Many people have trouble getting to sleep quickly, spending well over 30 minutes tossing and turning before being able to nod off. In the wake of a recent study linking
sleeping pills with an increased risk of
mortality and cancer, some people who once relied on medications to sleep are looking to non-pharmaceutical solutions. Haviva Veler, sleep
specialist at the Komansky Center for Children's Health at New York-Presbyterian Hospital/Weill Cornell Medical Center, offers tips on how both adults and adolescents can get on the fast track to restful slumber.
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Q: What makes people fall asleep?
多人都难以迅速入睡,往往要辗转反侧30多分钟时间后才能睡着。由于最近有研究表明安眠药与死亡和患癌症的风险加大存在关联,一些曾依赖药物入睡的人开始转向非药物的解决方法。在下文中,纽约-长老会医院(New York-Presbyterian Hospital)科曼斯基儿童保健中心(Komansky Center for Children's Health)/威尔康奈尔医学中心(Weill Cornell Medical Center)的睡眠问题专家哈薇瓦•维勒(Haviva Veler)就如何迅速进入宁静的梦乡提供了一些贴士,对于成人及青少年均适用。
A: When it gets dark outside, the brain secretes the hormone melatonin in
response to the
decrease in ambient light. This causes the feeling of being
drowsy or sleepy.
《华尔街日报》:人为什么会睡着?
Q: What do you suggest your patients do to get to sleep faster?
维勒:当外面天黑时,随着四周环境光线的减少,人的脑部会分泌荷尔蒙褪黑激素。这会导致我们产生疲倦感或瞌睡感。
A: First, keep a
constant sleep schedule, especially over the weekend. If you sleep until noon, it completely confuses your
internal clock.
《华尔街日报》:您会建议您的患者做些什么来更快入睡?
Next, sleep in a room that is dark, quiet and a little on the cool side. When the body starts preparing for sleep in the early evening, its temperature starts to drop. So avoid hot showers or hot milk, things that will increase body temperature. If the room temperature is higher than 75 degrees, experiments show prolonged sleep onset.
维勒:首先,要保持睡眠规律,周末期间尤其要注意。如果你在周末一觉睡到中午,你的生物钟就会被完全打乱。
For the same reason, try not to eat big meals right before sleeping. . .because the process of breaking down sugars causes our body temperature to increase.
其次,要在昏暗、安静、温度稍稍偏低一点的房间中睡觉。当人体在傍晚开始进入准备睡眠的阶段时,体温就会开始下降,所以不要在睡前洗热水澡或喝热牛奶,不要做会导致体温升高的事情。实验表明,如果房内的温度高于华氏75度(约合摄氏24度),入睡时间就会延长。
Q: Does exercise make falling asleep easier?
出于同样的原因,尽量不要在睡前大量进食......因为分解糖分的过程会导致我们的体温升高。
A: Exercise during the day improves sleep. It makes you more tired so sleep will come faster and be more sustained. Just avoid
excessive exercise an hour before bedtime.
《华尔街日报》:锻炼会使人更容易入睡吗?
Instead, during the hour before going to sleep, try to stick to quiet activity in a dim light. Avoid TV, emails, what I call i-stuff: iPads, iPods. Their bright ambient light blocks the
release of melatonin. Read in low light or on a Kindle, which has a softer light.
维勒:在白天锻炼有助于改善睡眠。它会使你觉得更加疲劳,因此你会更快入睡、睡眠也更持久,但是要避免在睡前一小时过度锻炼。
Reading is tricky, though, because if it's very interesting, you can get too absorbed and continue for hours. A boring book or a report, something that won't
excite you too much, is better than something absorbing that may keep you up.
在睡觉前那一个小时,试着在昏暗的光线中做些安静的事情。不要看电视、查看电子邮件以及接触我称之为"i-系列物品"的那些东西,比如iPad和iPod等。它们散发出的明亮光线会抑制褪黑激素的分泌,可使用光线更柔和的Kindle用低亮度阅读。
Q: How late in the day can people with sleep troubles have caffeinated drinks?
不过,阅读有时候也会是个问题,因为如果你所读的书非常有意思的话,你可能会过于沉迷其中,连续读上几个小时。不会激起你过多兴趣的东西,比如一本枯燥的书或是一份枯燥的报告,比可能会让你熬夜的对你有吸引力的东西要好。
A: Caffeine is long-acting, keeps you awake at night and makes you wake up multiple times during the night. Its half-life, or the time it spends in your system, is about eight hours. So you should really stay away from it for eight hours before bedtime.
《华尔街日报》:有睡眠障碍的人最晚什么时间可以喝含咖啡因的饮料?
Q: What about
trying to fall asleep when you are jet-lagged?
维勒:咖啡因的功效很持久,会让你在晚上睡不着觉并且在晚上醒来好几次。它的半留存期,即留存在你体内的时间,约为八个小时,所以你在睡觉前八小时绝对应该避免喝这种饮料。
A: After changing time zones, try to get as much light
exposure as possible during the mornings. This increases the awake phase and helps synchronize your
internal clock, which makes for better sleep. Melatonin can be useful as both a sedating agent and to
adjust your
internal clock to the new time zone.
《华尔街日报》:倒时差时如何更好地入睡?
Nancy Matsumoto
维勒:在身处的时区改变之后,在上午时接触尽可能多的光线,这会延长你清醒时段的时长,有助于同步你的生物钟,带来更好的睡眠。褪黑激素既可用作有效的镇静剂,也有助于使你的生物钟适应新时区。