Tag Archives: happiness

Sleep Deprivation, Metabolic Syndrome and Sunlight

By Marc Sorenson, EdD, Sunlight Institute

It is becoming increasingly obvious that lack of sleep is a major risk factor for human health. In a recent study reported in the journal Sleep Medicine,[i] 2579 adults without metabolic syndrome, were assessed for sleep habits for 2.6 years to determine their risk of developing metabolic syndrome, also known as Met S. Met S is a group of metabolic disorders (high blood pressure, abdominal obesity, high cholesterol, high triglyceride levels, low HDL levels and insulin resistance) that are linked to increased risk of cardiovascular disease and type 2 diabetes. The participants were aged between 40 and 70 years.

Those who slept and average of less than 6 hours daily were 41% more likely to develop Met S than those who slept 6-7.9 hours. Among the measurements that were particularly concerning, were a 30% increased risk of high blood glucose and excess belly fat (both indications of future diabetes), and a 56% higher risk of high blood pressure. The researchers concluded that “Short sleep duration is an independent risk factor for incident metabolic syndrome in a population-based longitudinal study.”

Indeed, Lack of sleep can be deadly. Forbes Magazine online ran an excellent article on sunlight and sleep,[ii] in which they stated the following statistics: “In 2012, 60 Million Americans filled prescriptions for sleeping pills, up from 46 million in 2006.” The article discusses the potential dangers of sleep medications, showing that those who take 18 pills per year have a tripling of the risk of death compared to those who take fewer than that 18. It then describes the results of research showing that people whose workplaces have windows are able to sleep about 46 minutes per night more than those who have no natural light access.  Those who had more exposure to sunlight also were generally happier, had fewer ailments and experienced better vitality than their counterparts without windows.

Many individuals have difficulty sleeping long and soundly enough to feel refreshed. A study by Dr. Julie Gammack exposed test subjects to 30-60 minutes per day of direct sunlight, and according to the Saint Louis University health web site, “Nursing home patients who were exposed to natural light had improved sleep quality, less difficulty falling asleep, fewer episodes of wakefulness during the night and greater satisfaction with the amount of sleep they got.”[iii] Other research by Dr. Ayoub and colleagues in Alexandria, Egypt demonstrated that there were several factors associated with insomnia among the elderly. [iv] Having five or more diseases was associated with a 7.5 times increased risk, anxiety was associated with a 1.9 times increased risk, and depression with a 1.74 times increased risk. There was only one factor that reduced risk. Sunlight exposure was associated with 43% reduced risk. Likely, this was due to the production of serotonin and melatonin due to sunlight exposure (see the last paragraph. Other research has shown that sleep disturbances are more common in sub-arctic areas during the dark time of the year.[v] The message? If one wants to sleep well, sunlight exposure during the day is imperative.

This research on windows is particularly interesting because the effects of sunlight in that case could have had nothing to do with vitamin D, since the sunlight exposure came through windows, which block the UVB light that produces vitamin D. It is likely that the positive effects of sunlight in this case were produced by increasing serotonin levels (a natural mood enhancer) in the brain during the sunlight exposure, and then allowing melatonin (a natural relaxer) during the night.

Lack of sleep is a common, and perhaps deadly, malady. The sun is not our enemy, but a vital friend. Embrace it, but do not burn.

[i] Jang-Young Kim, Dhananjay Yadav, Song Vogue Ahn, , Sang-Baek Koh. A prospective study of total sleep duration and incident metabolic syndrome: the ARIRANG study. Sleep Medicine 2015;16:1511-1515.

[ii] http://www.forbes.com/sites/daviddisalvo/2013/06/18/to-get-more-sleep-get-more-sunlight/

[iii] Gammack, J. Quoted in Medical News Today, April 10, 2005.

[iv] Ayoub AI, Attia M, El Kady HM, Ashour A. Insomnia among community dwelling elderly in Alexandria, Egypt. J Egypt Public Health Assoc. 2014 Dec;89(3):136-42.

[v] Bratlid T, Wahlund B. Alterations in serum melatonin and sleep in individuals in a sub-arctic region from winter to spring. Int J Circumpolar Health. 2003 Sep;62(3):242-54.

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Beware the anti-depressant drugs. Use sunshine instead.

We have discussed the extraordinary ability of sunlight exposure or other bright-light exposure to profoundly increase the production of serotonin, a brain chemical that is a potent mood enhancer. The most remarkable research on this subject was by Dr. Gavin Lambert and his colleagues in Australia. They measured serotonin levels in response to varying degrees of bright light.[1] To do this, they actually took blood samples from internal jugular veins of 101 men and compared the serotonin concentration of the blood to weather conditions and seasons. The results were remarkable: MEN WHO WERE MEASURED ON A VERY BRIGHT DAY PRODUCED EIGHT TIMES MORE SEROTONIN THAN THOSE WHO WERE MEASURED ON A CLOUDY, DISMAL DAY. They also observed that the effect of bright light was immediate, and that there was no holdover from day to day. SEROTONIN LEVELS WERE ALSO SEVEN TIMES HIGHER IN SUMMER THAN WINTER. NO WONDER WE FEEL SO GOOD WHEN WE ARE OUTSIDE IN THE SUMMERTIME!

The most popular anti-depressant drugs also work by keeping serotonin levels higher, but there are frightening side-effects. The Food and Drug Administration (FDA), indicates that antidepressant medications known as selective serotonin re-uptake inhibitors (SSRI’s) may increase depression in some cases and lead to suicidal thoughts.  Some of the brands involved are Paxil, Lexapro, Prozac, Effexor, Zoloft, Wellbutrin, Luvox, Celexa and Serzone, although the FDA listed 34 drugs.  The entire list is at fda.gov/cder/drug/antidepressants/.  They state the following: “The Food and Drug Administration asks manufacturers of all antidepressant drugs to include in their labeling a boxed warning and expanded warning statements that alert health care providers to an increased risk of suicidality in children and adolescents being treated with these agents, and additional information about the results of pediatric studies.”

The FDA lists several additional warnings and instructions about these drugs:

  • Antidepressants increase the risk of suicidal thinking and behavior (suicidality) in children and adolescents with MDD (major depressive disorder) and other psychiatric disorders.

  • Anyone considering the use of an antidepressant in a child or adolescent for any clinical use must balance the risk of increased suicidality with the clinical need.

  • Patients who are started on therapy should be observed closely for clinical worsening, suicidality, or unusual changes in behavior.

  • Families should be advised to closely observe the patient and to communicate with the prescriber.

Missing are two important facts: (1) SSRI’s increase bone loss.[2] Women who used SSRI’s lose nearly 80% more bone per year than non-users! And as expected, later research shows that SSRI use correlated to a 75% greater likelihood of sustaining a fracture.[3] Secondly, SSRI’s don’t work very well. A meta-analysis of data on SSRI’s submitted to the FDA indicates that placebos (sugar pills) are as effective as SSRI’s in reducing depression; [4] in other words, only drug companies benefit from SSRI’s—not depression sufferers.

Based on that information, it seems prudent to increase our endorphins (and our happiness) through sunlight exposure. It is what nature intended.

 

[1] Lambert GW, Reid C, Kaye DM, Jennings GL, Esler MD. Effect of sunlight and season on serotonin turnover in the brain. Lancet. 2002 Dec 7;360(9348):1840-2.

[2] Diem SJ, Blackwell TL, Stone KL, Yaffe K, Haney EM, Bliziotes MM, Ensrud KE.. Use of antidepressants and rates of hip bone loss in older women; the study of osteoporotic fractures.  Arch Intern Med 2007:167:1231-32.

[3] Sheu YH, Lanteigne A, Stürmer T, Pate V, Azrael D, Miller M5. SSRI use and risk of fractures among perimenopausal women without mental disorders. Inj Prev. 2015 Jun 25. pii: injuryprev-2014-041483. doi: 10.1136/injuryprev-2014-041483. [Epub ahead of print]

[4] Kirsch, I. et al.  Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLoS Medicine 2008;5:e45.  doi:10.1371/journal.pmed.0050045

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Working in Natural Light Improves Mood, Performance, Behavior and Psychological Health.

By Marc Sorenson, EdD.  Sunlight Institute

There are few things that improve our wellbeing like arising early in the morning and walking outside on a bright, sunny day. Our attitude improves, our serotonin and endorphin levels increase and there is an almost immediate feeling of exhilaration. We also become less confrontational, and our minds seem to click on all cylinders. Later on, around midday, if we are fortunate enough to have time to safely sunbathe (with lots of skin exposed), we produce large quantities of vitamin D, and our nitric oxide levels increase. This gives us a delicious feeling of relaxation and an almost instantaneous lowering of blood pressure as the cares of the day melt away.

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