lamps, the setting sun would take with it this full stream of daylight from our eyes, sensed by the twenty-four-hour clock within the brain. With the loss of daylight, vast quantities of melatonin are released, signalling to our brains and bodies that darkness has arrived and it is time for bed. The artificial light that bathes our modern indoor worlds therefore halts the forward progress of biological time that is normally signalled by the evening surge in melatonin.

The degree to which evening electric light winds back your internal twenty-four-hour clock is important: usually two to three hours each evening, on average. Delaying the onset of sleep, which would naturally occur somewhere between eight and ten p.m., just as we observe in hunter-gatherer tribes.

By delaying the release of melatonin, artificial evening light makes it considerably less likely that you’ll be able to fall asleep at a reasonable time. When you do finally turn out the bedside light, hoping that sleep will come quickly is made all the more difficult. It will be some time before the rising tide of melatonin is able to submerge your brain and body in peak concentrations, instructed by the darkness that only now has begun—in other words, before you are biologically capable of organizing the onset of robust, stable sleep.

What of a petite bedside lamp? How much can that really influence your ability to get to sleep? A lot, it turns out. The feeblest of bedside lamps pumps out anywhere from 20 to 80 lux. A subtly lit living room, where most people reside in the hours before bed, will hum at around 200 lux. Despite being just 1 to 2 percent of the strength of daylight, this ambient level of incandescent home lighting can have 50 percent of the melatonin-suppressing influence within the brain.

Moreover, staring at LED-powered laptop screens, smartphones, and tablets each night, sometimes for many hours, has a very real impact on your melatonin release. One of the earliest studies found that using an iPad—an electronic tablet enriched with blue LED light—for two hours prior to bed blocked the otherwise rising levels of melatonin by a significant 23 percent.

Due to its omnipresence, solutions for limiting exposure to artificial evening light are challenging. A good start is to create lowered, dim light in the rooms where you spend your evening hours. Avoid powerful overhead lights. Try turning off half of the lights in your home in the last 2 hours before bed can make a real difference. Mood lighting, or should I say, melatonin-encouraging lighting, is the order of the night.

More about the book

Why We Sleep

Matthew Walker

'Astonishing ... an amazing book ... absolutely chocker full of things that we need to know' Chris Evans

'Matthew Walker is probably one of the most influential people on the planet' Evening Standard

THE #1 SUNDAY TIMES BESTSELLER
TLS, OBSERVER, SUNDAY TIMES, FT, GUARDIAN, DAILY MAIL AND EVENING STANDARD BOOKS OF THE YEAR 2017

Sleep is one of the most important aspects of our life, health and longevity and yet it is increasingly neglected in twenty-first-century society, with devastating consequences: every major disease in the developed world - Alzheimer's, cancer, obesity, diabetes - has very strong causal links to deficient sleep.

In this book, the first of its kind written by a scientific expert, Professor Matthew Walker explores twenty years of cutting-edge research to solve the mystery of why sleep matters. Looking at creatures from across the animal kingdom as well as major human studies, Why We Sleep delves into everything from what really happens during REM sleep to how caffeine and alcohol affect sleep and why our sleep patterns change across a lifetime, transforming our appreciation of the extraordinary phenomenon that safeguards our existence.

'Startling, vital ... a life-raft' Guardian

'A top sleep scientist argues that sleep is more important for our health than diet or exercise' The Times

'Passionate, urgent . . . it had a powerful effect on me' Observer

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