In today's fast-paced world, achieving rest and rejuvenating sleep can be challenging. Yet, getting adequate restorative sleep is critical for your brain and body to function optimally.
Fortunately, there are some powerful practices that you can incorporate to help improve the quality of your sleep. This article will introduce you to science-backed evening routines and strategies you can incorporate into your nightly routine.
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5 Essential Evening Routines for Getting Better Sleep
Incorporating consistent evening routines can lead to better sleep. Here are the top suggestions:
1. Consider a Digital Detox
- According to the Sleep Foundation, about 70% of adults and 75% of children engage with their electronic devices in the bedroom. Device use, including scrolling through social media, has a variety of impacts that can adversely affect sleep.
- Reduce screen time and your exposure to blue light at least an hour before bed to enhance sleep quality.
- To help prepare your body for sleep, opt for a technology-free bedroom.
- Instead of screens, choose non-screen-based activities before sleep. In the hours leading up to sleep, engage in quiet, relaxing activities like journaling or reading, both of which can help calm the mind.
2. Incorporate Mindfulness and Relaxation Techniques
- Stress hormones, like cortisol and adrenaline, activate the hypothalamic-pituitary-adrenal (HPA) axis, to mount a “fight or flight” response. When cortisol and adrenaline are persistently elevated due to chronic stress, it can lead to issues falling asleep and can lead to poor-quality sleep.
- Incorporating mindful practices like meditation, deep breathing, or gentle yoga into your evening routine can help reduce stress, prepare your body for sleep, and help train your body to more easily return to a state of relaxation.
3. Create a Sleep-Inducing Environment
- Keep your bedroom cool, around 60-67 degrees Fahrenheit (15-19 degrees Celsius), to facilitate your body's natural temperature regulation process. Mattress cooling pads offer an option to provide a surface temperature conducive to sleep.
- Sleep in a dark room. Light is a key regulator of your body’s internal clock (circadian rhythm), which tells your brain when to sleep. Minimize exposure to light by using light-blocking curtains or blinds and a sleep mask when necessary to signal your body that it is time to sleep.
- Decrease exposure to environmental noise during sleep, as this can contribute to disturbed sleep and poorer sleep quality. Earplugs or a white noise machine can help to mask sounds like traffic, a snoring partner, or noisy neighbors.
4. Stick to a Consistent Sleep Schedule
- To optimize your sleep-wake cycles, it is important to maintain a regular sleep schedule. This includes going to bed and waking up at the same time every day, even on the weekends.
- Sleep consistency promotes healthy sleep-wake patterns by regulating your body’s circadian rhythm or body clock.
5. Consider Diet and Exercise Modifications
- A diet focused on whole foods provides key nutrients that can help the quality of sleep. For example, research suggests that following a Mediterranean diet, with decreased red meat, can improve sleep quality.
- Focusing on more complex carbohydrates like vegetables rather than high-glycemic index foods and simple carbohydrates like processed sugars can improve sleep quality.
- Adequate protein intake is also important for sleep. Serotonin, essential for regulating your sleep-wake cycle, is derived from the amino acid tryptophan, which can be found in salmon, eggs, turkey, and chicken.
- Reduce stimulants like caffeine (found in coffee, tea, energy drinks, and chocolate), which can decrease melatonin levels and impair sleep onset and quality.
- Reduce alcohol (even though it can help to fall asleep easier) because it can severely disrupt sleep quality, leading to increased nighttime awakenings.
- Optimizing the timing and frequency of food intake is also helpful. Avoid eating within two hours of sleep to improve digestion and sleep quality.
- Movement and exercise can enhance optimal sleep. Incorporating regular moderate physical activity like walking, swimming, and jogging during the day, at least three hours before bedtime, can lead to deep rest.
Pharmaceutical and Natural Approaches to Enhance Sleep Quality
In addition to your evening routines, over-the-counter (OTC) medications, prescription sleep aids, and natural remedies, upon the recommendation and guidance of your healthcare provider, may be helpful:
Antihistamines
- Drugs like diphenhydramine or doxylamine are commonly used to treat allergies but also have some sedative effects. While they may be appropriate for occasional use, they come with the risk of side effects such as daytime sleepiness, grogginess, and falls and should not be taken long-term.
Melatonin
- A hormone that regulates sleep-wake cycles, this supplement may be appropriate to take if there is insufficient melatonin production (which can be determined through functional medicine testing). Dosages should be individualized based on the lab results.
Herbal Extracts
- Valerian root, lemon balm, or chamomile are sometimes used to help with sleep issues due to their mild sedative properties. Valerian root (300-600 mg per night) is generally safe for short-term use but should not be used in combination with other sedatives, including alcohol. However, combining valerian with lemon balm can help promote sleep and treat insomnia.
Magnesium
- This mineral can increase melatonin, reduce cortisol, and improve insomnia, making it easier to fall and stay asleep. Magnesium is available in several forms, including oral supplements and topical forms such as Epsom salt baths or magnesium oil spray. It can also be obtained in the diet from consuming foods such as nuts, leafy greens, whole grains, and soy products.
When to Seek Professional Help
If the following sleep disorders are present, it’s important to seek professional medical advice as dedicated treatment is usually necessary:
Insomnia
- Trouble falling or staying asleep and frequent waking during sleep can occur with insomnia, causing fatigue, excessive daytime sleepiness, irritability, and impaired functioning.
- This common condition affects up to 59% of adults in the US and can increase your risk of many chronic diseases, including hypertension, dementia, depression, stroke, obesity, and diabetes.
- Actigraphy can be a helpful assessment tool as it is a non-invasive method that uses a small watch-like device that's worn on the wrist to monitor sleep-wake patterns by measuring movement and light exposure.
Sleep Apnea
- Sleep apnea is a potentially life-threatening sleep disorder characterized by brief pauses in breathing or shallow breathing during sleep.
- This condition significantly impacts sleep quality and overall health, leading to fragmented sleep, daytime fatigue, and other health complications if left untreated.
- Sleep studies (polysomnography) are typically warranted and involve monitoring various physiological parameters during sleep, including brain waves, oxygen levels, breathing patterns, and heart rate, and can be done in a sleep laboratory or at home.
Restless Leg Syndrome (RLS)
- Restless leg syndrome (RLS) is a neurological condition that causes unpleasant urges to move the legs during sleep.
- A combination of genetic predisposition and deficiencies in nutrients like iron and magnesium may contribute to this condition.
- Blood testing is useful for uncovering nutritional and metabolic imbalances that can contribute to RLS and includes tests of thyroid function, and vitamin and mineral deficiencies such as vitamin D, vitamin B12, iron, and magnesium.
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Key Takeaways
- Sleep is necessary for health and quality of life. Finding a holistic evening routine that works for you can help you improve sleep quality and functioning.
- Prioritize your sleep health by creating a personalized, evidence-backed sleep routine as part of your overall self-care.
- When necessary, seeking professional guidance can help to identify sleep issues and establish new routines and practices to promote better sleep hygiene and quality of sleep.
Lab Tests in This Article
References
Abbasi, B., Kimiagar, M., Sadeghniiat, K., Shirazi, M. M., Hedayati, M., & Rashidkhani, B. (2012). The effect of magnesium supplementation on primary insomnia in elderly: A double-blind placebo-controlled clinical trial. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 17(12), 1161–1169. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3703169/
Abraham, O., Schleiden, L. J., Brothers, A. L., & Albert, S. M. (2017). Managing sleep problems using non-prescription medications and the role of community pharmacists: older adults’ perspectives. International Journal of Pharmacy Practice, 25(6), 438–446. https://doi.org/10.1111/ijpp.12334
Bertagna, B. (2023, December 28). Health Benefits of Green Tea and How to Include It in Your Diet. Rupa Health. https://www.rupahealth.com/post/health-benefits-of-green-tea-and-how-to-include-it-in-your-diet
Bertagna, B. (2024a, January 8). Melatonin for Sleep: Unlocking the Power of this Hormone for Restful Nights. Rupa Health. https://www.rupahealth.com/post/melatonin-for-sleep-unlocking-the-power-of-this-hormone-for-restful-nights
Bertagna, B. (2024b, January 11). The Science Behind Meditation and Sleep: How Mindfulness Practices Improve Sleep Quality. Rupa Health. https://www.rupahealth.com/post/the-science-behind-meditation-and-sleep-how-mindfulness-practices-improve-sleep-quality
Binks, H., E. Vincent, G., Gupta, C., Irwin, C., & Khalesi, S. (2020). Effects of Diet on Sleep: a Narrative Review. Nutrients, 12(4), 936. https://doi.org/10.3390/nu12040936
Blume, C., Garbazza, C., & Spitschan, M. (2019). Effects of light on human circadian rhythms, sleep and mood. Somnologie : Schlafforschung Und Schlafmedizin = Somnology : Sleep Research and Sleep Medicine, 23(3), 147–156. https://doi.org/10.1007/s11818-019-00215-x
Centers for Disease Control. (2022, September 13). Tips for better sleep. Centers for Disease Control and Prevention. https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html
Chaix, A., Manoogian, E. N. C., Melkani, G. C., & Panda, S. (2019). Time-Restricted Eating to Prevent and Manage Chronic Metabolic Diseases. Annual Review of Nutrition, 39(1), 291–315. https://doi.org/10.1146/annurev-nutr-082018-124320
Chaunt, L. A. (2023, April 3). Mental Health Benefits of Yoga and Meditation. Rupa Health. https://www.rupahealth.com/post/mental-health-benefits-of-yoga-and-meditation
Christie, J. (2022a, August 15). It’s Time To Start Treating Coffee Like A Health Food. Rupa Health. https://www.rupahealth.com/post/its-time-to-start-treating-coffee-like-a-health-food
Christie, J. (2022b, December 6). The ultimate guide to thyroid hormones. Rupa Health. https://www.rupahealth.com/post/a-complete-guide-to-thyroid-hormones-a-functional-medicine-approach
Christie, J. (2023, January 6). A functional medicine approach to obesity and weight management. Rupa Health. https://www.rupahealth.com/post/an-integrative-approach-to-obesity
Cleveland Clinic. (n.d.). How To Stop Your Mind from Racing and Get To Sleep. Cleveland Clinic. https://health.clevelandclinic.org/when-youre-trying-to-sleep-but-your-mind-is-racing-give-these-tactics-a-try
Cloyd, J. (2023a, March 15). The relationship between the sleep stress cycle. Rupa Health. https://www.rupahealth.com/post/the-relationship-between-the-sleep-stress-cycle
Cloyd, J. (2023b, April 4). Integrative Medicine Approach to Patients with Sleep Apnea. Rupa Health. https://www.rupahealth.com/post/integrative-medicine-approach-to-patients-with-sleep-apnea
Cloyd, J. (2023c, June 19). A Functional Medicine Post Stroke Protocol: Testing, Therapeutic Diet, and Integrative Therapy Options. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-post-stroke-protocol-testing-supplements-and-integrative-therapy-options
Cloyd, J. (2023d, July 5). Integrative Approaches to Managing High Blood Sugar: Specialty Testing, Lifestyle Modifications, and Natural Remedies. Rupa Health. https://www.rupahealth.com/post/integrative-approaches-to-managing-high-blood-sugar-testing-lifestyle-modifications-and-natural-remedies
Cloyd, J. (2023e, July 26). A Functional Medicine Iron Deficiency Anemia Protocol: Comprehensive Testing, Therapeutic Diet, and Supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-iron-deficiency-anemia-protocol-comprehensive-testing-therapeutic-diet-and-supplements
Cloyd, J. (2023f, August 25). A Root Cause Medicine Protocol For Patients With Insomnia: Testing, Therapeutic Diet, and Supportive Supplements. Rupa Health. https://www.rupahealth.com/post/a-root-cause-medicine-protocol-for-patients-with-insomnia-testing-therapeutic-diet-and-supportive-supplements
Cloyd, J. (2023g, October 18). The Top 6 Essential Health Benefits of Magnesium That You Should Know. Rupa Health. https://www.rupahealth.com/post/the-top-6-therapeutic-uses-of-magnesium-you-need-to-know
Cloyd, J. (2024, February 27). Sleep Requirements by Age Group & Why It’s Important. Rupa Health. https://www.rupahealth.com/post/sleep-requirements-by-age-group-why-its-important
Creedon, K. (2022a, April 22). 9 Common Causes Of Dementia. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-dementia
Creedon, K. (2022b, August 4). 6 Speciality Labs That Get To The Root Cause Of Insomnia. Www.rupahealth.com. https://www.rupahealth.com/post/6-speciality-labs-that-get-to-the-root-cause-of-insomnia
DePorto, T. (2022, November 30). 4 Vitamins That May Help Relieve Restless Leg Syndrome. Rupa Health. https://www.rupahealth.com/post/restless-leg-syndrome-causes-symptoms-and-treatment
DePorto, T. (2023, January 6). Omega 3’s: The Superfood Nutrient You Need To Know About. Rupa Health. https://www.rupahealth.com/post/omega-3s-the-superfood-nutrient-you-need-to-know-about
Diorio, B. (2022, September 6). How to increase your serotonin levels naturally. Rupa Health. https://www.rupahealth.com/post/how-to-increase-your-serotonin-naturally
Diorio, B. (2023a, January 17). Why Most Functional Medicine Practitioners Say No To Alcohol. Rupa Health. https://www.rupahealth.com/post/why-most-functional-medicine-practitioners-say-no-to-alcohol
Diorio, B. (2023b, March 17). How to test for hypothalamic-pituitary-adrenal (HPA) axis dysfunction. Rupa Health. https://www.rupahealth.com/post/what-is-the-hypothalamic-pituitary-adrenal-hpa-axis
Donath, F., Quispe, S., Diefenbach, K., Maurer, A., Fietze, I., & Roots, I. (2000). Critical evaluation of the effect of valerian extract on sleep structure and sleep quality. Pharmacopsychiatry, 33(2), 47–53. https://doi.org/10.1055/s-2000-7972
Fry, A. (2021, June 3). How Noise Can Affect Your Sleep Satisfaction. Sleep Foundation. https://www.sleepfoundation.org/noise-and-sleep
Greenan, S. (2021, December 10). Can’t Sleep? Make Sure You’re Getting These 3 Micronutrients. Rupa Health. https://www.rupahealth.com/post/functional-medicine-approach-for-optimal-sleep
Halperin, D. (2014). Environmental noise and sleep disturbances: A threat to health? Sleep Science, 7(4), 209–212. https://doi.org/10.1016/j.slsci.2014.11.003
Han, K. S., Kim, L., & Shim, I. (2012). Stress and Sleep Disorder. Experimental Neurobiology, 21(4), 141. https://doi.org/10.5607/en.2012.21.4.141
Ishizawa, M., Uchiumi, T., Takahata, M., Yamaki, M., & Sato, T. (2021). Effects of pre-bedtime blue-light exposure on ratio of deep sleep in healthy young men. Sleep Medicine, 84, 303–307. https://doi.org/10.1016/j.sleep.2021.05.046
Kalaichandran, A. (2024, February 12). Dark Chocolate and Cardiovascular Diseases: Insights from a Mendelian Randomization Study. Rupa Health. https://www.rupahealth.com/post/dark-chocolate-and-cardiovascular-diseases-insights-from-a-mendelian-randomization-study
Kresge, K. (2023, February 21). An Integrative Medicine Approach to Depression. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-depression
LoBisco, S. (2022, December 19). How to naturally balance melatonin and cortisol levels. Rupa Health. https://www.rupahealth.com/post/how-to-balance-melatonin-and-cortisol-naturally-for-better-health
Maholy, N. (2023a, March 15). How Processed Sugar Affects Our Health. Rupa Health. https://www.rupahealth.com/post/how-processed-sugar-affects-our-health
Maholy, N. (2023b, June 15). The Role Of Sleep And Circadian Rhythms In Neurological Health. Rupa Health. https://www.rupahealth.com/post/the-role-of-sleep-and-circadian-rhythms-in-neurological-health
Maholy, N. (2023c, July 17). Top Labs to Run Bi-Annually on Your Patients Experiencing Sleep Disorders. Rupa Health. https://www.rupahealth.com/post/top-labs-to-run-bi-annually-on-your-patients-experiencing-sleep-disorders
Muscogiuri, G., Barrea, L., Aprano, S., Framondi, L., Di Matteo, R., Laudisio, D., Pugliese, G., Savastano, S., & Colao, A. (2020). Sleep Quality in Obesity: Does Adherence to the Mediterranean Diet Matter? Nutrients, 12(5), 1364. https://doi.org/10.3390/nu12051364
National Center for Complementary and Integrative Health. (2020, October). Valerian. NCCIH. https://www.nccih.nih.gov/health/valerian
Neibling, K. (2023, May 1). The Importance of Sleep for Cardiovascular Health. Rupa Health. https://www.rupahealth.com/post/the-importance-of-sleep-for-cardiovascular-health
Newsom, R. (2020, November 4). Blue Light: What It Is and How It Affects Sleep. Sleep Foundation. https://www.sleepfoundation.org/bedroom-environment/blue-light#:~:text=Inversely%2C%20exposure%20to%20blue%20light
Okamoto-Mizuno, K., & Mizuno, K. (2012). Effects of thermal environment on sleep and circadian rhythm. Journal of Physiological Anthropology, 31(1). https://doi.org/10.1186/1880-6805-31-14
Pacheco, D. (2020, December 4). Sleep Medications: Over the Counter Options. Sleep Foundation. https://www.sleepfoundation.org/sleep-aids/over-the-counter-sleep-aids
Pacheco, D. (2022, April 20). Physical Activity & Sleep: How Sleep Affects the Body. Sleep Foundation. https://www.sleepfoundation.org/physical-activity
Pacheco, D. (2023, December 8). Bedtime routines for adults. Sleep Foundation. https://www.sleepfoundation.org/sleep-hygiene/bedtime-routine-for-adults
Pacheco, D., & Wright, H. (2020, October 29). The Best Temperature for Sleep: Advice & Tips. Sleep Foundation. https://www.sleepfoundation.org/bedroom-environment/best-temperature-for-sleep#:~:text=The%20best%20room%20temperature%20for
Pattnaik, H., Mir, M., Boike, S., Kashyap, R., Khan, S. A., Surani, S., Pattnaik, H., Mir, M., Boike, S., Rahul Kashyap, M., Khan, S. A., & Surani, S. (2022). Nutritional Elements in Sleep. Cureus, 14(12). https://doi.org/10.7759/cureus.32803
Preston, J. (2023, October 3). A Functional Medicine Protocol for Seasonal Allergies. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-protocol-for-seasonal-allergies
Preston, J. (2024, February 15). Magnesium 101: RDA, Magnesium-Rich Foods, and Supplementation. Rupa Health. https://www.rupahealth.com/post/magnesium-101-rda-magnesium-rich-foods-and-supplementation
Publishing, H. H. (n.d.). Drugstore sleep aids may bring more risks than benefits. Harvard Health. https://www.health.harvard.edu/staying-healthy/drugstore-sleep-aids-may-bring-more-risks-than-benefits
Shinjyo, N., Waddell, G., & Green, J. (2020). Valerian Root in Treating Sleep Problems and Associated Disorders—A Systematic Review and Meta-Analysis. Journal of Evidence-Based Integrative Medicine, 25. https://doi.org/10.1177/2515690x20967323
Shrivastava, D., Jung, S., Saadat, M., Sirohi, R., & Crewson, K. (2014). How to interpret the results of a sleep study. Journal of Community Hospital Internal Medicine Perspectives, 4(5), 24983. https://doi.org/10.3402/jchimp.v4.24983
Stanford Health. (n.d.). Actigraphy. Stanfordhealthcare.org. https://stanfordhealthcare.org/medical-tests/s/sleep-disorder-tests/procedures/actigraphy.html#:~:text=Actigraphy%20is%20a%20non%2Dinvasive
Summer, J. (2021, May 20). Using magnesium for better sleep. Sleep Foundation. https://www.sleepfoundation.org/magnesium
Suni, E. (2020, November 3). Light & Sleep: Effects on Sleep Quality. Sleep Foundation. https://www.sleepfoundation.org/bedroom-environment/light-and-sleep
Suni, E. (2022, April 18). Technology in the Bedroom. Sleep Foundation. https://www.sleepfoundation.org/bedroom-environment/technology-in-the-bedroom
Sweetnich, J. (2023a, April 25). Complementary and Integrative Medicine Approaches to Type 2 Diabetes Management. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-type-2-diabetes-management
Sweetnich, J. (2023b, April 26). Unlocking the Benefits of Vitamin B12: The Importance of Maintaining Optimal Levels. Rupa Health. https://www.rupahealth.com/post/vitamin-b12-101
Sweetnich, J. (2023c, May 4). Getting to Know Vitamin D: From Testing to Supplementing and Meeting your RDA’s. Rupa Health. https://www.rupahealth.com/post/vitamin-d-101-testing-rdas-and-supplementing
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 2021(1), 1–8. https://doi.org/10.1155/2021/5924040
Weinberg, J. L. (2022a, November 16). 4 Science Backed Health Benefits of The Mediterranean Diet. Rupa Health. https://www.rupahealth.com/post/4-science-backed-health-benefits-of-the-mediterranean-diet
Weinberg, J. L. (2022b, December 6). 7 Natural Ways To Stimulate Your Vagus Nerve. Rupa Health. https://www.rupahealth.com/post/5-reasons-you-should-be-stimulating-your-vagus-nerve
Weinberg, J. L. (2023, December 19). The Science of Sleep: Functional Medicine for Restorative Sleep. Rupa Health. https://www.rupahealth.com/post/the-science-of-sleep-functional-medicine-for-restorative-sleep
Weinberg, J. L. (2024a, January 9). The Nutritional Approach to Enhancing Sleep Quality. Rupa Health. https://www.rupahealth.com/post/the-nutritional-approach-to-enhancing-sleep-quality
Weinberg, J. L. (2024b, January 11). Enhancing Sleep Quality During Shorter Days: Insights from Functional Medicine. Rupa Health. https://www.rupahealth.com/post/enhancing-sleep-quality-during-shorter-days-insights-from-functional-medicine
Weinberg, J. L. (2024c, February 29). The Neurobiology of Stress: Cortisol and Beyond. Rupa Health. https://www.rupahealth.com/post/the-neurobiology-of-stress-cortisol-and-beyond
Weinberg, J. L. (2024d, March 14). The Impact of Stress on Inflammation: Coping Strategies for a Healthier Life. Rupa Health. https://www.rupahealth.com/post/the-impact-of-stress-on-inflammation-coping-strategies-for-a-healthier-life
Yoshimura, H. (2023a, October 11). An Integrative Medicine Approach to Circadian Rhythm Disorders. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-circadian-rhythm-disorders
Yoshimura, H. (2023b, November 7). The remarkable power of exercise on our health: A comprehensive overview. Rupa Health. https://www.rupahealth.com/post/the-remarkable-power-of-exercise-on-our-health-a-comprehensive-overview