Why is sleep so important?

Excerpt taken from the Sleep Doctor. Click below to read the full article.

https://thesleepdoctor.com/physical-health/sleep-and-weight-loss/

4 things to know about how sleep can affect your metabolic health

Sleep alters hormones that regulate hunger and fullness

Hormones that regulate appetite and control calorie consumption are affected by sleep. There is a strong body of research showing that not getting enough sleep increases the production of ghrelin, a hormone that stimulates appetite and makes us inclined to consume more calories. This study found that a single night of short sleep (4.5 hours) elevated ghrelin levels and significantly increased feelings of hunger the following day in healthy, normal weight men. Research also shows that lack of sufficient sleep reduces levels of leptin, a hormone that acts as an appetite suppressant and promotes feelings of fullness. Leptin sends an important message to the brain that we have consumed sufficient calories to meet our energy needs for the time being.

The takeaway: Being sleep deprived delivers a one-two punch to the body’s ability to maintain a balance of energy consumption, in line with our needs for energy expenditure. As this latest research on metabolism indicates, for many decades of adulthood energy imbalance and the weight gain that it creates appear to be less about a reduced capacity to burn calories, but rather about an excess consumption of calories, beyond what the body needs to function. Getting enough sleep to meet your individual sleep needs can help you regulate your appetite and avoid the cravings for sugary and high-fat foods that undermine our best efforts to stick to a healthful eating routine.

Here’s what to know about how sugar affects your sleep.

Lack of sleep changes the way our bodies metabolize fat

Recent research into sleep and metabolism has shown that lack of sleep may diminish the body’s ability to convert fat to energy. The effects of sleep on fat metabolism have been relatively understudied. This area of research is critical to our understanding of the impact of sleep on the body’s ability to maintain energy balance.

This 2019 study looked at the impact of short sleep on fat metabolism in a group of 15 healthy men over a period of 10 nights, with a schedule that simulated a typical work week, with insufficient sleep on consecutive weeknights. In this laboratory study, participants were given a high-fat, high-calorie meal at dinner: a bowl of chili mac and cheese. For four consecutive nights, the participants slept no more than 5 hours.

Using blood tests, the researchers compared metabolic response to the evening meal after 4 sleep-deprived nights, compared to a well-rested response. They found that after 4 consecutive nights of short sleep, participants showed a significant difference in their ability to break down fat into energy, with more fat being stored, rather than consumed as fuel. A subsequent night of recovery sleep, typical of what one might get on a weekend night after a long work week, improved fat metabolism to a degree, but did not restore it to pre-sleep-deprivation levels. Also, researchers found that the men felt less full and satisfied after eating the heavy meal when they were sleep deprived, compared to when they were rested.

The takeaway: We have a lot more to learn about how sleep influences fat metabolism, but there’s an emerging picture that suggests our bodies are less likely to expend fat as energy, and more likely to store it, when we don’t get enough rest on a consistent basis. Shortchanging sleep during a busy work week appears to be enough to have a meaningful impact on our fat-burning capabilities. Maintaining a consistent routine of sleep, with regular bedtimes and waketimes, can prime your metabolism to function at its best.

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Poor sleep quality slows fat burning

More recent research shows that it’s not only the amount of sleep we get, but also the quality of that sleep, that affects how well our bodies burn fat. A study from 2020 by a group of Spanish scientists examined the impact of sleep quantity and sleep quality on fat oxidation (the body’s ability to consume fat as fuel) in a group of sedentary middle-aged adults, ages 40-65. They found lower sleep quality was associated with reduction in rate at which the body burned fat.

The researchers also looked at how diet might influence the relationship between sleep and fat burning. In their analysis, they investigated whether adherence to their participants’ Mediterranean diet—a diet rich in fruits, vegetables, whole grains, healthful oils, nuts, seeds, and lean sources of protein such as fish—affected sleep’s impact on fat oxidation. They found that eating a Mediterranean diet did not diminish the negative association between poor sleep quality and a slower rate of fat burning, in middle-aged people who were not physically active.

The takeaway: Eating well is critical for metabolic health. (It’s also really important for healthy sleep.) But a healthful diet is one component of maintaining a healthy metabolism, and lowering risks for cardiometabolic disease. Sleep matters to the health of your metabolism, independent of your diet. And of course, exercise matters, too. These three are the foundation of healthy aging, yet too often sleep gets shortchanged, including for people who are paying a lot of attention to diet and exercise.

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Poor sleep and circadian misalignment affect glucose and insulin

Glucose, aka blood sugar, is the body’s primary source of energy, broken down from foods we consume. Insulin is a hormone that works as a glucose facilitator and regulator: it works to transfer glucose from blood to cells where it is consumed as fuel, and it acts as a messenger to avoid excess glucose in the bloodstream. Maintaining healthy blood sugar levels and keeping insulin working optimally are critical for metabolic health, and to avoid metabolic conditions such as diabetes.

There is a large and growing body of evidence that poor sleep affects the body’s ability to regulate blood sugar and use insulin effectively. Research shows several ways that poor sleep negatively affects blood sugar and insulin:

• Sleep deprivation and poor sleep quality both inhibit the body’s ability to metabolize glucose and use insulin effectively, which contribute to higher blood sugar levels

• Not getting enough high-quality sleep elevates cortisol, a hormone that in turn contributes to a rise in blood sugar

• Sleeping out of sync with our circadian rhythms is also associated with changes to the body’s ability regulate blood sugar, and with overproduction of insulin and increased cortisol

• Poor sleep increases inflammation, which contributes to insulin resistance (a decrease in the effectiveness of insulin) and elevates blood sugar

The takeaway: Sleeping well is a powerful well to protect metabolic health, because of its influence over blood sugar and insulin. Make time for enough sleep, and follow these strategies to ensure your sleep is high-quality. Sleeping on a consistent schedule, one that aligns with your individual chronotype, is also important to helping to regulate blood sugar and insulin.