By Joe and Teresa Graedon King Features Syndicate
March 29, 2009, 5:32PM

The old wives have just been proven right again. They always claimed that if you wanted to stay healthy, you needed to get a good night’s sleep. That was usually defined as about eight hours.

In our modern, fast-paced lives, many of us act as if this advice were a quaint relic of a bygone era. And with the downturn in the economy, money worries have many people tossing and turning. A recent survey by the National Sleep Foundation found that one in five Americans gets less than six hours of sleep a night.

Only about one-fourth of us follow grandmother’s advice to get at least eight hours of shut-eye. Scientists are confirming, though, that ignoring the old wives’ wisdom may have negative consequences for our health.

Researchers at the University at Buffalo recently reported to a conference of the American Heart Association that people who habitually get less than six hours of sleep nightly are at higher risk of developing type 2 diabetes.

The investigators measured fasting blood glucose levels in volunteers. The participants were queried about their workweek sleep habits. After six years, fasting blood glucose was measured again. Those who got less than six hours of sleep daily were more likely to have higher levels of blood sugar, a condition that can lead to diabetes.

This isn’t the first study suggesting that inadequate sleep might be linked to a higher risk of blood sugar problems. In 2005, researchers reported that either too little or too much sleep was associated with diabetes (Archives of Internal Medicine, Apr. 25, 2005).

Blood sugar control isn’t the only problem associated with sleep disturbances. Other research has shown that cardiovascular complications are more common when people don’t sleep well.

But wait, there’s more. The immune system also seems to be sensitive to sleep time. A recent study revealed that subjects who averaged less than seven hours of sleep a night were roughly three times “more likely to develop a cold than those with eight hours or more of sleep” (Archives of Internal Medicine, Jan. 12, 2009).

Other health hazards associated with too little sleep include depression, heart disease and weight gain. This may be part of a vicious cycle, since obesity can contribute to sleep apnea, which in turn contributes to insomnia and heart disease.

With so many people sleeping poorly, it is hardly any wonder that the pharmaceutical industry promotes pills for insomnia. Drugs like Ambien (zolpidem) and Lunesta (eszopiclone) are very popular, but they do have side effects.

To learn more about the pros and cons of sleeping pills and many nondrug approaches to overcoming insomnia, readers of this column may wish to review our new Guide to Getting a Good Night’s Sleep. Anyone who would like a copy, please send $3 in check or money order with a long (No. 10), stamped (59 cents), self-addressed envelope to: Graedons’ People’s Pharmacy, No. I-70, P.O. Box 52027, Durham, NC 27717-2027. It also can be downloaded for $2 from our Web site: www.peoplespharmacy.com.

Exercise during the day, a hot bath an hour before bedtime and dietary supplements such as melatonin or magnesium may help many people relax and get the sleep they need to stay healthy.

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March 25, 2009

One-third of Americans are losing sleep over the state of the U.S. economy and other personal financial concerns, according to a new by the National Sleep Foundation (NSF) and Cardinal Sleep Disorder Centers of America. The poll suggests that inadequate sleep leads to unhealthy lifestyles and negatively impacts health and safety.

NSF’s Sleep in America poll reveals striking disparities in the sleep patterns, health habits and quality of life between healthy and unhealthy Americans. Those in good health are two-times more likely than those in poor health to work efficiently, exercise or eat healthy because they are getting enough sleep.

The number of people reporting sleep problems has increased 13 percent since 2001. In the past eight years, the number of Americans who sleep less than six hours a night jumped from 13 percent to Read the rest of this entry »

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By : KASMIAH MUSTAPHA

2009/03/23

Most of us would have experienced an inability to sleep at some point in our lives. KASMIAH MUSTAPHA talks to an expert to find out the causes.

IT’S 3am and Adam has been tossing and turning throughout the night. He has been trying hard to go to sleep but can’t seem to do it. Even if he does fall asleep, he will be awake 10 minutes later.

Adam has been suffering from this sleeping disorder for months. Insomnia is the most common sleeping disorder; most of us would have faced this problem at some point of our lives.

Some people only suffer from it for a short term and will be back to normal in no time, while others require professional help.

Symptoms include difficulty in falling asleep, waking up often during the night and having trouble going back to sleep, waking up too early in the morning and feeling tired upon waking.
Research has found that insomnia is a persistent condition for many people. About 75 per cent of those with insomnia experience the condition for at least a year, and almost half experience it for three years.

Darul Ehsan Medical Centre consultant physician and cardiologist Col (R) Dr Abd Rahman Mohd Ali said when insomnia leads to problems such as lethargy, fatigue, inability to concentrate and low quality of life, one has to seek treatment.

“For some people, worrying about their health, financial situation and work can result in them not Read the rest of this entry »

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By Cindy Pan and Leah Hechtman

March 22, 2009 12:00am

DIFFICULTY in falling asleep is a fairly common problem with around one in five people suffering from poor quality or quantity of sleep at some point in their lives.

To re-establish healthy sleep habits try to wake up at the same time each morning, avoid napping and go to bed around the same time every night. Minimise caffeine intake, especially after 4pm.

Excessive alcohol can also cause sleep disruption and decreased deep sleep.

Avoid exercising or eating large meals in the hours before bed and try to establish a regular bedtime routine that helps you wind down, such as having a bath or listening to soothing music.

Sleeping pills should be avoided as far as possible, so talk to your doctor first about whether short term or occasional use of sleeping medication would be appropriate in your case. – Dr Cindy Pan

The vicious cycle of insomnia is awful. Insomnia is often the end stage of longstanding exhaustion and stress, and indicates the body needs repair.

The first priority is to establish a regular sleeping routine. Literally forcing yourself to wake at the same time each day will promote regulation of your sleep-wake cycle.

Even though it is hard at first, get up at sunrise and go for a walk!

Avoid foods that contain tyramine, such as citrus fruits, red wine, cheese and chocolate, as well as alcohol, caffeine and tobacco.

Foods rich in the amino acid tryptophan, such as turkey and tuna, help induce sleep. Useful herbal remedies include chamomile, valerian and passionflower. – Leah Hechtman

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WELLINGTON: Can’t get to sleep? Well, then stay up, say researchers at Auckland University who have discovered a potential breakthrough treatment for insomnia

According to scientists, the key to sleeplessness is to force bad sleepers to spend less time in bed. First, insomniacs are told to keep a detailed diary of the time they spend in bed asleep and awake. Then, they are asked to change their habits, reducing the time they spend in bed each night by the number of hours they would spend lying awake.

After a couple of weeks, many patients discovered that they were tired enough to start sleeping better. When the insomniacs in the study underwent the therapy, 80% to 90% said their insomnia had improved.

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Every night, thousands of Atlantans have difficulty falling asleep. In some cases, the problem will be severe enough that they will seek medical advice, though many more will choose not to, believing either that the problem isn’t that big, or that there aren’t any effective therapies available. Others end up using either prescription or over-the-counter sleep aids on a regular basis. That may come with its own set of problems.

When a patient comes to my clinic, I begin the evaluation by looking at three key components of the bedtime process: the environment, evening behaviors and patient attitudes. Are the Read the rest of this entry »

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You woke up at 5:45 a.m.  Took a shower and fed the dogs.  Tapped your foot waiting for the coffee to finish brewing.  Poured some of the coffee into a cup and blew the steam off it.  Fast forward another hour and you’re pouring the last of your pot into your travel thermos and hitting the road.  Once in the office, you downed another cup of coffee during your morning check of emails.  Morning meeting?  Might be another opportunity to sip on some more coffee.  The afternoon arrives and you’re working at a steady pace.  That diet cola sure looks refreshing, and you’ve already drank a few glasses of water somewhere between the last cup of coffee and now.  Go ahead, ingest some more caffeine.  Your body won’t know the caffeine’s intention: to keep you awake most of the night.

It’s true.  Caffeine, even in mild doses, can have a prolonged effect on our mental and physical alertness, including our sleeping habits.  Most side effects last about an hour, but frequent and large doses of caffeine can lead to side effects lasting 4 to 6 hours after your last cup of joe.  The alertness you feel during your afternoon conference call might be helpful at the office, but the restlessness or anxiety you feel at 8 p.m. might hinder your ability to unwind and relax before going to bed.  Insomnia is a major side effect of too much caffeine.  Cutting back on your intake of caffeinated products in the afternoon may help, but often women tend to stock up their bodies’ supply by having one extra cup or a caffeinated soda earlier in the day.  Higher doses of caffeine, even earlier in the day, can still lead to sleepless nights.  Worst case, an ongoing battle of insomnia.

Examples of caffeine amounts:

  • Eight ounces of brewed coffee has a range of 65-120 milligrams of caffeine.
  • Eight ounces of instant coffee has a range of 60-85 mg. of caffeine.
  • Eight ounces of decaffeinated brewed coffee has a range of 2-4 mg. of caffeine.
  • Eight ounces of decaffeinated instant coffee has a range of 1-4 mg. of caffeine.
  • A single two ounce cappuccino/latte has a range of 60-100 mg. of caffeine.
  • Eight ounces of black tea has 30-60 mg. of caffeine.
  • Eight ounces of green tea has 30-50 mg. of caffeine.

Caffeine is also found in some over-the-counter medications, so users need to check the list of ingredients to find out how much caffeine is included in each dose.

How do you cut back on one of the most popular drugs in the world?  Do you switch to decaffeinated beverages or cut back all together on the number of caffeinated drinks you have each day?  Do you replace your beloved diet sodas with water?  Whichever route you take, there’s no guarantee you are going to fall asleep earlier or sleep throughout the night, but reducing your caffeine intake will help.  Unfortunately, caffeine is only one reason you’re not sleeping.  We’ll talk about stress, alcohol and uncomfortable beds another day.

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