Have
you been tossing and turning and wondering if you will ever fall
asleep? You are not alone–more than half of adults have trouble falling
asleep. Learn why sleep is so important and what you can do to get
some.
Here's Why:
During sleep, the body repairs itself and revitalizes organs and muscles. In addition, sleep is important for proper functioning of the immune system and the nervous system. Lack of sleep can result in:
But a good night sleep can be elusive. A survey conducted by the National Sleep Foundation found that 60% of adults have problems falling asleep at least a few nights a week.
Here's How:
Keep Regular Hours–Try to go to bed at the same time each night and wake up at the same time each morning, even on weekends.
Develop a Sleep Ritual–Whether it is taking a hot bath, drinking a cup of herbal tea, or reading a book, doing the same things each night just before bed cues your body to settle down for the night.
Exercise Regularly–Exercise can help relieve tension. But be careful not to exercise too close to bedtime or you may have a hard time falling asleep.
Cut Down on Stimulants–Consuming stimulants, such as caffeine, in the evening interferes with falling asleep and prevents deep sleep. Instead, have a cup of herbal tea, which is noncaffeinated, before bed.
Don't Smoke–Smokers tend to take longer to fall asleep, awaken more often, and experience disrupted, fragmented sleep.
Drink Alcohol in Moderation–You may fall asleep faster, but drinking alcohol shortly before bedtime interrupts and fragments sleep, leading to poor quality sleep.
Unwind Early in the Evening–Deal with worries and distractions several hours before going to bed. Make a list of things you need to do tomorrow, so you won't think about them all night. Try relaxation exercises, like slow rhythmic breathing, once in bed.
Sleep on a Comfortable, Supportive Mattress and Foundation–It's difficult to get deep, restful sleep on a bed that's too small, too soft, or too hard.
Create a Restful Sleep Environment–A dark, quiet room is more conducive to sleep. Sudden, loud noises or bright lights can disrupt sleep. A room that is too hot or too cold can disturb sleep as well. The ideal bedroom temperature is between 60-65 degrees Fahrenheit.
Use the Bedroom Only for Sleep and Sex–Don't use the bedroom for things like paying bills, watching television, or discussing the problems of the day.
Make Sleep a Priority–Say "yes" to sleep even when you're tempted to stay up late. You'll feel healthier, refreshed, and ready to take on the day!
Take Prescribed Sleep Medications as Directed–Sleep medications should only be used temporarily and as a last resort, but because sleep problems are so common these medications are widely prescribed. If you do use them, follow your doctor’s and pharmacist’s recommendations.
Generally, it is best to take prescribed sleeping pills one hour before bedtime, so they cause drowsiness by the time you lie down, and 10 hours before you plan on getting up, to avoid daytime drowsiness. Always talk with your doctor before taking sleeping pills, including over-the-counter brands. Most over-the counter sleep preparations contain diphenhydramine, an anti-allergy substance that may help you fall asleep quicker but may not provide more restful sleep and may have side effects.
Melatonin, another over-the-counter preparation can likely help some persons, but the melatonin-like prescription medication Ramelteon is probably more effective. Tolerance to some prescription medications can develop rapidly and some have the potential to become addictive.
Light and Cognitive Behavioral Therapy–For those who want better sleep without the use of drugs, “light therapy” and cognitive behavioral therapy have both been shown to have some benefit. In many communities it may be hard to find these alternative therapies, however.
Remember too, that while most people with insomnia do not have an underlying sleep disorder, two relatively common conditions–restless leg syndrome and sleep apnea–can cause or contribute to poor sleep quality. If you have questions about either of these conditions ask your doctor or check out the National Sleep Foundation’s website listed below.
RESOURCES:
National Institute on Aging, National Institutes of Health
http://www.nia.nih.gov
National Sleep Foundation
http://www.sleepfoundation.org
References:
National Institutes of Health website. Available at: http://www.nih.gov. Accessed February 27, 2006.
National Sleep Foundation website. Available at: http://www.sleepfoundation.org. Accessed February 27, 2006.

With dozens of sexy celebrities touting its arm- and ab- sculpting powers and stress-reducing abilities, it’s no surprise that yoga has had a major surge in popularity. Sure, yoga’s been around for thousands of years—but here in the U.S. it’s never been as hot as it is today.
Yoga classes are offered everywhere from traditional studios to health clubs to community centers. Unfortunately, “there’s more demand for yoga than there are qualified teachers,” says Barbara Benagh, a nationally recognized yoga teacher and director of the Yoga Studio in Boston.
Just because a facility offers a yoga class doesn’t mean the class is appropriate for the public. Students should be aware of the potential hazards of yoga, and carefully assess whether a yoga situation is right for them.
“Almost anyone can get a ‘weekend certificate’ to teach yoga,” says Mara Carrico, the San Diego-based yoga instructor, author of Yoga Journal’s Yoga Basics, and spokesperson for the American Council on Exercise. “That’s just not enough.”
“Do you want to be taking yoga from someone who’s been doing it for a weekend longer than you?” Benagh asks. “Many people who’ve never practiced yoga try to get into teacher training.”
While various forms of yoga have different training requirements, Carrico believes teachers should have at least 200 hours of training, the minimum recommended by the Yoga Alliance, an alliance of yoga organizations and instructors seeking to create national teaching standards.
Don’t be afraid to ask yoga instructors about their training, how long they’ve been teaching, and how long they’ve been practicing. You should also ask the studio or health club about their teacher requirements and screening methods. Unqualified teachers may increase your risk for doing a posture incorrectly, pushing beyond your abilities, or performing poses inappropriate for your health and fitness level.
Regardless of how long they’ve trained, avoid teachers who don’t pay attention to you. “Some yoga teachers are more concerned with their own workout than with your safety,” Carrico says.
Yoga classes come in many forms—and many levels. Start with a beginner class instead of rushing into advanced power yoga. Shop around for the class that’s right for you.
Once in class, the standard mantra holds true: listen to your own body and do what feels right. “Muscle exertion is a good thing—keep going,” says Jolie Bookspan, PhD, a sports medicine specialist and yoga instructor. “But if you feel any joint pain, stop.” Be especially careful with postures that involve the knees, neck, lower back, and shoulders. “These are vulnerable joints—they’re easy to strain,” Benagh says.
All students should be cautious and pay attention to any joint pain, but if you’ve had any injuries, surgery, or a history of pain, let your instructor know. A good instructor should ask students about joint problems and suggest alternative postures if necessary. Proper alignment is the key to protecting your joints in many postures. Allow your instructor to adjust you, and if something feels wrong—ask for help.
And if you’re pregnant, have hypertension, a heart condition, or any other pertinent medical history, inform your instructor at the beginning of class and ask if you should take any precautions. “Ultimately, you’re responsible for yourself,” Benagh warns. “Not even the most qualified teacher can guarantee that nothing will happen to you.”
Many yoga classes are conducted in rooms heated to 100 degrees or more. Hot yoga can be a wonderful, sweaty, challenging experience. But it can also pose risks beyond those of regular yoga.
Pregnant women and people with hypertension or heart disease should avoid hot yoga—it’s too intense. But even if you’re perfectly healthy (and not pregnant), be wary. You get so warm in a heated room that you can have what Benagh calls a “false sense of flexibility.” This can lead to muscle injury if you push yourself too far. And you’ll be sweating quite a bit, so drink plenty of water before and after class to avoid dehydration.
Make sure that the room in which you practice is clean and well-kept. “So much heat and sweat in a room that’s not well ventilated can create a breeding ground for bacteria,” Benagh says. Carrico adds that the air ducts should be cleaned frequently, as should the carpet or floor.
Even in non-heated rooms, shared mats—especially those that aren’t cleaned and replaced regularly—could have festering bacteria. Consider purchasing a mat of your own. Or “bring a towel if you’re worried about cleanliness,” Dr. Bookspan advises.
As with your physical safety, though, the cleanliness of the studio where you practice is ultimately up to you. So if yours feels filthy, find someplace new.
Yoga provides a great workout as well as a means for relaxation. It's a good practice for most everyone, just be sure you take the necessary precautions before heading into lotus.
RESOURCES:
American Council on Exercise
http://www.acefitness.org
Yoga Alliance
http://www.yogaalliance.org
Sources:
American Council on Exercise
Carrico M. Yoga Journal’s Yoga Basics. 1997; Henry Holt.