Massage Therapy and Holistic Care

Find out the latest news, trends and research about massage therapy and general information about health and wellness. *(News links will redirect you to a new page)

Thai Massage: Like Yoga Combined with Touch

Thai massage is a therapy indigenous to Thailand that has been used to promote general wellness, treat disease and injury, and provide comfort. It is one element of Traditional Thai Medicine, which is a comprehensive system of medicine that derives from indigenous practices of Thailand, as well as strong historical influences from Buddhist philosophy, yoga, Ayurveda and Chinese medicine.

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5 Reasons to Join the International Consortium on Manual Therapies

Have you heard of the ICMT—the International Consortium on Manual Therapies? Its goal is to bring together the many diverse practitioners of manual therapies, including massage therapists, chiropractors, osteopaths, structural integrationists, physical therapists and others who specialize in various types of bodywork, in order to allow them to collaborate, share research and understand each other’s approaches.

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Gua Sha: Ancient Practice Promotes Health

The Chinese scraping method of gua sha is rooted in traditional Chinese medicine, and is becoming better known and utilized by Western health care practitioners. There are many uses for this method, including benefiting the skin, muscles, fascia and various body systems. This article will explore gua sha’s impact upon the lymphatic system and provide suggestions on its usage.

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“I Spent How Much on What?” This is How to Create—and Really Stick to—a Budget

Do you know how to stick to a budget? It’s the first step to financial freedom. With the fast pace of life and the many demands on our time, it’s easy to be in denial about finances. A simple and time-tested antidote to this common experience is to develop and work with a budget.

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Honor Your Clients by Staying Within Scope of Practice

Massage therapists are in a unique position in the world of health care. In some states, we are recognized as licensed health care providers; in others, we are not. While most of us strive to meet the highest standards of practice, there is one way to guarantee that we will not: when we deviate from the scope of our professional practice.

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What Color Should I Use for My Massage Room Décor?

When it comes to massage room décor, color can play a role in helping create a soothing environment. You know not to paint your massage room fire-engine red if you want to create a relaxing effect—but there are a lot of paint options between fire-engine red and contractor white.
Now, science can help guide you to make the best paint-color choice for your massage room.

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Massage Heights Serves as Cornerstone Partner for Second Consecutive Year to Support Massage Makes Me Happy Initiative

For the second straight year, Massage Heights, a North American spa franchise brand offering high-quality massage, skincare, and wellness services, will serve as a cornerstone partner for the Massage Makes Me Happy initiative under the Global Wellness Institute (GWI).

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How Does Reflexology Work?

Many studies have indicated benefits of reflexology—but how does reflexology work? The truth is that the mechanism through which reflexology works is not known. There have been many proposals as to how it works; the two most prominent theories are that it works through the nervous system or that it works through the meridians of Traditional Chinese Medicine (TCM).

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The top 8 most common stress-related questions, answered.

The irony is that it’s kind of stressful to find answers about stress.

There’s so much conflicting information out there.

But if you’re a health and fitness professional, your clients—maybe even your friends and loved ones too—will likely turn to YOU for counsel.

They’ll ask things like:

“Is stress REALLY toxic?”

“Do you think stress caused this belly fat I can’t lose?”

And:

“Are these red bumps from stress?”

(Why does everyone insist on showing you their rashes??)

You want to help, but coming up with the right answers can be hard, because:

The right answer depends.

It depends on WHO the asker is, WHAT their goals are, WHERE they’re starting from, and HOW MUCH they’re willing and able to change

The truth is, one-size-fits-all answers to stress-related questions don’t exist.

However, you can build a strong foundation of knowledge about stress that can help you answer these questions with more confidence and expertise.

In this article, we’ll try to give you some resources to do that.

If you want, read the following Q and As from top to bottom. Or, just jump to the ones that interest you the most:

Question #1. Is stress really bad for you?

Question #2. What are the signs of stress?

Question #3. Is stress making me gain / lose weight?

Question #4. How can I stop stress eating?

Question #5. How do I get rid of stress?

Question #6. How do I fit in stress-management strategies and self-care?

Question #7. Is there a diet that will help reduce stress?

Question #8. Is there any way to cool stress fast?

Question #1. Is stress BAD for you?

Yes and no. It’s all about the right amounts—for YOU.

The relationship between stress and health has gained a lot more attention and validity in the past 30 years.

As a result, you’ve likely learned to associate stress with all kinds of terrible things: heart attacks, hair loss, early death.

And while excessive, unrelenting stress definitely erodes health, let’s clear something up:

Not all stress is bad.

In fact, in order to thrive, we actually need some stress to feel juicy, purposeful, and alive.

As the above chart shows, it’s all about finding a stress “sweet spot.”

Go too far in either extreme, and you’ll feel crummy.

How do you find your stress “sweet spot”?

Stress that’s long-lasting, relentless, and demoralizing is also the kind of stress that’s associated with depression and anxiety, cardiovascular disease, diabetes, stroke, and cancer.1

If you’re dealing with those kinds of stressors, consider where you have control, and try to reduce—or even avoid—them when you can.

Also, ask for help. Sometimes having another person around to tackle a problem with you makes the difference between feeling like you’re drowning and feeling like you’ll make it to the shore.

On the flip side, when stress occurs in shorter bursts, and you feel like you have some control over it, as well as opportunities to recover in between, it can actually help you become stronger and more resilient over time.

This kind of stress tends to feel empowering: It helps build you up; not break you down.

One big complication…

What feels stressful is highly subjective.

Turns out, your perception of stress has a big impact on how stress feels—and what it does to your health.

If you believe stress is always terrible and should be avoided at all costs, you’ll be more likely to cling to your comfort zone, fear the future and what could happen, and steer clear of situations that could lead to growth.

(You’re also more likely to experience the negative health effects of stress, like high cortisol.2)

In a cruel self-fulfilling prophecy, stress actually does become more harmful.

However, if you believe stress can make you stronger, wiser, and more resilient, you’ll be more likely to proactively solve problems, seek out challenging experiences—and benefit from stress in your life.

Luckily, you have some control over your perception.

In the spirit of helping you shift your perspective, here are some examples of how some stress can actually enrich various aspects of life:

Stress can strengthen relationships. Some conflict is actually crucial for healthy, secure relationships—it’s a pathway to better understand others. By working through things together, we grow together.

Stress can make you smarter. Managed effectively, stress helps you focus your attention, plan for future challenges, and enhance memory and learning. Stressors might even feel like fun puzzles to solve.

Stress can build muscles and endurance. This is probably the most obvious example, but most of us know that intermittent physical stress—say, from a workout—couped with appropriate recovery helps your body become stronger and more capable.

Choose to believe that stress has the capacity to benefit you. It can help you learn, grow, and live a bigger, more adventurous and meaningful life.

LEARN MORE:

Good stress, bad stress: Finding your sweet spot [INFOGRAPHIC]
Secrets for using stress to build you up—instead of break you down

Question #2. What are the signs of stress?

The signs and symptoms of stress depend a little on whether the stress is acute or chronic.

Acute stress (think: a car just swerved in front of you) generally causes your sympathetic nervous system to ramp up, which releases hormones such as epinephrine (adrenaline) and cortisol.

With acute stress, you might notice:

Your heart beats a little faster
Your breathing gets deeper and quicker
You feel a burst of energy, alertness, giddiness, and/or focus
You might feel a little shaky or even nauseous, if the stress was intense

The stress response is built-in. You don’t have to think consciously about it; your body just responds automatically in this way to all stressors.

Luckily, the recovery response is also built-in. Once a threat recedes, your heart rate and breathing will return to normal, and you’ll feel calm again.

Chronic stress is when that sympathetic activation lasts for days, weeks, or months, without adequate opportunities for recovery.

Just like a rollercoaster, stress can feel energizing in short bouts—but like a nauseating nightmare if you can’t get off the ride. Not surprisingly, chronic stress is more likely to take a toll on your physical and mental health.

Signs of chronic stress include:

Excessive worrying or anxiety
Low mood or energy
Poor appetite, OR an increased desire to “stress eat”
Digestive problems like heartburn or constipation
Trouble sleeping
Unfocused or foggy thinking
Feeling isolated or irritable with others
Frequent colds, flus, or infections
Trouble recovering from workouts, or aches and pains in general
Low sex drive

While the stress response is normal and helpful for short-lived bouts of challenge and excitement, we’re not meant to live in a constant state of activation and threat.

Stress feels best when it’s broken up with periods of recovery.

READ MORE:

Do you have a Stress Bod? [INFOGRAPHIC]

The difference between stress and anxiety

Everyone experiences stress.

Most people will also experience anxiety.

(At least to some degree, at some point.)

Anxiety often involves physical symptoms—tension, increased heart rate, sweating.

But the hallmark aspect of anxiety is a persistent feeling of apprehension or dread.

Although this feeling sometimes seems like it arises from nowhere, it’s usually caused—and perpetuated—by negative thoughts and ruminations like, “I’m never going to get through this” or “Everyone is going to judge me.”

(Overly negative or catastrophic thoughts are also called “cognitive distortions.” Read more about how to deal with them here: The thought tool that can lower your stress instantly)

Stress usually starts in response to an event or situation, and ends when that situation has resolved.

But with anxiety, the “threat” tends to persist even beyond the scope or duration of the event.

While stress can trigger helpful adaptations, anxiety tends not to be super productive. In excess, it can feel pretty debilitating.

The good news

Many stress management techniques are also effective at reducing anxiety.

Journaling, exercise, social connection, and relaxation exercises like breathwork or positive visualization can help with both stress and anxiety.

However, if anxiety is especially intense, long-lasting, or interferes with your quality of life, it’s best to consult a healthcare professional like a therapist or a family doctor.

If you’re a coach, remember that you’re not qualified to diagnose or treat clinical anxiety or depression. If your client struggles with either, the best way you can support them is to refer out to a medical professional who specializes in mental health.

(Trying to help clients with their mental health? Read this first: “I’m a coach, not a therapist!” 9 ways to help people change while staying within your scope)

Question #3. Is stress making me gain / lose weight?

Possibly.

But more likely, stress is affecting your behaviors. And eating behaviors definitely affect body composition.

Here’s how it works

When you’re stressed, your physiology changes—at least temporarily.

Your body’s acute stress response and the accompanying spike in adrenaline releases stored glucose (sugar) into the bloodstream so you have energy to deal with whatever challenge you’re facing.

This increase in blood sugar can reduce your appetite, making you push away your sandwich even if you haven’t eaten all day.

The stress response also dampens digestion.

Even when you do eat, food might feel like it’s just sitting in your gut not moving anywhere, or it might blast through you so fast that you’re afraid to stray too far from a washroom. Because digestion is compromised, you also may not adequately absorb your food.

It’s through both loss of appetite and loss of absorption that some people lose weight during periods of stress.

On the other hand, weight gain during periods of stress is just as common.

Especially when stress becomes chronic, the stress hormone cortisol increases. Cortisol can increase appetite, especially for carbohydrate- and calorie-rich foods.3 4

Most people find eating pleasurable and soothing, so turning to food during times of stress is a common (and understandable) coping mechanism. Of course, when this becomes a habit, excess calories over time can lead to weight gain.

If that’s something you struggle with, check out the next answer below.

READ MORE:

Weekend overeating: 5 surprising strategies to ditch the bingeing, the guilt, and the extra weight

Question #4. How can I stop stress eating?

More than 60 percent of our new clients list emotional or stress eating as a major nutrition challenge. What’s more, over 50 percent say they also “get intense cravings” and “snack when not hungry.”

If you relate, it might be a relief to know you’re not alone. Of course, that’s little consolation when your hands are fumbling for crumbs at the bottom of a freshly opened bag of peanut butter pretzel bites.

But what if you realized this behavior occurs…

Every time your mom calls?
On Sunday nights, when you’re dreading the start of a new week?
Whenever you see, smell, or hear something that reminds you of your ex?

Emotional eating and intense cravings are typically part of a pattern of behavior that’s triggered by a specific experience—a thought, feeling, and/or situation.

If you can identify the trigger, you can disrupt the pattern of behavior and make different choices.

Use the “Break the chain” worksheet to help clients identify their emotional and stress eating triggers. Then, apply the step-by-step strategy at the end of it to create and strengthen alternative coping mechanisms.

READ MORE:

3 unexpected strategies for dealing with stress eating

Question #5. How do I get rid of stress?

You’ll never entirely rid your life of stress.

Nor would you want to.

As we’ve mentioned, stress is a normal—even good—part of a full, meaningful life.

However, many of us end up with stress levels that feel overly disruptive or unhelpful.

Sometimes, that’s impossible to avoid. At some point, most people will face very difficult periods of unavoidable stress: illness, injuries, financial hardships, natural disasters, or a pandemic.

But often, you have some control. Maybe even more than you think.

At PN, we use an exercise called The Spheres of Control.

(If you want, fill out your own spheres of control using this free worksheet.)

With the Spheres of Control exercise, you identify what areas you truly have power over and focus more on them.

This often not only helps people feel less overwhelmed and stressed, but also more effective, capable, and in control.

What about those areas you have zero control over?

By seeing the reality on paper (or a screen), you can give yourself permission to stop wasting precious energy trying to control the uncontrollable. And that in itself can help relieve stress and anxiety.

READ MORE:

Invisible stressors: Are they sucking the life out of your health?

Question #6. How do I fit in self-care?

Sometimes, adding more recovery can be just as effective as reducing stress.

When you recover, you regain, restore, or recuperate what you’ve lost. And you return to your baseline state of wellbeing, health, and performance.

Sounds great, except… what if you feel like you don’t have time to ADD anything else, even if it’s good for you?

A paradigm shift that might help

Instead of looking at stress management as an “on” or “off” switch—you’re either doing ALL the things or NOTHING—think of it more like a “dial.”

The image below shows what stress recovery might look like on a continuum, from devoting five minutes a day to something restorative, all the way to basically making it your job to be a Master of Chill.

(If you want to see how this concept applies to other habits—like those related to nutrition or fitness—check out this infographic: Never press “pause” on your health and fitness again)

To apply this concept, start by identifying your baseline: Are your stress management practices currently at a 1 or 2? Or maybe even a 0?

If so, no judgment. This is just your starting point.

Think about what “a little better” might look like.

Even by one or two “notches.”

Might you add five minutes of journaling to your evening routine? Or a 10 minute walk to get some sun and fresh air in the morning? Consider what just a little better might look like, and start there.

For the extra frazzled, it might help to know that sometimes the BEST time to start a new habit is when you’re busiest.

If you can learn to fit stress management practices into your life when you’re swamped, it’ll feel like a breeze to keep them in there—or even build on them—when life settles down.

(And if life never settles down, at least you didn’t delay your self-care further waiting for the “perfect time.”)

READ MORE:

Feel like you’re failing at self care? It’s not your fault—but we have solutions that can actually help

Question #7. Is there a diet that will help reduce stress?

All over the internet, you’ll find curative diets for stress and anxiety. They put food into neat little categories, and so long as you ONLY eat “do” foods—and judiciously eliminate “don’t” foods—your stress will go away.

If only feeling better were that simple.

Truth is, good mental health depends on many different nutrients from many different foods, as well as a set of fundamental nutrition principles, like:

Getting enough energy (calories) to cover your energy needs
Meeting macronutrient (proteins, carbohydrates, and fats) and micronutrient (vitamins, minerals, and phytonutrients) needs
Drinking enough water
Eating at regular times, whatever that means for you
Consuming mostly minimally-processed foods (like fruits, vegetables, whole grains, legumes, nuts, seeds, animal proteins, and dairy)
Eating slowly and mindfully
Enjoying your food, and the company you share it with

Consistently neglecting the above can add stress.

Prioritizing them—which doesn’t mean doing them perfectly—is probably the most effective nutrition strategy to reduce stress.

If that list looks overwhelming, just start from wherever you are right now, and simply aim to eat “a little better.”

Choose one practice to work on from the above list, and in a couple of weeks, evaluate whether you’re ready to build on it.

Master the fundamentals, and you’ll see that they’re pretty effective on their own, no magic diet needed.

READ MORE:

Nutrition and mental health: What (and how) to eat [INFOGRAPHIC]

Question #8. Is there a way to calm stress fast?

No matter what’s going on in your life, one of the most effective, accessible ways to cool stress FAST is simply to breathe.

Slow, deep breathing stimulates your vagus nerve (the main nerve of your “rest-and-digest” system), which can help relax your whole body.

In turn, this reduces not only your physiological response to stress but also your emotional response.

When you’re calmer and more relaxed, you make better decisions. You’re able to focus better. You feel more in control. And deliberate breathing techniques can help.

One breathing technique we like is called “Box breathing.” It breaks the breath cycle into four 4-second-long stages (like the four sides of a square).

Here’s how to do it

Take a four-second inhale through your nose. But don’t just “breathe into your belly.” Try to pull the air into your chest and mid-back without letting your ribs flare out. (You’ll feel some tension in your abs.)
Hold your inhale for four seconds.
Exhale for four seconds. Imagine that you’re slowly blowing out a big sigh. Keep your body relaxed, but put a little tension into your abs so that you feel them pulling your ribs down and in, toward your spine.
Hold your exhale for four seconds.

Repeat as many times as you’d like. (And feel better.)

READ MORE:

“How can I cope RIGHT NOW?” These self-care strategies might help you feel better

Stress is uncomfortable, but it also helps us grow.

If you’re stressed about answering your clients stress-related questions, think of it this way:

This is an opportunity to expand and deepen your knowledge and coaching skills.

(See? We’re applying a resilience-building mindset already!)

Being a coach who helps clients manage their stress involves, yes, knowing about stress.

But it also means being a fellow human who can relate to their struggles.

Alongside your clients, you can use your knowledge about stress and recovery to take on challenges, and grow into a better coach—and person—than you were before.

References

Click here to view the information sources referenced in this article.

1. Mariotti, Agnese. 2015. “The Effects of Chronic Stress on Health: New Insights into the Molecular Mechanisms of Brain-Body Communication.” Future Science OA 1 (3): FSO23.

2, Uphill, Mark A., Claire J. L. Rossato, Jon Swain, and Jamie O’Driscoll. 2019. “Challenge and Threat: A Critical Review of the Literature and an Alternative Conceptualization.” Frontiers in Psychology 10 (July): 1255.

3. Chao, Ariana M., Ania M. Jastreboff, Marney A. White, Carlos M. Grilo, and Rajita Sinha. 2017. “Stress, Cortisol, and Other Appetite-Related Hormones: Prospective Prediction of 6-Month Changes in Food Cravings and Weight.” Obesity 25 (4): 713–20.

4. Yau, Y. H. C., and M. N. Potenza. 2013. “Stress and Eating Behaviors.” Minerva Endocrinologica 38 (3): 255–67.

If you’re a health and fitness pro…

Learning how to help clients manage stress and optimize sleep can massively change your clients’ results.

They’ll get “unstuck” and finally move forward—whether they want to eat better, move more, lose weight, or reclaim their health.

Plus, it’ll give you the confidence and credibility as a specialized coach who can solve the biggest problems blocking any clients’ progress.

The brand-new PN Level 1 Sleep, Stress Management, and Recovery Coaching Certification will show you how.

 

The post The top 8 most common stress-related questions, answered. appeared first on Precision Nutrition.

The top questions people ask about sleep—and how to answer them

Reviewed by Jennifer Martin, PhD

Google hears about everyone’s sleep problems, at all hours of the night.

And chances are, if BILLIONS of people are wondering why they can’t sleep, why they keep waking up at night, what they can do to fall asleep faster, and how long they should be sleeping, your clients are wondering, too.

In this article, we’re going to cover everything you need to know about the sleep problems your clients are likely to struggle with the most, along with science-supported practices that can help.

In this article, we’ll try to give you some resources to do that.

If you want, read the following Q and As from top to bottom. Or, just jump to the ones that interest you the most:

Question #1. Why can’t I sleep?

Question #2. Why do I keep waking up at night?

Question #3. How much sleep do I need?

Question #4. Why do we sleep?

Question #5. What’s the best way to track sleep?

Let’s start with the top sleep question people type into Google—likely bleary-eyed, at 3 am…

Why can’t I sleep?

Technically, everyone can sleep. Stay awake long enough and sleep will absolutely find you. Our sleep drive is built into our biology.

So when someone types “why can’t I sleep?” into Google, what they’re really asking is:

“Why does it take so long for me to fall asleep?”

Usually, one of the following is going on, says Chris Winter, MD, author of The Sleep Solution and The Rested Child, and co-author of Precision Nutrition’s Sleep, Stress Management, and Recovery Coaching Certification.

Answer #1: You have anxiety over not being able to sleep.

Here’s a common scenario:

You go to bed at your usual time.

Twenty minutes go by. Then an hour. Blink. Blink. Still awake.

As you toss and turn, you think things like, “Ugh, again? WHY?! Tomorrow‘s going to be a disaster! I NEED to sleep… NOW!”

Naturally, those thoughts lead to anxiety, and trigger the release of brain chemicals that keep you alert and (gulp) awake.

To break this maddening cycle, address and reframe the underlying thoughts and emotions. You’ll likely discover you have some unhelpful and maybe even unrealistic beliefs about sleep.

Rather than berating yourself for not sleeping, consider gently reminding yourself that…

You’ll fall asleep eventually. Like we said earlier, all humans have an innate drive and capacity for sleep.

You’re likely getting more sleep than you realize. According to Dr. Winter, most people aren’t aware of their lightest sleep phases. They think they’ve spent most of the night awake when, in fact, they slept several hours.

Occasional sleep loss is normal. Especially during times of excitement, anticipation, change, or stress. For most, this is a temporary phase. Trust that your sleep will recalibrate eventually.

(For more ideas on how to break free from sleep anxiety read: How to Sleep Better When Nothing Helps You Sleep Better)

Answer #2: You have an afternoon coffee habit.

Caffeine blocks the function of adenosine, a neurochemical that makes you sleepy.

But that doesn’t mean you have to give up caffeine entirely.

Some people find that cutting back—say, having just one espresso shot instead of two—ameliorates their sleep issues.

Other clients have told us that they’re okay if they have caffeine before noon, but not after.

Answer #3: You sleep in.

It takes about 16 hours of wakefulness for enough adenosine to build up in your brain to nudge you into slumber.

So, waking up later means you probably won’t feel sleepy until later.

(In other words, do the math: Sleeping in until 10 am might mean that your brain isn’t ready to rest until about 2 am.)

It’s tempting to keep hitting snooze, especially if you slept crummy the night before, but do your best to get out of bed at a reasonable time, and you’ll set yourself up better for a reasonable bedtime.

Answer #4. You don’t get much sunlight, especially in the mornings.

Most organisms, including humans, have evolved to organize their physiological processes in response to light and dark.

Morning sunlight in particular seems to help set the body’s circadian rhythm, helping you feel tired when it gets dark in the evening.

Try to get 10 to 20 minutes of sunlight within two hours of waking up. (And yes, overcast days still count!)

Answer #5. You snuggle up to screens in the evening.

Melatonin increases sleep drive as night approaches, but it requires relative darkness to do its work.

Light from phones, tablets, televisions—also known as blue light—and even overhead incandescent lighting can disrupt this sleep-promoting hormone, making sleep elusive.

As the sun begins to lower, lower the lighting in your house too. If you can, limit screen time especially in the hour before bedtime.

5 evergreen strategies to improve sleep

Sleep hacks come and go, but these five principles of good sleep are nearly universally recommended by sleep experts and good sleepers alike:

1. Keep your sleep-wake schedule consistent. ​​

Wake at roughly the same time each day (including weekends) and hit the sack around the same time each evening.

2. Use a pre-sleep ritual.

About 30 to 60 minutes before going to bed, get into wind-down mode. Turn off screens. Dim the lights. Relax with a bath, stretching, or time with a book. By doing the same behaviors each evening, you’ll train your brain to know it’s bedtime.

3. Avoid high-fat, high-calorie evening meals.

Consume moderately sized meals no later than 3 hours before bedtime. Eat meals higher in carbohydrates and protein rather than high-fat meals, which can worsen sleep quality in some people.

4. Avoid energizing exercise in the evening.

Schedule weight lifting and intense cardio earlier in the day. Closer to bedtime, opt for calming, gentle movements like walking or slow yoga.

5. Keep your room dark.

If possible, make your bedroom as dark as possible or consider wearing a sleep mask. That way, you reduce interference from street lights or other lights in your environment, which can inhibit melatonin.

(For more science-based advice to get more rest, read: How to Sleep Better: Your 14-Day Plan for Better Rest)

Why can’t I sleep through the night?

Lots of people wake at night—and Dr. Winter wants to tell you it’s no big deal.

Here are a couple of scenarios that often distress people, but are actually totally normal:

Early waking: You’re wide awake at 5 am, a full two hours before your alarm. Even though you think you should be sleeping longer, your brain might be fully recharged and ready to slay your day.

Biphasic sleep: You sleep for several hours, then wake and feel alert for 45 minutes or so, and then go back to sleep for several more hours. If that’s you, drop any anxiety over your mid-night waking; just assume it’s normal, read for a little bit, then let yourself fall back asleep when you’re ready.

For both of the above situations, if you feel rested and alert during the day, there’s no true sleep problem, says Dr. Winter.

On the other hand, if it seems as if no amount of sleep will fix how tired you feel, consider whether any of the common offenders might be interfering with your ability to sleep through the night.

What Wakes People During the Night

If you’re someone who has trouble falling asleep again after you’ve woken up in the middle of the night, it might help to prevent disruptions from happening in the first place.

Take a look at the following list of common nighttime troublemakers, and see where you have control modifying or avoiding them:

Alcohol: Having a nightcap (or two) often helps people feel more relaxed—and maybe even fall asleep faster. But as alcohol metabolizes, your body experiences “rebound” arousal, causing a fitful sleep.1

Caffeine: As mentioned, caffeine blocks the function of adenosine, a neurochemical that makes you sleepy. Try to avoid caffeine—not just coffee, but caffeinated soda, too—a minimum of six hours before bedtime.

Intense evening exercise: A natural effect of intense exercise is an increase in cortisol, a hormone that makes us feel alert. Some people find that if they exercise vigorously too late in the evening, they still feel “pumped up” when it’s time to sleep.

Sedentary lifestyle: Research shows that people who are chronically deprived of physical activity are more likely to struggle with insomnia.2 This can create a vicious cycle, because if you’ve slept poorly the night before, you might be inclined to stay in bed or on the couch the next day. Even if you’re tired, get your steps in. One study showed sleep quality was better in those who walked more.3

Smoking cigarettes: Nicotine is a stimulant. So, much in the way that caffeine can jangle your nerves too close to bed, so can cigarettes (or vaping).

Drinking liquids too close to bed: Have a recurring dream where you’re running around trying to find a bathroom, and every stall is locked? Avoid drinking liquids two to three hours before bed, and you’ll be less likely to be tormented in the middle of the night with a full bladder.

Snoring spouse: Snoring isn’t grounds for divorce, but it’s definitely grounds for investing in a good pair of earplugs. Or maybe separate bedrooms. (And if your spouse sounds like a lawnmower, get them to ask their doc about it. Snoring is a common sign of sleep apnea.)

Pets and children: Co-sleeping with pets or children sounds cozy, but if it’s disrupting your sleep, it might not be worth it. Set Rover up with a dog bed (maybe in a separate room). If kids keep coming into your bed at night, calmly walk them back to their room, and tuck them in. With consistency, most kids (and pets) learn to sleep on their own.

In addition to the above, talk to your doctor about your sleep. It might be worth getting screened for sleep apnea, restless legs syndrome, and other conditions that disturb sleep.

How much sleep do I need?

On average, most people need somewhere between seven and nine hours of sleep each night.

But that’s an average, not a good-health edict.

“There are people who require slightly more and slightly less sleep,” says Dr. Winter. Above- and below-average sleepers fall into three main categories:

Natural short sleepers feel spunky and clear-headed with just six or seven hours of shuteye.

Natural long sleepers need 10 or more hours in order to feel refreshed.

Children, teenagers, and many young adults need more sleep for their developing bodies and brains.

Meanwhile, others sleep 14, 17, 24 or more hours with very little interruption—and still wake feeling tired.

“If you’re one of these people, it might be an indication that there is something wrong with your sleep quality, not necessarily the quantity,” Dr. Winter says.

For example, sleep disorders like sleep apnea can disrupt sleep, causing people to sleep more hours and still wake feeling unrefreshed. These disorders require medical treatment, so mention any concerns to your doctor.

(Read more: What Happens When You Sleep Too Much?)

Why do we sleep?

Researchers haven’t figured out exactly what sleep does, but there’s one thing they’re sure of:

Sleep is important.

Every physiological process, in some way, is regulated or influenced by sleep.

Getting enough good-quality sleep:

Improves your mood and your ability to manage your emotions
Makes you less impulsive (which helps you make better decisions)
Helps you learn and remember
Improves thinking, concentration, and attention
Keeps your brain healthy
Helps you regulate your appetite, plus preserve and repair valuable lean tissue like muscle and bone
Regulates blood sugar and lipids like cholesterol and triglycerides

What’s the best way to track sleep?

If you spend time reading Precision Nutrition’s content, you’ll see we’re funny about the word “best.”

That’s because the BEST advice for any one person depends on their sex, age, genetics, lifestyle, preferences, and an array of other factors.

This “no best” philosophy applies to diets, stress management techniques, exercise, and, yes, even sleep trackers.

Because there’s no one “best” way to track sleep, it’s better to simply present clients with options. Then, they can decide on the best approach—for them.

Below we’ve listed some of those options, starting with the least expensive.

Sleep tracking option #1: The sleep diary

For about a month, get your client to track:

What time they flipped off the lights at night
What time they got up in the morning
Whether they woke up in the middle of the night
If they napped during the day (and if so, for how long)

On top of that, get them to keep notes on how they feel during the day, especially during low-stress activities such as watching television or reading.

Do they feel alert? Or ready to snooze whenever they stop moving?

At the end of the month, look over the log together and see if you can spot any patterns. (For example, does a daytime nap seem to increase the likelihood of having a disrupted sleep at night? Or not?)

If a client generally feels spunky during the day, that’s a good sign they’re getting all the sleep they need.

On the other hand, if they’re nodding off during dinner, try prioritizing sleep until they’re getting seven to eight quality hours per night.

If your client is consistently struggling to fall or stay asleep—and they feel zombie-like during the day—encourage them to mention it to their doctor.

Sleep tracking option #2: Commercial sleep trackers

At-home devices aren’t always as precise as many manufacturers claim.

While technologies are improving significantly, and some devices and apps are better than others, many of them just aren’t very accurate when it comes to precisely monitoring specific stages of sleep.

They are, however, pretty good about telling you how long you slept. These trackers are especially helpful for…

People struggling with insomnia

Most people aren’t aware of their lightest sleep phases. They think they’ve spent most of the night tossing when, in fact, they slept several hours.

As a result, these devices can often help folks with insomnia realize that they’re getting more sleep than they realize.

Anyone who’s experimenting with a new sleep strategy

Whether you’re using a white noise machine or turning down your thermostat a few degrees, these devices can help you see whether the tactic actually led to improved sleep.

On the downside, monitoring can make some people more anxious or obsessive about their sleep… which means they get even worse sleep.

(Read more about tracking health metrics and anxiety: Are Fitness Trackers Worth It?)

Sleep tracking option #3: Sleep studies

Requested by a physician, a sleep study can help your doctor determine whether you have a health problem that’s interfering with sleep.

Home-based sleep studies are an accessible and relatively inexpensive way for physicians to test for sleep apnea, when breathing repeatedly stops and starts during the night.

To diagnose other health conditions, your physician may ask you to spend a night in a sleep lab.

How to help sleepless clients

As you might have learned from personal experience, if you tell clients about all of the horrible things that will happen if they don’t get more sleep, their sleep will likely get worse.

(Thanks, sleep anxiety.)

Another losing strategy: Pushing the same so-called magical sleep protocol on everyone.

Truth is, no ONE practice will help every single client.

That’s why, to truly benefit your clients, we recommend experimenting.

Talk about a wide range of possible changes and how they might help

Ask, “What are you willing to try?” Then pick 1-2 actions they’re ready, willing, and able to commit to for a period of time (two weeks is a good frame)

Gather data over time. Then ask: Is this making your sleep better? Worse? The same?

Use what you learn from the above process to iterate. Eventually, your client will discover the set of practices that works best—for them.

If you’re a health and fitness pro…

Learning how to help clients manage stress and optimize sleep can massively change your clients’ results.

They’ll get “unstuck” and finally move forward—whether they want to eat better, move more, lose weight, or reclaim their health.

Plus, it’ll give you the confidence and credibility as a specialized coach who can solve the biggest problems blocking any clients’ progress.

The brand-new PN Level 1 Sleep, Stress Management, and Recovery Coaching Certification will show you how.

The post The top questions people ask about sleep—and how to answer them appeared first on Precision Nutrition.