The Importance of a Good Night’s Rest: Understanding the Stages of Sleep, Circadian Rhythms, and Their Impact on Your Health

This is a subject so relevant to my own life because following reconstructive shoulder surgery on each shoulder, with the most recent surgery being 3 years ago, sleeping has been a challenge for me every night since. Falling asleep is the easy part; staying asleep is the issue.

Sleep is an essential and one of the most important components of our daily lives, impacting our physical, mental, and emotional well-being. It is not just a passive state of rest, but a dynamic process that involves several stages, each with its unique functions and importance. In this article, we’ll explore the three main stages of sleep, what happens during each stage, and why deep restorative sleep is paramount to our health and well-being. Reoccurring poor sleep is not just annoying and exhausting, consistent poor sleep is life threatening, and not something to take lightly. We’ll also discuss the implications of failing to achieve deep restorative sleep and how it can affect our overall well-being.

Before we do, let’s explore the Three Main Stages of Sleep.



The Three Main Stages of Sleep:

Light Sleep (Non-REM Sleep -NREM Stage 1 & 2):

Stage 1 (N1): This is the initial stage of sleep, where we transition from wakefulness to sleep. It is a light, easily disrupted sleep that lasts for a few minutes. During this stage, muscle activity decreases, and the eyes may move slowly. It is a period of drowsiness or falling asleep.

  • Serotonin, a neurotransmitter, plays a crucial role in non-REM sleep. The pineal gland synthesizes melatonin from serotonin, so adequate serotonin levels are essential for proper melatonin production. Melatonin levels are highest in our early stages of sleep, which helps induce sleep.

  • During N1, serotonin levels decrease, while melatonin is helping to induce a state of relaxation and drowsiness.

Stage 2 (N2): This stage marks the onset of actual sleep and lasts for about 20 minutes. In N2, serotonin continues to support the maintenance of light sleep by inhibiting rapid eye movements (REM) and regulating other neurotransmitters that are involved in the sleep-wake cycle.

  • During this stage, our heart rate and breathing rate slow down, our body temperature drops, and eye movements stop. This stage is characterized by the appearance of sleep spindles and K-complexes in the brain waves, which are thought to be involved in memory consolidation and maintaining sleep.

  • During Stage 1 & 2:  Melatonin is specifically referred to as the "sleep hormone" because of its central role in regulating our sleep patterns. Its production is influenced by the light-dark cycle, with levels increasing in response to darkness and decreasing with light exposure. This helps signal to the body that it is time to sleep. So if you want a good night’s rest and want to feel good, GO TO BED EARLY and definitely avoid electronics (TV, computers, and phones for a minimum of 2 hours prior to turning in for the night)!!!

 

Deep Sleep (NREM Stage 3):

  • As the night progresses and deep sleep (NREM stage 3) occurs, the body focuses on physical restoration, and the pineal gland continues to produce melatonin to maintain sleep.

  • Stage 3 (N3): Also known as slow-wave sleep, this is the deepest stage of NREM sleep. It is the most restorative and rejuvenating stage, lasting for about 20-40 minutes. During this stage, brain waves slow down significantly, producing delta waves. The body's metabolic rate decreases, and the immune system is strengthened. It is during deep sleep that growth hormone is released, which is essential for growth and development, tissue repair, and overall health.

  • Deep restorative sleep, particularly NREM Stage 3, is arguably the most important stage of sleep and achieving this stage of sleep is absolutely vital for various aspects of health. It is during this stage that the body repairs and regenerates tissues, builds bone and muscle, and strengthens the immune system. It also plays a crucial role in memory consolidation, emotional regulation, and cognitive function. Without adequate deep sleep, the body cannot perform these essential processes effectively.


Failing to achieve deep restorative sleep can have several negative impacts on health, including:

  • Increased Risk of Chronic Diseases: Lack of deep sleep is associated with an increased risk of heart disease, diabetes, obesity, and other chronic conditions.

  • Impaired Cognitive Function: Poor deep sleep can lead to memory issues, reduced concentration, and impaired decision-making.

  • Mental Health Issues: Inadequate deep sleep is linked to an increased risk of depression, anxiety, and other mental health disorders.

  • Weakened Immune System: Deep sleep is crucial for a robust immune system. Lack of deep sleep can make you more susceptible to infections and illnesses.

  • Hormonal Imbalance: Deep sleep regulates the release of important hormones, such as growth hormone and cortisol. Disrupted deep sleep can lead to hormonal imbalances.

Deep restorative sleep is such an integral part of our overall health and well-being. Ensuring that we achieve adequate deep sleep each night is essential for maintaining physical, mental, and emotional health. By prioritizing sleep and adopting healthy sleep habits, we can support our body's natural processes and reduce the risk of various health issues, especially later in life.

  

Circadian Rhythms & The Pineal Gland . . .
Listen to your Body

The pineal gland, as alluded to in defining the stages of sleep, is a small endocrine gland located in the brain, that plays a crucial role in regulating sleep and our circadian rhythms (the body’s clock).

It is best known for its production of the hormone melatonin, which helps regulate sleep-wake cycles and stages of sleep. These sleep-wake cycles are based on our circadian rhythms - our biological clock which is synced with Solar Cycles, length of day, as well as the Lunar Cycles, Gravitational pull on the Earth, Tides, and duration of darkness. Our body is finely tuned to sync with these cycles.

The pineal gland is fed information from the retina and subsequently the optic nerve, tracking the number of photons of light hitting the retina. As dusk falls, and less and less photons our entering our eyes, the brain responds with the production of melatonin to prepare the body for sleep. This is why scientists advise turning off all electronic devices, including cell phones, computers, and televisions, a minimum of two hours prior to going to bed so the brain can begin to dial down in response to serotonin and melanin production. Exposure to light, especially blue light, associated with phones, computers, and television, inhibits this process and can lead to poor sleep as your body becomes out of sync with these natural rhythms.

Pineal Gland activity is dramatically influenced by seasonal changes. The body's sleep-wake cycle being synchronized with the external light-dark cycle of the season, means the optimal time to sleep changes as well.

As it gets dark outside, the pineal gland signals the production and release of the melatonin, which as mentioned earlier, promotes sleepiness. Melatonin levels rise in the evening and stay elevated throughout the night, helping to induce and maintain sleep. This increase in melatonin, along with a decrease in body temperature and changes in other physiological processes, primes the body for sleep shortly after it gets dark outside. But as we know, when it gets dark outside changes throughout the year.

For most latitudes, during the summer the pineal gland releases the highest concentration of melatonin from 10 pm – 3:30 am, and during the winter months from 8:30 pm – 2 am. Syncing our sleep cycles with this schedule will create the most consistent deep sleep.

Consider deciding to go to bed at 11 PM during the summer months. In the middle latitudes where I live, it can remain daylight until 9:30 PM. That is very different than going to bed at 11 PM during the winter months when it has been dark outside since 5:30 PM. During the summer months, in choosing to turn in at 11 PM, you are going to bed only an hour and a half after it has gotten dark outside, whereas during the winter months, turning in at 11 PM is going to bed 5 ½ hours after the sun has set and we’re covered in darkness. This confuses the body, which is fighting its natural rhythms, that after tens of thousands of years are intimately synced with nature. Failing to tap our body’s nocturnal priming, we miss the window of optimal melatonin production and therefore can end up with consistently restless sleep.

Chinese medicine as well, supports this idea of capitalizing on not only the activity of the pineal gland, but also the body’s natural cycle of energy flow and concentration in the body. It is strongly encouraged to sleep before a specific time each night to promote optimal rest, renewal, and well-being.

Traditional Chinese Medicine (TCM) differs dramatically from western allopathic (pharmaceutical-based) medicine in that the body is viewed as an energetic system that animates the physical system.

Chinese Medicine Meridian Lines and Energy Trigger Points

Energy flows through the body along meridian lines that run the length of the body and are the channels that act as a conduit for this energy flow. They are responsible for transporting both qi (defined as the body’s vital energy or the soul’s essence) and blood—the fundamental substances that make up and sustain human life. The circulation of qi and blood maintains the homeostasis (balance) and stability of the body’s energy and various tissues and organs. Imbalances in qi or blood flow lead to diseases. Maintaining energy flow is vital for health.

Expanding on this, in TCM, the flow of qi (the body’s energy or the “soul” animating the body) and blood is cyclical. It begins in the lung between 3 a.m. and 5 a.m., then moves to the large intestine between the hours of 5 a.m. to 7 a.m., enters the gallbladder between 11 p.m. to 1 a.m., moves to the liver between the hours of 1 a.m. to 3 a.m., and circles back to the lung, in an ongoing daily rhythmic cycle. Knowing this cycle is key to working with the body’s circadian rhythms thereby facilitating energy restoration, renewal, and maintenance throughout a given day.

Staying awake past 11pm, we disrupt this cycle of energy flow and the opportunity to nurture our gallbladder. This can lead to complications and issues with our “soul” primarily because in TCM, our soul is governed by the liver. Therefore it is advisable to sleep before 11 p.m. to truly nurture our overall well-being.

 

 

Insomnia

Insomnia and difficulty staying asleep can significantly impact one's quality of life. Here are detailed strategies to help manage these issues:

  1. Establish a Regular Sleep Schedule:

    • Go to bed and wake up at the same time every day (adjusting time for the seasona, even on weekends, to regulate your body's internal clock.

    Create a Relaxing Bedtime Routine:

    • Engage in calming activities before bed, such as reading, taking a warm bath, or practicing relaxation techniques like deep breathing or meditation.

  2. Optimize Your Sleep Environment:

    • Ensure your bedroom is quiet, dark, and cool. Use earplugs or white noise machines to block out noise, and blackout curtains or eye masks to reduce light exposure.

  3. Limit Exposure to Screens:

    • Avoid using electronic devices like smartphones, tablets, and computers at least an hour before bedtime, as the blue light emitted can interfere with melatonin production.

  4. Watch Your Diet:

    • Avoid large meals, caffeine, and alcohol close to bedtime, as they can disrupt sleep.

    • As a rule of thumb, no caffeine after noon

    • No alcohol within 5 - 6 hours of going to bedas the liver’s processing of the alcohol sequesters a lot of energy making it difficult to enter into deep restorative sleep and generally leads to restlessness and poor sleep.

    • No snacks or large meals a minimum of 2 (preferably 3) hours before bedtime. When the body is involved in digestion, the energy sequestered from the body to digest the food, prevents the body from entering deep, restorative sleep, which is critical for the body to detoxify and recover.

  5. Get Regular Exercise:

    • Engage in regular physical activity, but avoid vigorous exercise close to bedtime, as it can increase alertness.

  6. Manage Stress:

    • Practice stress-reduction techniques such as yoga, meditation, or journaling to help calm your mind before bedtime.

  7. Consider Cognitive Behavioral Therapy for Insomnia (CBT-I):

    • CBT-I is a structured program that helps you identify and replace thoughts and behaviors that cause or worsen sleep problems with habits that promote sound sleep.

  8. Supplement: take a sleep stack of 200 mg of Magnesium, 1 - 3 grams of Inositol, and 2 - 3 grams of Glycine. This combination works wonders for insomnia and getting deep sleep.

    • Another option is purchase BIOptimizers SLEEP BREAKTHROUGH

      • The product consists of: Vitamin B6, Magnesium, Zinc, Potassium, Glycine, Taurine, Bamboo leaf, Gamma-Aminobutyric Acid (GABA), and Magnolia. All of these ingredient create optimal conditions within the body for a good night’s rest.

      • Here’s a brief synopsis of how each of these ingredients contributes to good sleep:

        1. Vitamin B6 - Helps in the production of serotonin, a neurotransmitter that regulates mood and sleep cycles. It also aids in the formation of melatonin, the hormone that controls your sleep-wake cycles.

        2. Magnesium - Known for its ability to relax muscles and nerves, magnesium helps to quiet the mind and body, making it easier to fall asleep. It also regulates neurotransmitters that are involved in sleep.

        3. Zinc - Plays a crucial role in neurotransmitter function and helps regulate melatonin, which is important for a healthy sleep cycle. Zinc may also have antioxidant and anti-inflammatory effects that improve sleep quality.

        4. Potassium - Helps to relax muscle contractions and stabilize mood and stress levels, which can contribute to better sleep quality and duration.

        5. Glycine - An amino acid that lowers body temperature at bedtime, signaling that it’s time to sleep, and has been shown to improve sleep quality by promoting deeper, more restful sleep.

        6. Taurine - Another amino acid that can act as a calming neurotransmitter in the brain, taurine has been shown to alleviate stress and anxiety, which can help improve sleep quality.

        7. Bamboo leaf - Contains silica, which is thought to improve sleep by promoting a calming effect on the nerves and supporting healthy sleep patterns.

        8. Gamma-Aminobutyric Acid (GABA) - A neurotransmitter that inhibits many of the neurons in the brain, reducing anxiety and promoting relaxation to help in managing sleep disorders.

        9. Magnolia - Often used in traditional medicine for its anti-anxiety and antidepressant effects, magnolia can help reduce sleep disturbances and increase sleep time by promoting relaxation and reducing stress.

        These ingredients can be effective in various combinations to promote better sleep, depending on individual needs and responses.Reishi Mushroom Tincture: Known to have over 20 health benefits including: Immune Health, Antidepressant, Cancer prevention, Liver repair, Skin Health, Seizure Prevention, Anti-Inflammatory, and Anti-Aging, I recommend it here as a Sleep Supplement which it is also known for. Deep sleep, aka “restorative sleep,” is paramount to one’s health. Without achieving deep, restorative sleep our bodies go into decline quickly. As someone with an OURA RING that monitors my sleep cycles, I can tell you, this is a game changer. I use an oral spray that goes under the tongue for quick absorption, right before bed. I go into really deep sleep with very vivid dreams using this as a supplement. I highly recommend this for those suffering with insomnia or who wake up a lot during the night.

    Three companies I highly recommend purchasing from is:

    • Fungi Perfecti

    • Life Cykel

 

 

In Chinese acupuncture and acupressure, several points are believed to aid in promoting better sleep:

  1. Anmian (Peaceful Sleep): Located behind the ear, along the hairline, this point is commonly used to relieve insomnia and anxiety, helping to induce sleep.

  2. Shenmen (Heart 7): Found on the inner wrist crease, in line with the little finger, Shenmen is used to calm the mind, ease anxiety, and improve sleep quality.

  3. Yintang (Hall of Impression): Located between the eyebrows, Yintang is often used to relieve stress, calm the mind, and promote relaxation, which can help with sleep.

  4. Sanyinjiao (Spleen 6): Located about three finger-widths above the inner ankle bone, this point is believed to help balance the body's energy and promote relaxation and sleep.

  5. Neiguan (Pericardium 6): Found about three finger-widths above the inner wrist crease, between the tendons, Neiguan is used to relieve stress and promote a sense of calm, aiding in sleep.

It's important to consult with a qualified acupuncturist or acupressure practitioner for proper technique and guidance when using these points.

 

 

For Difficulty Waking Up and Not Being Able to Get Back to Sleep:

  1. Use Relaxation Techniques and breathwork: If you wake up in the middle of the night and can't fall back asleep, try relaxation techniques like deep breathing, progressive muscle relaxation, visualization, binaural beats (requires headphones), or apps like CALM.

  2. Get Out of Bed: If you're unable to fall back asleep after 20 minutes, get out of bed and do something calming, such as reading a book or listening to soft music in a dimly lit room. Return to bed once you feel sleepy.

  3. Avoid Clock-Watching: Constantly checking the time can increase anxiety and make it harder to fall back asleep. Turn your clock away from you to avoid temptation.

  4. Limit Naps: If you're having trouble sleeping at night, avoid taking long naps during the day, as they can interfere with nighttime sleep.

  5. Practice Mindfulness or Meditation: Mindfulness and meditation can help calm an overactive mind, making it easier to fall back asleep.

  6. Seek Professional Help: If your sleep issues persist despite trying these strategies, consult a healthcare professional or a sleep specialist for further evaluation and treatment.

    By implementing these strategies, you can improve your sleep quality and reduce the impact of insomnia and middle-of-the-night awakenings on your daily life.

Disclaimer:

I am not a medical doctor or a medical practitioner. I am not legally permitted to treat, cure, or heal disease. I can, however, provide educational content with respect to building and maintaining good health through nutrition, diet, and exercise.

Any information provided on this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this web site.

This website summarizes information on the role of nutrition, diet, and exercise in health, disease and wellness. Readers should be aware that knowledge of nutrition and medicine is constantly evolving. They are encouraged to frequently check the most current information available on preventive and therapeutic measures. It is your designated clinician’s responsibility, relying on their experience and knowledge of the patient, to determine the best course of action in providing care.

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