A Good Night’s Sleep Is Tied to Interruptions, Not Just Hours
wsj.com
wsj.com
So you see that I spent about 9 hours in bed and I had very bad sleep quality.
A few months ago, I started learn a lot of stuff about sleep. Most of what I read on the internet was useless.
But I found in academic sources (i.e. inside ".edu" and ".gov" domains) two very important concepts (they tightly connected to each other):
1. Sleep effectiveness;
2. Sleep restriction;
You can get idea about them here:
https://en.wikipedia.org/wiki/Sleep_restriction
I started to follow very strict sleep schedule.
1. I go to bed in the interval between 21:15 - 21:50
2. I wake up in the interval between 06:00 - 06:03
Note that my wake up time is strictly fixed.
Now I spend even less time in bed (21:50 - 06:00), but I feel much, much, much better. As my fitbit shows me, I have much less interruptions during the night.
But sometimes I have to brake my sleep schedule.
For example, two weeks ago I had to fly to another country for a job interview. Unfortunately, I had no better flights, so I had to go to the airport at late evening.
I finally got home (from airport) at 3 am.
I felt very tired during next 4 days.
My sleep schedule was:
Day 1: 3:30 am - 8:30 am
Day 2,3,4: 21:30 - 06:00 (applied sleep restriction!)
If I didn't apply sleep restriction in the following days I would mess up my sleep at lest next two weeks.
In my case, one night with broken sleep schedule costs me 4 days.
I think it's possible to brake your sleep schedule once in 3 weeks but if you do it frequently it would be bad for your sleep hygiene.
So frequent alcohol and night-life is not compatible with healthy life style (at least for me, it's 100% truth).
So it's probably question of priorities.
I have what I thought of a terrible sleep hygiene too but after several years of watching collegues adapting "new ways to sleep", I realized it's not that bad at all.
So me (and my girlfriend) usually stay up long. Midnight to 1am is normal for a weekday. 1-2am is the time when we say: we should have been in bed already but it happens more often then I thought. We get up at 7:30 on 3 of 5 days and 6:30 on the others.
Obviously this shouldn't be enough sleep and it isn't. We both get tired sometimes somewhere around 6-7pm where we sometimes take a nap (usually on the 6:30-days) of max 1h. Sometimes we break it up early.
On Friday we stay up as long as we can and sleep as long as we can and want on Saturday. Same goes for Sunday where we stay up to ~2am until the late NFL game is finished.
It works pretty good I must say. I don't drink coffee or take any pills, energy drinks, whatever. I can sleep pretty good on the train or plane for some bonus hours and fall asleep instantly when I get into bed. I can even go to sleep early or sleep through a whole day if I'm sick and I think there is nothing better to do (but being sick is very rare for me. I was sick one day some weeks ago. Slept through it almost completely. Got up just to eat and pee).
I would never want to miss the flexibility even if it's unhealthy or whatever.
My apologies for being that person today.
Otherwise great responses! Thanks!
Napping can help compensate a shorter night.
A few days ago there was something on HN about how people that slept late on week ends had a shorter lifespan than other, it shouldn't be hard to find.
Now for my sample of one : I'm subject to SAD (seasonal affective disorder) and common depression too but when I manage to stick to a strict wake up time (6AM at the moment) my quality of life is greatly enhanced. And this despite that I'm more an evening (even night) person.
That's tight. Do you face any resistance and have to train your mind or does it come easy when you sleep timely ?
Sometimes, I feel sleepy at 06:00 but since I clearly got idea of "sleep restriction" into my mind, I actually inverted my emotions about wake up time.
I mean I actually worry if I spend in bed later than 6:03 because I know very well that it's costly to break my sleep schedule.
One day I actually missed my alarm clock because my phone was out of charge.
Since my room is completely dark, I woke up at 7:20 confused about time and with headache (i.e. headache after unusually long deep sleep).
Next 4 days I felt tired and my sleep wasn't very good.
So now, I double check my alarm clock and my phone always charged every evening :)
I.e. most of the time it's easy to wake up at 6:00. When it's not easy, I wake up anyway since I get a lot of negative emotions if I brake sleep restriction principle :)
In general I think it's great you moved your sleeping cycle closer to sunlight sundown than before and am not surprised you feel much better. I just am reticent to get into the hard "clock" game as it's such an artifical, new event for humanity.
I thought the signal for good sleep was that you didn't need an alarm to wake up? Can you point to those academic articles you've mentioned?
I often wake up at 5:30 because I slept very well at night. But I stay in bed and waiting for alarm.
If I didn't sleep very well, I could wake up at 6:30, but my alarm triggers at 6:00 and I wake up at 6:01.
In the beginning of my experiments with sleep, I tried to use natural wake up. But my sleep schedule started floating a lot and sleep quality degraded when offset become big.
So I decided to keep strict sleep schedule. It's very balanced. If one night my sleep quality wasn't very good, then next night it's guaranteed that I have good sleep quality. But alarm clock guaranteed that I don't oversleep.
I found "sleep restriction" for the first time here (look at "case illustration" on page 3):
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3060715/pdf/nihm...
After I just read another articles which I found by keywords "sleep restriction".
It also contains very useful ideas about mindfulness meditation.
I wrote about it in another comment:
I've found this app has improved my sleep quality dramatically and I never feel tired when I wake up because I'm not torn out of REM.
The older I get, the earlier I am starting to feel tired, and the earlier I want to wake. I have friends who are very much the opposite, so we are definitely not all wired the same.
Sure, I don't do much in the evenings, but I am awake as much as anyone else, and feel better with this timing.
My issue is always that I find it hard to keep a straight sleep schedule. Even when I was young I was like that, it's like my circadian rhythm is longer than 24 hours and I have to force it to reset.
sucks, but when I'm able to get up early I love it.
I was woken up briefly twice tonight, once by my flatmates returning home and talking to each other and again by the heating pipes clanging as I live in a prewar and the steam boiler turns on at 5 every morning. I also imagine the train noise from the Metro North/other outside vehicle noise has an effect I'm not aware of.
If anyone has studies about optimizing sleep quality given these kinds of conditions, I would be very interested to read about it.
It's essentially a fan inside of a cylindrical thing, but it doesn't cause any real air movement like an actual fan would. You can adjust the volume and timbre of the sound, too.
It probably won't drown out a snoring partner, but I never wake up when a train sounds its horn a few blocks away in the middle of the night. When I traveled without it once, I really missed it as I heard all the traffic noise outside of my hotel.
I might try earplugs again. I bought a pack when I moved in but I never found them super comfortable, I'd usually fall asleep and end up waking up and pulling them out after a few hours.
[1]: http://www.britishsnoring.co.uk/shop/snore_calm_foam_ear_plu...
Having a pitch black room, covering any LEDs with electrical tape, and using an eye mask also help.
To really know what's happening with your sleep, you need polysomnography. An actual sleep study.
The second best option are some of the consumer-grade ballistocardiography devices - the "under mattress" alternative to wearables.
I have been tracking my sleep and fixing problems with it using the Beddit device. As a gadget and product, I rate it 2 or 3 out of 5 - I'd love it to be more polished. But considering its potentially life changing value and its technical merits, a highly recommended purchase.
Even just the resting heart rate reading and HRV data are worth the price.
My 2 months of data are so far fairly inconclusive and pending deeper statistical analysis. There are many variables at play, so recognizing and documenting them takes time and effort and is error prone. The most confident recommendations are not drinking alcohol, earplugs (fairly noisy environment), and melatonin. Even with these, I have been unable to consistently get more than an average of 5 hours (±1) of actual total sleep during 7-9 hours of time spent in bed. The time spent awake isn't something I experience or remember. This hasn't been noticeable to me despite long days and an active athletic lifestyle including goal-oriented recreational endurance and strength training.
What would be way more interesting is to study people who wake up naturally multiple times per night to toss and turn. I do this at least 5-10 times per night due to muscle aches and pains. I fall back asleep very quickly. I've been doing this for years, but do remember rare times when I've slept through the night and felt so fresh in the morning.
That is definitely not "waking up naturally"
In the winter, I'm more inclined to go to bed early, be up for a bit in the middle of the night, and then sleep until dawn. So my sleep isn't continuous, but neither is it disrupted externally.
I suspect the original experiment was reasonable if you're looking to measure the effects of extreme disruption. But the WSJ article suggesting it applies to other sorts of non-continuous sleep strikes me as bunk. Up until the invention of the electric light, non-continuous sleep was the norm. But anxiety sells papers, and people are certainly inclined to be anxious about sleep lately.
Now I'm in university and it's killing me. Reading before bed helped ease my mind for a while, meditation helped for a while, but now I'm still in the same position. I wake up frequently because of this weird "habit" and my mind never gets to rest. What should I do?
I've found over the last 10 years that if I'm programming late (and really only programming, other types of work don't do this to me), and don't give myself 2-3 hours of down time before bed, my sleep is exactly as you described. My brain is running on work, it takes me a long time to fall asleep, and my night is spent drifting in and out of light sleep and work related thinking. It's pretty bad and can screw me up for days and weeks at a time.
Usually this happens because my focus is very high with late night programming (to keep me going longer), and I don't give my brain the time it needs to finish working through problems after I'm done coding. (You may be able to relate to thinking up a solution to a problem after closing your laptop, or waking up realizing there is a bug in your code. It's this type of thinking that your brain needs to finish.)
I'd suggest that if you are programming late at night, stopping 2-3 hours before you usually go to bed and do some reading or watch a movie. A few nights of that is all that it takes for my sleep to get back to normal.
It improved it quite a lot, hih
Does that mean the disrupted group received 140 minutes less sleep than the control group?
Thanks, new research, we totally owe you one!
For myself I've found that an uninterrupted chunk of sleep > a long sleep with waking periods caused by interruptions (bathroom breaks, police sirens, etc.).
It is for this reason that a year ago I adopted the usage of ear plugs when I go to sleep, and now I cannot sleep without them. I found a good brand of ear plugs that are comfortable and dampen ambient sounds (traffic, footsteps), but don't completely block out all sounds so I can hear my phone or the alarm clock.
Another thing I've found is that usually when I can recall having a dream, I feel like I was able to achieve a deep level of sleep, and consequently I feel more refreshed that morning. I often don't remember details about the dream, and I even quickly forget what the dream was even about (or even if it was a nightmare) but the important thing is that my mind went into that dream state.
I would value a 4 hour chunk of deep sleep more than 8 hours of sleep broken up by some interruptions.
Then I got a job that required a 7:00 AM start on the weekends, and the late nights stopped. So did the headaches.
In this research, people were forced to wake up every hour and then stay up for 20 minutes. Then I would feel totally different - I have no doubt. After twenty minutes, probably in bright light, I would be awake and that would disrupt the sleep cycle totally. This might be the case when you have a small kid, but how often does this happen (in the real world) with these frequencies?
With me this is not the case. It feels natural. I don't put the light on - I can find my way without it. It takes two or three minutes, and that's it. Back in bed I fall asleep right away.
This research is presented here as if this would influence my mood? I don't know. I guess I can sleep better, but this is not the explanation that works for me.
Careful with that. Wearing earplugs every day for an extended duration (like while sleeping) might cause issues with the inner ear. I did that and ended up suffering from vertigo for a while. Discontinuing the use of earplugs made the symptoms gradually disappear. Starting to use earplugs again made vertigo come back. Repeat for a few cycles.
I have stopped using earplugs while sleeping. Brief usage (like when using loud machinery) seems fine.
I'm sure everyone is different and not all people will suffer from inner ear issues from earplugs, but keep this in mind.
Anyway, I've stopped using earplugs during sleep and vertigo has gradually (slowly) disappeared.
I think you need to find your own best sleep cycle and follow it.
If you're the mother, try really hard to get some kind of daily cycle induced in the baby. So minimize breastfeeding, chatting, other activity at night.
YMMV. Also you need to accept that you're going to be lacking some amount of sleep for years.
You might need attention, but attention has two sides and as a baby you don't want to get angry adults' attention, especially in more primitive societies.
Besides, the parents having strict daily schedules is a recent phenomenon. I bet hunter-gatherers don't care if they wake up three hours late because the baby was restless last night.
Before agriculture, it wasn't hard to find someone with free time willing to look after the children.
It had to have been a more collective effort than it is now, with a greater relief from work for those involved in the caretaking than we enjoy. It must have been both, because even a single dedicated stay-at-home caretaker will go nuts without support/relief, and the typical working partner does not have the capacity to properly provide that at night and not be really, really messed up during the day.
[1] I write this as a parent of two. Hospitals bombard new parents with "don't shake your baby" educational material. They do this because babies are phenomenally shakeable things, especially when they're shrieking for no damn reason at 2am and you're so tired from days on end of terrible sleep that you're beginning to hallucinate.