Reason why we're all waking up at 3am now and how to stop
If you've ever found yourself wide awake at 3 or 4am, you're far from alone.
Google searches for 'waking up at 3am' are on the rise, and TikTok videos about the topic are attracting tens of thousands, sometimes millions, of likes and views.
Explanations for these early morning wake-ups range from the spiritual to the scientific, with experts highlighting the role of hormonal changes, specifically, increased cortisol levels, in waking up during the night.
Expert advice on sleep hygiene
Olivia Arezzolo, a leading Australian sleep expert, explains that pre-bed routines are crucial for getting quality sleep.
'Late-night scrolling on Instagram and TikTok is a major factor disrupting sleep for Gen Z and Millennials,' she tells news.com.au.
Ms Arezzolo notes that both bedtime habits and sleep environment can significantly affect your chances of sleeping through the night, or finding yourself awake in the early hours.
Improving sleep quality
According to Ms Arezzolo, the following factors can help improve your sleep quality and quantity:
– Avoid blue light after 9:30pm at the latest. This reduces melatonin suppression caused by blue light (dim lights, turn off screens and devices, use blue light-blocking glasses).
– Take a warm shower. This promotes melatonin synthesis due to the drop in core body temperature.
– Have 30 minutes of tech-free time where you read, meditate, or journal.
– Take a natural sleep supplement to support deeper, more restful sleep.
– Finish dinner before 7pm. This ensures the body can enter deeper sleep faster, rather than actively digesting food.
– Avoid caffeine after 2pm.
– No alcohol
She particularly stresses the importance of monitoring your caffeine intake, as this can help you fall asleep and actually stay asleep.
'As it can be active for 8+ hours after ingestion, a 2pm cut-off is essential for long, deep, and restful sleep,' she explains.
Alcohol is also a significant contributor to those 3am wake times, as it disrupts REM sleep.
If sleep optimisation isn't enough …
However, other experts warn that if you're optimising your environment for sleep and still waking up at 3am, your problems could be related to something deeper, like stress.
Scientists have discovered that cortisol (the stress hormone) naturally begins to rise in the early hours of the morning, typically between 2am and 3am.
This is part of the body's preparation for waking up and is considered a normal part of the circadian rhythm — the body's natural process that regulates the sleep-wake cycle and repeats roughly every 24 hours.
For those with regular cortisol levels, this rise would occur gradually, allowing you to wake up at your usual time in the morning.
However, for people experiencing elevated levels of stress, anxiety, or worry, baseline cortisol levels may be heightened, according to The Cleveland Clinic.
The natural early morning surge can then push these levels higher, activating the sympathetic nervous system (the fight-or-flight response), which makes it more likely that you will wake up and have difficulty falling back asleep.
To put it simply, if you're more stressed than usual, your body will likely produce more cortisol during the night, leading to those abrupt wake-ups.
The science of sleep and stress
A 2024 longitudinal study published in SLEEP also found that higher pre-sleep cortisol levels activates the hypothalamic-pituitary-adrenal (HPA) axis, leading to increased cortisol and physiological arousal that disrupts sleep.
To add insult to injury, this stress-sleep relationship is bidirectional — meaning that not only does stress lead to sleep interruptions, but poor sleep can also heighten stress responses, creating a cycle that exacerbates the problem.
What to do when you wake up at 3am
If you do find yourself awake in the wee hours of the morning, experts agree there are a few things that can help you go back to sleep:
– Get out of bed and do something relaxing – this can trick your brain into associating your bed with sleeping, rather than being awake. When you feel tired, you can get back into bed.
– Try reading a book, listening to a guided meditation, relaxing music, or sleep sounds.
– Practice deep breathing exercises or progressive muscle relaxation techniques.
– Try not to worry too much about sleep – worrying can keep you awake.
– Avoid looking at your phone or other electronic devices — the light can interrupt melatonin production, preventing you from going back to sleep.
In terms of preventing these nightly wake-ups altogether, it's important to manage your overall stress levels.
Incorporate more stress management techniques into your week, such as breathwork, exercise, and time in nature – or speak to a professional for further support.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

News.com.au
3 hours ago
- News.com.au
NSW government seeking power to terminate Northern Beaches Hospital contract
The NSW government will have power to terminate the operating contract of the embattled Northern Beaches Hospital as if a default had occurred under proposed legislative amendments, following the tragic deaths of two children. Two-year-old Joe Massa and newborn Harper Atkinson both died at the Sydney hospital in unrelated incidents since September, leading the government to ban any future public-private partnerships (PPPs) for acute care hospitals. The state government will next week introduce amendments to a bill by Wakehurst MP Michael Regan, which would allow the government, if required, to terminate the contract of operator Healthscope as if a default had occurred. It comes after receivers were appointed to Healthscope's parent entities – which the NSW government considers a default – with the bill giving Health Minister Ryan Park power to issue a termination notice if an agreement is not reached. Treasurer Daniel Moohkey would also be empowered to ensure that compensation negotiations occur in a 'reasonable time frame' and that an independent person would be appointed to determine compensation if an agreement is not reached. Mr Moohkey said the decision was not taken lightly. 'We are now in a position where the Liberal's privatisation mess means Healthscope's receivers are negotiating the future of the Northern Beaches Hospital,' he said. 'While an agreed exit from this failed PPP contract remains my preference – I must ensure the government has the right to step in and protect the Northern Beaches community from this dragging on.' Mr Park said the state government had 'made it clear from the very beginning that we don't support this sort of arrangement. 'This is a complex contract but the community deserves certainty. 'The other mob may have created this mess, but we are going to be the ones to clean it up.' Healthscope is the country's second-largest hospital operator, with a network of 37 hospitals across Australia. Thousands of staff and patients were left in limbo last month after Canada-based Brookfield Asset Management offered to hand control of the company to lenders. Despite an $100m funding lifeline by Commonwealth Bank and Westpac last month amid the search for a new owner, Healthscope's future remains in doubt. Earlier that month, Wakehurst MP Michael Regan introduced a private members bill to ensure no compensation would be payable on behalf of the state if the contract for the Northern Beaches Hospital was voluntarily terminated. With trilateral talks ongoing between Healthscope, its receivers, and the Northern Beaches Hospital Taskforce, the state government remained hopeful of a productive outcome, but reserved the right to commit to a voluntary termination. At the time of the receivership, Healthscope CEO Tino La Spina said the hospital network would 'continue to operate as normal' and that the appointment of receivers 'ensures a stable path to a sale, with no impacts on any hospitals, staff or patients' 'There is no interruption to the outstanding care we provide,' she said. 'The receivers and management share the same goal of maintaining our market leading standards of patient care and protecting the business, the hospitals and our amazing people.'

ABC News
4 hours ago
- ABC News
Study backing OsteoStrong 'bone-strengthening' exercise program should be retracted: experts
A study claiming a popular exercise regimen called OsteoStrong can help strengthen bones in post-menopausal women has been criticised by scientists, with some saying it should never have been published. The research, which was accepted for publication in the Journal of Clinical Endocrinology & Metabolism (JCEM) in February this year, was hailed as "groundbreaking" by the international franchise behind the exercise program. "The acceptance of this research in a prestigious, peer-reviewed medical journal like JCEM is a monumental step in validating OsteoStrong as a science-backed solution for osteoporosis management," the company said in a press release at the time. But the study has since attracted international criticism, with questions being raised about its design, data analysis and conclusions. "We really questioned the [journal] editor on how this paper got through the peer-review process," said Robin Daly, a researcher in exercise and ageing at Deakin University. The study examined the effectiveness of the OsteoStrong program, which was described as "a bone-strengthening system implementing four devices and incorporating brief (10-minute), weekly, low-impact, and high-intensity osteogenic loading exercises" in postmenopausal women with osteoporosis. The researchers separated 147 women into two groups. One group did the program and the other did not. The group that did the exercise program was further divided into two groups, one of which was on bone-strengthening medication and one that was not. Measures of bone strength were carried out at the start and end of the 12-month trial. The study claimed bone density was improved in women who did OsteoStrong (compared to those who didn't), and that among participants who were also on medication, it enhanced the effect of the drugs. "This is the first study that clearly demonstrates benefit" from the OsteoStrong program, the researchers wrote. But among numerous concerns expressed by critics are that the clinical trial had no clear statistical plan, failed to reduce the risk of bias, had no ethical approval and was not registered online for transparency. According to Professor Daly, "the claims [of the study] are totally misleading. They're not supported by the data". He said the way the study was designed and its results were analysed made it difficult to conclude anything. "The whole paper is extremely difficult to interpret. Professor Daly and University of Waterloo bone researcher Lora Giangregoria sent a letter to the editor of the journal calling for the study's retraction. Professor Giangregoria was concerned that publicity of the study's findings would lead people to make uninformed decisions about the OsteoStrong program. "The way that they present the statistics actually doesn't make any sense," she said. "The claims made in the study were not appropriate." Other experts have also expressed concern about the failure of the study to adhere to normal standards and guidelines for clinical trials. They were concerned the clinical trial was not registered, a practice that helps make research more transparent, and prevent publication bias. It also lacked appropriate ethics approval and there were "potential unacknowledged conflicts of interest", Professor Daly added. In March this year, Osteoporosis Canada expressed concern about the study and the evidence base for the OsteoStrong program. In a statement, also co-authored by Professor Giangregoria, the organisation said: … Osteoporosis Canada cannot support recommendations regarding its use for fracture prevention based on existing research. Chris Maher, director of the University of Sydney Institute for Musculoskeletal Health, agreed with the concerns raised about the study. "That study is flawed and does not provide believable evidence on the effect of OsteoStrong," Professor Maher said. He pointed specifically to the lack of registration and ethical clearance. "It therefore does not conform to the Declaration of Helsinki, so it has no standing in medical science and should never have been published." Maria Fiatarone Singh, a University of Sydney geriatrician who researches the impacts of exercise, was also highly critical of the study. "I think it is too flawed to draw any conclusions," she commented by email. "It is shocking that the editors allowed this to be published in a peer-reviewed journal and it indeed should be retracted and re-analysed at the very least." Shoshana Sztal-Mazer, an endocrinologist and expert in bone disease at Alfred Health in Melbourne, said the principle behind OsteoStrong was "plausible". The company states its system relies on "osteogenic loading", which is where force on your bones stimulates them to grow stronger. "Physiologically it makes sense," Dr Sztal-Mazer said. But she agreed there were concerns about the study. "It doesn't look like it was rigorously conducted. One of the major sources of bias in the study, according to critics, was allowing patients to choose which group they were in, Professor Fiatarone Singh said. "It is well known that people who choose exercise are healthier and at less risk of disease for numerous reasons than sedentary individuals or those who choose a non-exercise control condition when given a choice." In a statement provided to the ABC, the Endocrine Society, which publishes the Journal of Clinical Endocrinology & Metabolism, said "we recognise the shortcomings in the research's design and analyses as reported in the online accepted manuscript. "Following a detailed editorial assessment, we confirmed the need for significant revisions." The authors of the study are in the process of submitting a corrected version of the paper, the statement added. OsteoStrong was approached for comment, but did not respond specifically to concerns raised by Osteoporosis Canada and others. Instead, Perry Eckert, managing director of OsteoStrong Australia, pointed to recent unpublished research partly sponsored by the company. According to Mr Eckert, the study showed "a significant improvement" in bone mineral density and overall strength in 38 postmenopausal women with osteoporosis. Healthy Bones Australia endorses exercise as an important part of reducing bone loss in older age. But most trials on exercise programs to strengthen bones are small compared to those studying pharmaceuticals, so the evidence for exercise is not as strong as that for drugs. The majority of experts the ABC spoke to were not convinced at this stage exercise could reverse bone mineral density loss that occurs in post-menopausal women, although it might slow down the rate of loss. But despite there being better evidence behind the use of medications to increase bone density, Dr Sztal-Mazer prescribes exercise as well as medications to help stave off bone loss in this age group. "Exercise is important as a part of holistic care for osteoporosis and generally for healthy bones." As well any impact on bone density, the right kind of exercise — along with adequate vitamin D, calcium and other nutrients — plays a key role in preventing fractures, Dr Sztal-Mazer said. Exercise can also improve strength and balance, which can also help prevent falls, the main cause of bone fragility fractures. But, Dr Sztal-Mazer cautions, guidelines for exercise used by physiotherapists and exercise physiologists to manage osteoporosis suggests a much bigger time commitment is required than that proposed by OsteoStrong.

ABC News
5 hours ago
- ABC News
Burnie's new health hub under construction, with 24-hour pathology lab set to open in July
For the past three years, the former University of Tasmania (UTAS) campus in Burnie has sat empty — but that's starting to change. Brothers Jack and Jerome Muir Wilson, a pharmacist and GP respectively, have plans to transform the site into a multidisciplinary health hub combining primary care, allied health and social services. The $24 million health hub will host 16 permanent service providers and require an estimated 180–200 staff once operational. The project attracted bipartisan support during the federal election campaign, with Prime Minister Anthony Albanese committing $8 million during a brief visit to the site in April. Builders are now on site, working to turn the university's old science lab into a 24-hour pathology lab that will service the North West Regional Hospital, before its July 1 opening date. A development application for the rest of the health precinct will be lodged with Burnie City Council in the coming weeks. If all goes to plan, the new health precinct will be open to the public by the middle of next year. The fate of the old university buildings on Mooreville Road has been uncertain since UTAS moved its Cradle Coast campus to West Park in 2021. At one point, the Tasmanian government — which owns the site — proposed using the site for new Supreme and Magistrates courts. In the face of strong community opposition, the plans were eventually scrapped, leaving the future of the former campus in doubt. Jack said the site was an ideal location for the health hub, but three years of disuse have taken its toll. "The site's been left unused and unserviced for three years. Basically, they rolled out ... and shut the door," he said. Animal droppings left by resident possums were strewn throughout some of the buildings, and empty classrooms showed signs of break-ins and general neglect. But despite the work ahead, Jack said he was confident the health hub would be operational by mid-next year. The centre will bring multiple services under one roof. There will be a GP clinic, mental health care, medical imaging, pathology, a pharmacy, and a range of family and women's services. The Muir Wilson brothers also hope to host Burnie's promised Medicare Urgent Care clinic, pending the outcome of a tender process. Dr Jerome Muir Wilson, the visionary behind the Launceston Health Hub, will lead the GP clinic. While the Burnie health hub will draw on the experience and success of the Launceston Health Hub, Jerome said the Burnie precinct would not simply be a copy of it. "It wouldn't be the same mix that you'd put in Launceston, in Mildura, or on the Sunshine Coast. It's what Burnie needs and it's what services are lacking support and accommodation," he said. Women's Legal Service is one of the not-for-profit service providers set to move into the space once it's complete. Chief executive Yvette Cehtel said the organisation's current office in Burnie was not fit for purpose, so she jumped at the chance to be part of the health hub. "It being fitted out means it will have proper, safe soundproofing, which we don't have in any of our other offices statewide, because we're always going into existing office spaces," Ms Cehtel said. One of the former university buildings will host the legal service, alongside a sexual assault support service, and family planning and parenting support groups. These organisations will share some facilities and consultation rooms, including rooms that are connected to both indoor and outdoor playgrounds for children to use during consultations. Ms Cehtel said she was confident it would make a significant difference for the region. "Having the Women's Legal Service, places like Laurel House, Family Planning, and Playgroup Tasmania all together will provide an opportunity for us to do some really interesting work in the prevention space, and no doubt it'll be a hub for ideas and innovation as well," she said Laurel House is a sexual assault support service that operates in multiple locations across the state, including Burnie. Therapeutic services manager Kerri Collins said a permanent home in the Burnie Health Hub would provide long-term stability for the organisation, and greater confidentiality and anonymity for victim-survivors. "People don't see them walking particularly into our building and go, 'oh, they're going to a sexual assault support service'. The second stage of the development is being finalised, with a development application expected to be submitted to the Burnie City Council in the coming weeks. For the Muir Wilson brothers, who grew up on the north-west coast, the project is personal. "We know that our health system should be better and we know we can do better. We want to see better access and better services for the people of Tasmania," Jack said.