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The Profound Impact of Sleep on Health: An Overview

Mar 30, 2024

4 min read

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In the quest for optimal health, we often focus on diet and exercise as the primary factors. However, there's another crucial element that deserves just as much attention: sleep. In a society where hustle culture often glorifies sleep deprivation, it's time to recognize the profound impact that sleep has on our overall well-being.


According to the National Sleep Foundation, a staggering 74% of Americans fall short of the recommended eight hours of sleep per night. This statistic alone should prompt us to take a closer look at the link between sleep and our health.


Sleep is not just a time of rest; it’s a critical period during which our body undergoes essential processes that impact various aspects of our health, particularly metabolic health. The relationship between sleep patterns and metabolic functions is profound and intricately linked to how our body manages inflammation, responds to insulin, recovers, and regulates appetite. Let’s delve into the different ways sleep influences our health and explore practical interventions to improve sleep quality.


The Sleep-Wake Cycle and Metabolic Health


The sleep-wake cycle comprises two main stages: non-rapid eye movement (NREM) sleep and rapid eye movement (REM) sleep. Each stage is linked to specific hormonal and metabolic processes that are crucial for maintaining body functions, including glucose homeostasis.


NREM Sleep

NREM sleep is the initial stage of the sleep cycle, comprising three sub-stages, each progressively deeper than the last. During NREM sleep, the body focuses on physical restoration:


1. Stage 1: This is a light sleep phase where you drift in and out of sleep and can be awakened easily. Muscle activity slows, and occasional muscle twitching occurs.

2. Stage 2: This is a deeper sleep phase where eye movement stops, and brain waves become slower with occasional bursts of rapid waves called sleep spindles. This stage accounts for about 50% of our total sleep.

3. Stage 3: Known as deep sleep or slow-wave sleep (SWS), this stage is crucial for physical restoration. It is during this stage that the body repairs tissues, builds bone and muscle, and strengthens the immune system.


REM Sleep

REM sleep is the stage where most dreaming occurs, characterized by rapid eye movements, increased brain activity, and temporary muscle paralysis. This stage is essential for cognitive functions such as memory consolidation, learning, and mood regulation. REM sleep typically occurs about 90 minutes after falling asleep and recurs several times throughout the night, each cycle becoming longer.


Insulin Sensitivity


Insulin sensitivity, which refers to how effectively the body uses insulin to lower blood sugar levels, is significantly influenced by both the duration and quality of sleep. Experimental studies have shown that even a brief period of sleep restriction can decrease insulin sensitivity in peripheral tissues, leading to higher blood sugar levels the next day. This reduction in insulin sensitivity can predispose individuals to metabolic disorders and weight gain.


The Science Behind Insulin Sensitivity and Sleep

Research indicates that sleep restriction can lead to an increase in fatty acids in the blood, which interferes with insulin's ability to regulate blood sugar. In a study conducted on healthy individuals, restricting sleep to four hours per night for six nights resulted in decreased insulin sensitivity, showcasing how quickly sleep deprivation can impact metabolic health.



Inflammation and Recovery


Sleep deprivation is linked to increased levels of pro-inflammatory cytokines, such as interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α). This creates a pro-inflammatory environment that further exacerbates metabolic disorders and injury.


Mechanisms of Inflammation Due to Sleep Deprivation

When sleep is disrupted, the body experiences an increase in sympathetic nervous system activity leading to elevated levels of stress hormones like cortisol. Chronic elevation of cortisol and other inflammatory markers can impair metabolism and recovery. Our body's use our nightly rest to recover. While we sleep, the body works on healing and repairing muscles, wounds etc. Poor sleep hygiene increases these stress hormones thus preventing the body from healing properly, leading to longer recovery time.


Appetite and Metabolism

Our bodies are remarkably intricate systems, and sleep plays a vital role in regulating various physiological processes, including metabolism and appetite. Research has shown that sleep deprivation is associated with an increased risk of weight gain. Individuals who consistently sleep five hours or less per night are more likely to struggle with extra weight compared to those who get adequate sleep.


But why is this the case? The answer lies in the intricate interplay between sleep and hormones that regulate appetite and metabolism. When we're sleep-deprived, hormonal imbalances occur, leading to alterations in fat and glucose metabolism. Leptin, an appetite-suppressing hormone, decreases, while ghrelin, a hunger-promoting hormone, increases. As a result, sleep-deprived individuals often experience heightened feelings of hunger and cravings for high sugar, high fat foods, making them more prone to overeating.


The impact of sleep on the body is further underscored by the role of different stages of sleep. Deep sleep and rapid eye movement (REM) sleep are two critical stages of the sleep cycle. Disruptions in these stages, whether due to sleep fragmentation or insufficient duration, can impair fat metabolism and energy expenditure thus further exacerbating the impact of sleep on our energy levels and metabolic function.


Summary


Stress and sleep significantly influence metabolism. High levels of stress coupled with poor sleep can result in challenges with glucose regulation, appetite control, recovery and energy management. Therefore, stress management and sleep optimization should be integral parts of a person’s overall health care plan. By incorporating sleep-friendly habits and addressing sleep disorders, we can improve not only our metabolic health but also our overall well-being.



Recommendations for Better Sleep Hygiene

Improving sleep hygiene is paramount in addressing metabolic issues and sleep disorders. Recommendations include:

  • Sleep in a dark, cool environment

  • Use white noise

  • Avoid drinking Caffeine within 6-8 hours of bedtime

  • Keep notepad by bed for brain dump for anxious/restless mind

  • Weighted Blanket

  • Sleep apps or podcasts ("Nothing much Happens" or "Sleep with Me")

  • Separate work/home environment if you work from home

  • Avoid eating or working in bed

  • Get a mattress that supports proper spine alignment

  • Avoid eating within 30-60 minutes of bedtime

Nicole Gonya RDN, LDN



References

1. [Insulin sensitivity and sleep](https://pubmed.ncbi.nlm.nih.gov/33849816/)

2. [Sleep restriction and insulin sensitivity](https://pubmed.ncbi.nlm.nih.gov/20371664/)

3. [Circadian rhythms and glucose metabolism](https://pubmed.ncbi.nlm.nih.gov/36768893/)

4. [Night shift work and metabolic health](https://pubmed.ncbi.nlm.nih.gov/34898652/)

5. [Shift workers and type 2 diabetes](https://onlinelibrary.wiley.com/doi/10.1111/obr.13489)

6. [IL-6 and sleep deprivation](https://pubmed.ncbi.nlm.nih.gov/11061508/)

7. [TNF-α and sleep deprivation](https://pubmed.ncbi.nlm.nih.gov/21737301/)

8. [Leptin, ghrelin, and sleep](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9783730/)



Mar 30, 2024

4 min read

0

5

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