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Waking up earlier in the morning increases the response. [11]Shift work: nurses working on morning shifts with very early awakening (between 4:00–5:30 a.m.) had a greater and prolonged cortisol awakening response than those on the late day shift (between 6:00–9:00 a.m.) or the night shift (between 11:00 a.m.–2:00 p.m.). [12]
Waking up meant I had to organise my day to ensure I didn't miss anything or say anything that would make me ruminate all night. I went through the tasks in my head over and over.
Setting an early alarm only to wake up and hit the snooze button to lie in bed for the next an hour is not ideal, says Barone, and could make you feel worse during the day.
Plus, “by ‘front-loading’ your calorie intake earlier in the day, you may experience better blood sugar control, increased satiety, and improved lipid profiles, all of which can contribute ...
Unrefreshing sleep is a further core symptom. People wake up exhausted and stiff rather than restored after a night's sleep. This can be caused by a pattern of sleeping during the day and being awake at night, shallow sleep, or broken sleep. However, even a full night's sleep is typically non-restorative.
Sleep inertia is a physiological state of impaired cognitive and sensory-motor performance that is present immediately after awakening. It persists during the transition of sleep to wakefulness, where an individual will experience feelings of drowsiness, disorientation and a decline in motor dexterity.
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