Having trouble sleeping? Here’s the science on 3 traditional bedtime remedies



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Nenad Naumovski, University of Canberra; Amanda Bulman, University of Canberra; Nathan M D’Cunha, University of Canberra, and Wolfgang Marx, Deakin University

Sleep is essential for good health. Poor sleep quality, or not enough sleep, can negatively affect our mood, cognitive function, and immune system.

Stress can impact our sleep, and stress and anxiety associated with the COVID pandemic have meant many of us are not sleeping as well as we used to. A survey of 2,555 people across 63 countries found 47% of people were experiencing poorer sleep than usual during the pandemic, compared with 25% before COVID hit.

We also know stress is associated with poor dietary habits. People who are feeling stressed and tired may be more likely to reach for energy drinks and caffeinated beverages. But a high intake of caffeine as well as sugar-sweetened and energy drinks can keep us awake. So it’s something of a vicious cycle.

Similarly, people who are feeling stressed may be more likely to drink alcohol. Alcohol before bed, especially in excess, can also disrupt our sleep.

So what can you drink to improve your sleep?

Chamomile

Chamomile tea has been used in traditional medicine for centuries to treat a range of sleep ailments, such as insomnia.

The plant extract contains apigenin, a chemical compound that binds to the same receptors in the brain as benzodiazepines (drugs used to treat anxiety and insomnia), producing a sedative effect.




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Studies have shown chamomile (consumed in the form of an extract or a tea) leads to significant improvement in sleep quality.

However, although the evidence is positive, these studies were relatively small and we need larger, well-designed clinical trials to reinforce these observations.

A pot of chamomile tea.
If you’re having trouble sleeping, it might be worth trying a cup of chamomile tea before bed.
Irene Ivantsova/Unsplash

Milk

A warm cup of cow’s milk is a popular bedtime beverage in Western cultures, particularly for children.

Milk is a source of the essential amino acid tryptophan, which our bodies need to produce compounds including serotonin and melatonin in the brain. These compounds are involved in the sleep-wake cycle, which could explain why milk helps us sleep better — if indeed it does.

Scientists have studied the effects of milk and milk products (such as yogurt and cheese) on sleep quality for decades, but the evidence is still inconclusive.

It may simply be the ritual of drinking warm milk before bedtime that relaxes the brain and body, rather than the effects of compounds present in the milk itself. We’ll need more research evidence before we can be confident one way or the other.




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Cocoa

Hot cocoa (commonly dissolved in milk) is also regarded as a sleep-promoting drink. The cocoa bean is a rich source of many beneficial chemicals, including compounds called flavonoids.

Flavonoids have a range of potential health benefits, and may be used to treat some neurodegenerative disorders.

There’s limited research on the effects of cocoa on sleep quality. But a study in mice suggested natural cocoa may improve stress-induced insomnia.

In humans, consuming cocoa is associated with a reduction in blood pressure (in healthy people and those with high blood pressure). This lowering of blood pressure, which relaxes the smooth muscles that line our arteries, could produce a calming effect, making it easier to go to sleep.

A man sits on the couch reading a newspaper, with a mug in hand.
Some people like to drink a glass of milk or a cup of cocoa before bed.
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While these sleep remedies are unlikely to be harmful, the overall evidence on improvement in quality of sleep is weak. You may like to try them, but you shouldn’t see any of them as a quick fix.

At the end of the day, several lifestyle factors can influence our sleep quality, including screen time, physical activity, stress and diet.

If you are consistently struggling to sleep, it’s best to consult with your general practitioner.




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The Conversation


Nenad Naumovski, Associate Professor in Food Science and Human Nutrition, University of Canberra; Amanda Bulman, PhD Candidate, University of Canberra; Nathan M D’Cunha, PhD Candidate, University of Canberra, and Wolfgang Marx, Postdoctoral research fellow, Deakin University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Coronavirus: the pandemic is changing our brains – here are the remedies



The novel coronavirus is affecting our brains, whether we’ve caught it or not.
Teo Tarras/Shutterstock

Barbara Jacquelyn Sahakian, University of Cambridge; Christelle Langley, University of Cambridge, and Deniz Vatansever, Fudan University

Whether you have contracted COVID-19 or not, your brain is likely to have changed over the past few months. The virus itself can cause a number of neurological problems, along with anxiety and depression. The isolation and worry caused by the pandemic can similarly alter our brain chemistry and cause mood disorders.

In our new paper, published inb Neuropsychopharmacology Reviews, we have investigated how to best overcome the brain changes linked to the pandemic.

Let’s start with COVID-19 infection. In addition to mood disorders, common symptoms include fatigue, headaches, memory loss and problems with attention. There may be a number of reasons for these brain changes, including inflammation and cerebrovascular events (a syndrome caused by disruption of blood supply to the brain).

Research suggests that the virus may gain access to the brain via the forebrain’s olfactory bulb, which is important for the processing of smell. Loss of smell is a symptom in many patients with COVID-19.

As part of the system responsible for your sense of smell, the olfactory bulb sends information about smell to be further processed in other brain regions – including the amygdala, orbitofrontal cortex and the hippocampus – which play a major role in emotion, learning and memory.

As well as having extensive connections to other brain regions, the olfactory bulb is rich in the chemical dopamine, which is important for pleasure, motivation and action. It may be that COVID-19 alters the levels of dopamine and other chemicals, such as serotonin and acetylcholine, in the brain, but we can’t say for sure yet. All these chemicals are known to be involved in attention, learning, memory and mood.

These changes in the brain are likely responsible for the mood, fatigue and cognitive changes that are commonly experienced by COVID-19 patients. This in turn may underlie the reported symptoms of stress, anxiety and depression in patients who have contracted the virus.

Mother looking exhausted on the sofa while children run around.
Lockdown has been stressful for many people.
fizkes/Shutterstock

But it’s not just people who have contracted the COVID-19 virus that have suffered from increased anxiety and depression during the pandemic. Excessive worry over contracting or spreading the virus to other family members, as well as isolation and loneliness, can also change our brain chemistry.

Repeated stress is a major trigger for persistent inflammation in the body, which can also affect the brain and shrink the hippocampus and therefore affect our emotions. Stress can also affect levels of brain serotonin and cortisol, which can affect our mood. Eventually, these changes can cause symptoms of depression and anxiety.

Brain training

The good thing about the brain, however, is that it is incredibly plastic, which means it is changeable and can compensate for damage. Even serious conditions such as memory loss and depression can be improved by doing things that alter the brain function and its chemistry.

Our paper looks at promising solutions to combat symptoms of stress, anxiety and depression – in COVID-19 patients and others.

We already know that exercise and mindfulness training – techniques that help us stay in the present – are helpful when it comes to combating brain stress. Indeed, studies have shown beneficial functional and structural changes in the brain’s prefrontal cortex (involved in planning and decision making), hippocampus and amygdala following mindfulness training.

One study showed an enhanced density of grey matter – the tissue containing most of the brain’s cell bodies and a key component of the central nervous system – in the left hippocampus after eight weeks of training (in comparison to controls).

Importantly, these are all regions that are impacted by the COVID-19 virus. Additionally, gamified cognitive training can also help improve attention, memory function and increase motivation. Those who have persistent or severe mental health symptoms may require clinical evaluation by a psychologist or psychiatrist. In such cases, there are pharmacological and psychological treatments available, such as antidepressants or cognitive behavioural therapy.

Given that many countries haven’t completely come out of lockdown yet, and there are long delays in accessing healthcare, modern techniques such as wearable devices (activity trackers) and digital platforms (mobile apps), that can be easily integrated into daily life, are promising.

For example, activity trackers can monitor things like heart rate and sleeping patterns, indicating when the wearer may benefit from activities such as meditation, exercise or extra sleep. There are also apps that can help you reduce your stress levels yourself.

These techniques are likely be beneficial to everyone, and may help us to better promote cognitive resilience and mental health – preparing us for future critical events such as global pandemics. As a society, we need to anticipate future challenges to our brain health, cognition and wellbeing. We should be utilising these techniques in schools to promote lifelong resilience starting at an early age.The Conversation

Barbara Jacquelyn Sahakian, Professor of Clinical Neuropsychology, University of Cambridge; Christelle Langley, Postdoctoral Research Associate, Cognitive Neuroscience, University of Cambridge, and Deniz Vatansever, Junior Principal Investigator, Fudan University

This article is republished from The Conversation under a Creative Commons license. Read the original article.