What Is The Best Diet To Optimize Sleep?
Sleep and diet are ultra important for health and wellbeing. But did you realize that they are linked? What and when we eat can have a huge influence on how well and how long we sleep. Read on for the details and how you can get better sleep by paying more attention to your diet!
In this blog, you will learn:
- Why is diet important for sleep quality
- Which specific diets and foods will help improve your sleep
- Which specific foods will worsen sleep
A good night’s sleep for a healthy adult is 7-9 hours of sleep per night (Thapa A, 2024).
Approximately 45% of American adults do not achieve the recommended 7–9 hours per night (Binks H, 2020).
SLEEP MATTERS
- One hour less sleep per day is linked to 4% greater prevalence of hypertension, 3% greater prevalence of Type 2 Diabetes (T2D) and 8% greater prevalence of obesity (St-Onge MP, 2023).
- The lowest risks of obesity and T2D is in people who sleep 7–8 hours per night (St-Onge MP, 2023).
- Insomnia, difficulty falling sleep and difficulty maintaining sleep are all associated with increased incidence of T2D (St-Onge MP, 2023).
Specific foods and diets help to regulate sleep. A diet that maintains optimal health and a healthy weight contributes to better sleep.
The relationship is circular: the better your diet, the better your sleep will be, and the easier it will be to make healthy food choices.
A few reasons why diet affects sleep so deeply are:
- Gut health
- Blood sugar regulation
- Nutrient-density
- Inflammation & metabolic syndrome
GUT HEALTH
Diet significantly affects the make-up of the gut microbiome, which affects sleep. Gut bacteria affect circadian changes and the gut clock in both mice and humans (Arola-Arnal A, 2019). It is thought that gut bacteria influence the central clock and brain areas, by sending nutritional information to the brain in a cyclical circadian manner (Arola-Arnal A, 2019).
- Fragmented sleep and short sleep duration are both linked to gut dysbiosis, a condition of imbalanced gut bacteria (Matenchuk BA, 2020).
- Sleep loss issues can result from an overgrowth of certain harmful gut bacteria. Equally, bacterial end-products created in response to sleep loss can induce fatigue (Matenchuk BA, 2020).
- Disruptions in the sleep–wake cycle may lead to changes in gut bacteria, which in turn can cause stress, anxiety and sleep-related issues (Godos J F. R., 2024).
Good sleep quality and duration support a healthy gut microbiome composition. At the same time, a healthy gut supports good sleep (Matenchuk BA, 2020).
BLOOD SUGAR MANAGEMENT
Nutrition affects blood sugar levels, which affect sleep. Too high or too low blood sugar can disturb sleep. For good sleep, blood sugar should be stable throughout the night.
High blood sugar can disrupt sleep. Too much sugar in the blood causes the kidneys to excrete the sugar by making more urine. During the night, this can cause more trips to the bathroom which interrupt sleep. Other high blood sugar symptoms include thirst or headache, which make it difficult to go back to sleep.
Low blood sugar is also an issue. If blood sugar levels drop too low during the night and stay there, the body has to raise it. It will produce epinephrine (or adrenaline), the fight or flight hormone that causes the liver to make glucose (blood sugar), to raise blood sugar. The stress hormone cortisol is also produced because it helps raise blood sugar and increases the availability of blood glucose to the brain. Adrenaline and cortisol increase alertness and wakefulness, which can wake you up in the night.
A spike in blood sugar that raises levels too high can lead to a later crash in blood sugar and levels get too low. This can cause you to wake up feeling hungry, thirsty or needing the bathroom.
For good sleep, blood sugar levels need to remain stable. This means avoiding excessive sugar in the diet and eating a balanced diet to avoid high blood sugar. Likewise, it is important to eat enough to avoid a blood sugar crash in the night.
NUTRIENT-DENSITY
Sleep is influenced by nutrient intake, which can affect sleep either directly or indirectly (Binks H, 2020). Inadequate overall nutrition and deficiencies, for example in minerals, can cause sleep problems. Minerals regulate sleep cycles and help produce calming hormones that induce sleep. For example, magnesium and zinc enhance sleep quality by balancing neurotransmitters in the brain. They reduce muscle tension and alertness before bedtime.
Tryptophan is an amino acid found in protein foods. A low tryptophan diet can impair sleep. Sleep is controlled by the hormones melatonin and serotonin. Melatonin helps regulate sleep and wake cycles. Serotonin regulates sleep, hunger and emotions. Serotonin is a pre-cursor to melatonin and signals the body to make more melatonin. Tryptophan is a pre-cursor to both serotonin and melatonin. Tryptophan can cross the blood brain barrier, where it is converted to serotonin (Binks H, 2020). Tryptophan depletion affects the synthesis of serotonin and can reduce sleep onset (Binks H, 2020).
- Eating tryptophan-enriched foods (60 mg tryptophan twice a day, morning and night) has been shown to increase sleep efficiency and actual sleep time in people aged 55–75 years old (Arola-Arnal A, 2019). Eating food enriched with tryptophan at night increases sleep efficiency in infants 8–16 months old with sleep problems (Arola-Arnal A, 2019).
High carbohydrate meals can increase the tryptophan circulating in the body, giving it a higher chance of crossing the blood brain barrier and converting into serotonin (Binks H, 2020). This explains why sleep can be improved by high carb meals (Binks H, 2020).
Carbs are helpful but don’t go too high carb. A very high-carb high glycemic index meal that doesn’t have much protein, fat, or fiber to buffer the breakdown of those carbs, can cause a blood sugar spike. This is then followed by a blood sugar crash which is disruptive for sleep.
INFLAMMATION & METABOLIC SYNDROME
Nutrition influences inflammation in the body, which relates to sleep and insomnia. Dietary issues, like excessive sugar and blood sugar dysregulation, can ultimately lead to metabolic issues (for example, pre-diabetes, diabetes), chronic inflammation and metabolic syndrome, which affect sleep. Likewise, sleep disturbances can increase insulin resistance (a metabolic problem) and inflammation (by increasing the production of the inflammatory cytokines C-reactive protein and interleukin 6) (Zhao M, 2020).
WHAT IS THE BEST DIET FOR THE BEST SLEEP QUALITY?
A healthy nutrient-dense diet improves sleep quality (Godos J G. G., 2021). Closely following the Mediterranean diet or the MIND diet is linked to better sleep quality, good sleep duration, less daytime sleepiness and less insomnia (Godos J F. R., 2024).
The Mediterranean or Med diet is based on plant foods; vegetables, fruits, herbs, nuts, seeds, beans and whole grains. Olive oil as the primary fat. Moderate amounts of dairy, fish, seafood, poultry and eggs are included, with occasional red meat.
- The Mediterranean diet can improve sleep duration and sleep quality (Godos J F. R., 2024).
- On the Mediterranean diet, people have less sleep disturbances, less insomnia, less daytime sleepiness and higher sleep efficiency (Godos J F. R., 2024).
- People who best followed the Mediterranean diet had 53% lower odds of having insomnia (Godos J F. R., 2024).
The MIND diet combines the plant-based approach of the Med diet with the DASH (Dietary Approaches to Stop Hypertension) diet, designed to help lower BP. Foods to eat include vegetables, berries, nuts, herbs, whole grains, olive oil, fish, beans, poultry. It limits saturated fats and added sugars.
- The MIND diet is linked to better sleep quality, less daytime sleepiness and less insomnia (Godos J F. R., 2024).
- People closely following the MIND diet had 42% lower odds of daytime sleepiness (Godos J F. R., 2024).
The Mediterranean and MIND diets’ focus on plant foods supports good sleep quality. Plants provide antioxidants, vitamins, phytochemicals and polyphenols. These micronutrients support good gut health, stable blood sugar and inhibit inflammation.
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WHICH FOODS ARE BEST FOR SLEEP QUALITY?
Fruit & Vegetables
Fruit and vegetables contain fiber, micronutrients, vitamins, polyphenols and important minerals (potassium, calcium, magnesium). They have anti-inflammatory, antimicrobial, antioxidant, anticancer properties and help prevent against chronic diseases (Thapa A, 2024).
- Fruit and vegetables improve sleep duration (Thapa A, 2024).
- Poor sleep duration is linked to a lower fruit & veg consumption.
- Short sleepers, people who sleep less than the recommended 7-9 hr. per night, consumed 37 grams/day less fruit & veg than normal sleepers (Thapa A, 2024).
- Long sleepers, people who slept too long (longer than 7-9 hr.), ate 73 grams/day fewer fruit & veg than normal sleepers (Thapa A, 2024).
Cherries
Eating cherries can improve sleep outcomes (Binks H, 2020). A diet rich in cherries/cherry juice reduces insomnia and increases sleep time and efficiency (Arola-Arnal A, 2019). This improvement in sleep occurs in people of all ages (Binks H, 2020). Cherries contain tryptophan, phytonutrients and phytomelatonin, the plant version of melatonin (Arola-Arnal A, 2019). It is recommended to drink tart cherry juice or concentrate (with no added sugars!) before bed.
Kiwis
Kiwis can reduce the time it takes to fall asleep, increase overall sleep time and improve sleep quality (Arola-Arnal A, 2019). Kiwis have antioxidants and serotonin, which both help with sleep. Eating 2 kiwis 1 hour before bed for 4 weeks has been shown to improve sleep quality in adults with sleep disturbances (Arola-Arnal A, 2019).
Complex Carbohydrates
Carbs before bed help avoid hunger and low blood sugar during the night and can improve sleep quality (Godos J F. R., 2024). Carbohydrates increase tryptophan in the blood so that more tryptophan can enter the brain to make serotonin and melatonin, which induce sleep (Godos J F. R., 2024).
- Eating carbs increases peak circulating tryptophan in the 2–4-hour period after the carb meal (Binks H, 2020).
- Improvements in time to fall asleep occur when high carb meals are eaten 4 hours before bedtime (Binks H, 2020).
But high sugar carbs (desserts, sugary drinks & processed foods) are counterproductive. An excessive amount of added simple sugars worsens sleep. It raises blood glucose too much, imbalances blood sugar management, affects brain function and creates neuroinflammatory processes (Godos J F. R., 2024).
Focus on good carbs to help induce sleep, such as brown rice, sweet potatoes, white potato and oatmeal.
Protein
Protein helps sleep because it contains tryptophan, the pre-cursor of serotonin and melatonin, which induce sleep (St-Onge MP, 2023). Turkey and pumpkin seeds are highest in tryptophan. Other tryptophan foods are chicken, other meats, eggs, dairy products and other seeds.
Nuts
Nuts can promote sleep. Walnuts and almonds have melatonin, while pistachios and cashews contain tryptophan.
High-magnesium foods promote muscle relation and sleep. Try dark leafy greens, almonds and avocado.
Potassium, found in bananas and sweet potatoes, helps promote muscle relaxation.
Herbs, in teas like chamomile and mint, contain many polyphenols and micronutrients and induce sleep.
WHICH FOODS WORSEN SLEEP QUALITY?
A Nutrient-Poor Diet
Short sleep duration is linked to a diet of lower quality foods and irregular eating patterns (Godos J, 2021). A diet high in processed foods and sugar is associated with worse sleep quality (Godos J, 2021).
Sugar
Consuming too much sugar can cause a spike in blood sugar levels and lead to a subsequent crash in blood sugar. This can wake you up, feeling hungry, thirsty, or needing to use the bathroom. Excess sugar can stimulate the brain and make it difficult to fall asleep, which can lead to insomnia. Avoid refined carbs, ultra-processed foods and added sugar; all of which can drive up blood sugar.
Alcohol
Alcohol may feel like it induces sleep. But it disturbs blood sugar regulation, bathroom schedules and other processes. Excess alcohol makes it harder to stay asleep through the night. It may feel like alcohol helps to fall asleep more quickly and sleep deeply. But it causes people to wake during the most restorative stages of sleep. Alcohol can worsen sleep apnea symptoms. Don’t drink excessive alcohol and stop all alcoholic drinks at least 1 hour before going to sleep.
Caffeine
Caffeine can decrease total sleep time and quality, and increase time to fall asleep. Caffeine is chemically related to adenosine, which is a sleep-inducing agent. It is thought that caffeine works by reversing, or antagonizing, the sleep-inducing adenosine receptors in the brain (Zhao M, 2020).
Avoid caffeine close to bedtime. Better yet, stop drinking coffee or other caffeinated drinks by 2pm. Don’t forget that chocolate, and even healthy dark chocolate, can also keep you awake. Some people may need to stop coffee, tea and chocolate earlier in the day. The cutoff time varies for different people because people metabolize caffeine at different rates. Slower caffeine metabolizers will need to stop caffeine at an earlier time.
Spicy Foods
Avoid spicy foods in the evening. Spicy foods can cause heartburn, which can impact sleep. Lying down worsens acid reflux symptoms. With sleep apnea, symptoms may worsen if backed-up acid irritates the esophagus airway.
Red chili pepper can increase core body temperature. This is disruptive to sleep since core body temperature should drop during sleep. Being overheated can make it more difficult for the body to reduce temperature and sleep.
Large or Heavy Meals
The body has to work harder to digest a large meal and absorb the nutrients. This can lead to an excessive rise in blood sugar, followed by a blood sugar drop during the night.
If you aren’t getting quality sleep and suspect your diet may be the reason, then get in touch with us at the Medicine with Heart clinic. We can help to get your diet and sleep on track!
** Follow us for our next blog on sleep and the timing of eating. We will cover the subject of chrono nutrition, when is the best time to eat and how seasonal eating improves health and sleep. **
SUMMARY
- Diet and specific foods have a strong influence on sleep. A poor diet worsens sleep and a healthy nutrient-dense diet improves all sleep parameters.
- Diet affects many factors that determine whether or not you sleep well. These are gut health, blood sugar regulation, the nutrition content of one’s diet, inflammation and metabolic syndrome. Eating a diet that optimizes these factors will ensure good sleep quality.
- The Mediterranean diet and the MIND diet have been found to be the most supportive for sleep.
- The foods that support high sleep quality are fruits & vegetables, especially cherries and kiwis, nutrient dense foods with tryptophan (think turkey, pumpkin seeds and others), minerals and melatonin, low glycemic index complex carbohydrates and a few others.
- Foods that disturb sleep are a nutrient-poor diet of processed foods and excessive sugar, alcohol, excess caffeine, spicy foods and large heavy meals that disturb digestion.
- Keep reading our blog series on sleep for more advice on timing of eating, seasonal eating and other info to help you get a good night’s sleep!
As always, please get in touch with us. If you or someone you know is struggling with sleep issues, contact our clinic today. We can work on any issue(s) and improve your health. Book a free health evaluation call with us today. We can answer your questions and book an initial consult with a functional medicine doctor in our clinic.
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