FOOD INTOLERANCE NETWORK FACTSHEET

Diet, sleep disturbance and insomnia

The effects

           difficulty falling asleep

           frequent night waking

           waking up too early

           restless legs

           ‘weird’ dreams

           nightmares

           night terrors

           sleep walking

           some people also report an improvement in sleep apnoea

The science

Sleep disturbance, including difficulty settling to sleep and frequent night waking, has often been noted in research concerning the effects of diet on children with behaviour problems. It has also been documented in adults with food intolerance, see some references below.

Which food chemicals?

Reactions to food chemicals are a pharmacological - or food intolerance - reaction, not an allergic reaction. The food chemicals that have been associated with insomnia include artificial colours, natural colour annatto, preservatives, synthetic antioxidants, flavour enhancers and naturally occurring chemicals called salicylates and amines. Dairy foods and less commonly wheat or gluten can be a problem for some people but are less likely to be a problem than additives and salicylates. See more details of problem additives below. Sleep disturbance can also be the unintended side effects of a medication.

Who is affected?

Anyone of any age can be affected. When whole families embark on their elimination diet to support a child with behaviour problem, it is common for them to report that everyone is sleeping better. Food chemicals can pass through breastmilk to affect breastfed babies.

I think my insomnia might be related to foods. What can I do?

People have different reactions to various food chemicals so any or all of the above food chemicals can cause the problem. See the Failsafe Booklet on the website www.fedup.com.au.  If reducing your intake of nasty additives doesn’t help, it may be worth doing a full elimination diet to find the cause of the problem. Some people can be affected by what they eat, put on their skin, clean their teeth with, and inhale (such as air fresheners).

You can email for our list of supportive dietitians: confoodnet@ozemail.com.au

Reader stories

[146] Restless babies from tartrazine (yellow#5, colour 102) (February 2002)

"Thank you so much for the "Restless Babies" article (available on website) I recommended it to a distraught mum in the USA via a breastfeeding support bulletin board. She was shocked to discover that the artificial yellow colour tartrazine was hiding in many 'healthy' foods. Within just two days of changing her diet, her baby had a normal sleeping pattern. Not only that, but her two-year-old 'spirited kid' is much calmer, and has stopped throwing incessant tantrums. Other board members have benefited from the article, including one mum who recognised the frothy 'cappuccino' poops mentioned. She had asked her pediatrician about it, but he had no idea what caused it. Changing her diet to exclude tartrazine cured both the frothy poops and the night waking."

Here are the foods that the USA mother was surprised to find tartrazine in: potato bread, yoghurt, canned soup, margarine and cough syrup. She was also eating, and feeding her two year old, cakes/cake mixes/donuts/muffins/snack cakes, ice-cream, cookies and crackers, drink mixes, lemonade, pudding mix, boxed meals, rice and pasta dishes, cheesecake, butterscotch candy, jelly and chips all containing this harmful additive.

[366] “My babies woke up 8 times every night” (March 2005)

A friend gave me your book "Fed up" to read and I simply can't believe the difference it has made to our lives. I have four children. Three of them have been terrible sleepers right from birth. I have spent a week at Tresillian house with my 3rd child, where he was handed back to me at the end of the week unchanged. My babies all woke up on average 8 times every night and I have been so sleep deprived over the past 8 years that I became postnatal.  I have a Degree in Early Childhood and have worked as a Director in a Pre-School for many years, and thought that I could control their behaviour by employing techniques acquired through professional training. It was frustrating to find that I couldn't cope. My first child was such a shock! I simply couldn't leave the house with him. 

This book came in time for my 4th and final child. My daughter fell into the same terrible broken night sleep pattern as the others. After struggling for 8 months, she did start to settle down, waking perhaps once a night.  This was great until I started her, at age 10 months, on bread. She immediately returned to night waking - for no apparent reason - and also had a clear runny nose.  I found that the bread she was having had 282 in it. SO we stopped feeding it to her. Within a couple of nights she again settled down to a peaceful nights' sleep! AND her nose cleared up! I can't believe that it could have been that simple!

My question to you regards my children when they were babies, constantly struggling to sleep - could this additive (calcium propionate, 282) have been passed on to the baby through my breastmilk, causing a similar reaction??? [The answer is of course, YES, food chemicals are passed through breastmilk – Sue] – by email

[363] “Sleep apnoea, incessant snorting and inability to breathe at night” (March 2005)

Before the diet, my son presented with headaches, itchy skin (in elbows, on legs, usually scratching until it bleeds), black circles under his eyes, "jumpy" behaviour, irritability, day and night pants wetting, pains in the tummy and awful loose bowel motions, blocked ears and sleep apnoea as well as incessant snorting and inability to breathe at night. As a baby he had eczema, colic, could not sleep and fussed with breast milk from 4 months ... somebody needs to support vulnerable new mothers to help their fussy kids, not make it worse by shoving disguised dairy foods (or whatever the particular issue is) down their throats, and then advise the mother to let them scream it out because they obviously have us fooled with sleeping and behaviour problems! – by email

[131] We just love the effects of the diet (December 2001)

"We have recently gone onto a fairly strict version of the elimination diet - and have seen fantastic results in our 4 year old son. He is sleeping better, has become very loving and affectionate with his father, more agreeable, less tense and generally calmer and more 'angelic'. We just love it. The hardest part was just getting used to what foods were safe and allowed."- reader, email

[390] “I was angry because I couldn’t fall asleep” (March 2006)

My 6 ½ year old son, Tim (not his real name) is currently undergoing investigation of mixed depressive disorder with anxiety and obsessive ruminations. We have used the failsafe diet in the past with one of our other children, but had not ever thought of foods being linked to Tim’s mood problems. When you mention the “gifted and depressed” child in your recent talk my ears immediately pricked up and took note. Tim has been identified as highly gifted and everyone has been saying that is the cause of his problems but I have always felt there was something else underlying that was contributing. We will be contacting our GP today and hopefully starting the failsafe diet ASAP…

Two months later … Since starting the elimination diet Tim has not self harmed once! He is much calmer and has noticed this in himself. He no longer seems to be as restless and has been falling asleep easily at a reasonable time in the evenings. We started with the salicylates challenge this week and there seemed to be no reaction, until day 5/6 when we started to notice his behaviour was getting worse. We will stop this challenge tonight and wait to try some other groups. His GP and Clinical Psychologist are both thrilled with the change as are well! 

One week later ….After I emailed you we finally had the BIG reaction we were looking for. It happened on Day 7 of the salicylate challenge - we had already stopped the challenge that morning. Tim went to bed as normal then began to write swear words all over his bed, his sheets and his body. ("I was angry with you because I couldn't fall asleep") This is the behaviour and obsessive ruminations this poor boy was experiencing on a daily basis before. - WA

[379] Sleep and behaviour problems due to hairspray, airfreshener (November 2005)

I stopped wearing hairspray about 6 months ago when we went totally failsafe and saw great results with our children's behaviour. Two weeks ago I was going out without the kids, so after putting them to bed I sprayed on some Sunsilk hairspray and liked the way it looked. So the next day I did it again and within a couple of hours my 3 year old son's behaviour changed. He was overactive, very fidgety, hitting and kicking, and headbutted his sister hard enough to give her a blood nose. As time went on he was crying a lot with loud silly behaviour and wanting demands met immediately. That night he could not get to sleep. I wore the hairspray for three days not putting two and two together then we realized it must be the hairspray as their diet is so failsafe it couldn't be the food he was eating. I stopped wearing hairspray and his behaviour returned to normal. I have also noticed that when I visit my mum who uses airfreshener - lots of air freshener - my son's behaviour deteriorates after a few hours. - Vic

[150] “I have spent the better part of my adult life wanting to sleep” (April 2002)

I have been an insomniac since I was 16. From my mid 20s it has been a major issue in my life. I have lived on approximately four hours sleep a day. I have spent thousands of dollars in trying to find the answer. I have seen naturopaths, homeopaths, medical doctors, Chinese herbalists, acupuncturists. I have been to a sleep centre where they tried to teach me to sleep. I have tried every imaginable trick to try to sleep. For three years, I stopped drinking or eating anything with caffeine. I would drink warm milk before bed. I would take a run before bed. I would read a book before bed. Have a bath before bed. You name it, I have probably tried it. By the time I turned 30, I decided that I had to learn to accept my insomnia - 'this is as good as it gets' sort of thing. In the worst scenario I would read till all hours of the morning. Having said that, I had to also accept the fact that I was tired most of the time.

I had my son at the age of 31. He was a colicky baby, a terrible sleeper. He also had heartburn at night, which his paediatrician attributed to the fact that my son still breast fed at night, up to the age of 25 months. I never understood the relationship between breastfeeding at night and heartburn, so continued doing it. My main resource and my inability to accept my paed's advice was due to my own travels to primitive cultures, where I saw babies and toddlers breastfeeding constantly; 24/7 days a week and these babies were NOT colicky, did not suffer heartburn. In fact, they seemed very happy, content, and rarely cried. When they did cry, it was more of a whimper rather than the cries I hear in western society.

Being a 30 something Mum, I also was fully aware of what sort of Mum I wanted to be. I had clear visions of being a compassionate Mum; this entailed no spanking, no yelling, but rather validating feelings, finding alternatives whereby both of us would be happy, and in the worst scenario just accepting that my child and I would not always agree, but I would still respect this difference rather than fight it. My son's temperament, however, tested me to the core and I failed often in living my maternal visions. Yes, I have yelled at my son, yes I have spanked him (to date, three times - he is 2.5 years old and each time I think about it, I do cringe with disappointment with the evidence of my weaknesses). My son, from an early age was high need and wanted full on hands on care, was constantly on the breast, slow to unwind, wanted in-your-face attention, constantly in my arms. In a nutshell I found him draining, and highly strung. I remember when he was only five months old, having this real desire just to throw him across the room and the reality of my feelings shocked me to my core. I am by nature sensitive to other people’s feelings, gentle, gracious, etc.

I took him to a sleep centre, where the staff tried to teach me to help my son to fall asleep on his own and all I kept thinking about was "seen this movie before". I thought I was going insane; my son took two hours to unwind before he would fall asleep and when he did, he would sleep only for one hour, waking up and then would demand the breast to go to sleep again. After the sleep centre experience with my son, I decided to go by my instincts; one thing I was sure about was that I would never let my son cry it out, no matter what. Part of my reasoning stemmed from 'what if he has the same problems as me? Maybe its genetics?' another real reason for me was 'he must be waking up for some reason?'...to my mind, it may be hard to fall asleep, but once asleep, a person wakes up for a reason...so I decided that if my son woke up every hour, I would just learn to live with that too and together we would get through it. I put up with it literally till my son was 25 months old and by that stage, I am sure the night nursing was more a habit rather than a real need, ie, whatever was causing the night waking as an infant/baby, no longer existed by the time he was a toddler.

He was a very active little boy, who seemed too busy to sit for any period of time. His thoughts also were busy, talking constantly without taking a breath. As a result, he always looked like he was misbehaving because he seemed to have no physical self control, although he was very gentle, loving and extremely aware of the needs of others. But then, he would all of a sudden display vocal aggression, and physical aggression, seeming to get pleasure in hurting. I could not understand this Jekyll and Hyde personality.

Most people that I turned to, either suggested more discipline, in the forms of spanking or severe punishment. Others suggested that I was giving him too many sweets. Others suggested that I train him at home, for instance sitting with him for ten minutes today, then fifteen minutes tomorrow. Others suggested that my son and I were too attached and he was playing on my weaknesses. Others implied that I was not a consistent mother regarding discipline. But I saw my son for the person he was. I had these real glimpses of his real personality. I thought about taking him to a naturopath or a homeopath. I resisted though because my real fear was that his behaviour would become an issue in our life like my sleeping disorder became an issue in my life. Again, I turned to my own common sense here and decided that I preferred to accept the package rather than fight it all the time. Then I stumbled on your book at a health shop and bought it.

I have only read probably one quarter of your book. But the next day I eliminated wheat, dairy and all preservatives/additives. Within two days, the son that I only had glimpses of suddenly emerged for a period of five consecutive days ... and I suddenly found myself able to fall asleep in ten minutes. My son would still wake up, and I would still respond in the same manner, but again, I would be able to fall asleep without any problems. Day six was the day that I cried. I have spent the better part of my adult life wanting to sleep and feeling tired. I have wasted years of my youth thinking about sleep. I am at times angry and at times relieved to just get out of the woods. I just can not believe that I no longer have to describe myself as an insomniac.

My son now sleeps much better, but I have realized only today that I think he is also salicylate sensitive and probably so am I. Both of us, I realize now, demonstrate aggression for unknown reasons. I can control that side of me because I am an adult, but my son is more honest with himself and his world.

Today, my son was pushed over the edge, so tomorrow, I am getting stricter with salicylate and amine side of the challenges - but I feel good about it. I know where I am going now, I have direction and that my undisciplined boy does not need more discipline. In fact in the five days that he was his real self, I had absolutely no problems. There was such harmony between us that my heart upon just writing that, is swelling up ... more importantly, it has nothing to do with my adequacies as a mother, or my son’s personality. It is all external to the problem. This makes me feel more confident than ever ...

I wanted to tell you my story and to thank you from the bottom of my heart. If only someone had told me at 16 what was causing my insomnia ... but then, I also know that my insomnia stopped me from resorting to ignoring my son's cries and if I was not going to find the motive of his behaviour and cries, I was just going to accept this boy as he was ... for better or worse ...

I have learned one thing in life and that is, that it is the worse situations that are character building and through them I can choose the path I decide to tread ... I am just happy that you wrote your book 'Fed up' and I am just happy that I chose to read it ... thanking you very very much ... - Ingrid, Melbourne

[125] restless legs (September 2001)

Around February of 2000 I was searching on the internet for some clues to my life long digestive problems, when I came across the food allergy section on the About.com website. The featured food allergy topic happened to be salicylates ... just out of curiosity, and for the heck of it, I clicked on the link, and started to read about it … I first off read the list of common symptoms. As I read it the list was all too familiar to me … I answered Yes to every symptom. Needless to say, I started to follow a salicylate free diet. To say I felt better would have been the understatement of a new millennium … ALL of my life I have suffered from very frequent urination, constipation, stomach bloating, short temper, irritability, inability to concentrate, memory problems, severe acne, dry skin (especially on my hands and feet), those restless legs, and more ...<sigh>… The worst of it for me though was the constant urination, and constipation which led to a lot of gas ... Thank you so much for your work, and your book. Both have changed my life forever. I am finally free of a problem which has literally ruined my life. In case you're wondering, I'm 37 years old ... And yes, 36 years is WAY too long to suffer with this health problem. Sometimes I don't know how I made it this long with my sanity intact. - from the USA

References

See abstracts for the papers below in www.pubmed.com

1. Breakey J. The role of diet and behaviour in childhood. J Paediatr Child Health 1997;33(3):190-4.

2. Dengate S, Ruben A. Controlled trial of cumulative behavioural effects of a common bread preservative. J Paediatr Child Health 2002;38(4):373-6.

3. Fitzsimon M, Holborow P, Berry P, Latham S. Salicylate sensitivity in children reported to respond to salicylate exclusion. Med J Aust 1978;2(12):570-2.

4. Kaplan BJ, McNicol J, Conte RA, Moghadam HK. Dietary replacement in preschool-aged hyperactive boys. Pediatrics 1989;83(1):7-17.

5. Loblay RH, Swain AR. 'Food intolerance'. In Wahlqvist ML, Truswell AS, Recent Advances in Clinical Nutrition. London: John Libbey, 1986, pages 169-177. 1986.

6. Rowe KS, Rowe KJ. Synthetic food coloring and behavior: a dose response effect in a double-blind, placebo-controlled, repeated-measures study. J Pediatr 1994;125(5 Pt 1):691-8.

Avoid these additives

ARTIFICIAL COLOURS

102 tartrazine, 104 quinoline yellow, 107 yellow 2G, 110 sunset yellow, 122 azorubine, 123 amaranth, 124 ponceau red, 127 erythrosine, 128 red 2G, 129 allura red, 132 indigotine, 133 brilliant blue, 142 green S, 151 brilliant black, 155 chocolate brown

NATURAL COLOUR

160b annatto 

PRESERVATIVES - sulphite preservatives are most associated with asthma

200-203 sorbates (in margarine, dips, cakes, fruit products)

210-213  benzoates (in juices, soft drinks, cordials, syrups)

220-228 sulphites (in dried fruit, fruit drinks, sausages, and others)

280-283 propionates (in bread, crumpets, bakery products)          

249-252 nitrates, nitrites (in processed meats like ham)                           

ANTIOXIDANTS - synthetic antioxidants in vegetable oils and margarines

310-312 Gallates

319-320 TBHQ, BHA, BHT

FLAVOUR ENHANCERS

621  MSG  (in tasty foods, fast foods, snack foods)

627, 631, 635 disodium inosinate, disodium guanylate, ribonucleotides (can be associated with itchy skin rashes)

HVP hydrolysed vegetable protein, vegetable protein, yeast extract

ADDED FLAVOURS  - there are thousands of artificial flavours which don’t have to be identified by number because they are considered to be trade secrets. Flavours may contain unlisted artificial colours and preservatives.

More information

People have different reactions to various food chemicals so any or all of the above food chemicals can cause the problem. See the free downloadable Failsafe booklet on the website www.fedup.com.au, under the Failsafe eating button.  If reducing your intake of nasty additives doesn’t help, it may be worth doing a full elimination diet to find the cause of the problem. You can email for our list of supportive dietitians: confoodnet@ozemail.com.au

www.fedup.com.au

The information given is not intended as medical advice. Always consult with your doctor for underlying illness. Before beginning dietary investigation, consult a dietician with an interest in food intolerance. You can find a supportive dietitian through the Dietitians Association of Australia www.daa.asn.au or write for our list of supportive dietitians (confoodnet@ozemail.com.au)

© Sue Dengate update July 2006