In the news

Trouble Sleeping?- Maybe You Two Should Sleep in Separate Beds!

I am not kidding here—a new study came out suggesting that couples who have trouble sleeping and who sleep in the same bed may get better sleep if they sleep in separate beds. Apparently around 25 percent of U.S. couples sleep in different beds or rooms, according to the National Sleep Foundation. This is no [...]

Night Shift Workers–Health Risks of Poor Sleep

It’s estimated that at least 20% of the workforce in the USA and in Europe work the so-called graveyard shift, either as their primary shift, or at least more than half of the time—that includes yours truly. A new study has confirmed what was suspected by many—that night shift workers face significant health risks, and [...]

Do you ever ask “How can I sleep better?”—- start with your bedroom

Did you know that the where we sleep dramatically affects how we sleep? If you have ever asked yourself—how can I sleep better?—one great way is to take a look at your bedroom. Is it warm and inviting, or messy and cramped? Do you have to watch TV before going to sleep? In fact, do you use any electronic devices that have as screen before bed? Many studies have shown that these screens activate the brain in a way that makes it difficult for us to get to sleep.

 

How are you sheets? Are they fresh? How about your mattress? I mention all these as I am often asked “how can I sleep better?” Before going the sleep medications route, take a look at these revealing results from a recent poll of 1,500 adults conducted by the National Sleep Foundation (as summarized by Dr. Breus):

 

The results of this survey confirm what I and other sleep experts have been saying for years: the condition of your bedroom really matters, for the quality of your sleep as well as your intimate life and your health. Here are my tips for keeping your bedroom in good shape—or shaping it up, if it’s been neglected:

  • Invest in your sleep equipment. A good mattress and quality pillows are important investments in your sleep and health. Replace your pillows every year, and invest in a new mattress at least every 7 years—or whenever your body tells you it’s time.
  • Go cool and dark. Your bedroom climate is important. Most of us sleep better in a cool room. And we all benefit from darkness for sleep. Try an electronic curfew about an hour before bed. Disengage from email, phone, and texting. -there’s plenty of research that shows how disruptive these devices are for sleep. Better yet, keep them out of the bedroom altogether. If you fall asleep to the TV, use your TV timer so it turns off after you have fallen asleep.
  • Fresh sheets are an easy indulgence. Keep fresh sheets on your bed, wash them often, and invest in an extra set so you can change them frequently. As this survey indicates, fresh sheets are a big draw—they can entice you to bed earlier and help you sleep better once you’re there.
  • Pamper. Give yourself a sleep vacation at home! Those sleep-spa getaways are increasingly popular, but you don’t have to leave home to reap the benefits of some sleep-focused down time. Unplug from your regular responsibilities—and your PDA. Sign up for a yoga class or a local spa visit. Follow up these relaxing activities with an afternoon nap and a quiet evening before bed. And think about adding some of these “indulgences” into your regular routine!  ~ read more here

It is very clear that a clean bedroom and an inviting bed make a huge difference in getting a good night’s sleep. One last note: those that said they made their beds every day reported much better sleep than those who did not. Now that is not a very big price to pay to get better sleep.

Stay up late on the weekends? "Social jet lag" can hurt your health

We all familiar with jet lag, and can see how it may negatively impact our health in the long-term if we fly long distances frequently. The disruption of our sleep patterns has been linked with many negative health consequences, such as obesity and even cancer. But did you know that up to two thirds of the so-called developed world may suffer similar health consequences by staying up later on the weekends?

The new findings suggest that what is being term “social jet lag” — to differentiate it from “travel jet lag” — may be impacting hundreds of thousands of people who stay up a few more hours on the weekends than they would during their work week.

This is how CNN recently broke the bad news to those of use who engage in this apparently risky behavior:

Researchers in Europe have coined the term “social jet lag” to describe the all-too common practice of following a different sleep schedule on weekdays versus the weekend.

Our circadian rhythms are out of sync with our hectic work schedules, the theory goes, so each weekend we’re effectively flying back and forth between time zones without ever leaving the ground.

Social jet lag is “the discrepancy between what our body clock wants us to do and what our social clock wants us to do,” says Till Roenneberg, Ph.D., a professor at the University of Munich’s Institute of Medical Psychology, in Germany. “It almost looks as if people on a Friday evening fly from Paris to New York, and on Monday morning they fly back again.” read more here

Apparently, this disruption can cause alterations in metabolism which can lead to obesity.

This is how Amanda Gardener at the Huffington Post phrased it:

This weekly disruption is more than just a nuisance. In a new study published today in the journal Current Biology, Roenneberg and his colleagues surveyed the sleep habits of more than 65,000 adults and found that people with different weekday and weekend sleep schedules had triple the odds of being overweight. read more here

The findings take into account other variables such as disruptions in eating times, which also are known bad guys when it comes to putting on the weight, as I mentioned in the post on shift workers.

 

The bad news just keeps piling up—for those of us that revel in irregular sleep patterns.

What is behavioral sleep medicine?

http://www.flickr.com/photos/procsilas/78886009/

http://www.flickr.com/photos/procsilas/78886009/

Many of us who suffer from sleep disorders have tried over the counter and prescription sleep medications. Perhaps you are currently taking one of these now. A recent study has shown that persons who use prescription sleep medications are up to 300% more likely to suffer an early death as compared to those who do not use medications.

It was suggested in the media that Whitney Houston’s death might have been in part due to sleep medications. In any case, it is fairly well established that prescription sleep medications are not intended for long-term use.

If you suffer from chronic insomnia and have tried many sleep medications, and are concerned about the long term implications of their use, you might wish to investigate a what a fairly new medical specialty has to offer–behavioral sleep medicine.

Here is a description of this medical area:

 

Sleeping pills are a common treatment for people who are unable to sleep well. But a growing number of sleep specialists are using other treatment methods to provide solutions for people with sleep disorders.

Behavioral sleep medicine (BSM) is a branch of clinical sleep medicine. It involves cognitive and behavioral treatments for sleep disorders. Cognitive therapy helps you develop positive thoughts and attitudes about sleeping. Behavioral therapy helps you change actions or habits that hurt your ability to sleep well.

BSM has gained the most ground in the treatment of insomnia. There are a number of proven BSM methods that doctors can use to help the sleepless. One example is relaxation training. This helps you reduce muscle tension and get rid of negative thoughts that hinder your sleep….More at Behavioral Sleep Medicine: Improving Sleep without Pills

I am currently looking into doctors in my area who offer this type of specialized care. Please stay tuned to this blog as I bring out the results from my treatment within this medical area, as I confess I have tried just about every prescription sleep medication and have been ultimately disappointed with the long term results.

 

 

 

 

Childhood obesity and sleep–another reason good sleep is so important for kids

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http://www.flickr.com/photos/78428166@N00/

http://www.flickr.com/photos/78428166@N00/

 

We all know good sleep is crucial for kids, and their often sleep deprived parents. Parents just know that their kids do much better when they sleep well–at school and at home. We also know that sleep is crucial for the incredible changes that are occurring in young children, toddlers and infants. Now we have yet another reason to ensure our kids get good sleep–it seems that kids who sleep poorly tend to be overweight. Researchers have established a correlation between childhood obesity and sleep:

The risk of sleep deprivation causing obesity has been well studied in adults. Although the mechanism is not fully understand, it may relate to hormonal changes or effects on normal metabolism. A similar association appears to exist in children.

Over the past 20 years, many independent studies of more than 50,000 children support the fact that sleep deprivation appears to be associated with an increased risk of obesity. In 2002, a study of 8,274 Japanese children who were 6-7 years old showed that fewer hours of sleep increased the risk of childhood obesity.

These consequences appear to persist beyond the period of sleep disruption. In 2005, a study showed that sleep deprivation at age 30 months predicted obesity at age 7 years. The researchers hypothesize that sleep disruption may cause permanent damage to the area of the brain called the hypothalamus, which is responsible for regulating appetite and energy expenditure.

The risks of untreated sleep disorders should prompt careful attention by parents to any signs that their child is not getting enough quality sleep. If you suspect a problem, you should speak with your pediatrician. A careful evaluation may offer some reassurance, and when treatment is indicated, it may help your child to grow and thrive….More at Sleep Problems Affect Growth

We also know that excessive daytime sleepiness, or EDS, is also linked to childhood obesity, as I mentioned in a previous post. The emerging picture is coming into focus and is further encouragement for parents to set good sleep habits early in the toddler years. As Michele Obama has highlighted in her much publicized national campaign, childhood obesity is a huge problem–now we have at least one  way to help combat this epidemic.

If your child has learning or behavioral issues–it may be EDS

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Children who suffer from learning issues, have problems paying attention and have behavioral issues at school may be suffering from what is being termed EDS–excessive daytime sleepiness, even if they seem to be getting enough sleep at night.

A new study by researchers at Penn State found that in 508 children they studied-

those whose parents reported excessive daytime sleepiness (EDS) – despite little indication of short sleep from traditional measurements – were more likely to experience learning, attention/hyperactivity and conduct problems than children without EDS.

What is the cause of this excessive daytime sleepiness?

Well, it turns out to be the usual suspects, only in children, sadly–

Obesity, symptoms of inattention, depression and anxiety, asthma and parent-reported trouble falling asleep have been found to contribute to EDS even among children with no signs of diminished sleep time or sleep apnea.

“Impairment due to EDS in cognitive and behavioral functioning can have a serious impact on a child’s development,” said Susan Calhoun, PhD, the study’s lead author. “When children are referred for neurobehavioral problems, they should be assessed for potential risk factors for EDS. Recognizing and treating EDS can offer new strategies to address some of the most common neurobehavioral challenges in young school-age children.”

Calhoun said researchers were surprised that most of the children studied showed few signs of short sleep when tested, nor was short sleep associated with any of the learning, attention and behavior problems. She said parents and educators are good resources for determining if a child seems excessively sleepy in the daytime and the complaint should be taken seriously.

We are potentially ignoring an epidemic among our school-aged children, one which contributes to decreased learning, and test scores. The implications of excessive daytime sleepiness undoubtedly reach into adulthood. However, the problem is not easily solved unless we tackle the huge issues of increasing rates of childhood obesity–and its inevitable consequences; to say nothing of the growing mental health concerns of our school aged children.

More at Excessive Sleepiness May Be Cause of Learning, Attention and School Problems

The scariest sleep disorder–fatal familial insomnia

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Many us us suffer from sleep issues, otherwise you might not be reading this blog. As you may know from my other posts, I have struggled most of my life with sleep–either not being able to fall asleep, or waking up in the middle of the night and not being able to fall back asleep, or getting too much sleep due being on medications. And I’ve suffered rebound insomnia from going off sleep medications. It’s no fun, as you know.

But I never considered that insomnia could actually be fatal, although on many sleepless nights it sure felt that way.

It turns out that if you suffer from the inability to fall asleep, you have a very slight chance of suffering from a rare genetic disease known as fatal familial insomnia. It actually slowly leads to death within two years.

When I fist heard about this disease the first thing that came to mind was the sad case of Michael Jackson. Could he have been suffering from fatal familial insomnia?

In case you were wondering, the initial warning sign is difficulty falling asleep, but leads to an activation of the autonomous system, leading to high blood pressure, elevated pulse, and night sweats. Other signs include difficulty walking, muscle twitching, and shaking.

Here is more information you might find useful about this horrible condition:

Exploring the Cause of Fatal Familial Insomnia

The cause of fatal familial insomnia is genetic. In more complex term, it’s likely due to an autosomal dominant pattern of inheritance. A gene mutation results in the substitution of one amino acid for another. Amino acids are the building blocks of proteins, and this substitution leads to protein misfolding and dysfunction. Ultimately, the protein problems lead to severe loss of neurons and scarring changes called gliosis in part of the brain known as the thalamus.

What Do Tests Show?

Typically the sleep study, or polysomnogram, for fatal familial insomnia will demonstrate an absence of slow-wave sleep. In addition, there will be decreased amounts of stage 2 NREM sleep. Finally, there is dissociated REM sleep without loss of muscle tone.

A routine EEG will show something known as “diffuse slowing” while routine imaging of the head such as CT or MRI will reveal normal brain structure. A PET scan shows decreased glucose metabolism in areas of the brain called the thalamus and putamen. Cognitive testing may show poor attention, disorientation, confusion, or hallucinations. These findings tend to become apparent late in the disease.

Treatment of Fatal Familial Insomnia

Unfortunately, there are few treatment options available for fatal familial insomnia. Medications such as barbiturates and benzodiazepines may be used to induce sleep patterns on EEG. However, the course in fatal familial insomnia is relentless and, as the name implies, ultimately fatal.

If you suspect that you are developing symptoms of this illness, please consult your doctor right away. Although there are no known treatments at present, ones may be in the works.

Source:…More at Fatal Familial Insomnia