importance of it being REM

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Paul Van Dyk
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importance of it being REM

Post by Paul Van Dyk » Thu Apr 21, 2011 11:56 am

So it seems like the REM sleep is the good quality sleep that we are lacking. It is greatly affecting our lives. Basically what we are doing at night, if our sleep is fragmented, is taking naps.


Therefore, what good are naps for us to take? How many minutes after you fall asleep does one typically go into REM? If someone said to me that I looked tired and to go take a 45 min nap, essentially it shouldn't be of much benefit because we just took 8 of them last night (fragmented sleep) so I should let that advice roll off my back?
Paul Van Dyk, M.S.


- have worked in healhcare for well over a decade...

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dukemom1
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Re: importance of it being REM

Post by dukemom1 » Thu Apr 21, 2011 2:49 pm

My sleep doctor tried to explain all of this to me during my first appointment with him, but I am more of a visual person - I need to see and read things to better comprehend them. This info comes from http://www.helpguide.org/life/sleeping:

"Stages of sleep: REM sleep and non-REM sleep stages
All sleep is not created equal. Sleep unfolds in a series of recurring sleep stages that are very different from one another in terms of what’s happening beneath the surface. From deep sleep to dreaming sleep, they are all vital for your body and mind. Each stage of sleep plays a different part in preparing you for the day ahead.

There are two main types of sleep:
Non-REM (NREM) sleep consists of four stages of sleep, each deeper than the last.
REM (Rapid Eye Movement) sleep is when you do most active dreaming. Your eyes actually move back and forth during this stage, which is why it is called Rapid Eye Movement sleep.
The Stages of Sleep
Non-REM sleep
Stage 1 (Transition to sleep) – Stage 1 lasts about five minutes. Eyes move slowly under the eyelids, muscle activity slows down, and you are easily awakened.

Stage 2 (Light sleep) – This is the first stage of true sleep, lasting from 10 to 25 minutes. Eye movement stops, heart rate slows, and body temperature decreases.

Stage 3 (Deep sleep) – You’re difficult to awaken, and if you are awakened, you do not adjust immediately and often feel groggy and disoriented for several minutes.

Stage 4 (More intense deep sleep) – The deepest stage of sleep. Brain waves are extremely slow. Blood flow is directed away from the brain and towards the muscles, restoring physical energy.

REM sleep
REM sleep (Dream sleep) – About 70 to 90 minutes after falling asleep, you enter REM sleep, where dreaming occurs. Eyes move rapidly. Breathing is shallow. Heart rate and blood pressure increase. Arm and leg muscles are paralyzed.

The sleep cycle: Understanding the architecture of sleep
You may think that once you go to bed, you soon fall into a deep sleep that lasts for most of the night, progressing back into light sleep in the morning when it’s time to wake up. In reality, the sleep cycle is a lot more complicated.

During the night, your sleep follows a predictable pattern, moving back and forth between deep restorative sleep (deep sleep) and more alert stages and dreaming (REM sleep). Together, the stages of REM and non-REM sleep form a complete sleep cycle that repeats until you wake up.

The amount of time you spend in each stage of sleep changes as the night progresses. For example, most deep sleep occurs in the first half of the night. Later in the night, your REM sleep stages become longer, alternating with light Stage 2 sleep. This is why if you are sensitive to waking up in the middle of the night, it is probably in the early morning hours, not immediately after going to bed.

Having a hard time getting up? Take advantage of the 90-minute sleep cycle.
Even if you’ve enjoyed a full night’s sleep, getting out of bed isn’t easy if your alarm goes off when you’re in the middle of the deeper stages of sleep (especially stages 3 and 4). If you want to make mornings less painful, set a wake-up time that’s a multiple of 90 minutes, the length of the average sleep cycle. For example, if you go to bed at 10 p.m., set your alarm for 5:30 (a total of 7 ½ hours of sleep) instead of 6:00 or 6:30. You’ll feel more refreshed at 5:30 than you will with another 30 to 60 minutes of sleep, because you’re getting up when your body and brain are already close to wakefulness.

The importance of deep sleep and REM sleep
Getting good, restorative sleep is not just a matter of spending enough hours in bed. The amount of time you spend in each of the stages of sleep matters. A normal adult spends approximately 50 percent of total sleep time in stage 2 sleep, 20 percent in REM sleep, and 30 percent in the remaining stages, including deep sleep.
Each stage of sleep in the sleep cycle offers benefits to the sleeper. However, deep sleep (stages 3 and 4) and REM sleep are particularly important.

Deep sleep
The most damaging effects of sleep deprivation are from inadequate deep sleep. Deep sleep is a time when the body repairs itself and builds up energy for the day ahead. It plays a major role in maintaining your health, stimulating growth and development, repairing muscles and tissues, and boosting your immune system. In order to wake up energized and refreshed, getting quality deep sleep is key. Factors that can lead to poor or inadequate deep sleep include:

Being woken during the night (by outside noise, for example, or in order to care for a crying baby)
Working night shifts or swing shifts. Getting quality deep sleep during the day can be difficult, due to light and excess noise.
Smoking or drinking in the evening. Substances like alcohol and nicotine can disrupt deep sleep. It’s best to limit them before bed.
REM sleep
Just as deep sleep renews the body, REM sleep renews the mind. REM sleep plays a key role in learning and memory. During REM sleep, your brain consolidates and processes the information you’ve learned during the day, forms neural connections that strengthen memory, and replenishes its supply of neurotransmitters, including feel-good chemicals such as serotonin and dopamine that boost your mood during the day.

To get more mind and mood-boosting REM sleep, try sleeping an extra 30 minutes to an hour in the morning, when REM sleep stages are longer. Improving your overall sleep will also increase your REM sleep. If you aren’t getting enough deep sleep, your body will try to make it up first, at the expense of REM sleep.'


Hope this help you. There is a nice bar graph on the website that I was unable to post here. My usual method of posting photos or graphics in HTML didn't work on this site.
"Sleep is the golden chain that ties health and our bodies together." ~Thomas Dekker

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DoriC
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Re: importance of it being REM

Post by DoriC » Thu Apr 21, 2011 9:19 pm

Dukemom1, Great post, thanks!

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Paul Van Dyk
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Re: importance of it being REM

Post by Paul Van Dyk » Thu Apr 21, 2011 11:31 pm

Yes... great post. It's weird how I was overall, more alert between the times when I was going on 3 day cocaine binges than I am now. I beat my body's ass and didn't feel as bad as I do now.

Nice to know that sleep knows what it's doing and I need to just trust the process! Thanks.
Paul Van Dyk, M.S.


- have worked in healhcare for well over a decade...