Page 35 - Seniors Toady March 2020
P. 35

Fitness







       Hit the sack,



       cut the slack




       What does fitness have to do with sleep?
       Dr Nileena NKM explains











       Sleep is one of the main pillars of healthy living,    relaxation exercises
       and yet highly neglected. The various dimensions       •Warm bath 1-2 hrs before bedtime
       of good sleep include subjective satisfaction,
       appropriate timing, adequate duration, high            Don’ts -
       efficiency, and sustained alertness during waking      •Frequent naps during day
       hours. Anything that can affect the above can          •Late dinner – within 2 hours of bedtime
       lead to poor sleep quality.                            •Late night caffeinated beverages like tea/coffee/

        Poor sleep quality is not uncommon among the          hot chocolate
       elderly. Various contributing factors include:         •Late exercise - 4-6 hours before bedtime
        •Changes in sleep pattern in the form of frequent     •Alcohol/tobacco use at night
       awakenings, decreased deeper stages of sleep and       •Going to bed when not feeling sleepy, and clock-
       increased daytime naps.                                watching
        •Changes in circadian rhythm (biological clock)       •Using bed for lounging, reading, eating,
       making the person fall asleep earlier and wake         watching TV, etc

       up earlier.                                             It is commonly seen that people tend to exercise
        •Decreased melatonin secretion.                       vigorously late at night in an attempt to feel tired
        •Chronic illnesses and medications                    and thereby to fall asleep easily. However, for
        •Psychiatric illnesses                                most people, such exercise can make them more
        •Poor sleep hygiene and new onset sleep               excited rather than drowsy. Therefore, vigorous
       disorders like sleep apnea, restless leg syndrome,     exercise should be avoided 4-6 hours before
       etc                                                    bedtime for a good night’s sleep.


       Sleep Hygiene                                          How to sleep better

       The role of sleep hygiene in the management of         Here are some exercises that can help you sleep
       any sleep disorder cannot be stressed enough.          better.
       Dos -                                                   It has been often observed that any exercise that
       •Morning sunlight exposure for 30 minutes              can slightly raise the body temperature can help
       •A regular sleep/exercise schedule                     in improving sleep health. A walk before bedtime
       •Unwinding regime before bedtime through               at a speed just enough to feel warm (moderate


       35                                                                      SENIORS TODAY | Issue #9  |  March  15,  2020
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