Looking for a low-impact exercise routine with high returns for health and sleep? Try yoga.
The pleasures and benefits of yoga are
widely understood: Yoga can improve physical strength and flexibility,
improve breathing, reduce stress and enhance mental focus. What may be
less well known are the positive effects that yoga can have on sleep.
A new study indicates
that yoga can help improve sleep among people suffering from chronic
insomnia. Researchers at Harvard Medical School investigated how a daily
yoga practice might affect sleep for people with insomnia and found
broad improvements to measurements of sleep quality and quantity.
In this study, researchers included people with different types of
insomnia, evaluating people with both primary and secondary insomnia.
Primary insomnia is sleeplessness that develops on its own, independent
of any other health problem or sleep disorder. Secondary insomnia
develops as a symptom or consequence of another medical condition. Many
illnesses and health problems are associated with insomnia,
including cancer, chronic pain conditions such as arthritis and
fibromyalgia, and depression. Medications taken for chronic or acute
health conditions can also trigger insomnia, as can the use (and abuse)
of substances such as alcohol.
Researchers in this study provided their subjects with basic yoga
training, then asked them to maintain a daily yoga practice for eight
weeks. The study participants kept sleep diaries for two weeks before
the yoga regimen began and for the duration of the eight-week study
period. In the sleep diaries, they kept a record of the amount of time
spent asleep, number of times they awakened during the night, and the
duration of time spent sleeping between periods of waking, in addition
to other details about nightly sleep amounts and sleep quality. Twenty
people completed the eight-week evaluation, and researchers analyzed the
information in their sleep diaries to evaluate the influence of yoga on
the disrupted sleep of chronic insomnia. They found improvements to
several aspects of sleep, including:
• Sleep efficiency
• Total sleep time
• Total wake time
• Sleep onset latency (the amount of time it takes to fall asleep)
• Wake time after sleep onset
There isn't a great deal of research into the effects of yoga on
sleep and its potential value as a treatment for sleep problems and
disorders. But we have seen other scientific evidence in recent years of
yoga's effectiveness in improving sleep:
• This study
of 410 cancer survivors found that yoga was linked to improved sleep
quality, reduced feelings of fatigue, reduced frequency of use of sleep
medication, and an improved sense of quality of life among patients who
practiced yoga twice a week for 75-minute sessions.
• This research looked
at the effects of yoga among post-menopausal women with insomnia and
found that yoga was linked to a reduction in symptoms and the severity
of the sleep disorder. This study also found yoga linked to lower stress
levels and an enhanced sense of quality of life.
• In this study of
women with osteo-arthritis and sleep problems, an evening yoga practice
was linked to significant improvements in sleep efficiency and a
decrease in the frequency of individual nights of insomnia.
Insomnia is
the most common sleep disorder among American adults, with 10-15
percent of the population suffering from chronic insomnia. As many as 40
percent of adults in the U.S. experience some type of insomnia every
year. Older people, women, and those with other health problems are at
higher risk for insomnia. Despite its prevalence, insomnia, like many
other sleep disorders, remains significantly under-diagnosed, according
to recent research. This study showed
that while 1 percent of the population surveyed had a clinical
diagnosis of insomnia, 37 percent of those surveyed showed symptoms of
insomnia.
Insomnia may be common, but if left untreated its health consequences
can be anything but benign. Chronic insomnia is associated with a
number of serious medical conditions:
Insomnia is associated with high blood pressure and other cardiovascular problems. This large-scale study found that people with insomnia had significantly elevated risk of heart attack. Insomnia is also associated with inflammation in the body, which is itself a risk factor for heart problems and other serious illnesses.
Research indicates that lack of sleep can have negative effects on cognition, and the brain. This study linked insomnia with destruction of gray matter in the brain. This group of
four studies, conducted independently of one another, found evidence
that poor and fragmented sleep may contribute to impaired cognition as
we age.
Insomnia has been found linked to both anxiety and depression. The relationship between
sleeplessness and these mental health disorders is still being
understood, including whether one condition precipitates the other. But
insomnia, depression and anxiety share a deep and difficult connection.
Lack of sleep, and disrupted sleep, is also associated with obesity. We've seen extensive research that shows under-sleeping is linked to weight gain and the diseases associated with obesity.
With so much at stake, finding effective treatment for insomnia is an
important endeavor. Sometimes medication can be an appropriate choice,
but any treatment is best to begin with basic lifestyle changes. Yoga
and other regular forms of exercise can help to form the basis of a
long-term, sustainable lifestyle that helps you sleep more, and better.
Sweet Dreams,
Michael J. Breus, PhD
The Sleep Doctor™