How Lifestyle Affects Narcolepsy

Diet and Narcolepsy | Nutrition Tips | Exercise and Narcolepsy | Exercise Tips

Overview

Narcolepsy is a chronic neurological condition that causes uncontrollable sleepiness that can cause you to fall asleep right in the middle of a task – eating, walking, cooking, driving, and even running heavy machinery. For this reason, this disease can be exceedingly dangerous to your well-being.

The disorder makes it hard for the brain to control the body’s sleep-wake cycle and is characterized by extreme fatigue along with frequent fragmented sleep at night.

In the US alone, one out of every 2,000 people is affected by this condition.[1] Likewise, as many as 30 to 50 percent of narcoleptics have had close calls or outright accidents as a result of dozing off during activities at home or in the workplace.[2]

Most people living with narcolepsy also suffer from cataplexy (a sudden feeling of paralysis or weakness in parts of the body after intense emotions like laughing or excitement).

Cataplexy can cause patients to experience sudden falls, and some people sometimes confuse this condition with epilepsy.[3] Oftentimes, narcolepsy is also mistaken for insomnia because of its characteristic night-time sleep disruption.

Undiagnosed and untreated narcolepsy can interfere with a person’s cognitive, psychological, and social function and capabilities. It can also hinder academic, social, and work activities.

Narcolepsy and Lifestyle

For now, narcolepsy has no known cure, but a patient’s quality of life can be improved using both pharmacologic and non-pharmacologic strategies. [4][5]

Traditional stimulants and recent wake-promoting medications have helped to combat excessive daytime sleepiness; however, constant usage can lead to tolerance and dependence. In some cases, users may even develop cardiovascular side effects.

Non-pharmacologic treatment includes strategic napping, maintaining a consistent sleep-wake schedule, eating the right food and at the right time, regular exercising as well as social support.[6][7]

Diet and Narcolepsy

By eating more of certain foods while completely avoiding others, it’s possible to manage narcolepsy symptoms. There’s also a need to do portion control and watch the time you eat carbs to avoid difficulty with falling asleep during bedtime.[8]

Another risk of living with narcolepsy is the tendency of becoming obese or overweight.[9] Studies reveal there’s a link between excess body weight and short sleep duration – particularly in children.

Sleep deprivation makes people hungrier and increases their cravings for comfort food.[10]

Poor sleep affects two hormones (leptin and ghrelin), which regulate hunger.[11] The hormone ghrelin tells your brain when to feel hungry, while leptin is the fullness hormone.

When you’re sleep-deprived, ghrelin levels spike while leptin levels decrease, which can make you feel hungrier than before.

Nutrition Tips for Narcolepsy

1. Reduce & Time Your Carb Intake

It is a proven fact that a very low-carbohydrate, ketogenic diet (LCKD) can help reduce daytime drowsiness and other narcolepsy symptoms by 18% within 8 weeks of following the regimen.

A ketogenic diet is a low-carb, high-fat, and adequate protein diet.[12] You shouldn’t stop taking your carbs because this nutrient is the sole provider of the glucose your brain needs to function. As for timing, it’s important to avoid carb-rich meals in times when you need to stay alert – like during the day when you’re at work.

2. Watch When You Consume Caffeine & Alcohol

Consuming cup after cup of coffee may be a lifesaver in your fight to remain alert and awake but don’t go overboard with it. Keep in mind that it’s healthier not to exceed 250 mg of caffeine in a day. To enjoy a quality night’s rest, you may want to pause your caffeine intake no later than 3 p.m.

The same principle should be applied to alcohol. Don’t drink it at least 4 hours before you hit the bed to give your body time to metabolize the alcohol. The metabolism of alcohol can disrupt your sleep by interfering with your body’s ability to reach the deeper, more restorative phases of the sleep cycle.

3. Change Your Diet

Even if you crave sugar, you should pass on sweets and highly processed junk foods that give you a sugar rush during your active period. High blood glucose intensifies daytime drowsiness.

On the other hand, loading up on anti-inflammatory foods like fruits, green leafy vegetables, fatty fish, olive oil, tomatoes, and nuts can help improve narcolepsy.

Exercise and Narcolepsy

Sitting for prolonged periods of time is enough to tire anyone out, and the effect is particularly sedating on someone struggling with narcolepsy. To improve your energy level, and alertness, and to keep obesity at bay, one useful trick is to participate in regular exercise.

Narcoleptics experience chronic daytime sleepiness, and, as a result, abhor physical activity – especially monotonous activities.

The tactic some individuals use to combat tiredness is to engage in exercises they enjoy.[13] While some individuals find running more mentally engaging, other people with narcolepsy prefer complicated activities like rock climbing, dancing, or playing pick-up basketball games.

Exercise Tips for Narcolepsy

1. Establish a Daily 20-Minute Exercise Regimen

Besides excessive sleepiness, working out every day for at least 20 minutes and 4 to 5 hours before bedtime can improve your sleep and help with keeping excess weight gain in check.

You can start a new exercise regime with something simple like a 20-minute walk. With time, you can gradually increase the duration or try a more intense activity.

2. Work Out Wisely to Stay Alert or Sleep Better

Mild to moderate exercise in the evening causes your core body temperature to drop, which raises the amount of melatonin in your blood. A higher melatonin level makes you feel more tired and fall asleep faster than normal. Vigorous activities will stimulate the nervous system and increase the heart rate, thus, making it hard to fall asleep if you exercise close to bedtime.

Examples of mild to moderate workouts include:

Walking
Stretching
Leisure biking
Leisure swimming
Moderate weightlifting

Examples of vigorous workouts include:

Heavy weightlifting
Jumping rope
Competitive cycling
Swimming laps
Running
High-intensity interval training

3. Join a Fitness Group

Joining a group fitness class or teaming up with a workout buddy makes it more likely that you stick to a regular exercise plan, unlike when you work out in isolation.

Not only will regular exercise improve your sleep, but group exercise also has the added advantage of warding off feelings of loneliness and depression.

4. Don’t Neglect The All-Important Cardio Workouts

When it comes to improving sleep quality and burning calories with exercise, some workout routines are more effective than others. Aerobic exercise, commonly known as cardio exercise, is one of the routines you must include in your daily plan.

Research in sleep medicine discovered that patients with higher degrees of cardiopulmonary fitness (connected to the heart and lungs) experienced lower attacks of cataplexy and reduced level of sleepiness.

Examples of cardio workouts you can try are:

Swimming
Jogging
Playing tennis
Dancing
Biking
Brisk walking
Climbing stairs or hilly slopes
Doing house or yard work

Conclusion

There is no known cure for narcolepsy. However, making some lifestyle changes – eating healthy meals and having regular workouts – can go a long way in improving your sleep-wake cycle, keeping you safe, and helping you function better despite the disorder. If you suspect that you have narcolepsy, talk to your doctor.

References:

Scammel, D. (2020). Understanding Narcolepsy | Narcolepsy. Retrieved 6 October 2020, from http://healthysleep.med.harvard.edu/narcolepsy/what-is-narcolepsy/understanding
Drowsy Driving. (2020). Retrieved 6 October 2020, from https://one.nhtsa.gov/people/injury/drowsy_driving1/drowsy.html
Narcolepsy. (2020). Retrieved 6 October 2020, from https://www.physio-pedia.com/Narcolepsy
Narcolepsy – Treatment. (2020). Retrieved 6 October 2020, from https://www.nhs.uk/conditions/narcolepsy/treatment/
Narcolepsy – Diagnosis and treatment – Mayo Clinic. (2020). Retrieved 6 October 2020, from https://www.mayoclinic.org/diseases-conditions/narcolepsy/diagnosis-treatment/drc-20375503
Robinson, L. (2020). Narcolepsy – HelpGuide.org. Retrieved 6 October 2020, from https://www.helpguide.org/articles/sleep/narcolepsy.html
Narcolepsy | MedLink Neurology. (2020). Retrieved 6 October 2020, from https://www.medlink.com/index.php/handout/narcolepsy
Nwanza, N. (2020). Healthy Living With Narcolepsy: Nutrition, Exercise, and More | MyNarcolepsyTeam. Retrieved 6 October 2020, from https://www.mynarcolepsyteam.com/resources/healthy-living-with-narcolepsy-nutrition-exercise-and-more
Why narcoleptics get fat. (2020). Retrieved 6 October 2020, from https://www.sciencedaily.com/releases/2011/10/111004123558.html
High Prevalence Of Eating Disorders Found In Narcoleptics. (2020). Retrieved 6 October 2020, from https://www.sciencedaily.com/releases/2008/03/080301214742.html
Partinen, M (September 13, 2013). Nutrition, Sleep, and Sleep Disorders – Relations of Some Food Constituents and Sleep. https://www.intechopen.com/books/pharmacology-and-nutritional-intervention-in-the-treatment-of-disease/nutrition-sleep-and-sleep-disorders-relations-of-some-food-constituents-and-sleep
Reed, M. (2020). Narcolepsy and Food: How Diet Can Help. Retrieved 6 October 2020, from https://www.healthcentral.com/article/narcolepsy-and-food-its-not-a-diet-its-a-lifestyle
Does Exercise Help Narcolepsy?. (2020). Retrieved 6 October 2020, from https://www.therecoveryvillage.com/mental-health/narcolepsy/faq/does-exercise-help-narcolepsy/