{"id":5679,"date":"2026-04-25T08:42:01","date_gmt":"2026-04-25T05:42:01","guid":{"rendered":"https:\/\/frc.com.ua\/?p=5679"},"modified":"2026-04-25T08:42:01","modified_gmt":"2026-04-25T05:42:01","slug":"son-pid-chas-vijni-shho-vidbuva%d1%94tsya-z-organizmom-i-koli-chas-do-likarya","status":"publish","type":"post","link":"https:\/\/frc.com.ua\/en\/son-pid-chas-vijni-shho-vidbuva%d1%94tsya-z-organizmom-i-koli-chas-do-likarya\/","title":{"rendered":"Sleep during war: what happens to the body and when it&#039;s time to see a doctor"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">The fifth year of full-scale war. Insomnia is one of the most common complaints to family doctors and psychotherapists, and the number that clinics see continues to grow. In <\/span><\/i><a href=\"https:\/\/frc.com.ua\/en\/\"><i><span style=\"font-weight: 400;\">Forest Retreat Center<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">, the center for longevity and preventive medicine in Holosiivskyi Forest, explain what sleep is actually responsible for, why it breaks down during chronic stress, and what you definitely shouldn&#039;t do.<\/span><\/i><\/p>\n<h1><span style=\"font-weight: 400;\">What is sleep responsible for?<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">A person spends a third of their life sleeping. During this time, almost everything happens in the body that there are no resources left for during the day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Deep sleep, especially in the first half of the night, is a time of physical recovery. Growth hormone is released, tissues, muscles, and mucous membranes regenerate. It is during sleep that the immune system produces cytokines that control the inflammatory response and protection against infections. One sleepless night reduces the activity of natural killer cells \u2013 cells that are the first to encounter viruses and tumor cells \u2013 by approximately 70%. Chronic sleep deprivation significantly reduces the effectiveness of vaccines and slows down healing.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At night, the brain&#039;s glymphatic system is active - a kind of &quot;sewerage&quot; that washes out protein residues, in particular beta-amyloid, from the intercellular space. Its excessive accumulation is associated with the development of Alzheimer&#039;s disease. During the day, this system is almost inactive: cleaning occurs mainly in deep sleep.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">REM phase, rapid eye movement sleep, prevails in the second half of the night and is responsible for the psyche. The brain reprocesses the experiences of the day, reducing the emotional charge of events. After a good sleep, yesterday really seems less acute - this is the work of REM. This same phase consolidates new skills and forms unexpected associations: an idea that \u201ccame in the morning\u201d is often not a metaphor, but a direct effect of nightly information processing.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Between phases, a person goes through 4\u20136 cycles of approximately 90 minutes each. Waking up in the middle of a cycle leaves you feeling groggy even after eight hours in bed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And another level: sleep controls appetite hormones (leptin and ghrelin), glucose levels, blood pressure, cortisol. Chronic sleep deprivation is an independent risk factor for stroke, heart attack, type 2 diabetes, depression, and weight gain. It\u2019s like the background against which everything else gradually wears out.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">Why war strikes first at sleep<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Air raid warnings, explosions, news, constant background readiness to react \u2013 everything that Ukrainians have learned over these five years, the nervous system reads the same way: threat. Cortisol levels remain elevated in the evening, although they should be falling. The brain remains in alert mode.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Next is fragmentation. An alarm in the middle of the night, even a short one, knocks you out of the deep phase. You won\u2019t be able to return to the same depth by morning \u2013 the architecture of sleep is lost. If you add watching a tape before bed, the body receives a nice signal \u201cget ready for action\u201d exactly when it should be switching to recovery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In symptoms it looks like this:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">falling asleep longer than usual, often by an hour or an hour and a half;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">superficial sleep, frequent awakenings from minimal sounds;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">vivid, disturbing, repetitive dreams \u2013 overloaded REM;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">morning &quot;broken&quot; awakening even after a formal eight hours of sleep;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">daytime drowsiness on the background of chronic fatigue, impaired concentration.<\/span><\/li>\n<\/ul>\n<h1><span style=\"font-weight: 400;\">Women and men sleep differently<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Women naturally sleep longer than men \u2013 on average 11\u201313 minutes. The female brain performs more parallel cognitive tasks, and the need for recovery is objectively higher. In practice, women suffer from insomnia 1.5\u20132 times more often: chronic stress, hormonal fluctuations (luteal phase, pregnancy, menopause) and higher levels of anxiety overlap this advantage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Men are more likely to have obstructive sleep apnea \u2013 breathing stops during sleep. Sleep apnea can go unnoticed for years because it is literally invisible to the person themselves: they wake up in the morning, feel exhausted and don\u2019t understand why. The main alarming marker is snoring with noticeable pauses, after which you seem to \u201cgather\u201d air.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">When is this a diagnosis?<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Chronic insomnia is said to occur if one of the following symptoms occurs at least three times a week for three months:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">falling asleep for longer than 20\u201330 minutes;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">waking up at night without being able to fall asleep for another 30+ minutes;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">waking up much earlier than planned;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">daytime drowsiness, deterioration of concentration, memory, mood.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Separately, there are &quot;red flags&quot; that should prompt you to see a doctor without delay: snoring with pauses in breathing, unpleasant sensations in your legs in the evening that make you want to move, waking up with a feeling of suffocation or heart palpitations, sudden muscle relaxation during laughter or strong emotions (possible narcolepsy), falling asleep at the wheel.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">What you definitely shouldn&#039;t do<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">The most common self-help strategies \u2013 and they all mostly make things worse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&quot;Sleep in&quot; on the weekends. The difference between waking up on weekdays and waking up on weekends of more than an hour and a half gives the effect of a weekly flight through several time zones. The circadian rhythm simply does not have time to stabilize.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sleeping pills as a first step. Masks the cause instead of treating it. Benzodiazepine drugs increase the proportion of superficial sleep and reduce REM: subjectively, a person falls asleep faster, objectively, the quality of sleep decreases. With prolonged use, addiction is formed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alcohol &quot;for relaxation.&quot; Falling asleep is accelerated, but the second half of the night becomes fragmented, REM is suppressed. In the morning - headache, anxiety, feeling of lack of rest.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Checking the time in the middle of the night instantly activates the brain and starts counting down the \u201chow much time do I have left?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lying in bed for a long time and \u201ctrying to fall asleep\u201d forms a stable association: bed \u2013 anxiety. Then it will work against you every night.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">What really helps<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Evidence-based medicine is clear: the first choice for chronic insomnia is cognitive behavioral therapy for insomnia (CBT-B). In the long term, it is more effective than sleeping pills, has no side effects, and is not addictive. Some of the advice can be implemented at home.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bed is for sleeping only. Not for the phone, TV shows, food, or work. If you can&#039;t sleep for 15\u201320 minutes, get up, do something quiet in dim light, and come back when you feel like it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A stable rise time is every day, including weekends. It is the morning that sets the circadian rhythm, not the time of day off.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The temperature in the bedroom is 18\u201320 \u00b0C. The body falls asleep when it cools down.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Caffeine \u2013 until 2:00 p.m. Half-life \u2013 5\u20137 hours.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">No screens an hour or two before bed. Or at least no newsfeeds and work emails.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Breathing with a longer exhale than an inhale is the easiest and most accessible way to shift the body from sympathetic to parasympathetic mode. It works during anxiety, after waking up at 4 a.m., before falling asleep.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">Which doctor to go to?<\/span><\/h1>\n<p><a href=\"https:\/\/frc.com.ua\/en\/services\/konsultaczi%d1%97-likariv\/\"><span style=\"font-weight: 400;\">Family doctor or therapist<\/span><\/a><span style=\"font-weight: 400;\"> \u2013 first step. Excludes somatics: thyroid, anemia, deficiencies, chronic pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Somnologist \u2013 if apnea, restless legs syndrome, narcolepsy are suspected. Prescribes<\/span><a href=\"https:\/\/frc.com.ua\/en\/services\/polisomnohrafiya\/\"><span style=\"font-weight: 400;\"> polysomnography<\/span><\/a><span style=\"font-weight: 400;\"> (night study in the laboratory with simultaneous recording of EEG, ECG, pulse oximetry, respiration and movements) or actigraphy \u2013 a clinically validated bracelet that a person wears for 7\u201314 days in the usual rhythm of life.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Neurologist \u2013 if sleep suffers due to pain, neurological symptoms, after concussions and injuries.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Psychiatrist or psychotherapist \u2013 for chronic insomnia with anxiety or depressive disorder, PTSD. CBT-B \u2013 within the competence of a psychotherapist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Endocrinologist or gynecologist \u2013 when sleep is disrupted due to hormonal cycles, pregnancy, or menopause.<\/span><\/p>\n<h1><span style=\"font-weight: 400;\">Instead of a conclusion<\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Sleep is the cheapest recovery tool a person has. During the day, the body doesn&#039;t have the resources to do this. That&#039;s why war hits sleep first: when the nervous system is on call 24\/7, there&#039;s no time left for recovery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If something is wrong with your sleep, you should not relax, but pay attention. This is a signal that is worth the lack of sleep.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">The material was prepared by Forest Retreat Center \u2013 a center for longevity and preventive medicine in Holosiivskyi Forest, Kyiv. License of the Ministry of Health No. 2187 dated 12\/27\/2024. fr\u0441.com.ua<\/span><\/i><\/p>","protected":false},"excerpt":{"rendered":"<p>The fifth year of full-scale war. Insomnia is one of the most common complaints to family doctors and psychotherapists, and the number that clinics see continues to grow. At the Forest Retreat Center, a center for longevity and preventive medicine in the Holosiivskyi Forest, they explain what sleep is really responsible for, why it breaks down during chronic stress, and what you definitely shouldn&#039;t do. For [\u2026]<\/p>","protected":false},"author":1,"featured_media":5680,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-5679","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/5679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/comments?post=5679"}],"version-history":[{"count":1,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/5679\/revisions"}],"predecessor-version":[{"id":5681,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/5679\/revisions\/5681"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/media\/5680"}],"wp:attachment":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/media?parent=5679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/categories?post=5679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/tags?post=5679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}