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Video: Wake up! 5 sleep myths you should know

  1. Transcript of: Wake up! 5 sleep myths you should know

    AL ROKER reporting: And this morning on TODAY'S HEALTH , common sleep myths that could actually be making you tired. Dr. Holly Phillips is a medical contributor for Prevention magazine. She's got some great advice to help you get your sleep back on track. Holly , good to see you.

    Dr. HOLLY PHILLIPS: Great to be here, Al .

    ROKER: And, by the way, you know all about this with an 11-week-old...

    Dr. PHILLIPS: Absolutely. One thing that's not a myth is that 11-week-old babies keep you up all night. So that one we'll just throw out from the beginning.

    ROKER: All right. Well, let's get started. First myth, napping only makes us more tired. True or false?

    Dr. PHILLIPS: You know what, That is false. Really napping all depends on how long you nap in terms of feeling refreshed. Twenty minutes is enough to really improve your mood, alertness and energy. If you sleep longer than that, then you might end up groggy because you'll enter what's called slow wave sleep , which is our deepest phase of sleep and then you don't wake out of that very well.

    ROKER: And where you nap is important, too.

    Dr. PHILLIPS: Yeah, you know, during -- the time of day in particular. If you nap between 1 and 4...

    ROKER: Mm-hmm.

    Dr. PHILLIPS: ...that's ideal for most people's circadian cycle and that's when it won't interfere with your sleep at night.

    ROKER: Mm-hmm. And don't get into bed and get all comfy. You should maybe be in a chair.

    Dr. PHILLIPS: Exactly.

    ROKER: All right, and too close -- if you take a nap or exercise too close to bedtime, that's bad.

    Dr. PHILLIPS: Right. Well, that actually is a myth.

    ROKER: Mm-hmm.

    Dr. PHILLIPS: Some recent research found that vigorous exercise right before bed actually doesn't keep many people up at night and helps a lot of people sleep . So actually at Prevention magazine what we recommend is that you try it out for yourself.

    ROKER: Mm-hmm.

    Dr. PHILLIPS: But keep a sleep diary , see how you're sleeping at night after you've exercised. Many of us only have that time, you know, between work and bed to exercise, so it's best to make the best of it.

    ROKER: And then another myth, skipping a little sleep isn't all that bad. It's not good. You can't make up that sleep .

    Dr. PHILLIPS: Not at all. You know what, recent research found not -- just skipping 90 minutes of sleep was enough to decrease your alertness by 30 percent.

    ROKER: Wow.

    Dr. PHILLIPS: And even more shocking, people who skipped six hours of sleep for one night had the same level of dexterity, reaction time and mental acuity as people who were legally drunk.

    ROKER: Wow.

    Dr. PHILLIPS: So if you really have had a bad night of sleep ...

    ROKER: Mm-hmm.

    Dr. PHILLIPS: ...it might not be the best idea to drive, or if your work requires that you're really physically with it, you know, if you do construction or work in something dangerous it might be a good idea to call out sick.

    ROKER: Or at least see if you could maybe work from home or something, if you had that kind of job.

    Dr. PHILLIPS: Exactly.

    ROKER: All right.

    Dr. PHILLIPS: Right.

    ROKER: Now the other impression we get is that you should be in bad shape before you think about taking any kind of sleep aid .

    Dr. PHILLIPS: That's right . You know, that's actually also a myth. Sleeping pills work best if taken for a very, very short period of time right when you start having trouble sleeping .

    ROKER: Mm-hmm.

    Dr. PHILLIPS: What happens is people once they start to experience anxiety also get depression -- I'm sorry, once they -- once they start to experience sleep problems they get anxiety around going to sleep .

    ROKER: Mm-hmm.

    Dr. PHILLIPS: So, you know, you get into bed and you start to worry that you can't fall asleep.

    ROKER: So it becomes this catch-22.

    Dr. PHILLIPS: Exactly. That's when sleeping pills are most effective, just for a couple of days to break that cycle. And there are also non-drug alternatives. Something called cognitive behavioral therapy can also help.

    ROKER: Does a warm glass of milk help?

    Dr. PHILLIPS: You know what, for a lot of people it does. Whatever it is that's going to calm your mind and sort of make you feel like you can go to sleep actually does help you get to sleep .

    ROKER: But alcohol not so much. It helps you get to sleep , but it doesn't give you good sleep .

    Dr. PHILLIPS: Not at all. It actually triggers adrenalin in your system and it wakes you up later. It helps you fall asleep, but then you don't get restful sleep .

    ROKER: And then our last myth, it doesn't matter when you go to sleep it just matter that you -- it just matters that you sleep .

    Dr. PHILLIPS: Right, that's actually completely wrong. People who go to bed earlier are less likely to develop depression or any of the other health problems, like obesity, and other things related to sleep than people who go to bed later, even if you're sleeping the same amount.

    ROKER: Mm-hmm.

    Dr. PHILLIPS: So I no longer feel quite as guilty for going to sleep at the same time as my two-year-old, I got to tell you.

    ROKER: You got to sleep when you got to sleep .

    Dr. PHILLIPS: Exactly.

    ROKER: That's right . All right, Dr. Holly Phillips , thanks so much. Great advice.

Image:
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Embrace the catnap, take a sleeping pill if you need to, and get to bed early.
updated 10/3/2011 12:00:39 PM ET 2011-10-03T16:00:39

Yawn. Mondays, amirite?

You're likely not the only half-asleep office drone today — nearly 70 million Americans suffer from sleeping problems that keep them up at night, leaving them exhausted during the day.

But much of what we think we know about sleep isn't accurate, says Dr. Holly Phillips, medical contributor for Prevention magazine. Here, we cover six sleeping myths that might actually be making us more tired.

Myth 1: Napping only makes us more tired.

Fact: Some people swear that quick naps make them sleepier, but a 10- to 20-minute snooze should perk most of us up — that's all you need to get the benefits of napping, such as alertness, improved performance and better mood. Here's why: During sleep, your brain produces different kinds of waves, which correspond to how deeply you sleep. After about 20 minutes, the sleeping brain may move into what's called slow-wave sleep, which is the deepest phase of sleep. If you nap too long, you may feel groggy and disoriented upon awakening instead of refreshed because long naps are more likely to contain deep slow-wave sleep.

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When you nap also matters. A power nap should be early in the day so it doesn't interfere with your ability to fall asleep at bedtime. Most people's inner body clocks trigger drowsiness somewhere between 1 and 4 p.m.

Energy fix: To make naps a daily ritual, doze off faster by using something you associate with sleep (a favorite pillow or lavender eye mask). Also, nap in a comfortable chair or couch instead of your bed to avoid the temptation to doze for too long, so you don't wake up with a sleep hangover.

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Myth 2: Exercising too close to bedtime keeps you up.

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Fact: That's not true for everyone. In fact, research shows that even vigorous exercise right before bedtime doesn't cause trouble sleeping for many people (and in some cases it may help).

This is good news if your busy schedule gives you a short window of time after work to squeeze in some activity. Even people who have trouble sleeping can probably exercise about an hour before bed without problems. But we don't have hard data, so people really have to do their own testing.

Energy fix: Experiment. If you exercise at night and suspect that your workout may be keeping you up, reschedule it for earlier in the day for several days to see whether you sleep better. Keeping a sleep diary for those days, noting when you exercise and how well you sleep-can help. If you find you do sleep better when you exercise earlier, make the switch permanent.

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Myth 3: Skipping a little sleep isn't that horrible.

Fact: Missing even 90 minutes of sleep for just one night can reduce your daytime alertness by as much as 32 percent. That's enough to impair your memory, your thinking ability, and your safety on the job and on the road. One Australian study found that volunteers who stayed awake just 6 hours past their normal bedtime for a single day performed as poorly on tests gauging attentiveness and reaction time as those who were legally drunk. The National Sleep Foundation's 2009 poll showed that as many as 1.9 million drivers have had a car crash or a near miss due to drowsiness in the past year.

Energy fix: If you miss several hours of sleep one night, consider calling in sick the next day or ask if you can work from home. (That way, you won't have to drive.) If you find yourself nodding off at your desk, take a brisk walk up and down the stairs or hall. Exercise helps you snap to, in part because the accompanying rise in body temperature appears to boost alertness for a time. If possible, set aside part of your lunch hour for a nap. Remember to set an alarm, or ask a buddy to wake you.

Myth 4: You have to be in bad shape to take sleeping pills.

Fact: Actually, sleeping pills are most helpful if you take them before insomnia becomes chronic, as they can help correct your off-kilter sleep homeostat.

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Today's popular pills like Ambien and Sonata, unlike older versions, help you drift off to sleep within minutes and stay asleep, thus breaking the cycle of sleeplessness and anxiety that can turn a few nights of insomnia into chronic sleeplessness. They also wear off faster than older meds, so you're not semi-comatose in the morning. Like all medicines, sleeping pills can cause side effects (dizziness, headache, agitation), and they're not meant for long-term use.

Energy fix: Ask your doctor about the pros and cons of sleeping meds for you. If you'd prefer a drug-free alternative, consider cognitive-behavioral therapy (CBT); long-term, it can be more effective than pills at combating insomnia. CBT trains insomniacs to avoid bad habits and counterproductive worries about lost sleep. Usually the therapy runs from four to eight sessions, but some patients find relief with as few as two. The downside of CBT: It can cost hundreds per session and, unlike pills, may not be covered by insurance.

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Myth 5: It doesn't matter when you go to sleep.

Fact: Night owls are nearly 3 times more likely to experience symptoms of depression than early birds, one study found — even when they got the same total amount of sleep.

Experts aren't sure exactly why, but there may be an optimal time within the 24-hour clock to fall asleep and wake up. This and other research shows that going to bed late can be bad for your mood and your overall health.

Energy fix: If you want to shift back your bedtime, start gradually: Head to bed 15 to 30 minutes earlier every few days, and make sure the lights in your home are dim for about 2 hours before that time, says Shives. Then set your alarm to wake up 7 to 8 hours later.

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