{"id":52290,"date":"2020-03-11T14:35:01","date_gmt":"2020-03-11T18:35:01","guid":{"rendered":"https:\/\/www.ottawahospital.on.ca\/?p=52290"},"modified":"2020-09-21T16:55:35","modified_gmt":"2020-09-21T20:55:35","slug":"shift-work-and-sleep-sleep-tips-from-the-experts","status":"publish","type":"post","link":"https:\/\/www.ottawahospital.on.ca\/en\/healthy-tomorrows\/shift-work-and-sleep-sleep-tips-from-the-experts\/","title":{"rendered":"Shift work and sleep: Sleep tips from the experts"},"content":{"rendered":"\n<p><em>Shift workers may have trouble sleeping because their irregular schedule may interfere with their internal sleep cycle. Using \u201cshut down\u201d rituals and writing down what keeps coming to mind are two strategies that can help improve sleep.<\/em><\/p>\n\n\n\n<p>Sleep is something we all struggle with sometimes, and yet\nit is one of the most important things we can do for our health. How do you\nensure you\u2019re getting enough sleep, especially as a shift worker? Sleep physician\nand researcher Dr. Tetyana Kendzerska and health psychologist Dr. Kerri Ritchie\nfrom The Ottawa Hospital offer insights and sleep tips for shift workers.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How can shift work affect sleep?<\/h2>\n\n\n\n<p>Shift work can affect <a href=\"https:\/\/sleeponitcanada.ca\/all-about-sleep\/sleep-a-personal-and-lifelong-natural-need\/\">our\nnatural sleep\/wake cycle<\/a>, called the circadian rhythm. Circadian rhythm is like\na 24-hour clock inside our brains. It helps us cycle between being awake and\nfeeling sleepy in a regular, predictable rhythm. <\/p>\n\n\n\n<p>\u201cWith shift work, we are messing with this internal clock,\u201d\nexplained Dr. Kendzerska, sleep physician, sleep and respirology researcher,\nclinical investigator and associate scientist at The Ottawa Hospital. \u201cShift\nworkers may have limited sleep, fragmented sleep or interrupted sleep. They may\nnot be reaching all the sleep stages they need to get a good quality sleep,\u201d\nshe said.<\/p>\n\n\n\n<p>Shift work can also affect other body systems, like\ndigestion, which can have a negative impact on sleep quality.<\/p>\n\n\n\n<p>\u201cWe have internal clocks for other organs and body functions\nas well,\u201d she explained. \u201cIf our sleep clocks and our digestive clocks are out\nof sync, for example, our stomachs may be in high gear just as we are trying to\nsettle down to sleep. If that happens, both our stomach function and our sleep\nquality can suffer.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why is sleep important? <\/h2>\n\n\n\n<p>Sleep, like exercise and nutrition, is an important factor\nin overall health. It helps us fight infection, plays a role in retaining\nmemory and helps prepare us for the next day. Good sleep can support good\nhealth, while poor sleep can cause poor health.<\/p>\n\n\n\n<p>So, if sleep\nis so central to our health, why do some of us have a hard time getting to\nsleep and staying asleep? <\/p>\n\n\n\n<p>\u201cWe live\nbusy, plugged in lives,\u201d said Dr. Kerri Ritchie, clinical psychologist and\nProfessional Practice Coordinator of Psychology at The Ottawa Hospital. \u201cMany\nof us are finding it more difficult to unplug from our devices. Our brains are\non the constant lookout for new information, and thanks to technology, we have\neasy 24\/7 access to it. That can affect when and how well we sleep.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the symptoms of not getting enough sleep?<\/h2>\n\n\n\n<p>Many shift workers are familiar with the less serious\nsymptoms of not getting enough sleep. They can include irritability, trouble\nconcentrating, ongoing fatigue, lower productivity, morning headaches and\nfalling asleep unintentionally, but Dr. Kendzerska warns that chronic lack of\nsleep may cause more serious health problems, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>mental ill health like anxiety and depression<\/li><li>cardiovascular diseases<\/li><li>diabetes<\/li><li>metabolic changes<\/li><li>lower pain tolerance <\/li><li>comorbidities (two or more health conditions at\nthe same time.)<\/li><\/ul>\n\n\n\n<p>Not sleeping enough can also be dangerous. It can be a\nfactor in car crashes, workplace accidents and injuries.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Night shift vs. day shift<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"740\" height=\"600\" src=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2020\/03\/Shift_Work_And_Sleep_The_Ottawa_Hospital_Night_Work.jpg\" alt=\"Shift work and sleep The Ottawa Hospital night work\" class=\"wp-image-52292\" srcset=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2020\/03\/Shift_Work_And_Sleep_The_Ottawa_Hospital_Night_Work.jpg 740w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2020\/03\/Shift_Work_And_Sleep_The_Ottawa_Hospital_Night_Work-600x486.jpg 600w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2020\/03\/Shift_Work_And_Sleep_The_Ottawa_Hospital_Night_Work-300x243.jpg 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><figcaption><em> Regular night shift workers need to change their internal clock just once. But a person on an irregular shift has to keep changing their alertness hours.<\/em><\/figcaption><\/figure>\n\n\n\n<p>According to Dr. Kendzerska, regular night shift workers\nmight in fact have an easier time adjusting their internal clocks than people\nwho work some days and some nights.<\/p>\n\n\n\n<p>\u201cRegular night shift workers need to change their internal\nclock just once,\u201d she said. \u201cEventually your body learns to sleep during the\nday and work at night. But when a person is on an irregular shift, he or she\nhas to keep changing their alertness hours and it is harder for their internal\nclock to develop a regular rhythm.\u201d <\/p>\n\n\n\n<p>The Center\nfor Advanced Research in Sleep Medicine, in the H\u00f4pital du Sacr\u00e9-Coeur de\nMontr\u00e9al, , has developed a free <a href=\"https:\/\/www.ceams-carsm.ca\/formations\/night_work\/index.html\">web tutorial\nto help people cope better with night work.<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How much sleep should an adult get?<\/h2>\n\n\n\n<p>Based on populational studies, Dr. Kendzerska recommends\nthat adults try to get seven to eight hours of sleep per night. This amount of\nsleep should help most people function properly and make sure that they have\nenough energy throughout their day. <\/p>\n\n\n\n<p>But for many people, getting seven to eight hours of\nuninterrupted sleep is easier said than done.<\/p>\n\n\n\n<p>\u201cAlthough we should all try to get enough good-quality\nsleep, we should also be realistic about how much we can actually get,\u201d\nexplained Dr. Ritchie. \u201cSome things, like taking care of a young child or an ill\nparent will impact when and how much sleep we get, and that\u2019s understandable.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tips for shift workers to get better sleep<\/h2>\n\n\n\n<p>Did you\nknow?<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Some initial <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4667377\/\">research<\/a> has\nfound that you can \u2018bank\u201d your sleep time by adding some sleep beforehand (e.g.\non a different day).<\/li><li>Sleep cycles are 90 to 110 minutes. It is\nhelpful to get at least one sleep cycle. For those who work overnight, try to\ntake a nap in the evening before work. Even if you don\u2019t fall asleep, spending\ntime in a dark and quiet room will help you feel more rested and relaxed, and\nhelp you feel more alert at work.<\/li><\/ul>\n\n\n\n<p>Here are a few ideas and strategies from Dr. Ritchie that\ncan help people, including shift workers, optimize their sleep.<\/p>\n\n\n<div class=\"tips-text-inner toh-pale-red\">\n<h3 class=\"tips-text-inner-title\">Try to minimize<\/h3>\n<ul class=\"tips-text\">\n<li>exercising close to your bedtime.<\/li>\n<li>using technology in the late evening.<\/li>\n<li>consuming stimulants like caffeine and nicotine.<\/li>\n<li>drinking alcohol; it supports relaxation, but interrupts the sleep cycle.<\/li>\n<li>eating big meals close to your bedtime.<\/li>\n<\/ul>\n<\/div>\n<div class=\"tips-text-inner toh-pale-green\">\n<h3 class=\"tips-text-inner-title\">Try out<\/h3>\n<ul class=\"tips-text\">\n<li>\u201cshut down\u201d rituals, like having a dark room, a comfortable bed, and the right room temperature.<\/li>\n<li>taking a warm bath one to two hours before bedtime.<\/li>\n<li>writing down whatever keeps coming back in your mind so that your mind doesn\u2019t keep trying to remember the information.<\/li>\n<li>playing white noise.<\/li>\n<li>listening to music.<\/li>\n<li>counting backwards.<\/li>\n<li>breathing deeply.<\/li>\n<li>turning your clock around so that the light does not disrupt your sleep and so that you are not focusing on the time.<\/li>\n<\/ul>\n<\/div>\n\n\n<p>If you still can\u2019t sleep, try resting with an audio book.\nThis will give your brain a break by having something else to focus your\nthinking.<\/p>\n\n\n\n<p>World Sleep Day is March 13, but sleep health is important\nall year round. Matthew Walker, professor of neuroscience and psychology at the\nUniversity of California, Berkeley, has <a href=\"https:\/\/www.youtube.com\/watch?v=lRp5AC9W_F8\">more tips on how to improve\nyour sleep<\/a>.<\/p>\n\n\n\n<p>Employees of\nThe Ottawa Hospital can find more resources for shift workers on the <a href=\"https:\/\/theottawahospital.sharepoint.com\/sites\/myHospital\/en\/Employee-Services\/Health-and-Safety\/Health-Wellness\/Pages\/Shift-Worker-Support.aspx\">Shift\nWorker Support page of myHospital.<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do I have a sleep disorder?<\/h2>\n\n\n\n<p>If you think\nsomething is wrong with your sleep, talk to your family doctor or primary care provider.\n<\/p>\n\n\n\n<p>\u201cSometimes I\nsee patients who have been suffering with poor sleep for ten years,\u201d explained\nDr. Kendzerska. \u201cSome sleep disorders, like <a href=\"https:\/\/sleeponitcanada.ca\/sleep-disorders\/sleep-apnea\/\">sleep apnea<\/a>,\nare relatively easy to fix with positive airway pressure treatment. Sometimes\nit\u2019s fixed in one day, and the patients say \u2018wow, I have a different life now. Why\nhave I been suffering for so long?\u2019\u201d <\/p>\n\n\n\n<p>You may be referred to <a href=\"https:\/\/www.ottawahospital.on.ca\/en\/clinical-services\/deptpgrmcs\/clinics-and-services\/sleep-centre\/\">The\nOttawa Hospital\u2019s Sleep Centre<\/a>, which can help diagnose and treat patients\nwith sleep-related disorders.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Shift workers face unique challenges when it comes to sleep. Sleep physician and researcher Dr. Tetyana Kendzerska and health psychologist Dr. Kerri Ritchie from The Ottawa Hospital offer sleep tips for shift workers.<\/p>\n","protected":false},"author":25,"featured_media":52293,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[412,374],"class_list":["post-52290","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-tomorrows","tag-population-health","tag-wellness"],"acf":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/52290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/comments?post=52290"}],"version-history":[{"count":0,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/52290\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media\/52293"}],"wp:attachment":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media?parent=52290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/categories?post=52290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/tags?post=52290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}