Disrupted Circadian Rhythm: Tips for Better Sleep Patterns - Family Medicine

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Circadian rhythm disruption is suspected?


Hello Doctor: Recently, due to summer vacation, I have been going to bed very late, around midnight and sleeping until about noon.
However, in the past week, I have noticed that I am experiencing light sleep at night, waking up several times, and sometimes I can't fall asleep at all until dawn.
Doctor, could it be that my biological clock has been disrupted due to sleeping too late, causing a reversal of my day and night? How can I help myself fall asleep at a normal time? Thank you for your response!

sherry, 10~19 year old female. Ask Date: 2024/07/12

Dr. Ye Qianyu reply Family Medicine


Hello! Adjusting your daily routine requires perseverance and determination.
It is recommended to open the curtains to let the morning sunlight into your bedroom.
During the day, try to schedule self-study and exercise as much as possible.
It's important to keep a consistent sleep schedule, avoid eating before bedtime, and minimize exposure to light and sound stimuli.
Typically, it takes about 2-3 weeks for your routine to return to normal.

Reply Date: 2024/07/12

More Info


Disrupted circadian rhythms can significantly affect your sleep quality and overall health. The circadian rhythm is essentially your body's internal clock, regulating sleep-wake cycles, hormone release, and other bodily functions over a 24-hour period. When you shift your sleep schedule, especially to late hours, it can lead to a misalignment between your internal clock and the external environment, resulting in poor sleep quality, difficulty falling asleep, and frequent awakenings during the night.

From your description, it seems that your recent habit of sleeping late—around midnight to noon—has disrupted your natural sleep-wake cycle. This can lead to a phenomenon known as "social jet lag," where your internal clock is out of sync with the societal norms of daytime activity and nighttime rest. As a result, you may experience shallow sleep and frequent awakenings, which can leave you feeling fatigued and groggy during the day.

To help reset your circadian rhythm and improve your sleep patterns, consider the following strategies:
1. Gradual Adjustment: Instead of making a drastic change to your sleep schedule, gradually shift your bedtime earlier by 15-30 minutes each night until you reach your desired sleep time. This gradual approach can help your body adjust without causing too much disruption.

2. Consistent Sleep Schedule: Aim to go to bed and wake up at the same time every day, even on weekends. Consistency reinforces your body's natural sleep-wake cycle and can improve sleep quality over time.

3. Limit Light Exposure: Exposure to bright light in the evening can signal your body to stay awake. Try to reduce screen time from devices like smartphones, tablets, and computers at least an hour before bed. Instead, engage in relaxing activities such as reading a book or practicing mindfulness.

4. Create a Sleep-Inducing Environment: Ensure your bedroom is conducive to sleep. This includes a comfortable mattress and pillows, a cool room temperature, and minimal noise and light. Consider using blackout curtains and white noise machines if necessary.

5. Establish a Relaxing Bedtime Routine: Engage in calming activities before bed to signal to your body that it's time to wind down. This could include practices like meditation, deep breathing exercises, or gentle stretching.

6. Limit Naps: While napping can be beneficial, long or irregular napping during the day can negatively affect your nighttime sleep. If you need to nap, try to keep it short (20-30 minutes) and avoid napping late in the day.

7. Physical Activity: Regular physical activity can promote better sleep, but try to avoid vigorous exercise close to bedtime. Aim for at least 30 minutes of moderate exercise most days of the week.

8. Mind Your Diet: Be mindful of what you consume, especially in the hours leading up to bedtime. Avoid large meals, caffeine, and alcohol close to bedtime, as they can disrupt sleep.

9. Seek Professional Help: If your sleep issues persist despite trying these strategies, consider consulting a healthcare professional or a sleep specialist. They can help identify any underlying sleep disorders and recommend appropriate treatments.

In summary, resetting your circadian rhythm requires a combination of gradual adjustments, consistency, and creating a conducive sleep environment. By implementing these strategies, you can improve your sleep quality and overall well-being. Remember, it may take some time for your body to adjust, so be patient with yourself as you work towards healthier sleep patterns.

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