How sleep affects the immune system

Quality and length of sleep affect the immune system. If you don’t get enough sleep or enough good quality sleep, you’re more likely to get sick from a virus, and it can slow your recovery.

While you sleep, your innate immune system releases cytokines (interferons, interleukins, growth factors). Some cytokines protect you from infectious illness, and lack of sleep reduces production. Antibody production, part of the adaptive immune system, also decreases due to sleep deprivation.

So get enough sleep (adults generally need 7-8 hours), and get good quality sleep to keep your immune system working well.

We can check in with ourselves when we wake each morning (always a good idea) to see if we feel rested or not. This is the biggest indicator of “enough good sleep,” but you may be wondering how to measure quality sleep.

Measuring Sleep

I wear a Fitbit watch that monitors my sleep through movement (rolling over) and heart rate variability. Every morning when I wake up, I first tune into how rested I feel. Then I look at my sleep stats. I aim to get at least 7 hours, and I usually do.

Time asleep matters. I know I do best if I get 7 to 7.5 hours. I’m not using an alarm, so I let myself sleep as long as I want. I often awaken early but keep still with my eyes shut to see if I can go back to sleep, and I usually do.

I imagine lots of people are doing that while sheltering in place.

Fitbit measures sleep quality by duration and percent time spent in each of the three levels of sleep: light sleep, deep sleep, and REM sleep. It also measures how often I awaken during the night. From all that, Fitbit creates a sleep score. I hope to get 90 or better, but usually my score is in the upper 80s. I’m working on it!

We sleep in cycles of about 90 minutes, cycling between light sleep and deep sleep during the first part of the night, and cycling between light sleep and REM sleep in the later part of the night. We also awaken briefly, or for longer, multiple times during the night, usually about 5 percent.

We spend about 50 percent of total sleep time in light sleep. Our temperature drops. Our heart rate and breathing slow. Our muscles relax and may jerk. We can be awakened more easily.

We spend about 20 percent in deep sleep. Getting enough deep sleep is connected to feeling rested in the morning. It’s restorative. Our brainwaves slow way down. Our brain actually cleans itself during this stage. Tissue growth and cell repair take place. Blood pressure drops, and blood flow to muscles increases. It’s more difficult to awaken from deep sleep.

REM sleep takes up about 25 percent of sleep time. We dream during REM sleep, even if we don’t remember dreaming. The brain wave pattern of REM sleep is closer to wakefulness. This stage is where memory consolidation, problem-solving, and learning occur. Respiration and heart rate increase. Brain activity is high. The body becomes immobile to keep us from acting out our dreams (usually).

Sleep patterns change with age. As we get older we usually get less deep sleep. Some older adults take longer to fall asleep, spend less time in REM sleep, and wake more often during the night. Sleep may begin earlier in the evening, with waking occurring earlier in the morning.

Anxiety Affects Sleep

It’s especially relevant that the anxiety so many are experiencing because of the COVID pandemic may be robbing us of good quality sleep when we really, really need it.

We may be anxious about getting sick or about our loved ones following health guidelines or getting sick. We may be anxious about hospitals being overwhelmed.

Personal finances may have drastically declined.

For some, food and shelter and peaceful co-existence with others in the home are major issues.

Uncertainty about how long this pandemic could last, how long it may take the economy to recover, politics nearly everywhere, mixed messages from medical experts and politicians can keep us awake at night.

How can you improve the quality of your sleep in the time of corona? There are a lot of ways, and I’d love to hear what works for you.

For me, when dealing with my own anxiety, I recognize that it’s in my mind and it’s about the future. These are thoughts that may or may not happen. I realize how fortunate I am to have a home, food, family nearby, friends, and enough income to know I won’t starve.

And then I bring my attention to my body. I notice my breathing. I notice sensations, of textures and temperature and weight, of muscle tension and relaxation, of discomfort. I try to feel my heart beating in my chest.

It’s very calming and helps me fall asleep quickly. Turning off my mind like this took some practice.

What Helps Me Get a Good Night’s Sleep

I am admittedly not a person who loves routine. I don’t have much of a bedtime routine. I don’t put my screens away an hour before bed, but I do stay away from disturbing news late in the day.

I get tired anywhere between 9:30 pm and 12:30 am, though those are extremes. I usually go to bed about 11.

  • I use a sleep mask because some light leaks in through my curtains.
  • I don’t drink caffeine after 1 pm.
  • I put together a playlist of binaural beats for delta brain waves (deep sleep), and I listen to that using headphones sometimes. (Honestly, I’m not sure it makes much difference.)
  • I get some exercise every day, whether it’s taking a yoga class online, participating in ecstatic dance online, or simply walking. According to the National Sleep Foundation, even light exercise like a 10-minute walk can improve sleep quality.
  • I get outside and get some sunlight every day, unless it’s raining. Morning sun on my skin feels great and gives me more Vitamin D, which helps immunity.
  • I sleep with my bedroom on the cool side.
  • I use a weighted blanket.
  • I often drink a cup of bone broth in the evening, and I take my magnesium in the evening.
  • I take two supplements, both from Premier Research Labs, with whom I have a practitioner account. Tranquinol is a capsule that improves deep sleep, and Melatonin-ND is a liquid that improves REM sleep.

What helps you sleep better?

Catching Up on Austin COVID Stats

Austin implemented sheltering in place on March 24, so today, April 7, is Day 14.

You may have read in the news about the 70 UT students who chartered a plan to Baja California for spring break and took commercial flights back. Forty-nine of them have tested positive as of 3 days ago.

Zip code 78705, the area west and north of UT that houses many students, has 55 verified cases, the most of any zip code in the county. The 20-29 age group still has the highest number of cases of any age group in the area. It’s a younger city demographically.

Here are our stats (source: http://www.austintexas.gov/covid19):

The immune system: what is it?

How the immune system works

I am not a scientist! I’m trying to make this understandable for non-scientists like me. If I can get these basics down, so can anyone!

The first thing to know is that it’s not like other systems in the body in that it doesn’t consist of specific organs, like the digestive system, nervous system, cardiovascular system, etc. It’s bigger than that.

The immune system spreads throughout the body through the blood, bone marrow, lymph nodes, and mucosa (both mucous membranes and that surrounding organs), and more specifically, it is a key function of the thymus gland and the spleen.

The immune system works to prevent pathogens such as viruses from causing harm. There are two branches of the immune system, innate and adaptive.

The innate immune system responds first to invading pathogens. The innate response is rapid but not specialized. There are many different types of cells involved.

The adaptive immune system responds to pathogens that slip past the innate immune system, and it remembers them if exposed again. The main cell types of the adaptive immune system are T cells and B cells, which are produced in the bone marrow from stem cells. They are also called lymphocytes.

T cells recognize invaders and coordinate immune responses. They consist of killers, helpers, and messengers. They kill infected damaged cells. They produce cytokines that fight pathogenic viruses, bacteria, and fungi. When they find pathogens, they send messages to activate the rest of the immune system.

B cells produce antibodies, called Immunoglobulins (Ig) of various types. These are specific proteins in our blood that respond to and counteract specific antigens (substances in pathogens that provoke an immune response).

Both T cells and B cells can become memory cells, which persist and can recognize when an antigen appears again and create a rapid, antigen-specific immune response. For instance, having had the measles once confers immunity — if exposed again, you don’t get the measles again because your adaptive immune system recognizes and defends against it successfully. You can prove it with a blood test for measles antibodies.

This is also how vaccines work. Introduce just enough of an antigen for the body to produce antibodies, and the body becomes immune to that antigen.

We don’t have any specific immune cells for SARS-CoV-2 (the actual name of the virus; COVID-19 is the name of the illness) yet, because it is novel — new. It’s one of many coronaviruses (which can cause the common cold). Immunity to one coronavirus does not confer immunity to others…and the nature of viruses is that they mutate.

So, it seems to me, developing a vaccine against SARS-CoV-2 is like trying to hit a moving target. There are labs around the world working on a vaccine — but testing one to see if it works well and is safe enough to offer everywhere takes time, about a year from what I’ve heard…so next spring…if the virus doesn’t mutate, possibly becoming even more contagious and severe.

Medical people in the trenches are currently trying to find out whether and when people who have recovered from COVID-19 have produced enough antibodies in their blood plasma to inject in critically ill people and turn it around.

Scientists around the world are also working on a simple blood test for SARS-CoV-2 antibodies. This test would not require as much testing as a vaccine, and it could be readily available in a much shorter time frame, telling us who’s had it and who hasn’t.

Since up to 25 percent of COVID cases may be symptomless (this is the largest figure I read), many more people many have had it and become immune than we now know.

For a fascinating look at the differences between the bat immune system and humans’ immune systems that explains immunity more eloquently than I while still being understandable to non scientists, read this: https://get21stnight.com/2020/03/30/why-do-we-keep-getting-diseases-from-bats/.

The role of lifestyle

Your lifestyle is a major factor in supporting your immune system, making you healthier, possibly even conferring the ability to have that symptomless version of COVID-19 that I’m sure we all wish we had (but knowing we have it and self-quarantining so as not to spread it to people with weaker immune systems)…and having complete immunity afterwards.

Maybe even being able to donate blood plasma full of antibodies to save lives!

A healthy immune system might make the difference between a mild case and a serious case.

But since it’s new, we’re still learning.

Hygiene, diet, sleep, fresh air, exercise, the parasympathetic nervous system, and supplements all play roles in keeping your immune system working well. I intend to explore these in the coming days.

Defend yourself with impeccable hygiene

Humans got way healthier when we started washing our hands and utilizing public sewage systems and drinking clean water. Before these practices became common, a lot of people suffered and died miserably from cholera, dysentery, diarrhea, hepatitis, typhus, and other diseases spread from poor sanitation.

In the time of the coronavirus, the actions you can take to improve hygiene and reduce transmission of the virus include hand washing, coughing or sneezing into your elbow, not touching your face with unwashed hands, wearing gloves, wearing a mask, self-quarantining if exposed or ill (whether you test positive or not, given the shortage of tests), social distancing, sheltering in place, lockdowns.

This virus is very contagious! Please take care not to get exposed and not to spread it. Wash.Your.Hands and Wear.A.Mask.When.You.Go.Out.

Current coronavirus stats from Austin

This is day 4 of sheltering in place. As of last night, we had 160 cases here and one death, a woman in her 70s with significant underlying health conditions. Blessings to her family. 💚🙏🏽

It’s still affecting more people in the 20-40 age group than older people in this city with a young-skewing population.

One person at a homeless shelter has tested positive. That person is being isolated at a hotel and the 19 others exposed are also isolated and being monitored.

I’m hearing reports of customers being abusive to employees at to-go restaurants and grocery store cashiers. I hope management protects their employees and bans these people for a few days so they will be more appreciative.

I’m learning about the immune system

I have a dear friend who is my age (60+) who sn’t worried about getting sick from the coronavirus. She is a naturopath and a homeopath and is trained in a lot of other alternative health care modalities.

She has absolute faith that her immune system is so robust that she will not get sick.

I don’t quite have that much faith, even though I’m doing a lot to stay healthy, but it made me curious about immunity.

One question I have is this: how many people are positive for the virus but have no symptoms? Is this because their immune systems are so robust that the virus keeps trying to make headway, but it just can’t?

Or, possibly, could it be because they were exposed to very little of the virus, just enough to test positive, but not as much as people who get sick?

I believe the tests are binary: either you test positive or negative. (I wish everyone could be tested frequently.) The threshold for testing positive may be low if people are carrying it but symptomless.

I’m also assuming that people in close or frequent contact with those carrying or sick with the virus would have more virus in their body and be more likely to get sick. So, nursing homes. Prisons. Cruise ships. Mardi Gras. Spring breakers packing the beaches.

Packed churches at Easter?

I want to learn more about the immune system. We’re all interested now!

I’m going to investigate that and report what I find here in plain language.

Today is Day 3 of shelter in place in Austin, Texas, USA. As of last night, we have 137 known cases and no deaths.

Interestingly, the majority of cases are in people under 40. Only 19 cases are in people 60+.

New blog milestones and best massage ever given

Sometime this weekend when I wasn’t looking, my blog passed 60,000 views! This is a labor of love, and I can’t measure my “success” in monetary terms. Blog views, likes, and comments are my currency.

Thank you for reading me.

And…yesterday I had my best single day ever with 426 views! That’s pretty astonishing, considering the average number of views per day in 2012 (so far) has been 182.

I took the whole weekend off, spending a good chunk of it out in the country at a friend’s remote ranch. Clean air, water, cattle, a river, lots of trees, big sky, silence (compared to the city), a sweet porch on which I did a couple of great yoga sequences, soaking in a metal tub filled with well water, and lots of laughter were just the ticket for rest and relaxation.

I didn’t do a stroke of bodywork all weekend (except a little self-massage on my shoulders and arms). This morning I gave what felt to me like the best massage I’ve ever given, a 90-minute full body massage combining Swedish, deep, pressure points, rocking, reflexology, and lots of attention to her neck, shoulders, and hips. My client really appreciated it. Her week started extremely well.

If you’re looking for a great massage, consider booking one in the morning when your massage therapist is feeling refreshed, especially after a couple of days off! If you’re in the Austin area, I’d love your business!

See you later, with the first turnaround of Byron Katie’s Work!

What percentage of the population do you think is mentally healthy?

I came across this quote that I hadn’t seen before, courtesy of Terry. The quote is by Thomas Stone (author of Cure By Crying):

About 10% of the population is mentally healthy. They are confident and full of energy.  They don’t understand why the rest of us have so much trouble.

Another 20% is almost mentally healthy. They may have a few bad habits, but they can overcome them by making a firm decision, “Just do it”.

The remaining 70% struggle with low energy, shyness, headaches, addictions, bad tempers, sleep problems, failed love, sex problems, difficulty reading, talking and selling.  They attempt to solve their problems by positive thinking, astrology, pills, support groups, subliminal learning, and religion, but their lives always stay the same because they never find the real cause of the problem, blocked traumatic memories. This book is dedicated to the 70%, and to their children.

I haven’t read this book, but I’m curious about the statistics. I don’t know the source, but the rounded percentages sound like a guess. Not that it’s untrue! He could be spot on right. I just don’t know. I don’t believe I could imagine a random representative sample of 100 people well enough to be so sure about the percentages.

What do you think about these percentages?

Which category would you place yourself in? I’ve been in all three categories in this lifetime. I feel like right now, I’m struggling between the 10% and the 20% categories.

Do you believe that blocked traumatic memories are the real cause of poor mental health? I know firsthand that blocked traumatic memories caused my poor mental health. I just don’t know (or know how anyone could really know) that they cause poor mental health in 70% of the population. Especially since the memories are blocked…

That said, if you don’t feel mentally healthy, would it be worth your while to examine (with skilled support, of course) whether you have blocked any traumatic memories?

It might take getting acquainted with yourself in a new way, but if the payoff was better mental health, would you do it?

Just curious.