Category Archives: Common Myths

Are Melatonin Supplements Effective Sleep Aids?

Platform bed and nightstand with lamp.

IMG via University of Michigan School of Public Health 

With all the distractions in our lives, falling asleep can be difficult. Especially with our phones and other devices stimulating us at all hours, it is easy to derail our natural sleep cycles. While sleeping pills are prescribed carefully in select circumstances, over-the-counter sleep aids like sedating antihistamines (Benadryl) and melatonin are also available (1,2). In particular, melatonin, a hormone that controls the sleep-wake cycle, has grown in popularity. Now, children and adults alike have started to include melatonin gummies in their nighttime routines (3). But should we think twice about the effectiveness of melatonin supplements as sleep aids? Are there any downsides to regular or long-term use? Should we prioritize healthy sleep habits and attention to our mental health?  

Melatonin is produced in the pineal gland of the brain and regulates circadian rhythm, or the cycle of alertness and sleepiness resulting from light changes in the environment (4,5). Melatonin production is highest when the environment is dark and decreases as the environment becomes lighter. This means that melatonin production can be hindered if light exposure is too high at night, leading to difficulty falling asleep (6). Melatonin supplements function by regulating patterns of sleepiness, although the exact role of melatonin is not known.  

Three systematic reviews with meta-analysis found that melatonin supplements lowered sleep latency (the time it takes to fall asleep) and improved sleep quality better than placebos (7). Additionally, these reviews found that melatonin supplements increased total sleep time (8), and improved sleep quality based on a sleep quality assessment, except in subjects with mental health disorders or neurodegenerative diseases (9).  

There are some concerns about potential downsides of long-term melatonin use in children (10). One study of 69 young adults with chronic sleep-onset insomnia during childhood found no differences in sleep quality between people that used melatonin for a mean of 11 years and people that did not use melatonin (11). While this finding may alleviate concerns about the safety of long-term melatonin use, it also questions the efficacy of melatonin since young adults did not experience significantly improved sleep quality in later life related to melatonin use.  

While the use of melatonin is associated with some sleep benefits more information is needed regarding the degree of benefit and potential harms. If you’re considering melatonin, it may be wise to attend to healthy sleep habits, such as limiting caffeine intake and avoiding use of electronic devices and blue light prior to sleep, and also prioritize alleviation of any feelings of despair or anxiety.   

References:

1. Mayo Clinic Staff. Prescription Sleeping Pills: What’s Right for You? Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/insomnia/in-depth/sleeping-pills/art-20043959

2. Mayo Clinic Staff. Sleep Aids: Understand Options Sold Without a Prescription. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/sleep-aids/art-20047860

3. Fliesler, Nancy. Melatonin for kids: Is it safe? Is it effective? Boston Children’s Hospital. 13 June 2022. https://answers.childrenshospital.org/melatonin-for-children/

4. Zisapel N. New perspectives on the role of melatonin in human sleep, circadian rhythms and their regulation. Br J Pharmacol. 2018;175(16):3190-3199. doi:10.1111/bph.14116

5. Reddy S, Reddy V, Sharma S. Physiology, Circadian Rhythm. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519507/

6. Melatonin: What You Need to Know. National Center for Complementary and Integrative Health. https://www.nccih.nih.gov/health/melatonin-what-you-need-to-know

7. Li T, Jiang S, Han M, et al. Exogenous melatonin as a treatment for secondary sleep disorders: A systematic review and meta-analysis. Front Neuroendocrinol. 2019;52:22-28. doi:10.1016/j.yfrne.2018.06.004

8. Chan V, Lo K. Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis. Postgrad Med J. 2022;98(1158):285-293. doi:10.1136/postgradmedj-2020-139319

9. Fatemeh G, Sajjad M, Niloufar R, Neda S, Leila S, Khadijeh M. Effect of melatonin supplementation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. J Neurol. 2022;269(1):205-216. doi:10.1007/s00415-020-10381-w

10. Van de Walle, Gavin. “What does melatonin do, and how does it work?” Healthline. January 13, 2023. https://www.healthline.com/nutrition/melatonin-and-sleep#other-benefits

11. Zwart TC, Smits MG, Egberts TCG, Rademaker CMA, van Geijlswijk IM. Long-Term Melatonin Therapy for Adolescents and Young Adults with Chronic Sleep Onset Insomnia and Late Melatonin Onset: Evaluation of Sleep Quality, Chronotype, and Lifestyle Factors Compared to Age-Related Randomly Selected Population Cohorts. Healthcare (Basel). 2018;6(1):23. Published 2018 Mar 2. doi:10.3390/healthcare6010023

12. https://sph.umich.edu/pursuit/2020posts/why-sleep-is-so-important-to-your-health.html

Does plucking gray hairs cause more to grow in its place?

If you’re looking in the mirror and see a lone gray hair, it might be tempting to pull it out. However, there have been warnings that plucking out strands of gray hair can result in multiple more appearing. Is that true? Should we avoid pulling out the gray strands?   

Hair gets its color from melanin, a pigment in our hair, eyes, and skin. The amount of this pigment decreases as we age, and less melanin is produced. Once these pigment-producing cells in the hair follicle die, our hair displays no color, which we interpret as gray. Plucking one gray hair does not impact the hair follicles around it since the surrounding cells are still alive and will maintain our natural hair color.  

There may be another reason not to pluck gray hairs.  Each time you pluck a hair, it grows out thinner or may not grow back at all.    

 It may seem like plucking on gray hair leads to others, but that’s probably just your head aging.  Plucking a gray hair does not affect the other hair follicles, but it does damage that one follicle you pluck. Embrace the gray or choose to dye your hair, but don’t fret about plucking.    

Links: 

UAMS Health 

Huff Post 

Does listening to classical music improve academic performance?

 

Image from theconversation.com

In the 18th century, Amadeus Mozart gripped the musical world with his elegantly crafted symphonies and intricate, melodic orchestral pieces. But can his music help students with studying? 

“The Mozart Effect” was first suggested in 1993 in a study conducted by psychologist Francis Rauscher at the University of California in Irvine. Students assigned to listen to a piano sonata composed by Mozart scored higher on a spatial reasoning test compared to those who did not.  

According to a study published in Learning and Individual Differences, students who listened to classical music during a lecture received superior marks on exams compared to their peers who did not. However, this may relate to classical music in general rather than Mozart in particular. An additional study on “The impact of music on the bioelectrical oscillations of the brain” used EEG data to measure brain activity, which suggested that music had a positive impact on brain function. The theory is that music reduces stress while stimulating happiness and arousal, which in turn helps students better concentrate on the task at hand. In the experiment, as long as the music was not too dynamic and did not become distracting, it was associated with better student performance on cognitive based exams.  

So the next time you are stressing about an exam, consider popping in some earbuds and listening to classical music. It might offer heightened stimulation to help you focus on the task at hand and get the most out of your studying time. 

 

https://news.usc.edu/71969/studying-for-finals-let-classical-music-help/

https://www.incadence.org/post/the-mozart-effect-explaining-a-musical-theory#:~:text=The%20Mozart%20Effect%20refers%20to,and%20their%20reactions%20when%20listening.

https://lighthouse.mq.edu.au/article/please-explain/february-2022/please-explain-does-music-help-you-study

https://www.frontiersin.org/articles/10.3389/fpsyg.2017.02044/full

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130927/#:~:text=According%20to%20scientists%2C%20music%20that,right%20frontal%20and%20temporal%20regions