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存在睡眠问题,是否应该服用补剂?

HILLARY HOFFOWER
2024-09-07

褪黑素据称有助于睡眠,而醉茄提取物据说也可以减轻压力,改善睡眠。

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因为工期和满满的工作日程,我在过去几周异常繁忙。对于拥有A型人格的我来说,这意味着在晚上睡一个好觉并非易事。因此,我打开了可靠的瓶装褪黑素,倒出了一粒含量5毫克的助睡荷尔蒙药丸,希望能借此来补补觉,并连续服用了多个晚上。

盖洛普(Gallup)2024年4月的调查显示,如今,很少有美国人能够睡足8小时,而且越来越多的美国人称自己需要增加睡眠时长。在我及众多民众的帮助下,助睡补剂市场已增至1300亿美元规模。在该市场中,既有褪黑素这类睡眠保健品,也有植物补剂醉茄提取物。尽管我只有在担心会出现失眠问题时才服用褪黑素,但我知道有不少人多年来每晚都会服用褪黑素(这可能对于他们来说并不是什么好主意)。我的一位朋友对于醉茄提取物在缓解焦虑和压力、帮助其快速入睡方面的功效深信不疑。

不过两相对比,我们到底应该服用哪一种来帮助睡眠,亦或我们是否应该服用这类补剂?

褪黑素和醉茄提取物都是啥?

褪黑素是一种天然生成的荷尔蒙,由脑松果体分泌,用于调节人体的生物钟。通过扮演人体内的钟表,褪黑素会告诉人们何时睡觉(夜间浓度增高)以及何时醒来(早上浓度降低)。我们可以通过服用含有天然或合成褪黑素的片剂或软糖,来提升体内的褪黑素浓度,并以此改善睡眠。

南非醉茄是一种适应原(Adaptogen),这种草药能够帮助调节皮质醇。它是一种生长在非洲和亚洲的灌木,但你通常买到的是含有该草药成分的胶囊、粉剂或茶饮。研究显示,它可以改善脑部功能,并降低炎性反应,同时还能帮助减轻压力和焦虑,这些都有助于人们在夜间的酣睡。

褪黑素和醉茄提取物,哪个在助睡方面更有效?

对于褪黑素和醉茄提取物在助眠方面的效果,不同的研究有不同的说法。2022年1月发布于美国国家医学图书馆(National Library of Medicine)的调查显示,褪黑素对于睡眠质量有积极的改善效果。然而同年发布于《美国医学协会杂志》(American Medical Association)上的一项调查发现,没有“充分”的证据显示褪黑素有助于改善睡眠障碍。

至于醉茄提取物,多项调查发现,该物质在改善睡眠方面的效果虽不明显,但足以引起人们的重视,尤其是连续服用8周后的效果,以及对于那些苦于失眠症的患者而言。

雅各布·泰特尔鲍姆博士表示,在上述两种补剂中择一使用之前,“人们一定要弄清楚主要问题是入睡困难还是睡眠质量不佳。”雅各布专注于治疗慢性疲劳症、纤维肌痛和新冠后遗症,还著有应对睡眠障碍的书作《从疲乏不堪到活力满满》(From Fatigued to Fantastic)。

他向《财富》杂志透露,对于那些难以入睡的人来说,他通常会推荐在一开始服用5毫克含量的褪黑素补剂。对于那些夜间易醒的人,他推荐使用更高剂量的缓释版褪黑素。他还表示,要发挥醉茄提取物的助眠效果,其效价强度不应低于5%,要高品质,剂量为600毫克。他补充说,这两种补剂相辅相成,可同时服用。

如果主要问题是失眠,他通常推荐在一开始使用含量为10毫克的缓释版褪黑素,并视情况增加其他治疗方式。如果出现严重的日间疲乏,那么他推荐补充高剂量的醉茄提取物,来帮助恢复活力和治疗失眠。

他说:“褪黑素是最有效的助眠物质,同时还能减轻夜间胃酸反流,并具有抗氧化、免疫和神经保护功效。助眠只是醉茄提取物诸多功效之一,其他功效包括恢复活力、认知,以及减轻压力等。褪黑素和醉茄提取物均可以改善睡眠和活力。”

在助眠方面,使用褪黑素和醉茄提取物安全吗?

由于安眠药可能会导致很多严重的问题,泰特尔鲍姆倾向于在一开始使用褪黑素和醉茄提取物这类更安全的天然替代物。由于我们无法对哪一种“更安全”下定论,因此人们应确保这些补剂得到了美国国家卫生基金会(NSF International)的认证,该机构负责核实补剂成分的纯度。此外,与生活中的大多数事物一样,这些补剂在服用时应遵循适量原则,因为过多服用亦存在风险。

美国国立卫生研究院(NIH)称,尽管醉茄提取物对于成年人来说是安全的,但其副作用可能包括腹泻、困倦、头疼和反胃。克利夫兰诊所(Cleveland Clinic)称,褪黑素可能会导致呕吐、眩晕、困倦和头疼。这两种补剂在孕期或哺乳期都不能服用。虽然短期内服用没有问题的,但人们并不了解其长期服用的后果。不过,人们可能会对褪黑素产生心理依赖,因为一些专家认为褪黑素的效果源于安慰剂效应。

泰特尔鲍姆称,人们可以在压力大或失眠时间歇性地或无限期地使用这两种补剂,但我们对长期使用褪黑素的副作用知之甚少,因此,最好是咨询可以帮助制定夜间睡眠计划的医生,告知其具体的睡眠问题。很多专家认为,人们有必要意识到,不应把这两种补剂当作解决自身睡眠问题的万能药。

心理学家、刚卸任的美国睡眠医学会(American Academy of Sleep Medicine)会长詹妮弗·马丁博士此前曾向《财富》透露,她并不推荐使用睡眠补剂,而是应专注于改善睡眠卫生。威尔康奈尔医学院(Weill Cornell Medicine)和纽约长老会医院(NewYork-Presbyterian)睡眠医学中心医学总监安娜·克雷格博士向《财富》解释说,在服用这些补剂时,最好同步改善自身的夜间活动习惯。

克雷格表示,应该有一间昏暗、凉爽的卧室,养成规律的就寝和起床时间,减少睡眠前的光线照射,并学会“减少可能会影响睡眠的压力源和潜在焦虑。”

与任何有关卫生习惯的改变一样,人们首先应咨询医生,来确定应对睡眠问题的最佳方案,以及自己适合使用哪种补剂,或者是否需要使用补剂。(财富中文网)

译者:冯丰

审校:夏林

因为工期和满满的工作日程,我在过去几周异常繁忙。对于拥有A型人格的我来说,这意味着在晚上睡一个好觉并非易事。因此,我打开了可靠的瓶装褪黑素,倒出了一粒含量5毫克的助睡荷尔蒙药丸,希望能借此来补补觉,并连续服用了多个晚上。

盖洛普(Gallup)2024年4月的调查显示,如今,很少有美国人能够睡足8小时,而且越来越多的美国人称自己需要增加睡眠时长。在我及众多民众的帮助下,助睡补剂市场已增至1300亿美元规模。在该市场中,既有褪黑素这类睡眠保健品,也有植物补剂醉茄提取物。尽管我只有在担心会出现失眠问题时才服用褪黑素,但我知道有不少人多年来每晚都会服用褪黑素(这可能对于他们来说并不是什么好主意)。我的一位朋友对于醉茄提取物在缓解焦虑和压力、帮助其快速入睡方面的功效深信不疑。

不过两相对比,我们到底应该服用哪一种来帮助睡眠,亦或我们是否应该服用这类补剂?

褪黑素和醉茄提取物都是啥?

褪黑素是一种天然生成的荷尔蒙,由脑松果体分泌,用于调节人体的生物钟。通过扮演人体内的钟表,褪黑素会告诉人们何时睡觉(夜间浓度增高)以及何时醒来(早上浓度降低)。我们可以通过服用含有天然或合成褪黑素的片剂或软糖,来提升体内的褪黑素浓度,并以此改善睡眠。

南非醉茄是一种适应原(Adaptogen),这种草药能够帮助调节皮质醇。它是一种生长在非洲和亚洲的灌木,但你通常买到的是含有该草药成分的胶囊、粉剂或茶饮。研究显示,它可以改善脑部功能,并降低炎性反应,同时还能帮助减轻压力和焦虑,这些都有助于人们在夜间的酣睡。

褪黑素和醉茄提取物,哪个在助睡方面更有效?

对于褪黑素和醉茄提取物在助眠方面的效果,不同的研究有不同的说法。2022年1月发布于美国国家医学图书馆(National Library of Medicine)的调查显示,褪黑素对于睡眠质量有积极的改善效果。然而同年发布于《美国医学协会杂志》(American Medical Association)上的一项调查发现,没有“充分”的证据显示褪黑素有助于改善睡眠障碍。

至于醉茄提取物,多项调查发现,该物质在改善睡眠方面的效果虽不明显,但足以引起人们的重视,尤其是连续服用8周后的效果,以及对于那些苦于失眠症的患者而言。

雅各布·泰特尔鲍姆博士表示,在上述两种补剂中择一使用之前,“人们一定要弄清楚主要问题是入睡困难还是睡眠质量不佳。”雅各布专注于治疗慢性疲劳症、纤维肌痛和新冠后遗症,还著有应对睡眠障碍的书作《从疲乏不堪到活力满满》(From Fatigued to Fantastic)。

他向《财富》杂志透露,对于那些难以入睡的人来说,他通常会推荐在一开始服用5毫克含量的褪黑素补剂。对于那些夜间易醒的人,他推荐使用更高剂量的缓释版褪黑素。他还表示,要发挥醉茄提取物的助眠效果,其效价强度不应低于5%,要高品质,剂量为600毫克。他补充说,这两种补剂相辅相成,可同时服用。

如果主要问题是失眠,他通常推荐在一开始使用含量为10毫克的缓释版褪黑素,并视情况增加其他治疗方式。如果出现严重的日间疲乏,那么他推荐补充高剂量的醉茄提取物,来帮助恢复活力和治疗失眠。

他说:“褪黑素是最有效的助眠物质,同时还能减轻夜间胃酸反流,并具有抗氧化、免疫和神经保护功效。助眠只是醉茄提取物诸多功效之一,其他功效包括恢复活力、认知,以及减轻压力等。褪黑素和醉茄提取物均可以改善睡眠和活力。”

在助眠方面,使用褪黑素和醉茄提取物安全吗?

由于安眠药可能会导致很多严重的问题,泰特尔鲍姆倾向于在一开始使用褪黑素和醉茄提取物这类更安全的天然替代物。由于我们无法对哪一种“更安全”下定论,因此人们应确保这些补剂得到了美国国家卫生基金会(NSF International)的认证,该机构负责核实补剂成分的纯度。此外,与生活中的大多数事物一样,这些补剂在服用时应遵循适量原则,因为过多服用亦存在风险。

美国国立卫生研究院(NIH)称,尽管醉茄提取物对于成年人来说是安全的,但其副作用可能包括腹泻、困倦、头疼和反胃。克利夫兰诊所(Cleveland Clinic)称,褪黑素可能会导致呕吐、眩晕、困倦和头疼。这两种补剂在孕期或哺乳期都不能服用。虽然短期内服用没有问题的,但人们并不了解其长期服用的后果。不过,人们可能会对褪黑素产生心理依赖,因为一些专家认为褪黑素的效果源于安慰剂效应。

泰特尔鲍姆称,人们可以在压力大或失眠时间歇性地或无限期地使用这两种补剂,但我们对长期使用褪黑素的副作用知之甚少,因此,最好是咨询可以帮助制定夜间睡眠计划的医生,告知其具体的睡眠问题。很多专家认为,人们有必要意识到,不应把这两种补剂当作解决自身睡眠问题的万能药。

心理学家、刚卸任的美国睡眠医学会(American Academy of Sleep Medicine)会长詹妮弗·马丁博士此前曾向《财富》透露,她并不推荐使用睡眠补剂,而是应专注于改善睡眠卫生。威尔康奈尔医学院(Weill Cornell Medicine)和纽约长老会医院(NewYork-Presbyterian)睡眠医学中心医学总监安娜·克雷格博士向《财富》解释说,在服用这些补剂时,最好同步改善自身的夜间活动习惯。

克雷格表示,应该有一间昏暗、凉爽的卧室,养成规律的就寝和起床时间,减少睡眠前的光线照射,并学会“减少可能会影响睡眠的压力源和潜在焦虑。”

与任何有关卫生习惯的改变一样,人们首先应咨询医生,来确定应对睡眠问题的最佳方案,以及自己适合使用哪种补剂,或者是否需要使用补剂。(财富中文网)

译者:冯丰

审校:夏林

Deadlines and packed days have made my past couple of weeks extra busy. And for someone with a Type A personality, this means that the odds of getting a good night’s sleep haven’t exactly been in my favor. So, I broke out my trusty bottle of melatonin, popping 5 milligrams of the sleep hormone supplement several nights in a row in the hopes of catching some ZZZs.

With fewer Americans getting the recommended eight hours of sleep and more of them saying they need more sleep, per an April 2024 Gallup poll, I’m just one of many helping the sleep aids market grow to $130 billion. Part of that market involves sleep supplements like melatonin, as well as the herbal based ashwagandha. While I pull out the former when I fear an oncoming insomnia onslaught, I know several people who have been taking melatonin nightly for years (unfortunately for them, this probably isn’t a great idea). And a friend of mine swears by the anxiety and stress-relieving benefits of ashwagandha that help her fall into a quick slumber.

But when stacked up against one another, which one should we actually be taking to help us sleep—and should we even be taking them at all?

What are melatonin and ashwagandha?

Melatonin is a naturally occurring hormone produced in the brain’s pineal gland that regulates our circadian rhythm. By acting as our body’s internal clock, it helps us know when to go to bed (thanks to higher levels at night) and when to wake up (thanks to lower levels in the morning). We can add more melatonin to our system in the hopes of promoting sleep through natural or synthetic versions of it in tablets, gummies, and the like.

Ashwagandha is an adaptogen, an herb that helps regulate the stress hormone cortisol. It comes from a shrub that grows in Africa and Asia, but you can often buy it as a capsule, powder, or tea. Research shows it can improve brain function and lower inflammation, plus help reduce stress and anxiety—which can make for a good night’s sleep.

Is melatonin or ashwagandha more effective for sleep?

The research is mixed on just how well melatonin and ashwagandha can knock us out at night. A January 2022 study published in the National Library of Medicine finds that melatonin positively affects our quality of sleep. But a study published the same year in Journal of the American Medical Association (JAMA) finds “weak” evidence in melatonin use for sleep disturbances.

As for ashwagandha, various studies find that it has a small, but significant effect in improving sleep, particularly when taken eight weeks in a row and by those suffering from insomnia.

When deciding between the two, “the key is to note if the key problem is just falling asleep or also staying asleep,” says Dr. Jacob Teitelbaum, who specializes in treating conditions such as chronic fatigue syndrome, fibromyalgia, and long COVID and who wrote From Fatigued to Fantastic, which addresses sleep disorders.

For those who have trouble falling asleep, he tells Fortune, he typically recommends starting with 5 mg of melatonin. For those who wake up in the middle of the night, he recommends a sustained release of a higher dose of melatonin. To reap the sleep benefits of ashwagandha, he says the supplement must be at least 5% potency, good quality, and a 600 mg dose. He adds that both can go well together.

When insomnia is the key issue, he typically begins with a sustained-release of 10 mg of melatonin, adding other treatments as needed. If severe daytime fatigue is present, then he adds high potency ashwagandha to help both energy and insomnia.

“Melatonin is most effective for helping sleep, but also helps with nighttime acid reflux, along with antioxidant, immune, and neuroprotective benefits,” he says. “Ashwagandha helps sleep as one of its modest components, but does also help energy, cognition, stress, and other functions. Both melatonin and ashwagandha improve sleep as well as energy.”

Is melatonin or ashwagandha safer for sleep?

Since sleep medications can cause significant problems, Teitelbaum likes to start with natural, safer alternatives like melatonin and ashwagandha. While one isn’t necessarily “safer” than the other, you should make sure they’re certified by NSF International, which verifies the purity of supplement ingredients. And, as with most things in life, they should be taken in moderation because there are risks to taking too much.

Although ashwagandha is safe for adults, according to the NIH, its side effects can show up as diarrhea, drowsiness, a headache, and upset stomach. Melatonin can also cause nausea, dizziness, drowsiness, and a headache, per the Cleveland Clinic. You shouldn’t take either if you’re pregnant or breastfeeding. While using them in the short-term is okay, little is known about using them long-term—although we can become psychologically dependent on melatonin, since some experts believe its effectiveness lies in a placebo effect.

Teitelbaum says it’s reasonable to use either intermittently during periods of stress or insomnia, or even indefinitely. But there’s little known about the effects of long-term melatonin use, so it’s best to run your specific sleeping problems by a specialist who can help you figure out a nighttime game plan. Many experts agree it’s important to not rely on either supplement as a cure-all for your sleep problems.

Dr. Jennifer Martin, a psychologist and immediate past president of the American Academy of Sleep Medicine, previously told Fortune she doesn’t recommend supplements for sleep at all—rather, you should focus on boosting your sleep hygiene. And Dr. Ana Kreiger, medical director of the Center for Sleep Medicine at Weill Cornell Medicine and NewYork-Presbyterian, explained to Fortune that supplements are best used in conjunction with enhancing your nighttime routine.

That looks like a dark and cool bedroom, a routine with a regular bedtime and wake-up time, limiting light exposure before bed, and learning “how to reduce stressors and underlying anxieties that may be affecting sleep,” Kreiger said.

As with any change to our health routine, it’s always important to talk to your doctor first to determine the best way to tackle your sleep problems and which supplement might be right for you, if at all.

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