Ask the doc: “How can I stay awake in class or while studying?”
Nodding off in class or while studying could be a sign of sleep debt. Along with getting more sleep, these tricks can help you stay awake.
Nodding off in class or while studying could be a sign of sleep debt. Along with getting more sleep, these tricks can help you stay awake.
From decor, to temperature, to white noise, fellow students offer their tips on how to make your bedroom a sleep-happy space.
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Have you ever struggled to stay awake in your 9 a.m. class, and wondered why? Letâs say you slept for six hoursâbelow the recommended number, but you might think it would be enough to keep you functioning until your afternoon emergency nap.
Not necessarily. How many hours you sleep matters, of courseâa lot. But thatâs not the only way sleep influences your functioning the next day (like being able to pick up where you left off in pre-calc, put in a half-decent performance at volleyball, and remember to wish your dad a happy birthday).
When you sleep may influence your academic performance even more than sleep duration does, research suggests. Thatâs because sleep isnât just one experience affecting your body and brain; itâs a sequence of experiences that meet various physical, emotional, and intellectual needs. Combined, these stages are known as the sleep cycle. When you disrupt your sleep cycle, youâll feel it, even if youâre getting the ârightâ total number of hours. Sleeping three hours at night and four in the afternoon, for example, is not equivalent to sleeping seven hours consecutively. (Also: The recommended number of hours for young adults is 8â9 ž, according to the National Sleep Foundation.)
Read a student story“Greg,” a second-year undergraduate at American University, DC, went to his health center because he couldn’t get to sleep at night. Greg told Dr. Reitman, the medical director, that he fell asleep every night around 3 a.m. and got up at 8 a.m. for his
9 a.m. class. He drank coffee to stay awake and took a 2–3 hour nap after lunch. On weekends, he stayed out with his friends until 3 a.m. then slept until 1 p.m.
Diagnosis: Greg had a classic case of delayed sleep phase syndrome (DSPS). DSPS is seen in 17 percent of college students, and is characterized by a disconnect between sleep habits and societal demands, like getting up for school or work (“social jet lag”). Greg was not getting enough deep restorative sleep or REM sleep to function properly during the day.
“Greg didn’t have an underlying sleep disorder. He had poor sleep habits. If you take a nap for three hours a day, you are not going to be tired at 11 p.m. And with only five hours of sleep at night, you are interfering with the sleep cycle,” says Dr. Reitman. Even after adding three hours in the afternoon, Greg will likely miss out on deep sleep and REM sleep.
Treatment: Here’s what Dr. Reitman recommended for Greg:
The University of Michigan Sleep Medicine Department identifies five warning signs:
We have all felt the pain of fragmented sleep after our night has been seriously interrupted. Our morning grogginessâalso known as sleep inertiaâis a liability. We cut ourselves shaving, we spill our coffee, we dump our adorable partner. Our memory, alertness, reaction time, and decision making are well below where weâd like them to be. Sleep inertia can last far longer than we might realize: two to four hours, according to researchers at Harvard Medical School. Youâre likely to be less perceptive and attentive in class. You may struggle to understand why your male Spanish teacher will never be embarazada. (Itâs because this means pregnant, not embarrassed.) You may be irritable and not much fun to be around.
If your natural wake time is routinely out of sync with the time that society (e.g., your class schedule) tells you to get up, you are likely suffering from social jet lag. In a 2000 study in the Journal of American College Health, students with an irregular sleep pattern performed worse academically than their peers, even when they slept the same total number of hours.
âFor college students, the worst impact of inadequate sleep is the hit to their memory and learning,â says Dr. Shelley Hershner, a sleep specialist and assistant professor of neurology, University of Michigan. In a 2014 national survey, more than half of college students reported significant daytime sleepiness, and two in three felt sleepiness hurt their academic performance (American College Health Associationâs National College Health Assessment). Sleep deprivation and disruption is among the top three causes of poor academic performance, along with stress and anxiety (which are also associated with disrupted sleep).
In studies, irregular sleep patterns, later bedtimes, and later wake-up times are associated with lower GPAs. Some evidence suggests that memory formation may be prompted by deep sleep (the third stage) and then consolidated by Rapid Eye Movement (REM) sleep, helping to explain why we need those sequential stages. âIf you disrupt the natural sleep cycle, you will pay for it, either through being tired, getting poor grades, or even depression,â says Dr. David Reitman, medical director of the student health center at American University, DC.
Not so smart after all: Memories of what you learned and experienced yesterday are consolidated during REM sleep. Deep sleep may also be involved in this process. Disrupted sleep means disrupted learning.
Difficulty with weight management: Sleep disruption affects the hormones that regulate hunger as well as our level of physical activity. Recurrent sleep deprivation increases our desire for high-calorie foods and may make us more prone to weight gain, research suggests. A 2006 study found that each hour of social jet lag was associated with a 33 percent higher risk of obesity.
Infections: Ongoing sleep deprivation and disruption are associated with weakened immune function, potentially leaving us less able to fight off viruses like the common cold.
Temptation to drink and smoke: Social jet lag is a risk factor for more than academic failure; it can also lead to increased use of alcohol, cigarettes, and caffeine, according to a 2006 study in Chronobiology International.
Accident-prone: Sleep-deprived drivers are less attentive, with slower reaction times and impaired judgment. In a 2010 study involving 1,039 undergraduates, one in six said they had fallen asleep while driving, according to the Journal of Adolescent Health.
Sexual slump: Sleep-deprived men and women report lower libidos and less interest in sex. In a 2015 study of college students, well-slept women had more sex than did tired women, according to the Journal of Sexual Medicine. In a 2011 study, ten male college students restricted their sleep to five hours a night for just one week, resulting in decreased testosterone; symptoms of testosterone deficiency include reduced libido, low energy, and difficulty concentrating.
Chronic disease and shortened life span: People who routinely get less than six hours of sleep a night are at increased risk of dying prematurely, according to a 2010 analysis of multiple studies in the journal Sleep. The less you sleep, the more likely you are to develop diabetes, obesity, and hypertension.
The number-one sleep complaint of students is being tired, says Dr. David Reitman, medical director of the student health center at American University, DC. “Although some students do have underlying sleep disorders, 85 percent of tiredness is caused by poor sleep habits: too much caffeine, napping during the day, using cell phones, or being online late at night. All of these can interrupt your sleep, but they are all correctable habits.”
The key to sleeping well is synchronizing your sleep and wakefulness with natural darkness and light. This way, you can avoid sleep inertia and social jetlag. Here’s how:
In general, your cell phone is the enemy of your sleep; texts and SnapChat are just too tempting. But your phone can perhaps be redeemed through the strategic use of an app that tracks your sleep and gives you feedback on your habits. Sleep doctors are divided on how useful these apps are; see what works for you.
Pros
“Sleep apps are evolving. They are getting better all the time. What they measure is activities related to sleep, such as movement in bed and whether you are snoring. The rise of sleep apps shows me that people are more aware and concerned about their sleep, and that’s a good thing. And one day we will have sleep apps that will really measure sleep (by evaluating brain activity).”
—Dr. Nathaniel Watson, president of the American Academy of Sleep Medicine (AASM); associate professor of neurology at the University of Washington; and codirector of the UW Medicine Sleep Center
Cons
“My patients bring in their cell phones or recordings of them snoring. Many are anxious because the app tells them they have a sleep disorder, or are relieved because they don’t think they have sleep apnea because the app says they don’t snore. To me, the results are pretty meaningless for diagnosis. And there are confounding factors [that can contribute to misleading results] if the patient doesn’t sleep alone or there is ambient noise.”
—Dr. Steven Park, assistant professor at the Department of Otorhinolaryngology—Head & Neck Surgery, Albert Einstein College of Medicine, New York; author of Sleep, Interrupted (Jodev Press, 2012)
Sleep Cycle Alarm Clock wakes you when you’re in your lightest stage of sleep.
SleepBot tracks your sleep and offers alarms and auto-settings for improving it.
Some fitness trackers can provide information on how you’re sleeping; the most popular include Basis, Jawbone’s Up app, and Fitbit.
A single sleep cycle lasts 1 Â―â2 hours. It involves three stages of Non-Rapid Eye Movement (NREM) sleepâincluding deep sleep (Stage 3)âand one stage of rapid eye movement (REM) sleep, in which our brains are most active, according to the American Academy of Sleep Medicine.
by SleepBot
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Joe Kasper: Fourth-year undergraduate majoring in communications at Governors State University, Illinois; Student Health 101 Student Advisory Board 2015–16. |
"This app is basically an alarm clock on steroids—magical steroids designed to help you get the sleep you deserve. Select what time you want to wake up and then click on ‘going to sleep’ before you doze off.”
Useful?
If you’re someone who needs to slam a 44 oz. frappe to get your day started, this could be your alternative.
Rating: 4.5 / 5
Fun?
If getting good sleep isn’t fun to you than maybe you’re too cool for this app. JK—download it now!
Rating: 3.5 / 5
Effective?
I finally understand the meaning of beauty sleep. I wonder how long Channing Tatum has been using this. #ladykiller
Rating: 5 / 5
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The benefits of sleep have been unarguably established by science. Restful nights are strongly associated with happiness, healthy weight maintenance, reduced risk of chronic disease, and having a tolerable personality.
Students present like budding narcoleptics, says William C. Dement, a leading sleep expert, in his book The Promise of Sleep (2000). Still, that doesnât stop you from knowing what you should be doing to get a better nightâs sleep. In a survey for Student Health 101, 1,200 students ranked 10 of the most common sleep strategies from least to most helpful. Then you told us what weâd missed.
How would you rank these tips?
More than a third of respondents ranked prescription medications the least useful of our 10 options. That might be because zolpidem, the most commonly prescribed sleep drug, is associated with dangerous behaviors like sleep-driving and that ridiculous email I sent my ex at 4 a.m. Science has yet to bring us a medication with the side effect of sleep-writing an awesome statistics paper.
You also said ânoâ to over-the-counter sleep aids, like melatonin, valerian, and antihistamines. Their safety and effectiveness have not been well established. Melatonin seems to have modest benefits and antihistamines can help temporarily. Melatonin is somewhat protective against nuclear radiation, so thereâs that.
Our students donât use them much, but many people swear by sleep management apps.
Sleep Cycle tracks your sleep habits, helps you identify unhelpful behaviors, and wakes you up gently.
Sleep As Android lets you know when youâre not getting enough zzzs and what youâre muttering in your sleep (but do you want to find out?).
Apps make your phone your bedmate, which might be problematic for those of us with compulsive technology habits.
Less than 5 percent of you said a beautiful day is what best helps you sleep. Three times as many said it was your least helpful sleep strategy.
Is this because students donât have beautiful days? âBedtime stress and worries were the main predictors of sleep quality,â concluded a study in Sleep Medicine (2012). Charlotte BrontÃŦ put it more eloquently: âA ruffled mind makes a restless pillow.â
If your angst is keeping you up, try consigning it to paper: Keep a pad and pen by your bed.
Relaxation exercises can ease physical tension and mental activity and help us fall asleep more quickly.
Techniques include progressive muscle relaxation (tensing and relaxing), consciously relaxing different body parts, and visualization.
Just over 1 in 10 of you ranked this in your top 3 of our sleep solutions. Free guided relaxation exercises are available online.
âTake coffee thenâthis juice divine shall banish sleep,â wrote the French poet Maumenet long ago. No argument there. Caffeine lasts in your system for eight hoursâand some of the most common coffee brands and energy drinks are very high in it.
But our survey respondents seem confused about alcohol. Some commented that alcohol helps them fall asleep. Maybeâbut it disrupts the later stages of sleep and leaves us groggy the next day. [The legal minimum age for consuming alcohol is 21.]
In a 2007 study, the combination of not enough sleep (four hours) and one or two drinks severely impaired studentsâ performance on a driving simulator: 35 percent had accidents.
A quarter of respondents ranked avoiding caffeine and/or alcohol before bed among the top 3 of our 10 sleep strategies.
For a video on how alcohol affects sleep, CLICK HERE.Â
Electronic gadgetry is the vicious enemy of sleep. The blue wavelength light emitted by our tablets, laptops, and phones suppresses melatonin, the hormone that regulates sleep cycles.
Many sleep disorders are probably related to evening or nighttime light exposure, sleep experts say.
Almost a third of our respondents ranked avoiding electronic screens before bed in their top 3 of our 10 solutions.
Physical activity helps us sleepâas confirmed yet again by the Sleep in America poll from the National Sleep Foundation. Even light exercise helps.
And although weâve traditionally been advised not to work out in the evening, evidence from that poll suggests the timing of our workouts might not matter. More than 4 in 10 students who took our survey ranked this in the top 3 of our strategies.
The lightbulb has many fine qualities, but wreaks havoc on our sleep. Having the lights on after dusk suppresses melatonin and disrupts sleep cycles. It might also raise blood pressure and the risk of diabetes, says a 2010 study.
Air temperature matters too. A room thatâs too hot or too cold can interfere with your body temperature cycle through the night. The right room temperature varies: try 65°F, and be ready to adjust it up or down. Forty-five percent of our student respondents put this in their top three of our sleep strategies.
The Princess and the Pea, the fairy tale by Hans Christian Andersen, taught us that even minor physical discomforts can be a fearsome impediment to sleep.
While itâs hard to buy the princessâs story that the pea left her âblack and blue all over,â the general point holds: We sleep better in a comfortable bed than on broken glass and porcupine spines.
Half of our student respondents ranked physical comfort in their top three sleep solutions. The poet Rupert Brooke wrote of âthe cool kindliness of sheets, that soon/Smooth away troubleâ (The Great Lover).
âThe single most important thing a person can do to set the bodyâs clock is to wake up at the same time every morning,â says Dr. Stephen Amira of the Division of Sleep Medicine at Harvard Medical School. For his video on maintaining a consistent wake time, CLICK HERE.
Fifty-six percent of our survey respondents ranked this in their top 3 of our 10 sleep strategies. As many students pointed out, the key is a consistent sleep schedule in general: going to bed and getting up at the same times each day. The painful piece is matching weekend and weekday wake-ups. Weekend disruption is likely to keep you groggy through the week.
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