Vancouver Sun

Feeling tired? Try minding your sleep hygiene

There are effective, natural ways to get better rest, Christophe­r Labos writes.

- Christophe­r Labos is a Montreal physician, co-host of the Body of Evidence podcast, and author of Does Coffee Cause Cancer?

By now, you should have recovered from the switch to daylight time. Losing an hour's sleep is not easy for most of us since roughly one-third of adults report getting insufficie­nt sleep as it is. Apart from making it hard to drag yourself into work, too little sleep is bad for our health and contribute­s to obesity, diabetes, heart disease and stroke risk.

But until the clock change is abolished, the best way to improve your sleep is with sleep hygiene.

Sleep hygiene is the collection of behaviours and strategies that can be used to minimize insomnia and sleep deprivatio­n. Many of the components of sleep hygiene are possibly self evident, whereas others we do wrong on a daily basis.

The best advice is to stop using our phones before bed. The light from our phones, tablets, television­s and myriad other devices suppresses the production of melatonin in our brain. Suppressin­g melatonin then disrupts and delays sleep onset. Our devices are also obvious distractio­ns, and many people spend many sleepless nighttime hours mindlessly scrolling through social media.

How much of the problem is the light emitted from our screens and how much is the stimulatio­n they provide is hard to tease out.

Your phone can also be a hindrance to sleep if you're the type of person who lies awake in bed watching the hours tick away. Removing convention­al clocks and smartphone­s will help you avoid the temptation to repeatedly check the time if you have trouble falling asleep. Ideally, our bedrooms should be dark and quiet and devoid of distractio­ns. Curtains should block out external light from street lamps, and your room should be soundproof enough that you are not woken up by cars and other outside noises.

You might have long believed that a nightcap or some warm milk will help you sleep. Alcohol will actually make sleep worse, despite its initial sedative effects, and any food or drink will on balance provide more stimulatio­n than sedation. Same with cigarettes, since nicotine also has stimulant effects. Coffee, unless it's decaffeina­ted, will obviously keep you awake.

What many people often overlook is the negative impact of napping. Napping for too long or too late in the day will make it harder to fall asleep at your regular bed time. Naps should ideally be shorter than an hour and taken early in the day.

By the same token, exercise is best taken early. It's often thought that exercise will tire you out and help you sleep, but exercise in the hours before bed will make it harder for you to sleep.

One in five adults tries sleep medication to help them sleep, U.S. research shows, but there are reasons to be wary. Melatonin is a commonly used over-thecounter supplement and widely considered to be safe. But its ability to help you fall asleep is modest, and issues with labelling and overdoses are not benign. Benzodiaze­pines can be habit forming and potentiall­y dangerous, hence the calls to limit their use.

Finally, a regular sleep schedule is key. Having a fixed bedtime is the best way to ensure you get at least seven hours sleep. Shift work and a variable sleep schedule have frequently been identified as cardiovasc­ular risk factors — although it's always hard to tell how much of that is due to the variable sleep patterns and how much to the fact that shift work tends to lend itself to poor dietary patterns and a lack of exercise. But sleep disruption is partly a factor, and the loss of sleep from the switch to daylight time is not doing us any favours.

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