The Sunday Telegraph - Sunday

Seven ways to buy a great night’s sleep – from as little as £5 a month

As we adjust to the clocks going forward and the loss of a precious 60 minutes’ kip, Nick Harding investigat­es whether sleep aids are the answer…

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The medical dummy in the bed is criss-crossed with wires, electrodes and sensors while being watched by two 3D kinetic cameras, radar and under-floor motion sensors, all of which are connected to a control room where large screens monitor six other bedrooms.

This is the Sleep Research Centre in Surrey University, one of Europe’s most advanced sleep study facilities, and senior sleep technologi­st Giuseppe Atzori tells me the equipment hooked up to the plastic test subject represents the gold standard when it comes to collecting data about sleep, or polysomnog­rams. It makes my Fitbit watch look primitive.

“We do use some of that technology,” Giuseppe tells me, “but the problem for research is that you can’t access the raw data.”

Academics at the centre are currently using their state-of-theart facility to research the relationsh­ip between sleep and circadian rhythms, and cognition and dementia. It is not yet known which way the interactio­n goes – whether poor sleep causes or exacerbate­s dementia or if dementia leads to poor sleep. Either way, the implicatio­ns for anyone with a sleep disorder are concerning.

Sleep and health are intrinsica­lly linked. In Matthew Walker’s 2017 bestseller Why We Sleep, the ominous first page explains how poor sleep is linked to a range of diseases. Routinely sleeping for less than six or seven hours a night, he warns, “demolishes your immune system”, doubling the risk of cancer. The gloom continues when you consider that according to researcher­s in the field, anywhere between 10 and 30 per cent of people report frequent sleep disruption; and numbers are believed to have grown during the pandemic.

No wonder then that the sleep industry, which includes specialist bedding, apps, devices and supplement­s, was worth around £360billion globally in 2019 rising to £486billion by next year, according to Statista. The business is all geared towards helping us reach the sleep Holy Grail of eight hours a night. Except that, like the 10,000 steps and the eight glasses of water we are told we should all aim for daily, the sleep target is arbitrary. Some need more, some less.

Prof Derk-Jan Dijk, founder of the Surrey Sleep Research Centre, shrugs at the eight-hour goal.

“Just because you had a poor night’s sleep for one or two nights doesn’t mean you are going to develop dementia,” he says.

Neverthele­ss, most smartwatch­es now use algorithms to analyse heart rate and movement and estimate how much you’ve slept and what quality your sleep has been. These scores are as much a part of the daily goals of health-conscious people as step counts.

At the top end of the sleep monitoring wearable market is the Oura smart ring, a favourite of celebritie­s such as Prince Harry, Jennifer Aniston and Gwyneth Paltrow. The stylish £292 titanium rings include infrared LEDs that measure resting heart rate, heart rate variabilit­y and respirator­y rate. They also feature red and green LEDs to track heart rate around the clock and overnight blood oxygen saturation (SpO2) measuremen­ts. To get the full benefit, owners can subscribe to a membership for around £5 a month.

The ring is waterproof and has the advantage of being less cumbersome and more robust than a watch. Having tested one for over a month I can confirm that it does everything my Fitbit Sense does, but in a more convenient form and with an emphasis on sleep, for which wearers are given a score, as Caroline Kryder, Oura’s science communicat­ions lead and

‘If people pressure themselves to sleep better, the likelihood is they won’t’

product marketing manager, explains.

“Sleep Score includes seven different personalis­ed elements known as Sleep Contributo­rs that help you answer questions such as: did you get enough sleep? Did you get enough REM sleep? Did you get enough deep sleep?”

Wearers are notified of changes to their sleep patterns with a message.

The experts are divided about the value of tracking sleep. Lisa Artis, deputy CEO of the Sleep Charity, says that while more awareness of sleep and sleeping habits is a good thing, it can also be problemati­c for some.

“Sleep trackers can be a useful tool for looking at your general sleep patterns and can be an incentive to improve sleep habits, but recent research shows that tracking your sleep could be doing more harm than good. There is a name for it: orthosomni­a,” she says, which is defined as an obsessive pursuit of optimal sleep driven by sleep tracker data. “Unlike eating five portions of fruit and veg daily, you can’t make yourself sleep for eight hours. If people pressure themselves to sleep better, the likelihood is they won’t.”

While trackers are one common

element of the sleep industry, sleep aids are another booming business. Products range from the £2,295 Eight Sleep Pod 3 Cover – a smart mattress cover that automatica­lly adjusts temperatur­e to keep you comfortabl­e, tracks your movements through the night and gently vibrates to wake you up – to chamomile-infused chewy sweets. For chronic insomniacs, very few of these gadgets and devices can offer a cure, however.

“Paradoxica­lly, insomniacs buy these gadgets but are generally the people they won’t help,” says Tracy Hannigan – known as Tracy the Sleep Coach. “I encourage people with chronic sleeping problems to stop trying gadgets and tracking sleep as insomnia is essentiall­y a fear of not sleeping and is driven by anxiety. The more people try to control the situation with gadgets, the worse it gets.”

Tracy, a recovered insomniac, uses a psychother­apy technique called cognitive behavioura­l therapy for insomnia (CBTI), which is designed to break patterns of behaviour. For acute insomniacs who experience short-term poor sleep and those who want to optimise sleep, she advises planning ahead for busy days to reduce anxiety.

“Indoor hobbies such as crafting, puzzles, knitting or scrapbooki­ng are a good idea,” she says, “as is taking a warm bath an hour and a half before bedtime. And make your bed a nice place to be.”

Some practical equipment, such as eye-masks and noise cancelling headphones, are also sensible if you are going to be sleeping somewhere with novel noises or raised light levels. At the more unusual end of the market are devices that claim to alter brainwaves and guide the brain through different levels of sleep. Back at the Surrey Sleep Research Centre, Prof Dijk says that he has so far seen no scientific evidence to establish the effectiven­ess of these devices. There is evidence, though, that certain sounds and frequencie­s can affect brainwaves and brain activity, particular­ly in mindfulnes­s and meditative practice where sounds such as waves and rainfall have a relaxing effect.

So is all this technology just creating confusion and noise? The Sleep Charity’s Lisa Artis suspects that may be the case. “We really should be enjoying sleep, not trying to micromanag­e it,” she concludes.

If you do want to explore the burgeoning world of sleep gadgets, rather than throwing everything at the problem as those with sleep issues are apt to do, the trick is to find the one that’s best suited to your issue.

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From gum shields to sound systems, there’s a device for every sleep problem

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