Good Sleep Hygiene

Sleep hygiene is a term used to describe good sleep habits, that is things you can do to give yourself the best chance of a good refreshing sleep. Most of these things are common sense but in the hustle and bustle of modern life are often neglected. Here are some “Dos” and “Don’ts” to help you get a good night’s sleep. If you’re having trouble sleeping, attention to some of these simple things may help.

DO:

Do – Go to bed at the same time each day.
The body has a natural clock which will make you sleepy when you’re ready for bed. Try not to ignore this. Going to bed too early may also result in disturbed sleep.

Do – Get up from bed at the same time each day.
Getting up at the same time helps to keep your body clock synchronised with what is going on outside. If you can stick to a fairly regular waking and sleeping time, your body will become accustomed to it. Avoid the temptation to try to make up for a poor night’s sleep by sleeping in. However, this doesn’t mean that you should be obsessive about it, an occasional night out or sleep in is not going to hurt.

Do – Get regular exercise each day.
There is good evidence that regular exercise improves restful sleep. Ideally this should be taken before dinner or in the morning.

Do – Try to spend some daytime outdoors or in natural light.
Light is important for the body to produce melatonin which is a sleep promoting substance. Sunlight early in the day is particularly helpful in synchronising your body clock.

Do – Make the bedroom as restful as possible.
This means keeping the temperature cool, keeping noises and outside light (darken curtains) to a minimum and leaving distracting things such as beeping watches or clocks outside.

Do – Use your bed only for sleep and sex.
Some people use the bed as a lounge room, by knitting, studying, watching television, telephoning etc. You need to try and avoid this and make sure that the bed is associated with sleeping. The brain makes connections between places (the bedroom) and events (sleeping) and you need to reinforce these. Make sure the bed is for sleeping and sleeping happens in the bed.

Do – Take medications as directed.
Prescription medications may cause you to be alert or sleepy and the instructions that come with them should be followed. Don’t vary the time of day that you take your medication.

Do – Be comfortable and relaxed.
If you are cold in bed, warm the room or wear warm pyjamas. Warm hands and feet are particularly important. If you have uncomfortable pillows, mattress or bedclothes, get them fixed. You will spend the next eight hours in bed and you don’t want to be uncomfortable. A warm bath about an hour before bedtime causes the body’s temperature to rise and then fall which may promote sleep.

Do – Understand your sleep need.
Most people need between seven and nine hours sleep each day but this includes naps and time spent dozing in front of television. Don’t build up unrealistic expectations of your sleep needs.

The Don’ts

Don’t – Exercise just before going to bed.
Exercise immediately before bed stimulates the body and may make it difficult to fall asleep. Take your exercise earlier in the day, preferably before dinner time.

Don’t – Engage in stimulating activity just before bed.
Playing a competitive game, watching an exciting program on television or a movie, or having an important family discussion stimulates your mind and thoughts will overflow to the bedroom. Worrying about or planning the next day’s activity may be a natural thing to do, but try to avoid it.

Don’t – Drink caffeine containing drinks in the evening.
Coffee and tea are the obvious caffeine containing drinks but things such as colas and many other soft drinks also contain caffeine. Read the labels. A glass of warm milk is an old fashioned recipe that may work well. If frequent trips to the toilet are a problem during the night, try not to drink too much before bedtime and make sure you go to bed with an empty bladder.

Don’t – Go to bed too hungry or too full.
If you are in the habit of taking a light supper, you should keep doing this but don’t each too much.

Don’t – Nap in the evening before you go to bed.
If you are in the habit of taking a daytime nap and it doesn’t seem to affect your night-time sleep, you might want to keep doing this but try not to sleep in the evening as that is going to reduce your body’s need to fall asleep.

Don’t – Stay in bed if you are awake.
You can’t force yourself to sleep. If you do not fall asleep in a reasonable time, perhaps 20-30 minutes, then get up and do something boring, but do this in another room. Try and keep the lighting fairly dim. When you are tired, go back to bed. This helps your mind associate the bed with sleeping.

Don’t – Share your bed with children or pets.
Research has shown that parents sleeping with young children sleep less and have more disturbed sleep.

Don’t – Look at the clock all the time.
Clocks with bright numbers are a distraction and obsessing over time, will just make it more difficult to sleep.

Don’t – use tech cellphones etc.an hour before bed.
They produce blue light which suppresses sleep hormone production.

Don’t – Smoke.
Quitting smoking not only brings many health benefits to any smoker, it eliminates the stimulant effects of nicotine that contribute to sleep loss.

Don’t – Use alcohol to help you sleep.
Alcohol may help you to get to sleep but it has a number of bad effects. It causes you to need more trips to the toilet, it causes you to wake up early, it causes fragmented sleep and it worsens snoring and sleep apnea.

Don’t – Rely on sleeping tablets to help you to sleep.
Sleeping tablets have a role where there is some event or other circumstance that may temporarily cause you to have trouble falling asleep but they are a temporary fix only. Some tablets may cause you to be a bit sleepy in the daytime and when you stop taking them you may get a “rebound” and find it harder to fall asleep.

Many sleeping problems are due to bad habits built up over a long period. You won’t fix sleeping problems in one night; persevere with good sleep habits and sleep should get better. Different things may work for you, find out what works and stick with it. Above all, don’t obsess about your sleep problems, one poor night’s sleep is not a problem. Just return to your good sleep habits the next night. However, if despite good sleep habits you still have difficulty, then see your doctor as something else may be disturbing your sleep.