{"id":2526,"date":"2021-03-18T13:26:07","date_gmt":"2021-03-18T12:26:07","guid":{"rendered":"https:\/\/vitaminap.pt\/pt\/?p=2526"},"modified":"2023-04-21T16:34:41","modified_gmt":"2023-04-21T16:34:41","slug":"artigos-2","status":"publish","type":"post","link":"https:\/\/vitaminap.pt\/pt\/2021\/03\/18\/artigos-2\/","title":{"rendered":"Sleep is your Superpower"},"content":{"rendered":"<h4><span style=\"font-weight: 400;\"><strong>Why read a sleep article?<\/strong> <\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Seriously, sleep is what parents forced us to do as kids, what we will surely do plenty of when we die, what only lazy people enjoy doing, and a very pointless time when we can\u2019t actually appreciate any of lives\u2019 pleasures or be productive. Sleep is useless. And besides, you don\u2019t even feel sleepy throughout the day and you get your work done just fine. In fact, you\u2019re one of those people who run on 5 hours of sleep and are still doing great, so why sleep? It\u2019s just not worth it, right? No, and hopefully, by the end of this article you will think differently but, before diving into the greatest medicine of all times, let me start by saying two things.&nbsp;<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">First, as pointed out by sleep expert, Dr. Matthew Walker, sleep is a \u201cremarkable Swiss Army knife of health and wellness\u201d and we are \u201csocially, organizationally, economically, physically, behaviorally, nutritionally, linguistically, cognitively, and emotionally dependent upon\u201d it (Walker, 2017). Don\u2019t believe it? Keep reading. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Second, although scientists have discovered a very rare group of people who carry a gene called BHLHE41, which allows them to naturally survive on six hours of sleep, they are but an extraordinarily uncommon population that is closer to 0 than to 1% of the world population (Walker, 2017). Do you still think you\u2019re the fraction of 1%? Then, let me also tell you this: according to Belenky et al. (2003), the brain adapts to chronic sleep deprivation by stabilizing performance at a reduced level, resulting in serious neurocognitive deficits in domains such as executive attention and working memory, over time (Durmer &amp; Dinges, 2005). Due to these adaptations, people often do not recognize the harm done to their mental and physical health and assume this means they are getting enough sleep (Walker, 2017). Sound familiar?<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><em><span style=\"font-weight: 400;\">* skip this is you are just looking for results*<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">Two factors determine when you want to sleep and be awake: circadian rhythm and adenosine. Located in the brain, the first works as your internal clock by generating a 24h rhythm that makes you feel alert during the day and tired at night (Walker, 2017). This is why, despite societal prejudice against night owls, people with later circadian rhythms naturally take longer to function early in the morning, as their prefrontal cortexes (the brain region responsible for high-level thought and logical reasoning) remain disabled. The second factor is a chemical substance that builds up in your brain throughout the day and produces a \u201csleep pressure,\u201d such that the longer you\u2019ve been up, the sleepier you will feel (Walker, 2017). This is why you experience a \u201ccaffeine crash\u201d or feel more awake during certain parts of an all-nighter: caffeine blocks adenosine receptors, tricking your brain into thinking you are not tired despite the hormone increase. Once the drug wears off, your sleep deprived brain suddenly becomes aware of a significantly high amount of adenosine (Walker, 2017). But caffeine isn\u2019t the only substance hindering sleep. As a member of a class of sedatives, alcohol may anesthetize you out of wakefulness but does not induce natural sleep; rather, it fragments your sleep, preventing repletion and suppressing REM sleep (whose importance you will read about later on).<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">During sleep, the brain experiences a recurring push-pull between NREM (non-rapid eye movement) and REM (rapid eye movement) stages that restarts every 90 minutes. Whereas NREM sleep helps transfer and secure newly learned information (in the hippocampus) into long-term storage sites of the brain (the cortex), REM sleep facilitates accurate recognition and comprehension to make intelligent decisions and actions (your emotional IQ), is vital to fetus brain maturation, and is when you dream. Dreams not only boost problem-solving and creativity (by amalgamating past and present knowledge), but also appease painful memories (Walker, 2017).&nbsp;<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">* scientific explanation over, you may return*<\/span><\/em><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"text-decoration: underline;\">Sleeping restores the body\u2019s metabolic state, regulates appetite and impulsivity (fostering healthier food choices and better nutrient absorption), and lowers blood pressure while maintaining heart health<\/span> (Walker, 2017). Sleep has special implications for children, adolescents, athletes, older adults, and health-care professionals. Insufficient sleep during childhood foretells drug and alcohol use during later adolescent years while also hindering learning abilities and memory (Walker, 2017). In adolescents, the issue is further exacerbated by misinformation whereby society associates longer and later sleep with indolence. However, during puberty, circadian rhythms are shifted forward, surpassing adult circadian rhythms and thus, explaining why teenagers often tend to fall asleep and wake up later. They are not lazy; instead, regardless of culture or geography, their bodies are naturally programed for later schedules and preventing them from attaining those morning sleep hours may cause colossal damage. In fact, studies have shown that delaying school start times by only 45 minutes increased students\u2019 SAT scores by 158 points in verbal and 56 in math (Walker, 2017). And a 30-minute delay in school start times resulted in a 70% decrease in adolescent traffic accidents (mind you, when ABS &#8211; anti-lock brake technology \u2013 was introduced, accident rates were reduced by 20-25% and this was considered outstanding) (Walker, 2017). Unlike teenagers, older adults experience earlier circadian rhythms as well as degenerations in their NREM sleep cycles, making it harder to fall asleep. This does not mean they need to sleep less, but that they often feel unable to maintain their sleep schedule and duration. Yet, by sleeping less than 7h, older adults further degenerate their NREM sleep and become more vulnerable to several types of dementia, including Alzheimer\u2019s (Walker, 2017).&nbsp;<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Additionally, while benefiting from all the aforementioned sleep consequences, sleep proves ever more impactful for athletes as the post-performance slumber hastens physical recovery, triggers muscle repair, and helps replenish cellular energy (Walker, 2017). And the statistics on health care professionals are staggering to say the least. In fact, residents working a 30h-straight shift commit 36% more serious medical errors, increase diagnostic errors in ICUs by 460%, and are 73% more likely to hurt themselves with hypodermic needles and scalpels (Walker, 2017). In Johnson et al.\u2019s study (2014), an additional hour of sleep decreased the estimated odds for 1 or more patient care errors by 25.5%. Likewise, sleep has consequences to the wider economy and according to Hafner et al. (2017), if individuals who sleep under 6h started sleeping 6-7h, they could add $226.4 billion, $75.7 billion, $34.1 billion, $29.9 billion, and $12 billion to the US, Japanese, German, UK, and Canadian economies, respectively.&nbsp;<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Okay, so sleep may be a bit more important than you previously thought, but you work out and eat healthy most of the time so you\u2019re actually making up for a potential lack of sleep, right? No, I\u2019m sorry, you are not because the health damage caused by one night of poor sleep surpasses that by a similar lack of food or exercise (Walker, 2017).&nbsp;<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"text-decoration: underline;\">Consistently sleeping less than 7h per night \u2013 and no, making up on the weekends does not count because sleep doesn\u2019t work like a bank \u2013 has deleterious effects.<\/span> It weakens the immune system, increases the risk of developing Alzheimer\u2019s as well as being in a car crash, contributes to major psychiatric conditions including depression, anxiety, and suicidality, and damages memory and learning (Walker, 2017). It also increases the risk of cardiovascular diseases, facilitates weight gain and diabetes while hindering weight loss, and it hampers productivity. In males, sleep deprivation reduces testosterone levels and sperm count and is associated with smaller testicles and, in females, it reduces follicular-releasing hormone, dysregulates menstrual cycles, and increases the risk of miscarriage (Walker, 2017).&nbsp;<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Now, if you\u2019d still rather take your chances with all the aforementioned illnesses and health damage, perhaps this will convince you. Do you want to take the COVID19 vaccine and be effectively immunized against the virus? Then sleep at least 7h per night consistently before you take it! Studies which evaluated antibody reaction and immune system health in individuals taking the flu shots and hepatitis A and B vaccines, found that individuals who slept less than 7h per night produced less than 50% of the immune reaction their 7-9h counterparts mustered (Walker, 2017).<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Hopefully you are still reading (or have skimmed until the recommendations \u2013 as long as you sleep, that\u2019s fine with me) and will strive for that 7h slumber every night. <span style=\"text-decoration: underline;\">The following 13 recommendations are extremely important to enhance your sleep and replenish your brain<\/span>, but the most important one is to <span style=\"text-decoration: underline;\">maintain a sleep schedule<\/span> such that you go to bed and wake up at the same time every day, no matter what. If you learn nothing else from this article, remember this and the fact that our herd immunity is partially in your hands.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Stick to a schedule<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Try to exercise at least 30 minutes per day and avoid working out 2-3h before your bedtime<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Avoid caffeine and nicotine \u2013 that includes coffee, colas, some teas, chocolate, etc.<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Avoid alcoholic drinks before bed \u2013 or at all<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Avoid late-night large meals\/drinks<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Avoid medicines that delay your sleep<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>If you nap, do so before 3pm<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Relax before bed \u2013 creating a nighttime unwinding routine may help!<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Take a hot bath before bed \u2013 the drop in temperature will make you feel sleepy<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Create a dark, cool, gadget-free bedroom<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Get daylight sun exposure for at least 30 minutes a day<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Don\u2019t lie in bed awake \u2013 if you really cannot fall asleep, get up and do something relaxing until you feel sleepy to avoid triggering worries or anxiety<\/h6>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h6>Reserve the bed for sleep and sex \u2013 your bed should not be your office, tv station, recreation, or workroom<\/h6>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">You have a daily, super powerful, and all-natural medicine at your disposal, free of side effects and expensive labels. Prevention is easier and cheaper than treatment and make no mistake, neglecting your sleep will require a myriad of health treatments in the future.&nbsp;<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4>References:<\/h4>\n<p><em><span style=\"font-weight: 400;\">Belenky, G., Wesensten, N. J., Thorne, D. R., Thomas, M. L., Sing, H. C., Redmond, D. P., Russo, M. B., &amp; Balkin, T. J. (2003). Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: A sleep dose-response study. Journal of Sleep Research, 12(1), 1\u201312. <a href=\"https:\/\/doi.org\/10.1046\/j.1365-2869.2003.00337.x\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1046\/j.1365-2869.2003.00337.x&nbsp;<\/a><\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400;\">Durmer, J. S., &amp; Dinges, D. F. (2005). Neurocognitive consequences of sleep&nbsp;<\/span><span style=\"font-weight: 400;\">deprivation. <\/span><span style=\"font-weight: 400;\">Semin Neurol<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">25<\/span><span style=\"font-weight: 400;\">(1), 117\u2013129. <a href=\"https:\/\/doi.org\/10.1055\/s-2005-867080\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1055\/s-2005-867080<\/a><\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400;\">Hafner, M., Stepanek, M., Taylor, J., Troxel, W. M., &amp; van Stolk, C. (2017). Why Sleep Matters-The Economic Costs of Insufficient Sleep: A Cross-Country Comparative Analysis. <\/span><span style=\"font-weight: 400;\">Rand health quarterly<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">6<\/span><span style=\"font-weight: 400;\">(4), 11.&nbsp;<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400;\">Johnson, A. L., Jung, L., Song, Y., Brown, K. C., Weaver, M. T., &amp; Richards, K. C. (2014). Sleep deprivation and error in nurses who work the night shift. The Journal of Nursing Administration, 44(1), 17\u201322. <a href=\"https:\/\/doi.org\/10.1097\/NNA.0000000000000016\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1097\/NNA.0000000000000016&nbsp;<\/a><\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400;\">Walker, Matthew. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.&nbsp;<\/span><\/em><\/p>\n<p>&nbsp;<\/p>\n<h5><strong>By: Teresa Aires<\/strong><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>Why read a sleep article? <br \/>\nSeriously, sleep is what parents forced us to do as kids, what we will surely do plenty of when we die, what only lazy people enjoy doing, and a very pointless time when we <\/p>\n","protected":false},"author":2,"featured_media":7649,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66],"tags":[],"class_list":["post-2526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sleep is your Superpower - Know why - Vitamina P<\/title>\n<meta name=\"description\" content=\"Why read a sleep article? 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