Posted Jan 10, 2011
So you were hoping all you needed was a glass of warm milk or an herbal capsule.
Turns out, difficulty sleeping — at least when it’s a chronic problem — may require more than a quick fix 30 minutes before bed.
“You really have to prepare during the day to sleep well at night,” says Esther Cohen, a registered dietitian and owner of Seven Bowls School of Nutrition in Longmont.
That’s because your endocrine system and the neurotransmitters in your brain are deeply involved in sleep, she says. In short, chances are if your life is out of whack and your body is out of balance, your sleep will be, too.
When a client comes to her, Cohen asks the person to fill out a lengthy questionnaire, which asks about eating habits, mood and behaviors. Insomnia frequently comes up as a problem, one that can exacerbate irritable moods and undesirable behaviors such as overeating, which, in turn, can worsen insomnia.
Cohen, who uses Chinese medicine in her practice, takes a holistic approach to problems such as insomnia. She starts clients off by asking them to keep a detailed food and mood log.
After a week, patients begin to get what she calls “body sense.” They make a connection with how certain foods make them feel, both immediately and later on.
“I want to get to the root of what’s going on, to calm down the nervous system,” Cohen says.
Highs and lows
She likes to start where clients are in their eating habits and help them make gradual shifts to more healthful eating. A developing awareness of how certain foods affect them allows clients to quickly realize how much better they feel, she says.
An important component in good sleep health is keeping blood sugar balanced during the day, Cohen adds. Insulin surges to deal with a big, high carbohydrate meal and then plunges. The resulting low blood sugar can cause a person to wake up and make it more difficult to go back to sleep. The next day, the lack of sleep can cause cravings for processed snacks and other less than optimal foods which make blood sugar surge upward and then crash, creating a vicious cycle. Cohen recommends what she calls “mixed meals,” meaning a meal that contains carbohydrates from whole grains, lean protein and healthy fat. Such meals help to keep blood sugar more even during the day.
As clients begin working their way toward a healthier diet, one of the first things Cohen recommends to people with blood sugar issues is to eat a small amount of protein about 30 minutes before bed. The food could be half a hard-boiled egg, a few nuts or a small amount of nut butter. The protein can help prevent a blood sugar drop that can wake the client.
While overeating is a common cause of sleep problems, Registered Dietitian Lisa Lanzano, owner of Essential Nutrition in Boulder, says eating too little can also have a deleterious effect on sleep and blood sugar. Lanzano frequently works with disordered eaters who struggle to eat enough during the day.
“When people don’t get enough to eat, the blood sugar goes down,” she says. “The body knows it needs to get back up. That triggers adrenalin (which can cause wakefulness.)”
For those clients, Lanzano recommends a piece of whole-grain toast with honey before bed.
“It’s easy to digest and just enough to get the adrenaline release to stop,” she says.
When to eat
Timing meals is also important to sleeping well.
Cohen advises clients to follow the old adage to eat like a king at breakfast, a queen at lunch, and a pauper at dinner. A light dinner makes it easier for the body to digest food before sleep. With the exception of the protein snack for those who need it, she says it’s optimal to stop eating several hours before bed. Cohen explains that a concept in Chinese medicine is “liver time,” which is said to be from 1 to 3 a.m. According to the theory, the early morning hours are when the liver rejuvenates itself. Cohen says that ideally clients should stop eating seven hours before liver time.
“The later one is digesting, the more stress it puts on the liver,” she says.
While it might not be called liver time in other philosophies, the advice to eat lightly at dinner and stop eating several hours before bed is a common instruction for people with sleep difficulties.
Boulder herbalist Brigitte Mars expresses the idea of late eating as fueling up the body as it needs to slow down.
Likewise, she says, it’s best to stop drinking liquids a few hours before bed, so you won’t have to awaken to go to the bathroom.
“I’m big on hydrating during the day, but by 6 or 7 you should be done with eating and drinking,” Mars says. “If you’re thirsty, take a sip. Don’t drink a whole glass.”
Lanzano advises clients to stop drinking a couple of hours before bed, adding that it takes the kidneys about 90 minutes to process liquids.
Caffeine and alcohol
Lanzano, Cohen and Mars all advise clients with sleep difficulties to take a look at their caffeine intake. Lanzano tells clients to stop caffeine after noon; Cohen says 10 a.m.
“As people get older, they don’t have the same tolerance for caffeiene,” Lanzano says.
Similarly, clients should be aware that certain over-the-counter headache remedies sometimes contain caffeine, and decongestants with pseudoephedrin also have a stimulative effect.
Alcohol can be deceiving. While it can make you sleepy, it leads to less deep, fragmented sleep. Experts advise drinking in moderation and having no alcohol for a couple of hours before bed.
Foods to make you sleepy
Turkey is considered by many to be a soporific food, but nutrition experts say any sleepiness is likely caused by the huge meal of which the turkey is a part. Carbohydrates, which can be precursor for serotonin, a neurotransmitter that can help with sleep, although nutritionists say the carbs should be whole grain.
Lanzano says vitamin B6 important in the conversion of foods into serotonin. Good sources are oatmeal, avocados, wheat germ, soybeans and chicken. Folic acid and Omega 3s also aid in serotonin production. The bottom line is the same as the nutrition advice for general good health. Eat a large variety of fruits and vegetables.
Likewise, good health is what dreams are made of.
—–
To see more of the Daily Camera, or to subscribe to the newspaper, go to http://www.thedailycamera.com./
Copyright © 2010, Daily Camera, Boulder, Colo.
Distributed by McClatchy-Tribune Information Services.
So you were hoping all you needed was a glass of warm milk or an herbal capsule. Turns out, difficulty sleeping -- at least when it's a chronic problem -- may require more than a quick fix 30 minutes before bed. "You really have to prepare during the day to sleep well at night," says Esther Cohen, a registered dietitian and owner of Seven Bowls School of Nutrition in Longmont. That's because your endocrine system and the neurotransmitters in your brain are deeply involved in sleep, she says. In short, chances are if your life is out of whack and your body is out of balance, your sleep will be, too. When a client comes to her, Cohen asks the person to fill out a lengthy questionnaire, which asks about eating habits, mood and behaviors. Insomnia frequently comes up as a problem, one that can exacerbate irritable moods and undesirable behaviors such as overeating, which, in turn, can worsen insomnia. Cohen, who uses Chinese medicine in her practice, takes a holistic approach to problems such as insomnia. She starts clients off by asking them to keep a detailed food and mood log. After a week, patients begin to get what she calls "body sense." They make a connection with how certain foods make them feel, both immediately and later on. "I want to get to the root of what's going on, to calm down the nervous system," Cohen says. Highs and lows She likes to start where clients are in their eating habits and help them make gradual shifts to more healthful eating. A developing awareness of how certain foods affect them allows clients to quickly realize how much better they feel, she says. An important component in good sleep health is keeping blood sugar balanced during the day, Cohen adds. Insulin surges to deal with a big, high carbohydrate meal and then plunges. The resulting low blood sugar can cause a person to wake up and make it more difficult to go back to sleep. The next day, the lack of sleep can cause cravings for processed snacks and other less than optimal foods which make blood sugar surge upward and then crash, creating a vicious cycle. Cohen recommends what she calls "mixed meals," meaning a meal that contains carbohydrates from whole grains, lean protein and healthy fat. Such meals help to keep blood sugar more even during the day. As clients begin working their way toward a healthier diet, one of the first things Cohen recommends to people with blood sugar issues is to eat a small amount of protein about 30 minutes before bed. The food could be half a hard-boiled egg, a few nuts or a small amount of nut butter. The protein can help prevent a blood sugar drop that can wake the client. While overeating is a common cause of sleep problems, Registered Dietitian Lisa Lanzano, owner of Essential Nutrition in Boulder, says eating too little can also have a deleterious effect on sleep and blood sugar. Lanzano frequently works with disordered eaters who struggle to eat enough during the day. "When people don't get enough to eat, the blood sugar goes down," she says. "The body knows it needs to get back up. That triggers adrenalin (which can cause wakefulness.)" For those clients, Lanzano recommends a piece of whole-grain toast with honey before bed. "It's easy to digest and just enough to get the adrenaline release to stop," she says. When to eat Timing meals is also important to sleeping well. Cohen advises clients to follow the old adage to eat like a king at breakfast, a queen at lunch, and a pauper at dinner. A light dinner makes it easier for the body to digest food before sleep. With the exception of the protein snack for those who need it, she says it's optimal to stop eating several hours before bed. Cohen explains that a concept in Chinese medicine is "liver time," which is said to be from 1 to 3 a.m. According to the theory, the early morning hours are when the liver rejuvenates itself. Cohen says that ideally clients should stop eating seven hours before liver time. "The later one is digesting, the more stress it puts on the liver," she says. While it might not be called liver time in other philosophies, the advice to eat lightly at dinner and stop eating several hours before bed is a common instruction for people with sleep difficulties. Boulder herbalist Brigitte Mars expresses the idea of late eating as fueling up the body as it needs to slow down. Likewise, she says, it's best to stop drinking liquids a few hours before bed, so you won't have to awaken to go to the bathroom. "I'm big on hydrating during the day, but by 6 or 7 you should be done with eating and drinking," Mars says. "If you're thirsty, take a sip. Don't drink a whole glass." Lanzano advises clients to stop drinking a couple of hours before bed, adding that it takes the kidneys about 90 minutes to process liquids. Caffeine and alcohol Lanzano, Cohen and Mars all advise clients with sleep difficulties to take a look at their caffeine intake. Lanzano tells clients to stop caffeine after noon; Cohen says 10 a.m. "As people get older, they don't have the same tolerance for caffeiene," Lanzano says. Similarly, clients should be aware that certain over-the-counter headache remedies sometimes contain caffeine, and decongestants with pseudoephedrin also have a stimulative effect. Alcohol can be deceiving. While it can make you sleepy, it leads to less deep, fragmented sleep. Experts advise drinking in moderation and having no alcohol for a couple of hours before bed. Foods to make you sleepy Turkey is considered by many to be a soporific food, but nutrition experts say any sleepiness is likely caused by the huge meal of which the turkey is a part. Carbohydrates, which can be precursor for serotonin, a neurotransmitter that can help with sleep, although nutritionists say the carbs should be whole grain. Lanzano says vitamin B6 important in the conversion of foods into serotonin. Good sources are oatmeal, avocados, wheat germ, soybeans and chicken. Folic acid and Omega 3s also aid in serotonin production. The bottom line is the same as the nutrition advice for general good health. Eat a large variety of fruits and vegetables. Likewise, good health is what dreams are made of. ----- To see more of the Daily Camera, or to subscribe to the newspaper, go to http://www.thedailycamera.com./ Copyright © 2010, Daily Camera, Boulder, Colo. Distributed by McClatchy-Tribune Information Services.Tags: Bath, Body, Carbohydrate, Cravings, Decongestant, Food, Headache, Information, Insomnia, kidney, Liver, Mood, Nervous system, Skin, Sleep, Snack, Stress
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