This Is What It Actually Means To Get A Good Night's Sleep'

Getting a good night’s sleep’ can make you happier, more energetic and sharp.
— Dr. Dale

From This Is What It Actually Means To Get A Good Night's Sleep'

A good night’s sleep is about way more than just clocking seven to nine hours in bed each night. And now, experts in sleep medicine and other health care fields have issued new metrics that spell out exactly what high-quality slumber means.

The National Sleep Foundation, a nonprofit advocacy group, for the first time defined key indicators of good sleep quality in a recent report:

  • Being asleep for at least 85 percent of the time you spend in bed;

  • Taking 30 minutes or less to fall asleep (or up to 60 minutes if you’re 65 or older);

  • Not waking up more than once per night for more than five minutes (or twice a night for five minutes for those 65 or older); and

  • Spending less than 20 minutes total awake after initially falling asleep.

These new metrics are based on the findings from 277 peer-reviewed sleep studies. An expert panel of sleep-medicine specialists and members of other health organizations (including the American Academy of Neurology, the Society for Research of Human Development and the Society for Women’s Health Research) analyzed those studies and agreed on the final version. The sleep-quality indicators are separate from the National Sleep Foundation’s recommendations for sleep durations for various age groups, released in 2015.

The new metrics are meant to help people better understand what good sleep health looks like overall, David Cloud, chief executive officer of the National Sleep Foundation, told The Huffington Post in an email.

“Now more than ever people are using devices [that] track their sleep and generate a tremendous amount of data without providing the tools people need to understand it,” Cloud explained.

Your sleep might look different ― and that’s okay.

The new metrics describe good-quality sleep, Sabra Abbott, a neurologist who specializes in circadian rhythm and sleep disorders at Northwestern Memorial Hospital, told HuffPost. But not everyone’s sleep looks the same, she added.

“Just because you aren’t able to perfectly meet these four guidelines, it doesn’t necessarily mean that you have poor-quality sleep,” Abbott said. The metrics “are useful as an initial target.”

If your sleep does not meet these measures, that’s reason to check what needs improvement ― like spending too much time awake in bed at night, which can make insomnia worse. (If you can’t fall asleep within 20 minutes of waking up in the middle of the night, you should actually get up and do something else to help you relax ― like listening to music or reading. Lying awake in bed can create an unhealthy link between your bed and not sleeping, according to the National Sleep Foundation.)

Not meeting the new metrics may also be a sign of an undiagnosed sleep disorder, like sleep apnea, sleep-wake phase disorder (where your body clock does not run on average time) or insomnia, which can all be treated, Abbott said.

Another important indicator of getting good sleep is how you feel when you wake up, and during the day. “Do you have any reason to think you could be getting better sleep, or you feel tired during the day?” Abbott asked. 

Answering yes to either of those questions, or not meeting the new quality sleep metrics, are red flags, and you should discuss these issues with your physician, Abbott said. Talking about your sleep habits and patterns with your primary-care doctor is just as important as talking about diet and exercise, she said.

“The intent [of the new report] was not to diagnose the public with potential sleep disorders, but rather to provide information to empower people and help them gauge their sleep health,” Cloud added.

Another finding from the report was the need for more research to better understand the parameters of good-quality sleep ― especially which measures correspond to good long-term outcomes for other health measures, Cloud added.

“Ultimately, a better understanding of sleep quality is key to unlocking sleep health overall,” Cloud said.

Tips for a healthy, balanced 2017

Tips on how to be a healthier this year.
— Dr. Dale

From Tips for a healthy, balanced 2017  

Many of us have made a commitment to do better in 2017. For me, it is a personal decision to get healthier and in the process decrease the probability of chronic disease.

I cannot count the number of calls and inquiries about weight management I receive at this time of year. I always advise that a healthy lifestyle has three essential elements: adding more fruits and vegetables to your diet, weight management and physical activity.

According to the Centers for Disease Control and Prevention, only 13 percent of Americans consume the recommended 1.5 to 2 cups of fruit every day, and less than 9 percent for vegetables. I know it isn’t easy, but making an effort will be positive for your overall health.

Try different vegetables, use herbs and spices for seasoning and purchase fruits and vegetables that are in season. I learned I actually like kale. I mix it with cabbage, make salads and incorporate it into soups — much to my children’s dismay. With fruits, I have found that smoothies are a great way to mix it up.

To keep me motivated, I always remember this statement from the American Cancer Research, which is, “The risk for cancer can be reduced 20 percent by just eating five or more servings of fruits and vegetables per day.”

Weight management is the second platform for a healthy lifestyle. American Cancer Research says, “The risk of chronic disease can be reduced by 60 percent to 70 percent by making sensible food choices, achieving and maintaining a healthy weight and being physically active on a regular basis.”

While I am by no means at my optimal weight, I have employed some strategies to help me achieve my goals. Reducing the amount of sodium in my diet by seasoning with herbs and spices, using no-salt-added canned, frozen or fresh vegetables, and reducing hidden sodium from processed meats, pizza, bread and condiments has helped.

Sometimes it’s not what I eat, but how much of it. Controlling portions is important. Dietary guidelines suggest we eat 2-3 ounces of meat, poultry or fish per serving. As a reference, 3 ounces is about the size of a deck of cards — a lot smaller than one would think!

Physical activity also helps in achieving a healthy lifestyle. Learning to incorporate physical activity into jam-packed schedules is a different kettle of fish. It is recommended to do at least 30 minutes of moderate activity five or more days per week.

For me, walking and gardening — in my case, helping with pine straw, leaves and pine cones — have been my go-to activities. The yard is clean and I have done my activity for that day. You may find it easy to incorporate more walking in familiar places like the grocery store. I park farther from the building and walk around the entire store.

Dancing also has been a fun way to get moving. The unintended benefit is that my entire family gets involved because my husband and children also enjoy dancing.

Finally, be smart about your choices and persevere. It may be best to begin with small changes and gradually build up to larger ones. Don’t quit! If you fall off the wagon and don’t meet your goals one day, there is always tomorrow.

SculpSure vs. CoolSculpting

For the people who are curious to know the difference between CoolSculpting and SculpSure.
— Dr. Dale

From SculpSure vs. CoolSculpting 

Getting rid of unwanted fat has never been easier, and today, it can be done through non-invasive techniques. There have been many comparisons between the different options, especially between SculpSure vs CoolSculpting. Both SculpSure and CoolSculpting are FDA-approved non-invasive fat reduction techniques and have seen success as an alternative to lipo. So which non-invasive procedure is better?

Time in the Market

CoolSculpting has been available in the commercial market since 2010 and has established itself as a proven alternative to invasive lipo. On the contrast, SculpSure has only been on the market for less than 6 months. With CoolSculpting, doctors understand all of the possible outcomes and long-term effects. SculpSure just hasn’t been out long enough to know the long-term effects of lasers to your fat! When looking at these facts, it’s easy to say that CoolSculpting wins on this front.

Winner: CoolSculpting

Procedure

CoolSculpting uses the process of freezing and killing your fat cells. After the procedure is done, those fat cells die and are flushed out of the system, never to return. SculpSure uses a direct laser that heats the fat cells in a concentrated area and causes them to release into the body, dissipating fat in that treated area. Both CoolSculpting and SculpSure have had success, however, CoolSculpting has been scientifically supported through dozens of FDA research articles, while SculpSure still has many concerns about its procedure, specifically related to efficacy being lost when the heat is turned down due to pain during the procedure. Many organizations consider SculpSure as “Experimental” (including a Cynosure Training facility!) and strongly believe that freezing fat is more effective and safer long term. If a Cynosure training facility isn’t comfortable offering SculpSure, that says something!

Winner: CoolSculpting

Training

In most states, anyone holding a medical Ph.D is cleared to operate non-surgical procedures, including CoolSculpting and SculpSure, but is this enough? So many doctors are “qualified” to operate CoolSculpting and SculpSure equipment with little to no training! However, CoolSculpting requires a certification program that trains and educates any CoolSculpting operators to ensure maximum results and minimize the chance of injury. To this date, there is no documentation nor any proof that SculpSure has any such training programs. Because of the lack of evidence of training from SculpSure, CoolSculpting wins the training section.

Winner: CoolSculpting

Time

Both CoolSculpting and SculpSure are considerably less time than invasive lipo procedure, which makes non-invasive procedures extremely desirable for those that want to lose stubborn fat! That being said, SculpSure does have a slight advantage over CoolSculpting in the length of the procedure. SculpSure has an average of 30 minute procedure compared to 45–60 minute for CoolSculpting. Both procedures have no downtime, which is a million times better than the average 1 week downtime after traditional liposuction. Time wise, SculpSure wins this round.

Winner: SculpSure

FDA Approval

CoolSculpting received their first FDA approval in 2010 and is currently FDA approved for the abdomen, flanks, thighs, and chin. SculpSure received their first FDA approval in late 2015 and is only approved for abdomen and flanks. Don’t be fooled when doctors offer treatment for arms, back, calves, etc — these areas are NOT FDA approved! Both CoolSculpting and SculpSure CAN treat most areas, but only the above areas are FDA approved. CoolSculpting is currently the only non-invasive fat reduction procedure that is FDA approved for the chin area. Having been cleared to for more treatment areas and for longer, CoolSculpting is the winner of this round.

Winner: CoolSculpting

Track Record & Reviews 

Currently on top review sites such as RealSelf, SculpSure has only 23 reviews on RealSelf compared to CoolSculpting’s almost 800 reviews. The main issue with sites like RealSelf is that anyone can post a review, but I don’t want to get on a soapbox… I’ll save that issue for another blog. RealPatientRatings is a great website for reviews since the request for a review comes straight from the doctor, ensuring all reviews are real. Coolsculpting has almost 400 reviews on realpatientratings.com, while SculpSure has no reviews. While the verdict is still out on SculpSure, CoolSculpting has a proven track record and has consistently shown results.

Winner: CoolSculpting

And the Winner Is…

CoolSculpting has been showing consistent results with no long term side effects for years, while even Cynosure’s training facilities won’t offer their own product, SculpSure, since it’s experimental. In SculpSure vs CoolSculpting, CoolSculpting comes out on top 5 to 1.