Is Your iPad Killing You?

Regular readers and patients know the importance of a good night's sleep to health.  Low quality sleep, and getting fewer than seven hours of sleep per night, have been associated with chronic diseases such as cardiovascular disease, as well as shorter lifespan. Two recent studies highlight some of the hidden thieves of sleep in our modern world.

Researchers at Brigham and Women's Hospital in Boston compared people who read on an iPad screen before bed to those reading a traditional paper book before bed. The study confirmed what has long been suspected: that exposure to a screen decreases sleep quality, shortens the amount of REM sleep, and leads to worse moods and poor productivity the next day. Ideally, you should avoid all light-emitting screens for at least an hour before bedtime.  The main problem seems to be with the blue wavelengths of light, that suppress our body's natural melatonin production. If you really have to read a screen late in the evening, use a physical filter that blocks bluelight, or use free software such as f.lux that achieves the same effect. For Android users, there are several apps available, such as Twilight.

Another problem associated with difficulty sleeping is the presence of intrusive or repetitive thoughts. Interestingly, researchers at Binghamton University have discovered that one of the best way through to cease anxious thoughts is actually to get to bed earlier. Staying up late at night and having a short duration of sleep just aggravate the problem.

It can be a challenge to adjust your habits to get to bed earlier, but it's worthwhile. Maybe you could stop watching those electronic screens late in the evening. If repetitive thoughts are actually preventing you from falling asleep, you could try and herbal sleep aid such as valerian root, or a do-it-yourself behavior modification programs such as SleepStar.

When you sign up for SleepStar, use code PetersND25 for a discount.

Jacob A. Nota, Meredith E. Coles. Duration and Timing of Sleep are Associated with Repetitive Negative Thinking. Cognitive Therapy and Research, 2014; DOI: 10.1007/s10608-014-9651-7

So Obvious, It's Revolutionary

One of my main recommendations for folks who are having trouble sleeping is a simple one:  Turn out the lights.  I've heard folks say they "can't" fall asleep without surfing the web right before bedtime, or having the TV on in the bedroom.  But late night exposure to light suppresses the body's natural production of melatonin, our main sleep hormone.

Melatonin is produced by a tiny gland at the base of the brain called the pineal gland.  The pineal gland releases melatonin in response to darkness, and this signals the brain to go into sleep mode.

Recent findings have shed more light (so to speak) on the importance of darkness and melatonin.  Melatonin has antioxidant effects in the body that protect against cancer.  Nurses who work the night shift (and therefore get round-the-clock light exposure) produce less melatonin, and are at significantly higher risk for breast cancer (1, 2).

A new study found that even low light levels in the sleeping room at night can produce symptoms of depression (3).  Granted, this study was done using hamsters, but the biological effects were clear:  depressive symptoms after four weeks of dim light at night.

Depression?  Insomnia?  Cancer risk?  Turn out the lights:  shut off all screens (TV, computer, iPad, smartphone, etc.) 30-60 minutes before bedtime.  Get rid of the night lights and television in the bedroom.  You might even want to move that bright LED alarm clock away from your head.  Allow a few weeks for your body to readjust to what is becoming a scarce, but highly valuable, commodity:  darkness.

1. Cancer Epidemiol Biomarkers Prev. 2012 Apr;21(4):609-18. Epub 2012 Feb 7.
2. Cancer Causes Control. 2006 May;17(4):539-45.
3. T A Bedrosian, Z M Weil and R J Nelson.  Chronic dim light at night provokes reversible depression-like phenotype: possible role for TNF.   Molecular Psychiatry , (24 July 2012).