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Advice about sleep

ROCHESTER, Minn. (June 10, 1998 01:26 a.m. EDT http://www.nando.net) -- Sleep.
You've been practicing it all your life, but as you get older, you find the
rules have been changed.

Sleeplessness does become more prevalent with age, confirms the Mayo Clinic
Health Letter in a recent issue.

For one thing, the ratio of REM (rapid eye movement) and NREM (non-rapid eye
movement) sleep changes.

NREM sleep comes in four stages: transitional, light, and two stages of deep
or delta sleep -- the most restful and restorative.

REM sleep is a time of increased activity, when you dream and your body
functions speed up.

Sometime between the ages of 50 and 60, you get less NREM and more REM, which
means you're sleeping more lightly and are more prone to be awakened.

Lifestyle changes also have an impact. Being active promotes sleep, but as you
get older, less physical and social activity means you're less primed to drop
off easily.

If you're retired, you have more free time and that often translates into more
coffee and alcohol, or a little extra nap now and then -- all which can
interfere with a regular night sleep routine.

Painful health problems like arthritis, backache, stress and anxiety
contribute to sleeplessness.

So what to do? Here's advice from the Mayo experts:

- Minimize sleep interruptions. Close off the bedroom, keeping it quiet (you
might need a fan or "white" noise to cancel other noises) and at a comfortable
temperature. Drink less before bedtime so you won't have to get up and go to
the bathroom as often.

- Limit your time in bed. Get up the same time each morning, regardless of
when you went to bed the night before.

- Avoid or limit caffeine, alcohol and nicotine. Tobacco and coffee are
stimulants that can keep you awake; you might doze off with an alcoholic
drink, but your sleep will be less restful and you'll wake up frequently.

- Exercise and stay active. Get 20 to 30 minutes of vigorous exercise every
day, about five to six hours before bedtime. Then keep yourself occupied until
bedtime.

- Try to reset your body's clock with light.

- Avoid or limit naps. If you just have to snooze, do it for no longer than 45
minutes.

- Don't try to sleep if you can't. The harder you try, the more elusive it
gets. So turn on the television or read a book.

- Relax. A warm bath or light snack before bedtime can help.

- Check medications. Ask your doctor if your medicine might be contributing to
sleeplessness. Check over-the-counter preparations to make sure they don't
contain caffeine or other stimulants, such as pseudoephedrine.

- Don't put up with pain. Make sure your pain reliever is effective enough to
let you sleep.

- Get help. If these steps don't bring relief or you feel that your insomnia
is related to another sleep-related condition, depression or anxiety, talk to
your doctor.


Copyright 1998 Nando.net
Copyright 1998 The Associated Press

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