{"id":115634,"date":"2025-06-26T07:10:00","date_gmt":"2025-06-26T10:10:00","guid":{"rendered":"https:\/\/www.ufrgs.br\/jornal\/?p=115634"},"modified":"2025-06-27T13:24:53","modified_gmt":"2025-06-27T16:24:53","slug":"sleep-quality-is-health-too","status":"publish","type":"post","link":"https:\/\/www.ufrgs.br\/jornal\/sleep-quality-is-health-too\/","title":{"rendered":"Sleep quality is health too"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Sleep | Sleeping well is essential for the body to function properly, but various disorders and factors can make it difficult to get proper rest<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:10px\"><em><em>*By:\u00a0Rafaela Bobsin<\/em><br>*First published April 25, 2024<br><em>*Photo: Marcelo Pires\/JU<\/em><\/em><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Twenty-year-old Ivan Guevara J\u00fanior used to work during the day and attended university in the evenings. That was when he started having sleeping issues. After seeing several doctors and doing some inconclusive research, Ivan consulted a sleep specialist neurologist, who ordered a polysomnography, a test where an asleep patient has multiple sensors connected to his\/her body \u2013 from the head to the legs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The results showed that Ivan suffers from restless legs syndrome: his legs move involuntarily when he is drowsy or about to fall asleep, inhibiting proper rest. \u201cThose were terrible nights \u2013 as soon as I had fallen asleep, my body would wake me up,\u201d Ivan recalls.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Restless legs syndrome is one of the disorders that can affect sleep, explains Fernando Stelzer, coordinator of the Sleep Laboratory at Santa Casa Hospital. The International Classification of Sleep Disorders lists more than 80 conditions, including insomnia, respiratory problems (such as obstructive sleep apnea), parasomnias (like sleepwalking), movement disorders (such as restless legs syndrome), and circadian rhythm disorders.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Not all disorders will negatively impact sleep or health, like in the case of sleep talking; however, diagnosis and treatment are necessary whenever there are symptoms that affect the quality of life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now 40 years old, Ivan has tried different medications to reduce the symptoms of the syndrome, which has no cure. For the past three years, he has been under the care of Fernando, who has encouraged Ivan to understand what triggers the symptoms, in addition to recommending nighttime aerobic exercises\u2014Ivan uses an exercise bike to work out. \u201cI\u2019ve been able to sleep much better since my medication has been adjusted to a very low dose and I have adopted an aerobic activity routine just before bedtime.\u201d<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">\u201cBefore that, I felt much more like a victim of it.\u201d<\/p>\n<cite>Ivan Guevara J\u00fanior<\/cite><\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.gov.br\/saude\/pt-br\/assuntos\/noticias\/2023\/marco\/voce-ja-teve-insonia-saiba-que-72-dos-brasileiros-sofrem-com-alteracoes-no-sono\">More than 70% of the Brazilian population<\/a> suffers from some type of sleep problem. The most common is insomnia, characterized by difficulty falling asleep, fragmented sleep, or waking up before desired at least three nights a week for at least three months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s important to analyze whether the conditions for adequate rest are present. Fernando reports that many of his patients come to have polysomnography done, saying they cannot sleep early\u2014however, when in a calm and dark place, they fall asleep quickly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maria Paz Hidalgo, coordinator of the Chronobiology and Sleep Laboratory at the Porto Alegre Clinical Hospital (Hospital de Cl\u00ednicas de Porto Alegre \u2013 HCPA) and professor at UFRGS, states that \u201cwe devalue sleep a lot\u201d and clarifies that there are some myths related to the topic. One of them is claiming that by sleeping less, a person will be more productive. The truth is that productivity decreases because the body isn\u2019t well-rested.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are also those who say that consuming alcoholic beverages helps them \u201cpass out,\u201d but this does not mean adequate sleep. Maria explains that, while we sleep, the brain remains active to ensure certain body functions continue. With alcohol consumption, a form of sedation occurs, reducing brain activity and impairing the various stages of sleep.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"824\" height=\"618\" src=\"https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image.png\" alt=\"\" class=\"wp-image-115635\" style=\"width:650px\" srcset=\"https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image.png 824w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image-300x225.png 300w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image-156x117.png 156w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image-768x576.png 768w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image-465x349.png 465w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2025\/06\/image-667x500.png 667w\" sizes=\"(max-width: 824px) 100vw, 824px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Another point is that people have different needs: some are early risers, who sleep and wake up early, while others are evening types, who can only sleep later and need to wake up later. She emphasizes that each person needs to understand their sleep characteristics to reach adequate rest. Furthermore, different life stages change the amount of sleep needed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A chart by the National Sleep Foundation shows that the need for hours of sleep decreases over a lifetime: for a newborn, 14 to 17 hours of sleep are needed, whereas for an elderly person, the number drops to 7 to 8.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While a variety of factors can influence sleep quality, <a href=\"https:\/\/www.ufrgs.br\/telessauders\/perguntas\/insonia\/\">sleep hygiene<\/a> is one alternative that helps promote proper rest. Maria highlights that these are recommendations, not absolute truths. Measures to improve sleep include:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Avoiding alcohol and caffeine before bedtime;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Going to bed only when feeling sleepy;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Scheduling fixed times for sleeping and waking up;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Reducing light and screen stimuli;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Sleeping in the dark.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sleep hygiene is part of the postdoctoral research in Epidemiology developed by Fabiana Carvalho at UFRGS. In her study, Fabiana created informative materials about sleep hygiene and tips for better sleep.<\/p>\n\n\n\n<iframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/FRRxdC-nIU4?si=D5tfvKeNzcjigdZT\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:10px\"><em>Video on sleep hygiene tips produced by Fabiana Carvalho for her postdoctoral research in Epidemiology at UFRGS.<\/em><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Night, Darkness, and Melatonin<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">In October 2021, ANVISA approved the use of <a href=\"https:\/\/www.gov.br\/anvisa\/pt-br\/assuntos\/noticias-anvisa\/2021\/anvisa-autoriza-a-melatonina-na-forma-de-suplemento-alimentar\">melatonin as a dietary supplement<\/a> with a maximum daily dose of 0.21 mg. Melatonin is a hormone naturally produced in various parts of the body, and the supplement became popular as a way to help with sleep, being seen as &#8220;natural&#8221; and &#8220;non-addictive.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fernanda Amaral, a researcher at the Federal University of the State of S\u00e3o Paulo (UNIFESP), has studied melatonin and the pineal gland since her undergraduate studies. She explains that various organs produce the hormone for their own use as an antioxidant (neutralizing free radicals). This includes the skin, which needs to neutralize the radicals produced by sun exposure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The main source of melatonin in the body is the pineal gland, which signals to the entire body the transition from day to night. As darkness falls, the pineal gland produces melatonin, which is carried through the bloodstream to the body and brain, signaling that rest time is approaching, allowing organs to reduce their functions. In other words, melatonin signals to the body that it should prepare for sleep.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Melatonin is only produced in the pineal gland when it\u2019s dark. As night falls, the amount of melatonin in the body increases; when morning comes, it decreases. Therefore, artificial lights, such as those from lamps and electronic devices, delay the start of melatonin production and impact sleep quality.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Without proper rest, the body starts to weaken. Over time, this increases the chances of health problems, such as tumors, psychiatric disorders, and metabolic energy issues (such as heart and brain vascular accidents).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fernanda stresses that the solution is not supplementing with melatonin, as improper doses or timing can disrupt the body\u2019s natural rhythm. \u201cThe best source of melatonin is your pineal gland,\u201d she emphasizes. Reducing light as night falls, using yellow lights in rest areas, and activating blue light filters on electronic devices [as blue light inhibits melatonin production], is recommended to stimulate melatonin production.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Melatonin can help patients with sleep disorders, but only in specific cases. It\u2019s necessary to investigate the cause, as sleep disorders can have psychological, neurological, respiratory, or even dental origins.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Respiratory Disorders: Obstructive Sleep Apnea<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Almost everyone has someone in their family who snores when asleep. Snoring is caused by air passing through a narrowed respiratory space, condition that can disrupt sleep, leading to fatigue and tiredness. It is also a symptom of obstructive sleep apnea (OSA), although not everyone who snores has sleep apnea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In OSA, airflow is partially or completely blocked due to collapse of the upper airways. As a result, snoring occurs, followed by occasional breathing pauses which cause the person to wake up repeatedly throughout the night. Other symptoms include choking, feeling of suffocation, restlessness, palpitations, nightmares, and more.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">OSA can vary in \u201cintensity.\u201d Besides affecting sleep quality, it increases the risk of cardiovascular, metabolic, and neurocognitive diseases, such as hypertension, stroke, cardiac arrhythmia, and type 2 diabetes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to pulmonologist and sleep medicine specialist \u00c2ngela John, from the Porto Alegre Clinical Hospital, treatment should be individualized according to the patient&#8217;s needs. Available in some municipal and state health programs and in the private sector, the approach can include behavioral measures, medications, speech therapy, or devices to open the jaw or keep the airways separated (positive pressure equipment).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1500\" height=\"1000\" src=\"https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires.jpg\" alt=\"\" class=\"wp-image-81478\" srcset=\"https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires.jpg 1500w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-300x200.jpg 300w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-175x117.jpg 175w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-768x512.jpg 768w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-391x260.jpg 391w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-465x310.jpg 465w, https:\/\/www.ufrgs.br\/jornal\/wp-content\/uploads\/2024\/04\/IMG_2307-Por-Marcelo-Pires-695x463.jpg 695w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><figcaption class=\"wp-element-caption\">According to a study released by the Oswaldo Cruz Foundation (Fiocruz), more than 70% of the Brazilian population suffers from sleep-related disorders, including insomnia, which is characterized by having difficulty sleeping (Photo: Marcelo Pires\/JU)<\/figcaption><\/figure>\n<\/div>\n\n\n<h5 class=\"wp-block-heading\"><strong>Do You Grind Your Teeth?<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Another condition that affects rest is sleep bruxism, characterized by increased chewing muscle activity. A person with bruxism clenches, grinds, rubs, or pops their teeth or jaw, which causes pain often confused with headaches or earaches.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Karen Chaves, a professor at the UFRGS School of Dentistry, explains that bruxism can occur during the day, and teeth should only touch when chewing. In such cases, it&#8217;s necessary to be mindful of avoiding tension. Not all episodes of bruxism are audible, so it\u2019s important to watch for pain with a \u201cset time,\u201d such as always having pain upon waking, or after a stressful activity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bruxism has no cure and is related to stress. Treatments with speech therapists and physiotherapists, along with using a night guard, can reduce symptoms. Some psychopharmacological drugs can cause bruxism; in such cases, the recommendation is to adjust the medication or use treatments for bruxism alongside it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The community outreach project <strong><a href=\"https:\/\/www.instagram.com\/atm_sem_restricoes?igsh=MWlxdjN5MHZyZGRncA==\">ATM Without Restrictions<\/a><\/strong>, promoted by the School of Dentistry, provides internal and external services on the topic. Currently, the following activities are carried out:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S.O.S. TMD<\/strong>: Offers support to UFRGS students with bruxism and temporomandibular disorders (TMD). Registration for services is available through the <a href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSdzfkvWIp4j91JCe49tuN76ttMc4x32HSYD-KmgyKcltXztRg\/viewform\">link to the form<\/a>.<\/li>\n\n\n\n<li><strong>Voice Connection<\/strong>: Provides care for transgender patients with mastication dysfunctions and bruxism.<\/li>\n\n\n\n<li><strong>School Connection<\/strong>: Educates students from public schools about bruxism and harmful habits affecting the masticatory system.<\/li>\n\n\n\n<li><strong>Knowledge in TMD<\/strong>: Offers multidisciplinary guidance on masticatory system dysfunctions to the community.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">For more information, visit the project\u2019s Instagram: <a href=\"https:\/\/www.instagram.com\/atm_sem_restricoes?igsh=MWlxdjN5MHZyZGRncA==\">@atm_sem_restricoes<\/a><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>The Pandemic&#8217;s Consequences<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Health professionals interviewed for the report emphasize that anxiety and stress are among the main factors aggravating sleep disorders. These levels increased during the pandemic and have not decreased.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s noticeable that lack of sleep makes people irritable, and in search of a quick fix, they turn to medications. However, drugs often interfere with sleep stages, impacting the quality of rest. It\u2019s necessary to investigate and properly treat what is hindering an individual&#8217;s rest\u2014medications may be an option, but they are not always the best solution. Each case should be individually assessed by a health professional.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ivan has been in treatment for almost twenty years and states that the process \u201cis an adult life decision\u201d for better quality of life. Reflecting on the anxiety he suffered because of the syndrome, he explains: \u201cIt\u2019s never just about not being able to sleep; there\u2019s an avalanche of consequences to that.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Translated into English by Lucas Eduardo Camargo, undergraduate student enrolled in the course &#8220;Supervised Translation Training II (English)&#8221; of the Undergraduate Program in Language and Literature, under the supervision and translation revision of Professor Elizamari R. Becker (P.h.D.) &#8211; IL\/UFRGS.<\/p>\n\n\n\n<div class=\"wp-block-group alignwide\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<div class=\"wp-block-buttons alignwide is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50 is-style-outline animated fadeInDown slow is-style-outline--1\"><a class=\"wp-block-button__link has-text-color has-link-color has-text-align-center has-custom-font-size wp-element-button\" href=\"https:\/\/www.ufrgs.br\/jornal\/category\/in-english\/\" style=\"border-radius:16px;color:#135e96;font-size:15px\">Explore the full section <strong>In English<\/strong> <\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Sleep | Sleeping well is essential for the body to function properly, but various disorders and factors can make it difficult to get proper rest<span class=\"more-link\"><a href=\"https:\/\/www.ufrgs.br\/jornal\/sleep-quality-is-health-too\/\">Leia mais<\/a><\/span><\/p>\n","protected":false},"author":216,"featured_media":81404,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"page_builder":"","footnotes":"","_ppma_block_editor_authors":""},"categories":[4495],"tags":[],"ppma_author":[4698],"class_list":["entry","author-rafaelabobsin","has-excerpt","post-115634","post","type-post","status-publish","format-standard","has-post-thumbnail","category-in-english"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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