Saturday, February 24, 2024

How To Reduce Cortisol Awakening Response

Swap Intense Workouts For Gentle Exercise

Morning Anxiety? It Might Be Cortisol Awakening Response

The length and intensity of your workouts can have a big impact on your cortisol levels. High intensity exercise, around 80 percent of your maximal oxygen uptake, even when done for just 30 minutes significantly elevates cortisol levels. Consistent long-duration exercise can also raise your cortisol level.

When scientists studied the cortisol concentrations in the hair of endurance athletes, they found higher concentrations than in non-endurance athletes. Lower intensity workouts on the other hand, like yoga, can reduce cortisol levels by deactivating the stress response, increasing parasympathetic activity, and decreasing norepinephrine.

How Does Cortisol Affect Sleep

Healthy amounts of cortisol at the right times help transition you into wakefulness in the morning and fall asleep by your target bedtime. Ill-timed cortisol production disrupts your sleep-wake cycle so that you have trouble falling asleep and staying asleep, while missing out on the alertness-boosting effect of the cortisol awakening response in the early morning. This leads to a vicious cycle of excess cortisol and sleep loss.

Longitudinal Development Of Car

Longitudinal development was analysed using a repeated measures ANOVA that analysed CAR over the course of treatment. Time was applied as the repeated factor, and possible differences between different subgroups of patients were analysed by applying group as a fixed factor and time × group as an interaction effect. Groupings were made according to depression diagnosis at inclusion , antidepressant use and symptom duration before inclusion in the study , respectively. Age, sex, nicotine use , exercise habits , BMI and WHR were applied as covariates.

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Response To Daily Activity Monitoring

Studies observing the CAR in relation to physical activity were numerous however, few directly assessed the impact on CAR and instead included physical activity as a component in a multivariate model. For example, Bogg and Slatcher assessed the impact of physical activity on CAR via multi-level growth curves, thereby making extracting data and possible relationships difficult. Nonetheless, in this particular study, no significant intercepts were observed for general physical activity in any of the models. Of note, moderate-vigorous activity approached a significant correlation , although such an effect would have been small and perhaps trivial.

A study by Vreeburg et al. showed significant relationships between AUCg and AUCi and physical activity in depressive subjects. Interestingly, these relationships were inverted relative to each other, such that physical activity was a positive predictor of AUCg and a negative predictor of AUCi, suggesting an overall greater magnitude of cortisol output, yet a blunted cortisol response in those individuals who are more active. Since depressive patients have been shown to have blunted responses relative to healthy controls , this finding may indicate that physical activity was beneficial in moving the CAR to a more healthy profile.

Physical Tests

The Autonomic Nervous System

Pin on Functional/Integrative Med/Evolution of Medicine

The autonomic nervous system is part of your body’s nervous system and is made up of:

  • The sympathetic nervous system , also known as the fight-or-flight response
  • The parasympathetic nervous system , commonly known as the rest-and-digest or feed-and-breed response

The ANS works in tandem with the HPA axis to react to external stressors. But, what exactly is the HPA axis?

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Can High Cortisol Cause Insomnia

High cortisol levels later in the day and near your bedtime trigger insomnia and other sleep problems. Thatâs because cortisol is an alertness-boosting hormone. While itâs great for helping you feel awake in the morning and alert throughout the day, too much cortisol circulating in your system too close to bed means youâre too wound up for sleep itself.

Listen To Music And Dance

Music is actually healing and can have a calming effect on the brain.

Numerous studies show that music can relax you, especially before a stressful event, by significantly lowering stress hormones. It can also reduce the spike in cortisol during the stressful situation .

Music can be even more relaxing when combined with non-strenuous dancing.

Regular dancing has also been shown to greatly decrease cortisol levels .

The book The Tapping Solution: A Revolutionary System for Stress-Free Living goes in more depth about the practice.

Lastly, deep breathing exercises can help you manage your stress hormone levels.

Diaphragmatic breathing consciously breathing from your diaphragm has been shown to encourage the bodys natural relaxation response and reduce cortisol .

I use the EmWave2 device every day to reduce stress and make sure Im breathing optimally. I wrote about it before here.

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Do Things That Make You Happy

Whether its connecting with friends and family or trying out a new hobby, spending time doing things that make you genuinely happy may help reduce stress and lower cortisol levels. Improving your disposition to become more positive can be a big part of improving your overall health. Studies show that positive affect can not only decrease cortisol, but also improve heart rate, blood pressure, and inflammatory markers. One study even found that laughter can decrease stress.

Are There Foods That Reduce Cortisol

Cortisol Awakening Response (Natural ENERGY Boost!)

Yes, no and maybe. Some research suggests that foods like tea, chocolate and fish oils might lower cortisol. But such studies tend to be small and not very conclusive, Dr. Lin says.

Youre unlikely to balance cortisol levels by adding anchovies to your pizza or scarfing a block of chocolate, she says. But good nutrition can make a difference.

Cortisol interacts with neurotransmitters, the chemical messengers that send signals in the brain. Neurotransmitters play an important role in mood. And cortisol isnt the only compound that influences them. To make those neurotransmitters, you need all the raw ingredients: vitamins, minerals and other nutrients, Dr. Lin says.

The best way to get them is with a balanced, plant-heavy diet, such as the Mediterranean diet, she adds. A healthy diet is the underpinning of stress management.

A balanced meal plan can ensure youre getting the nutrients your body needs. And talk to your doctor about taking a basic multivitamin. Its a good insurance policy to make sure youre not deficient in any vitamins, Dr. Lin says.

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The Natural Timeline Of Cortisol Production

Before we get into the fine print of how to lower cortisol levels, we first have to know where this stress hormone is manufactured in your body. In which case, look toward the hypothalamic-pituitary-adrenal axis . The HPA axis is a complex biological system encompassing the hypothalamus, the pituitary gland, and the adrenal glands .

Cortisol follows its own circadian rhythm, scientifically known as the cortisol rhythm. When your cortisol rhythm is properly functioning, your bodyâs cortisol production timeline looks like this:

  • In the early morning hours, your body temperature increases ever so slightly . This minute change is enough to ramp up your bodyâs levels of cortisol, activating the cortisol awakening response . For that same reason, cortisol is also colloquially known as the alertness-promoting hormone.
  • After jolting you into wakefulness in the early morning, your bodyâs release of cortisol surges for 30-45 minutes before gradually quieting down as the day wears on.
  • Cortisol concentration then reaches its low point around midnight. Two to three hours after youâve fallen asleep, your body resumes cortisol production until its peak in the early morning, when the cycle repeats itself.

In essence, a healthy cortisol rhythm surges in the early morning before ebbing once itâs past the late morning hours.

Avoid The Endless Trap Of Excess Cortisol And Sleep Loss

When you think of cortisol, the first thing that comes to mind is its close association with stress, hence its moniker, “the stress hormone.” While cortisol may be a close companion when you’re rushing for a deadline or running to catch a bus, not many people realize its profound impacts on sleep. If you ever find yourself having difficulty falling asleep and sleeping through the night, thereâs a chance your body is too wound up with this stress hormone.

Be that as it may, we need cortisol for our day-to-day functioning. Aside from activating our fight-or-flight response, this hormone is also crucial for waking us up in the morning and lowering body inflammation . Itâs only when there is an ill-timed, chronic influx of cortisol circulating in your body that it spells trouble for your sleep patterns, as well as your health and wellbeing in the short and long term.

Below, we take an in-depth look at the stress hormone cortisol and how it relates to your sleep-wake cycle. You will discover why your body can produce too much cortisol, how that leads to sleep loss, and vice versa. Last but not least, you will learn how to lower cortisol levels to free yourself from this vicious cycle of surplus cortisol and sleep insufficiency.

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Cortisol And Stress: The Basics

Cortisol is one of several hormones the body produces naturally. Cortisol levels do go up when youre stressed. But it doesnt deserve its bad rap.

Cortisol supports overall health, Dr. Lin says. It helps us wake up, gives us energy during the day and lowers at night to help us sleep and rest.

The problem arises when chronic stress keeps cortisol levels high for the long haul. High cortisol levels over weeks or months can lead to inflammation and a host of mental and physical health problems, from anxiety to weight gain to heart disease.

What Happens When Cortisol Is High

Effects of nighttime low frequency noise on the cortisol response to ...

Over the last 20 years, studies have increasingly revealed that moderate to high cortisol levels may lead to an array of health issues, such as :

  • Chronic disease. Long-term increased cortisol may increase your risk for high blood pressure, heart disease, type 2 diabetes, osteoporosis, and other chronic diseases.
  • Weight gain. Cortisol may increase appetite and signal the body to shift metabolism to store fat.
  • Lack of energy/difficulty sleeping. It can interfere with sleep hormones which may impact sleep quality and length.
  • Difficulty concentrating. Also referred to as brain fog, some people report trouble focusing and lack of mental clarity.
  • Impaired immune system. Increased cortisol can hamper the immune system, making it more difficult to fight infections.
  • Cushings syndrome. In rare cases, very high cortisol levels can lead to Cushings syndrome, a rare but serious disease.

Elevated cortisol levels can be caused from many underlying issues such as overactivity or cancer of the pituitary or adrenal glands, chronic stress, and medication side effects .

Further, existing chronic disease may lead to higher cortisol levels, causing a chicken or the egg type of scenario .

Therefore, its best to work with a qualified health professional to establish the root cause of your health issues. Along with this, you may want to introduce some effective lifestyle habits that may help you better manage your cortisol levels. Here are some recommendations:

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Salivary Cortisol Circadian Rhythm And Car

The mean values of salivary cortisol at 0800, 1100, 1700, 2000, and 2300h in HC, OB, in remission CD, and active CD groups are shown in Table 1. Figure 1 shows individual salivary cortisol values obtained at 0800 and 2300h for each group. ANOVA demonstrated significant differences in salivary cortisol levels among 0800, 1100, 1700, 2000, and 2300h for HC, OB, and in remission CD but not in active CD . The salivary cortisol levels of patients with active CD were significantly elevated at 0800, 1100, 1700, 2000, and 2300h compared with all other groups however, there were no differences among the HC, OB, and in remission CD groups. In addition, each patient from the active CD group had elevated UFC, individual values ranging from 48.1 to 235.7 .

Salivary cortisol circadian profile in healthy controls, obese, in remission Cushing’s disease , and active CD patients. Cortisol concentrations in nmol/l values in X±s.d.


Try An Adaptogenic Herb

Adaptogens are a group of fungi and plant-derived compounds that help the body adapt to stress and are known for their ability to reset the body and restore natural functioning. Re-establishing healthy, pre-stress cortisol levels is one of the many benefits of including these supplements in your diet. Ashwagandha, one of the most popular members of this group, has been shown to significantly reduce cortisol levels and calm anxiety. Ginseng and rhodiola are some of our other favorite adaptogens that may help balance your cortisol levels. Try adding these to your morning smoothie, coffee, tea, or even baked goods or discussing further with your Parsley Health clinician or health coach to receive recommendations on high quality brands and specific adaptogens that may work best for you.

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Ptsd And Low Cortisol

There is most definitely a relationship between PTSD and low cortisol levels. In fact, a low cortisol response can be driven by chronic anxiety, or what we might otherwise call post-traumatic stress disorder . The solution here is to seek help in order to come to terms with your anxiety levels, and what is plaguing you deep down.

Cognitive behavioral therapy is a proven way to help with chronic anxiety and PTSD. It can also help with cortisol levels. Mindfulness meditation is also extremely effective, easy to do, and can make a big difference in your life.

Hopefully, after seeking help, it will be able to balance out your PTSD and low cortisol levels. I truly hope this helps.

Should You Get Your Cortisol Levels Tested

Anxiety, Fear, and Resilience: How to Optimize the Cortisol Awakening Response to Survive and Thrive

If youve been experiencing any symptoms of high cortisol, you may want to ask your doctor about a 4-point cortisol test to see if a cortisol imbalance could be at play. For the at-home test, you collect saliva first thing in the morning, before lunch, before dinner, and before bed.

The results show your cortisol levels throughout the day. A normal cortisol pattern starts high in the morning and slowly decreases throughout the day, reaching its lowest point at night, priming you for sleep. If your pattern looks different, it may signify a cortisol imbalance.

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When To Lower Your Cortisol Load

While you donât want to lower your cortisol load altogether, you definitely want to avoid high levels of this stress hormone later in the day, especially as your bedtime draws near.

Unfortunately, everyday factors like sleep loss, chronic stress, and circadian misalignment incite HPA hyperactivity. In this scenario, cortisol continues to circulate in your system even after a stressor has passed. This spells trouble for your nighttime sleep as you:

  • Wake up more frequently in the middle of the night,
  • Have less restorative deep sleep, and,
  • Cut short your total sleep duration

Lo and behold, youâve now accrued sleep debt, the amount of sleep youâve missed out on in the past 14 days relative to your sleep need.

You can blame your shoddy sleep patterns on the corticotropin-releasing hormone . Itâs a precursor to cortisol secretion that represses melatonin production. For the uninitiated, melatonin is a sleepiness-promoting hormone naturally created in your body when you’re in the dark. Think of it as the key that unlocks the gateway to sleep.

Unfortunately, excessive amounts of the stress hormone delay melatonin synthesis, so youâre more likely to stay up past your bedtime. And we all know what that entails: Late-night activities like phone-scrolling and Netflix-binging, all of which expose you to bright artificial light, further suspending the manufacturing of melatonin within your body.

Reduce Your Sugar Intake

Has it become a habit to reach for that hidden stash of candy every time youre stressed? Youre not alone. Turns out, this is actually your bodys physiological response, since high cortisol can affect your brains reward system, making you crave foods high in sugar and fat. Once you eat that food, it just reinforces these feelings and makes you crave them even more next time. These frequent or excessive sugar surges are known to increase cortisol levels and create a cycle thats difficult to break. Instead of processed, sugar-rich foods, try reaching for foods high in fiber or omega-3s, which will help keep your cortisol levels steady. And if you need help cutting your sugar habit, learn how to do a sugar detox here.

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Car Gives Us Even More Clues To Pin Down The Reason For A Hyperactive Or Hypoactive Hpa Axis

How can we assess the response capacity of the HPA axis? We have a built-in mechanism governed by the hippocampus and the light-sensitive suprachiasmatic nucleus of the hypothalamus wherein cortisol levels show a temporary boost between the moment of waking and 30 or so minutes after rising, returning to the initial waking level at 60 minutes after waking.

This transient rise in cortisol levels is unique to the stimulus of morning waking. It doesn’t happen when we are woken from sleep in the middle of the night or after we take an afternoon nap. It happens in the first hour or so after waking up, and it’s called the Cortisol Awakening Response . The magnitude of the CAR gives us some idea of the HPA axis’s ability to activate and respond to the magnitude of all the stressors that face us as we awaken and begin the day.

CAR gives us even more clues to pin down the reason for a hyperactive or hypoactive HPA axis. So, what is a NORMAL CAR response? On awakening cortisol should increase about 50% in the first 30 minutes then begin to progressively drop the remainder of the day. Three, rather than one, early morning collections are what is needed to accurately assess the CAR one immediately on waking, one 30 minutes later, and another at 1 hour. The other three collections are done as usual before lunch, dinner, and bedtime.

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