Sleep

Study: Eating fish might help your mood

By R. Ryan S Patel DO, FAPA OSU-CCS PsychiatristFish option 2

There are increasing number of studies showing that the things we eat can have an impact on our insomnia, anxiety, irritability, energy level, etc.
A recent study looked at fish intake and odds of developing depression.

What did the study involve?
This was a review of 26 studies, involving 150,000 adults; one of the largest studies of its kind.

What did the results show?
After adjusting for many variables, those who ate the most fish had a 17% lower risk of depression than those who did not.

How much fish was eaten by those who had the most benefit?
• The exact amount of fish intake is not clearly established.
• Some people think that the amount that’s beneficial may also be dependent on what else you are eating (vegetables, high quality protein, good fats, whole grain) and what you are not eating (think junk foods, processed grains, etc).

What are some caveats?
• Reduced depression risk was statistically significant only in European countries.
• Omega 3’s might help by impacting serotonin and dopamine transmission in the brain (2–4); since these are important transmitters involved in depression.
• Quality nutrients like protein vitamins and minerals might also help with depression (5-6).

What’s the bottom line?
For some people, fish intake and eating nutritious foods (instead of heavily processed foods) might improve how you feel by improving brain and body functioning, hormones, etc.
How are your eating habits? Are you feeling lousy? Are you eating lousy? Ready to feel better?

What are some campus resources to improve nutrition?
• Nutrition coaching with student wellness
• Nutritionist at Wilce Student Health center
• Nutritionist at the Wexner medical center
• Nutrition books
• Take a nutrition class

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:
1. Fang Li, Xiaoqin Liu, Dongfeng Zhang. Fish consumption and risk of depression: a meta-analysis. J Epidemiol Community Health 2015;0:1–6. doi:10.1136/jech-2015-206278.
2. Delion S, Chalon S, Herault J, et al. Chronic dietary alpha-linolenic acid deficiency alters dopaminergic and serotoninergic neurotransmission in rats. J Nutr 1994;124:2466–76.
3. Zimmer L, Delpal S, Guilloteau D, et al. Chronic n-3 polyunsaturated fatty acid deficiency alters dopamine vesicle density in the rat frontal cortex. Neurosci Lett 2000;284:25–8.
4. Su KP. Biological mechanism of antidepressant effect of omega-3 fatty acids: how does fish oil act as a ‘mind-body interface’? Neurosignals 2009; 17:144–52.
5. Kim JM, Stewart R, Kim SW, et al. Predictive value of folate, vitamin B12 and homocysteine levels in late-life depression. Br J Psychiatry 2008;192:268–74.
6. Skarupski KA, Tangney C, Li H, et al. Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time. Am J Clin Nutr 2010;92:330–5.

Blue Blockers and other ways to reduce electronics-induced sleep disruption, and daytime tiredness

By R. “Ryan” S Patel DO, FAPA-OSU CCS Psychiatristblue_light

Blue spectrum light from electronics suppresses melatonin for several hours after use (1,2) and disrupts your circadian (sleep wake cycle) clock (3). This impacts sleep quality and daytime tiredness (4). Sleep disruption can also impact anxiety, depression, and many other health conditions (5).

So it may be worth avoiding use of electronic devices such as computer, tv, tablets, smartphones, etc. 1-3 hours before bedtime.
Some suggest replacing exposure to bright light bulbs with dim light bulbs around bedtime (6) may also be helpful. There are even light bulbs that do not emit blue light.

What if I need to use electronics at bedtime?
Sometimes it may be necessary to be on the computer, tv, smartphone, etc right before bedtime.
Blue blockers may help prevent sleep disruption from electronics.

How do blue blockers work?
They block blue light emitted by electronic devices, thus melatonin is not disrupted (6).

What are some examples of blue light blockers?
Some examples include blue blocker eye glasses, software programs that prevent your device from emitting blue light, plastic filter screens that are placed on top of the screens to block blue light, and light bulbs that do not emit blue light. You can search for “blue light blockers” “blue light filters”, “bedtime reading software” etc. in a search engine, or in an app store.

Do blue blockers work?
There are small studies that show blue blockers work to prevent melatonin disruption and improve quality of sleep and mood.
For example, 20 subjects were randomized to use either blue blocking glasses, or non blue blocking glasses 3 hours before bedtime over a 2 weeks period (7).

What did the results show?
Those who used blue-blocking glasses reported better sleep quality and mood.

Words of caution:
• You still need to be mindful of getting enough hours of sleep—getting 4 or 5 hours of quality sleep when you need 8 will still leave you tired.
• Blue blocking methods may not help with your sleep if your device usage is overly entertaining or emotionally intense.
• You still need to address other causes such as use of caffeine, nicotine, alcohol use, etc.
• This is still a relatively new terrain and further research is needed.

Are you sleeping poorly? Are you tired during the day? Are electronic devices interfering with your sleep; can you cut down your usage before bedtime? Can blue blockers help you?
What are other ways to improve sleep?
National sleep foundation sleep tips.

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.
References:
1. Brainard GC, Hanifin JP, Greeson JM, Byrne B, Glickman G, Gerner E, et al.
Action spectrum for melatonin regulation in humans: evidence for a novel
circadian photoreceptor. J Neurosci 2001;21(16):6405–12 [August 15, PMID:
11487664].
2. Thapan K, Arendt J, Skene DJ. An action spectrum for melatonin suppression:
evidence for a novel non-rod, non-cone photoreceptor system in humans. J
Physiol 2001;535(Pt 1):261–7 [August 15, PMID: 11507175].
3. Smith MR, Revell VL, Eastman CI. Phase advancing the human circadian clock
with blue-enriched polychromatic light. Sleep Med 2008 [September 18,
PMID: 18805055].
4. Fossum IN, et al. The Association Between Use of Electronic Media in Bed Before Going to Sleep and Insomnia Symptoms, Daytime Sleepiness, Morningness, and Chronotype. Behavioral Sleep Medicine. Volume 12, Issue 5, 2014, pages 343- 357. Published online: 14 Jul 2014. DOI: 10.1080/15402002.2013.819468.
5. http://sleepfoundation.org/sleep-disorders-problems
6. Kayumov L, et al. Blocking Low-Wavelength Light Prevents Nocturnal Melatonin Suppression with No Adverse Effect on Performance during Simulated Shift Work. The Journal of Clinical Endocrinology & Metabolism 90(5):2755–2761.
7. Burkhart K1, Phelps JR. Amber lenses to block blue light and improve sleep: a randomized trial. Chronobiol Int. 2009 Dec;26(8):1602-12. doi: 10.3109/07420520903523719.

Smartphone use before bedtime might impact sleep, and daytime tiredness

Smartphone or cellphones are a useful tool and when used properly can have many benefits.
Many students frequently use cell-phones and often very close to bedtime. Students may not know that cellphone use might impact their ability to sleep at night and this might impact their daytime energy levels.
This study explored the relationship between cellphone use at bedtime and sleep.

Who was studied?
532 students aged 18–39 were recruited from lectures or via e-mail (1).
Mean time of media use per night was 46.6 minutes.

What were the study results?
Mobile phone usage for playing/surfing/texting was positively associated with insomnia.
Computer usage for playing/surfing/reading was positively associated with insomnia.

What do the results mean?
Computer or cellphone use in bed before bedtime may worsen your sleep.

How does screen time impact sleep?
There are various potential causes:
Media use might make it take longer to fall asleep (2).
Media use might mean less time spent sleeping, thus reducing sleep (3).
Bright light emitted by electronic devices might impact sleep quality (4).

Light exposure might be temporarily activating you (5-6).

Are you sleeping poorly? Are you tired during the day? Is screen time before bed impacting your sleep? Will cutting down on screen time improve your sleep? How do you know?

By R. Ryan S Patel DO, FAPA, OSU-CCS Psychiatrist
Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References
1. Fossum IN, et al. The Association Between Use of Electronic Media in Bed Before Going to Sleep and Insomnia Symptoms, Daytime Sleepiness, Morningness, and Chronotype. Behavioral Sleep Medicine. Volume 12, Issue 5, 2014, pages 343- 357. Published online: 14 Jul 2014. DOI: 10.1080/15402002.2013.819468.

2. Higuchi, S., Motohashi, Y., Liu, Y., & Maeda, A. (2005). Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep. Journal of Sleep Research, 14, 267–273.
3. Van den Bulck, J. (2004). Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-school children. Sleep, 27, 101–104.
4. Cain, N., & Gradisar, M. (2010). Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine, 11, 735–742.
5. Cajochen, C., et al. (2011). Evening exposure to a light-emitting diodes (LED)-backlit computer screen affects circadian physiology and cognitive performance. Journal of Applied Physiology, 110, 1432–1438.
6. Campbell, S. S., et al. (1995). Light treatment for sleep disorders: Consensus report. III. Alerting and activating effects. Journal of Biological Rhythms, 10, 129–132.