{"id":6251,"date":"2023-04-07T20:12:17","date_gmt":"2023-04-07T20:12:17","guid":{"rendered":"https:\/\/drmirkin.com\/?p=6251"},"modified":"2023-04-11T11:24:13","modified_gmt":"2023-04-11T11:24:13","slug":"sleep-problems-can-be-harmful","status":"publish","type":"post","link":"http:\/\/drmirkin.com\/?p=6251","title":{"rendered":"Sleep Problems Can Be Harmful"},"content":{"rendered":"

It is common and normal for people occasionally to have difficulty falling asleep and staying asleep at night, but if this occurs on a regular basis and interferes with functioning during the daylight hours, you may need a medical evaluation to find the cause. Getting fewer than seven hours of sleep each night is associated with increased risk for heart attacks (J Am Coll Cardiol<\/em>, Jan 2019;73(2):134-144), depression (Dialogues in Clinical Neuroscience,<\/em> 2008;10(3):329-336), weight gain (BMJ Open Sport Exerc Med<\/em>, Oct 4, 2018;4(1):e000392) and diabetes (Am J of Physiol-Endocrin and Metab<\/em>, Nov 7, 2018;315(5)). More than 30 percent of North Americans do not meet their needs for sleep (MMWR<\/em>, 2016;65(6):137-41).<\/p>\n

If You Have Sleep Problems . . .<\/strong>
\nFirst, make sure you are not causing your sleep problems by going to bed too late or trying to keep a schedule that requires you to wake up too early. The National Heart, Lung, and Blood Institute recommends 7-8 hours of sleep per night. You should try to go to bed and wake up at the same time every day, avoid daytime naps, and sleep in a clean comfortable bed with no sound or light to disturb your sleep.<\/p>\n

Lifestyle changes to improve sleep quality:
\n\u2022 Have an exercise program and stay active during the daytime
\n\u2022 Limit or avoid caffeine in the afternoon and evening
\n\u2022 Eat an anti-inflammatory diet<\/a> with a wide variety of fruits, vegetables, whole grains, beans, nuts and seeds; limit meat from mammals and processed meats, sugar-added foods and drinks, and fried foods
\n\u2022 Restrict or avoid eating and drinking at night
\n\u2022 Avoid smoke, tobacco and alcohol
\n\u2022 Lose weight if overweight
\n\u2022 Remove or turn off sources of light, including TV, computers, iphones or tablets, from the room where you sleep
\n\u2022 Have a comfortable mattress, pillows, and bedding<\/p>\n

Circadian Rhythm Disorders<\/strong>
\nAny disruption in the time you normally go to bed or wake up can disturb your body’s normal circadian rhythms. People who have jobs that require frequent crossing of time zones, and those with alternating day and night shift jobs, frequently have serious sleep problems and increased risk for heart attacks (Eur Heart J<\/em>, Oct 21, 2021;42(40):4180-4188). Even the time changes for daylight saving time can disrupt your sleep patterns because setting your clock backward in the fall and forward in the spring can confuse your body’s natural circadian rhythms to increase risk for heart attacks, injuries, mental and behavioral disorders, and immune-related diseases around the time-change days (PLoS Comput Biol<\/em>, 2020 Jun; 16(6): e1007927).<\/p>\n

Lack of Sleep, Lack of Sunlight and Mood Disorders<\/strong>
\nLack of sleep can cause depression, difficulty concentrating, irritability, weight gain, and impaired work or school performance. Sustained difficulty falling and staying asleep is associated with serious mood disorders such as depression (Scientific World Journal<\/em>, May 2, 2012;2012:640389). Lack of sleep and lack of sunlight reduce production of melatonin and serotonin by the brain’s hypothalamus to increase risk for depression (Chronobiol Int<\/em>, Apr 2015;32(3):368-75).<\/p>\n

Medical Treatments<\/strong>
\nIf none of the lifestyle changes improve the quality of your sleep, check with your doctor to get tests to see if you have an underlying condition causing your problems. Common conditions that interfere with normal sleep include:
\n\u2022 Nasal and chest congestion from allergies, colds and respiratory diseases
\n\u2022 Sleep apnea
\n\u2022 Frequent urination from an infection or kidney problems
\n\u2022 Chronic pain from arthritis, fibromyalgia, inflammatory bowel disease, headaches, low back pain and so forth
\n\u2022 Stress or anxiety
\n\u2022 Nightmares or sleepwalking
\n\u2022 Many different diseases<\/p>\n

Medical treatment for underlying conditions may include various drugs, but long-term use of sleeping pills such as melatonin<\/a> can have serious side effects. Breathing devices or surgery for sleep apnea, or a dental guard for teeth grinding can help to correct those causes.<\/p>\n

My Recommendations<\/strong>
\nIf you go to bed at night and wake up each morning at the same times, get between 7-9 hours of sleep each night, and you still have difficulty falling or staying asleep at night, check with your doctor. If a medical workup does not reveal a cause, try to:
\n\u2022 Exercise in the morning and relax in the evening to prepare yourself for sleep
\n\u2022 Expose yourself to some daylight and sunshine during the day
\n\u2022 Avoid napping during the day
\n\u2022 Follow the rules for an anti-inflammatory lifestyle<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

It is common and normal for people to occasionally have difficulty falling asleep and staying asleep at night, but if this occurs on a regular basis and interferes with functioning during the daylight hours, you may need a medical evaluation to find the cause. Getting fewer than seven hours of sleep each night is associated with increased risk for heart attacks, depression, weight gain and diabetes. <\/p>\n","protected":false},"author":1,"featured_media":1023,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[25],"tags":[1184,349,1162,1183],"class_list":["post-6251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-morehealth","tag-circadian-rhythm","tag-sleep","tag-sleep-apnea","tag-sleep-disorders"],"_links":{"self":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/6251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6251"}],"version-history":[{"count":0,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/6251\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/media\/1023"}],"wp:attachment":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6251"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}