8 reasons why you wake up tired, and how to fix it – WDJT
Posted: August 11, 2022 at 2:11 am
By Kristen Rogers, CNN
(CNN) -- You sleep for seven to eight hours almost every night, only to feel unrested through the morning or even most of the day. How could you be following a golden rule of sleep so right, yet feel so wrong?
This discrepancy is often due to a heightened state of sleep inertia, a circadian process that modulates memory, mood, reaction time and alertness upon waking, according to a 2015 study. Some people experience impaired performance and grogginess in this period after first turning off the alarm. The effects of sleep inertia usually go away after 15 to 60 minutes but can last for up to a few hours.
Sleep inertia impairs more sophisticated cognitive skills such as evaluative thinking, decision-making, creativity and rule usage, and gets worse the more sleep deprived a person is.
But even if your job isn't saving lives or driving a truck overnight, experiencing sleep inertia for hours can still affect your quality of life.
The way to address this begins with evaluating your sleep using the "two Qs," said pulmonary and sleep specialist Dr. Raj Dasgupta, a clinical associate professor of medicine at the University of Southern California's Keck School of Medicine. "If you're getting the good quantity sleep, the next question is, 'Am I getting good quality sleep?'"
Dasgupta suggested seeing a sleep specialist, who can check for an underlying or primary sleep disorder. But there are other more easily modifiable factors that could be interfering with the restoration and recovery processes -- such as memory consolidation, hormone regulation and emotional regulation or processing -- that need to happen during sleep.
"There are a lot of conditions that cause fatigue, but they don't necessarily make people feel like they're ready to fall asleep," said Jennifer Martin, a professor of medicine at the David Geffen School of Medicine at the University of California, Los Angeles, and president of the American Academy of Sleep Medicine.
These can include chronic pain conditions, metabolic or thyroid conditions, anemia, and chronic obstructive pulmonary disease.
If you're feeling inexplicable fatigue, "an important first step might just be a routine physical with your family doctor," Martin said.
Additionally, the National Sleep Foundation has said healthy adults need seven to nine hours of sleep nightly, so you might need more than eight hours of sleep to feel energized. You could try going to sleep an hour earlier or waking an hour later than usual and see if that makes a difference, said Christopher Barnes, a professor of management at the University of Washington who studies the relationship between sleep and work.
If you're sedentary, your body can get used to only having to expend low levels of energy -- so you might feel more tired than you should when trying to do basic daily activities, Martin said.
The World Health Organization has recommended that adults get at least 150 minutes (2 1/2 hours) of moderate-to-vigorous physical activity weekly, while pregnant people should do at least 150 minutes of moderate aerobic and strengthening exercises per week.
Having anxiety or depression can be energetically taxing, Dasgupta said. These conditions can also negatively influence the time needed to fall asleep, as well as whether (and how many times) you wake up throughout the night, he added.
And sometimes the medications used to treat depression or anxiety can have side effects such as insomnia or blocking deeper stages of sleep, Dasgupta said.
Sometimes our schedules differ on weekdays versus weekends, Barnes said. Schedules can also fluctuate for people with shift-based jobs.
"A very common practice would be to say, 'OK, well, it's Friday night. I don't have to work tomorrow morning, so I can stay up a bit later,'" Barnes said. Maybe you stay up even later Saturday night since you don't have to work Sunday either, then go to bed earlier on Sunday ahead of the work week.
But by this point, you've already adjusted your sleep schedule back by a couple of hours in a short period of time. "This is very much analogous to jet lag," Barnes said. "That rapid reset doesn't work very well."
More than 50% of your body is made of water, which is needed for multiple functions including digesting food, creating hormones and neurotransmitters, and delivering oxygen throughout your body, according to the Cleveland Clinic. Being dehydrated has been linked to decreased alertness and increased sleepiness and fatigue.
The Institute of Medicine recommends women consume 2.7 liters (91 ounces) of fluids daily, and that men have 3.7 liters (125 ounces) daily. This recommendation includes all fluids and water-rich foods such as fruits, vegetables and soups. Since the average water intake ratio of fluids to foods is around 80:20, that amounts to a daily amount of 9 cups for women and 12 cups for men.
Having good sleep hygiene includes keeping your bedroom dark, quiet and cold at night -- and only using it for sleep and sex.
Avoid consuming caffeinated drinks less than six hours before bedtime; and limit the consumption of alcohol and heavy or spicy foods at least two hours before bed. Alcohol can prevent deeper stages of sleep, and such foods can cause digestive issues that interfere with restorative sleep.
"The person (or pet) with whom you share a bed has a big impact on your sleep," Martin said.
Maybe your bed partner has a sleep disorder and snores or tosses and turns. Or maybe they have a different schedule that's disruptive to your sleep. Pets can also disrupt your sleep schedule since they don't have the same sleep patterns as humans, she added.
"The most important thing -- if your bed partner snores -- is to get them to see a sleep specialist and have them evaluated for sleep apnea," Martin said. Sleep apnea -- a condition wherein breathing stops and restarts while someone's sleeping -- is common in people who snore, she added.
On that note, sleep disorders are another factor that can dramatically diminish sleep quality, Barnes said.
Someone with sleep apnea might wake up 50 times, 100 times or even more throughout the night, he added.
"Once you're awake, you're no longer in the deep sleep and you don't get to usually drop immediately into the deepest sleep," Barnes said. "Bringing people out of that deep sleep by waking them up is going to generally result in less time spent in the deepest stage of sleep."
Other sleep disorders that can affect daily energy levels include narcolepsy and restless legs syndrome, according to the US Centers for Disease Control and Prevention.
The ideal way to track sleep quality and quantity -- especially if you think you could be diagnosed with a sleep disorder -- is undergoing polysomnography at a sleep clinic, Barnes said.
Apps and electronic wearables -- such as watches or rings -- that measure sleep aren't as accurate as clinic tests, but still provide sufficient information for healthy adults, Barnes said. "I'd want to know that it was developed and then validated against another, more accurate device."
The-CNN-Wire & 2022 Cable News Network, Inc., a WarnerMedia Company. All rights reserved.
Read more here:
8 reasons why you wake up tired, and how to fix it - WDJT
- Hormone therapy: Is it right for you? - Mayo Clinic [Last Updated On: May 4th, 2015] [Originally Added On: May 4th, 2015]
- LifeXmd :: Bioidentical Hormone Replacement Therapy Center [Last Updated On: May 4th, 2015] [Originally Added On: May 4th, 2015]
- Bioidentical hormones: Are they safer? - Mayo Clinic [Last Updated On: May 4th, 2015] [Originally Added On: May 4th, 2015]
- Diabetes and Hormone Center of the Pacific [Last Updated On: May 4th, 2015] [Originally Added On: May 4th, 2015]
- Hormone Replacement Clinic | Topeka & Lawrence KS [Last Updated On: May 4th, 2015] [Originally Added On: May 4th, 2015]
- Integrative Health and Hormone Clinic Cedar Rapids, IA [Last Updated On: May 31st, 2015] [Originally Added On: May 31st, 2015]
- Hormone Center - Home [Last Updated On: May 31st, 2015] [Originally Added On: May 31st, 2015]
- How Are Hormones And Anxiety Related? - Calm Clinic [Last Updated On: June 13th, 2015] [Originally Added On: June 13th, 2015]
- Women's Mood & Hormone Clinic / Moms Program | UCSF ... [Last Updated On: July 3rd, 2015] [Originally Added On: July 3rd, 2015]
- Dallas Anti Aging Clinic for Men | Male Hormone ... [Last Updated On: July 3rd, 2015] [Originally Added On: July 3rd, 2015]
- Hormone clinic to open - News Sentinel Story [Last Updated On: July 10th, 2015] [Originally Added On: July 10th, 2015]
- Male Hormone Replacement - Testosterone - The Turek Clinic [Last Updated On: August 1st, 2015] [Originally Added On: August 1st, 2015]
- Bio-Identical Hormones & Women's Services at Dr. Wright's ... [Last Updated On: August 21st, 2015] [Originally Added On: August 21st, 2015]
- HGH Therapy | HGH Clinics | Human Growth Hormone Therapy [Last Updated On: August 24th, 2015] [Originally Added On: August 24th, 2015]
- Long Island Hormone Therapy Clinic NY, Anti-Aging Clinics ... [Last Updated On: September 25th, 2015] [Originally Added On: September 25th, 2015]
- Home - Seattle Hormone Replacement Clinic for Men [Last Updated On: September 25th, 2015] [Originally Added On: September 25th, 2015]
- Medical Weight Loss Clinic of Utah - Hormone Replacement ... [Last Updated On: September 29th, 2015] [Originally Added On: September 29th, 2015]
- What are Hormones? - Hormone Replacement Therapy Denver [Last Updated On: October 4th, 2015] [Originally Added On: October 4th, 2015]
- Human growth hormone (HGH): Does it slow aging? - Mayo Clinic [Last Updated On: October 9th, 2015] [Originally Added On: October 9th, 2015]
- Bioidentical Hormone Replacement Therapy - Amen Clinics [Last Updated On: October 12th, 2015] [Originally Added On: October 12th, 2015]
- HD Medspa & Clinic | Lakeview Neighborhood, Chicago, for ... [Last Updated On: October 18th, 2015] [Originally Added On: October 18th, 2015]
- Denver Hormone Therapy | Denver Hormone Health [Last Updated On: April 8th, 2016] [Originally Added On: April 8th, 2016]
- Bioidentical Hormone Replacement Therapy for Men and Women ... [Last Updated On: April 29th, 2016] [Originally Added On: April 29th, 2016]
- The Endocrine Clinic | Singapore Hormone Specialists [Last Updated On: June 5th, 2016] [Originally Added On: June 5th, 2016]
- San Antonio Natural Hormone Therapy Clinic | Bio-Identical ... [Last Updated On: June 16th, 2016] [Originally Added On: June 16th, 2016]
- Does hormone replacement medication ... - Lindora Clinic [Last Updated On: June 30th, 2016] [Originally Added On: June 30th, 2016]
- FEMME CLINIQUE - Bio-Identical Hormone Therapy Clinic ... [Last Updated On: June 30th, 2016] [Originally Added On: June 30th, 2016]
- Dr Colin Holloway | Managing hormone imbalances [Last Updated On: July 2nd, 2016] [Originally Added On: July 2nd, 2016]
- melatonin hormone - University of Maryland Medical Center [Last Updated On: July 7th, 2016] [Originally Added On: July 7th, 2016]
- Human chorionic gonadotropin - Wikipedia, the free ... [Last Updated On: July 20th, 2016] [Originally Added On: July 20th, 2016]
- Talk to Nurse Rita - Health, Nursing & Clinic Matters [Last Updated On: July 24th, 2016] [Originally Added On: July 24th, 2016]
- NATESTO (testosterone) Nasal Gel CIII | Prescriber Site [Last Updated On: August 24th, 2016] [Originally Added On: August 24th, 2016]
- Home : Cleveland Clinic Journal of Medicine [Last Updated On: September 18th, 2016] [Originally Added On: September 18th, 2016]
- Ageing - Wikipedia, the free encyclopedia [Last Updated On: September 21st, 2016] [Originally Added On: September 21st, 2016]
- Melatonin - Wikipedia, the free encyclopedia [Last Updated On: September 24th, 2016] [Originally Added On: September 24th, 2016]
- Hormone Replacement Clinic in NJ | Healthy Aging Medical ... [Last Updated On: October 11th, 2016] [Originally Added On: October 11th, 2016]
- UT Southwestern, Dallas, Texas - UTSW Medicine (Patient ... [Last Updated On: October 15th, 2016] [Originally Added On: October 15th, 2016]
- Clinical Guidelines and Recommendations | Agency for ... [Last Updated On: November 15th, 2016] [Originally Added On: November 15th, 2016]
- Hormone Replacement Therapy | Born Clinic [Last Updated On: November 22nd, 2016] [Originally Added On: November 22nd, 2016]
- Medical Weight Loss | Endocrinology & Hormone Replacement [Last Updated On: November 25th, 2016] [Originally Added On: November 25th, 2016]
- West Coast Womens Clinic - Vancouver Womens Health Clinic [Last Updated On: November 28th, 2016] [Originally Added On: November 28th, 2016]
- Prolactin - Wikipedia [Last Updated On: December 11th, 2016] [Originally Added On: December 11th, 2016]
- Worrying about Anti Mullerian Hormones? | Baby Hopeful [Last Updated On: December 19th, 2016] [Originally Added On: December 19th, 2016]
- Risk of Pregnancy Loss in Subclinical Hypothyroidism - Endocrinology Advisor [Last Updated On: February 7th, 2017] [Originally Added On: February 7th, 2017]
- Public invited to women's clinic opening in New Albany - Evening News and Tribune [Last Updated On: February 7th, 2017] [Originally Added On: February 7th, 2017]
- Thyroid Hormone Therapy for Subclinical Hypothyroidism in Pregnancy - Medical News Bulletin [Last Updated On: February 7th, 2017] [Originally Added On: February 7th, 2017]
- Transgender youth in Alberta need more than 1 part-time clinic, says new campaign - CBC.ca [Last Updated On: February 7th, 2017] [Originally Added On: February 7th, 2017]
- BRUCKNER: UNL a national model for trans, LGBT care - Daily Nebraskan [Last Updated On: February 8th, 2017] [Originally Added On: February 8th, 2017]
- Hospital in Somerset becomes first in NJ to open LGBTQ health center - New Jersey 101.5 FM Radio [Last Updated On: February 8th, 2017] [Originally Added On: February 8th, 2017]
- Four NIH-backed projects aim to advance the artificial pancreas - MobiHealthNews [Last Updated On: February 10th, 2017] [Originally Added On: February 10th, 2017]
- In Transition: Physical transitions can include hormone treatment, surgery - The Baylor Lariat [Last Updated On: February 10th, 2017] [Originally Added On: February 10th, 2017]
- Amphetamine use may 'speed up' heart aging - Medical News Today [Last Updated On: February 11th, 2017] [Originally Added On: February 11th, 2017]
- Nationwide Planned Parenthood protests energize patients, opponents - SFGate [Last Updated On: February 11th, 2017] [Originally Added On: February 11th, 2017]
- Women's wellness: Understanding hypothyroidism and pregnancy - The Killeen Daily Herald [Last Updated On: February 12th, 2017] [Originally Added On: February 12th, 2017]
- How This Police Officer Is Helping Trans Patients Get Better Care - Refinery29 [Last Updated On: February 13th, 2017] [Originally Added On: February 13th, 2017]
- Most cases of thyroid cancer are curable - Post-Bulletin [Last Updated On: February 13th, 2017] [Originally Added On: February 13th, 2017]
- Is hormone melatonin the link between sleep and breast cancer? - Knowridge Science Report [Last Updated On: February 15th, 2017] [Originally Added On: February 15th, 2017]
- In West Africa, clinics confront suspicion, and husbands, one IUD at a time - STAT [Last Updated On: February 15th, 2017] [Originally Added On: February 15th, 2017]
- 'Speed' and other recreational stimulants tied to heart damage - Fox News [Last Updated On: February 16th, 2017] [Originally Added On: February 16th, 2017]
- Research shows balancing hormones can aid weight loss - WLS-TV [Last Updated On: February 18th, 2017] [Originally Added On: February 18th, 2017]
- These transgender patients now have a place to change their lives all at once - Miami Herald [Last Updated On: February 20th, 2017] [Originally Added On: February 20th, 2017]
- Healthy eating, the Hyman way - Durham Herald Sun [Last Updated On: February 21st, 2017] [Originally Added On: February 21st, 2017]
- Balancing hormones and weight loss - UPMatters.com [Last Updated On: February 23rd, 2017] [Originally Added On: February 23rd, 2017]
- Have You Heard of These 5 Heart Attack Risk Factors? - Health Essentials from Cleveland Clinic (blog) [Last Updated On: February 23rd, 2017] [Originally Added On: February 23rd, 2017]
- Feeling stressed? Try these proven methods for chilling out - Los Angeles Times [Last Updated On: February 23rd, 2017] [Originally Added On: February 23rd, 2017]
- Mother & Son Swap Sexes At The Same Time! - Radar Online [Last Updated On: February 23rd, 2017] [Originally Added On: February 23rd, 2017]
- The truth about why some men get sleepy after sex | Fox News - Fox News [Last Updated On: February 25th, 2017] [Originally Added On: February 25th, 2017]
- Wellness experts use hormone balancing to fight obesity - WNDU-TV [Last Updated On: February 25th, 2017] [Originally Added On: February 25th, 2017]
- These transgender patients now have a place to change their lives all at once - San Angelo Standard Times [Last Updated On: February 25th, 2017] [Originally Added On: February 25th, 2017]
- Obese couples may take longer to conceive - Fox News [Last Updated On: March 1st, 2017] [Originally Added On: March 1st, 2017]
- Even More Reason to Kick That Sedentary Lifestyle - LifeZette [Last Updated On: March 1st, 2017] [Originally Added On: March 1st, 2017]
- What Happens When Your Immune System Gets Stressed Out? - Health Essentials from Cleveland Clinic (blog) [Last Updated On: March 1st, 2017] [Originally Added On: March 1st, 2017]
- Boutique Egg Freezing Clinics Are the Latest Trend for Those Looking to Delay Parenthood - Babble (blog) [Last Updated On: March 2nd, 2017] [Originally Added On: March 2nd, 2017]
- Municipal Hospital System Opens NYC's First Public Clinic Offering Gender-Reassignment Surgery - NY1 [Last Updated On: March 2nd, 2017] [Originally Added On: March 2nd, 2017]
- Walking has many Health Benefit - Plainview Daily Herald [Last Updated On: March 3rd, 2017] [Originally Added On: March 3rd, 2017]
- Isoflavones in food associated with reduced mortality for women with some breast cancers - Tufts Now [Last Updated On: March 6th, 2017] [Originally Added On: March 6th, 2017]
- Planned Parenthood New York Now Offers Transgender Hormone Replacement Therapy - The Mary Sue [Last Updated On: March 6th, 2017] [Originally Added On: March 6th, 2017]
- Doctor Allie International Hormone Success Doctor Joins the ... - Satellite PR News (press release) [Last Updated On: March 6th, 2017] [Originally Added On: March 6th, 2017]
- Hormone Therapy Clinic | Human Growth Hormone ... [Last Updated On: March 6th, 2017] [Originally Added On: March 6th, 2017]
- Dubai clinic offering free fertility tests for women throughout March ... - Emirates 24|7 [Last Updated On: March 8th, 2017] [Originally Added On: March 8th, 2017]