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YOUR 2025 BRAIN BRAWN MINI RESOLUTION SLEEP BETTER: WEEK 3

3/24/2025

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Increasing Sleep Pressure

 Happy Monday! We hope it is a good morning for you and you are waking feeling more rested. Remember, we're challenging you to try at least one tip each night during our sleep resolution:

 
CCP's Curated Sleep Tips

 
As we mentioned last week, there are two primary drivers impacting alertness and sleepiness at the right times of day. One is the Circadian Rhythm (addressed last week) and the other is sleep pressure.
 
Sleep pressure is our need for sleep and is driven by the neurotransmitter, adenosine.
 
After an evening of sleep, our sleep pressure is typically lowest in the morning and, after a busy day, highest at night. Adenosine is the neurotransmitter responsible for sleep drive. It accumulates in the cells during the day, inducing sleepiness at night and is metabolized during sleep, encouraging wakefulness.
 
Essentially, the “pressure” for sleep rises as the day progresses and adenosine rises in our cells.
 
What do many people do to destroy their sleep pressure?
 
Nap! Naps can be an effective tool to refresh the brain and body on the occasion when you haven’t slept. However, naps become a problem when they replace and interfere with a good night’s sleep because naps reduce sleep pressure. Napping creates a vicious cycle of not sleeping, napping to recover and then not sleeping because you napped! Consistently relying on naps to make up for lost sleep is a sign of a deeper, underlying issue to be discussed with a healthcare professional.

 
How do we increase sleep pressure so we can fall asleep at bedtime?
 
Let's revisit those sleep tips from Week 1 which specifically apply to sleep pressure:
Be consistent.
 
Keep the same bed and wake times.
 
It is not unusual for people in today’s busy world to binge and purge on sleep, a habit known as “sleep bulimia.” In other words, they skimp on sleep most days (purge) and catch up when they can (binge). This may be a quick fix to offset sleep debt (discussed next week!), but as a regular habit it can lead to social jetlag or a misaligned circadian rhythm (discussed last week and in our Special Edition on Daylight Saving Time). The body prefers consistency, which means going to bed and rising at mostly the same time. Your body will reward your consistent sleep schedule with high sleep pressure at your chosen sleep time to help you fall asleep faster.
 
Exercise.
 
Exercise is so powerful at reducing sleep latency improving sleep quality and it is considered a valuable non-pharmaceutical weapon against sleeplessness. Why is that? Exercise promotes the secretion of adenosine!
 
The relationship between sleep and exercise is bi-directional.  Meaning exercise helps you sleep better and sleeping better helps you have the energy to exercise. Conversely, not exercising will prevent sleep pressure from building, interfering with your sleep and not sleeping will leave you without the energy to perform.
 
Be mindful of what you consume and when.
  • Caffeine – As we mentioned in Week 1, the half-life of caffeine is 12 hours. Meaning, half the caffeine from your 8 AM cup of coffee is still in your bloodstream at 8 PM! So, take into consideration the timing of your last cup of caffeine. How does caffeine promote alertness? Well, it blocks adenosine which we now know is important for increasing sleep pressure.

  • Sugar – Sugar and sleep also possess a bi-directional relationship, meaning excessive sugar consumption will impair sleep, and impaired sleep will increase sugar consumption—ugh! Why is that? Studies show consuming excessive sugar leads to longer sleep latency and worsened efficiency. One theory is that sugar decreases magnesium absorption while also increasing its excretion. Magnesium is considered one of nature’s many valiums and helpful for sleep. When you don’t sleep well, the body makes more hunger hormone (ghrelin), less satiety hormone (leptin) and the endocannabinoid system (munchies) is activated, leading you to consume on average 400-600 extra calories a day... typically in the form of sugar for energy.

  • Chocolate – Some people are stimulated by chocolate, mistakenly thinking that it contains caffeine, but there is a very small amount of caffeine in chocolate. Chocolate possesses a substance known as theobromine, which can also block adenosine.

  • Alcohol – While an alcoholic drink may help you fall asleep faster, it will keep you up later in the night reducing the total hours slept and will also impair entry into REM. It also greatly impacts sleep debt, which we will discuss next week!
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​GLOSSARY OF SLEEP-RELATED TERMS

Circadian Rhythm. The 24-hour life cycle of an organism. It is most affected by lightness and darkness and impacts physical, mental and behavioral changes within the organism.
 
Sleep Pressure. The pressure to sleep. It is lowest in the morning upon rising and builds throughout the day to be highest at night.
 
Adenosine. A neurotransmitter that promotes sleep pressure. High amounts of adenosine promote sleep pressure.
 
Sleep Efficiency. The ratio between time spent sleeping vs. time spent in bed. Sleep efficiency of 85% or greater is considered ideal.
 
Sleep Latency. The time it takes a person to fall asleep. Less than 20 minutes is ideal.
 
Sleep Architecture. The basic pattern of normal sleep, divided into REM and non-REM sleep.
 
Glymphatic System. The waste clearance system for the central nervous system. It is most active at night during sleep.
 
Sleep Debt. The difference between the amount of sleep needed and the amount of sleep achieved.

Use the calendar below to log your time in bed. If you have a sleep tracker, log actual hours slept. Note that the benefits of each resolution build upon the others, and the habits we develop are meant to stay with us well beyond the month the resolution is held. We will continue to log meals without sugar alongside our sleep progress.

Feel free to email your Motivated Mondays Coach Michele at [email protected] with your individual questions.

TRACK YOUR PROGRESS

YOUR MINI RESOLUTION: SLEEP BETTER

Log how many hours you've slept each day, and record which sleep tip you followed from the above link. Click or tap to view and download the log
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    MICHELE MCCAMBRIDGE, MPH, MS

    Michele is the Senior VP of Membership Development at Concierge Choice Physicians. She is also a professional in the areas of nutrition, fitness and wellness.

    ​With a Master’s in Public Health from Columbia University and more than 10 years of experience working with the public as a wellness advocate, personal trainer and chef, Michele is passionate about teaching patients the “how to” of health advice.

    She’s taught at NYU, placed in natural body building competitions, is certified in multiple styles of Yoga, and even completed the Natural Gourmet Institute Chef Training program. In addition, Michele recently completed a joint degree Master of Science in Human Nutrition and Functional Medicine.
     As Michele says “my passion is demonstrating how simple lifestyle choices can help people feel and live better.”

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