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How to mitigate effects of sleep deprivation.
- 1. maintain good sleep hygiene
- 2. treat sleep like a logistical item of re-supply
- 3. Exercise
- 4. Drugs
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Drugs
- - caffeine, provigil, dexedrine for wakefulness
- -ambien, sonata, melatonin to promote sleep
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Effect of Exercise on Sleep
- Regular exercise: Easier to fall asleep, sounder sleep
- Sporadic exercise: falling asleep more difficult
- Exercising before bed: falling asleep more difficult, Raises body temperature (for up to 6 hours). Finish exercise at least 3 hours before sleep
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Ideal Sleep Hygiene
- Maintain regular sleep schedule•
- Protect sleep time•
- Keep a regular pre-sleep routine•
- Keep bedroom dark, quiet and cool•
- Avoid alcohol or caffeine before bedtime (several hours)•
- Do not eat or drink heavily before bedtime•
- Do not exercise within 3 hr of bedtime•
- If cannot fall asleep within 30 minutes, get up and out of bed
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Jet Lag
- -circadian disruption due to crossing time zones
- -eastern travel is phase advance
- -wester travel is phase delay
- -"east is least, west is best"
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Shift Work
-shift work uncouples peripheral clocks from one another and from hypothalamus
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Circadian System
comprises clocks throughout the body that are usually coupled together and coordinated by hypothalamus
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Mitigating Circadian Disruption
- Bright Light: delay your clock (before traveling west) if expose before 0400, advance your clock if exposed after 0400
- -blue light is maximally effective 470nm
- -note phase response curve, pg 27
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