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Sleep Disorders

Sleep disorders include a range of problems -- from insomnia to narcolepsy -- and affect millions of Americans. Dr. Michael Breus shares information and advice on sleep disorder and insomnia treatments and causes.

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WebMD Health News

Monday, April 28, 2008

How Many Years Can You Sleep Off?
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Now this is hilarious: Check out this site and scroll through the slide show images of famous people we all know (without being plastic surgeons) have had a nip and tuck - or two. The article, which talks about the quest to live longer and look younger, takes a funny stab at the "ugly" pursuit of youth. And I mean ugly!

These days, it doesn't take much to get a brow lift or a Botox injection. Does your forehead have tracks running across it? Do your cheeks sink in a little? Are your lips on the thin side? Well, there's a fix for all that... but you won't necessarily look twenty-something again. I guarantee it. You may fall prey to the "trout pout"; the frozen forehead; the surprised- or sinister-looking brow line; and plastic portrait worthy of a wax museum. Several sites have emerged to poke fun at celebrities' plastic surgeries gone wrong - or at least they appear to have gone overboard.

Sometimes it's not even surgery that does it, but just too many trips to the happy dermatologist with a needle in hand. Maybe these people actually like the way they look. Who knows? The point is, modern technology can only do so much. And old technology still works: eat well, exercise, take good care of your skin without resorting to weird products and procedures, and get a good night's sleep.

Ah, but not many people mention this last secret.

What if You Got Enough Sleep?

Here's something to think about: if you slept like a baby every single night since birth, and got every hour you needed, how would you look at age 70? I know, that's not going to happen. But it's a thought. Imagine what you'd look like if your skin were never damaged by the sun. Or you never smiled. Or you never ate doughnuts and fast food. Or you never...lived a real life.

I'm going to take a guess that if truly slept well for the majority of your life, you'd age beautifully and could even take about 5 years off your face by the time you're 70. We know that sleep is our zone of rejuvenation. It allows us to replenish our cells, spur new cellular growth (like collagen!), and feel refreshed and energetic enough the next day to make healthy choices, such as working out and eating well. All of which bodes well for keeping up appearances.

Besides, those who look like they are "aging gracefully" win my vote. (As an aside, I write this post on the same day that the "exhaustion" factor in the Clinton vs. Obama war is making headlines. The candidates are getting sloppy with speeches, forgetful of past events - Clinton in Bosnia - and noticeably haggard. Obama's hair is grayer now than it was just a year ago. All this before even potentially getting into the White House!)

Unfortunately, there seems to be an inverse relationship happening between sleep and cosmetic surgery. Sleep isn't very popular these days, and yet cosmetic surgery increasingly is. Nearly 12 million cosmetic procedures were performed in 2007 - a 7 percent increase from 2006 and a 59 percent increase from 2000. These procedures are like Band-Aids on our sleep deprivation.

From the looks of it, at least some Hollywood starlets seem to be getting their Zs. Which ones? Well, I'll leave that up to you. Beauty is in the eye of the beholder. I invite you to write back and cast your vote for the "best ager", and maybe we can ask how many hours of sleep they get each night. I bet they rank sleep high on their priorities.

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This post is cross-posted at Dr. Breus's blog, The Insomnia Blog.

Posted by: Dr. Breus at 4:41 PM

Wednesday, April 23, 2008

Sunday Night Sleeplessness
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The clock ticks faster on Sunday night. Or so it seems that way. It's because you know you're down to hours before Monday morning--the blaring alarm clock (if you still need one), the commute, the In Box, the co-workers, the To Dos, the work itself... the daily grind.

There's a name for all this: Monday blues. Which makes for restless Sunday nights, at least according to one recent survey across America and Europe.

Based on 24,224 responses in a poll conducted by the online job finder Monster.com, 82 percent of U.S. workers and 85 percent of U.K. workers said they have problems sleeping at least some of the time, but respondents noted their sleep is most frequently affected on Sundays, when thoughts of getting back to the routine the next day get in the way. More than half admitted that they are affected every single week!

Can we change this? With a few psychological shifts, maybe.


Why Can't We Sleep on Sundays?

At first I thought that perhaps the people polled don't have jobs or careers that get them excited--they haven't found a true passion that eliminates the whole "Monday blues" phenomena. After all, Monster.com is a resource for people seeking new jobs. So, if the poll grabbed people who aren't in a steady, fulfilling job, you'd expect them to have a harder time saying good-bye to the weekend.

But then I thought a little more and came to the conclusion that it really doesn't matter how much you like or dislike what you do. Work is still work.

Sunday night can be problematic for reasons many of us all share. The hustle and bustle of our modern lifestyles--keeping up with our families, our plans, our careers, our bills, our chores, and even our e-mail In boxes--is something I think we give ourselves permission to put on mute for at least part of the weekend. It all comes crashing back on the eve of the workweek again. So it goes in today's world.


How to Stop Thinking about Monday's Work on Sunday Night

Getting a good night's sleep on Sunday may require more attention to the details of relaxation. Some ideas from my book Beauty Sleep:

  • Set a boundary, say 5:00 PM, after which you do NOT do any work (business or personal) or even check e-mail if that gets you thinking about To Do's.
  • Write out your To Do's for the upcoming week by 5:00 and then set that aside. You don't have to worry about them again for the rest of the night.

  • Do something relaxing: cook dinner, play with your kids, watch a movie, get a massage, find a hot tub. See if your spouse is feeling sexy.

  • Before going to bed, write in a journal all the great things that happened in the previous week. Keep your mind focused on positive thoughts. If a frustration or stressful thought strikes, replace it with something good that happened that day.

The time has come to put Sunday night to bed! Just imagine how much more work you'll get done in the new week. (Wink, wink).



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This article is cross-posted at Dr. Breus's Blog, The Insomnia Blog.

Posted by: Dr. Breus at 3:14 PM

Monday, April 21, 2008

Help Hubby Sleep: Don't Vacate the Bedroom
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Attention, wives whose husbands snore at night: you hold the key to shutting him up and aiding in treating his sleep apnea.

Not long ago, you might recall a comment I made about CPAPs ruining relationships in the bedroom due to their "unsexy" factor. The Continuous Positive Airway Pressure machine, or CPAP, is a device used by people with obstructive sleep apnea who have a problem that causes their airways to collapse during sleep. Their breathing essentially gets cut off multiple times during the night. With a CPAP, the airway stays open so breathing is possible. Sleep becomes much more restful and solid. Untreated sufferers of sleep apnea never feel fully rested, which can result in chronic sleep deprivation that can be life-threatening.

The CPAP is the best strategy we have now to treat apnea, and I encourage people to use it, even though it may not be the most attractive thing to put on at night (or sleep next to). But there's more to the story now.

Researchers at Rush University Medical Center in Chicago just published a study in an industry journal showing that men whose wives sleep with them in the same bed are more likely to keep using the CPAP.

In fact, one of the authors of the study points out that a woman who has vacated the bedroom--to sleep soundly elsewhere--before her husband has been diagnosed and treated can help her husband's treatment if she returns to sharing the same bed again. The chance of his continuing to use this very successful treatment is 60 percent higher than if she sleeps alone.

Clearly, a man prefers to get his wife to join him again... even if it means donning the CPAP and taking control of his snoring so she can rest peacefully beside him. And I predict that if a sex study were done to compare notes between those who sleep separately versus those who sleep together... the couple who sleep together wins. Er, has the better sex life.

You see, CPAPs can come off in seconds. Motivating a spouse in another room on the other side of the house isn't so practical. And now we know that it's also not as easy to motivate oneself to use a CPAP regularly without a spouse close by.

Proof that a couple that sleeps together, CPAPs together, among other things.



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This article is cross-posted at Dr. Breus's Blog, The Insomnia Blog.

Posted by: Dr. Breus at 2:32 PM

Monday, April 07, 2008

Women Watch Out: Poor Sleep Could Be Worse for You
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No more excuses, please. Seriously. A new study that just came out, which I read about in an online article from an industry magazine, is bad news for women who don't sleep well. I think it's bad news for all of us.

Researchers at Duke University Medical Center have discovered that poor sleep is linked to greater psychological distress (no surprise there) and higher levels of biomarkers that increase your risk for heart disease and type 2 diabetes. No surprise there, either, because it's long been reported that sleep deprivation can have tremendous health consequences.

But here's the surprising part about the study. These associations are discriminating - they are much stronger in women than in men. So it's riskier to be a sleepless woman than a sleep-deprived man.

Women sleep worse and suffer more than men.

Research like this is trying to catch up to anecdotal evidence. Women are twice as likely as men to report problems with sleep, but most sleep studies in the past have focused on men.

I'm glad to see this changing as more studies with an equal focus on both sexes are performed, allowing us to really see differences between men and women. And no, I'm not trying to make this a competition between the sexes. I'm hoping that studies like this help us as doctors to target and treat sleep troubles better in the future.

The researchers here found that about 40 percent of the men and the women who participated in the study were classified as poor sleepers. These people have frequent problems falling asleep and staying asleep.

But while their sleep quality ratings were similar, men and women had dramatically different risk profiles. The women had greater feelings of hostility, depression, and anger. They also showed signs of being at a much higher risk for cardiovascular disease.

Can't sleep? Blame your hormones.

The real question, though, is WHY are women more at risk? Why the difference? It could be a number of things, all of which will need to be examined in future studies.

The biggest reason of all is probably related to hormonal differences and substances in the body that affect mood, inflammation, insulin balance, and of course, sleep. Examples include the amino acid tryptophan and hormone melatonin that help regulate sleep, as well as serotonin in the brain, which is a cornerstone to mood. So I guess this gives women another shot at blaming their hormones.

But it's not out of your control, because with this news comes the obvious antidote: get restful sleep. Be healthier. (And thinner, sexier, and more energetic, too. That's a stronger selling point, I think!)

Now, for the men out there, this study does not give you permission to shun sleep. It's still dangerous to let yourself live off restless nights. And let's not forget that the women are likely to outlive us anyhow.

This article is cross-posted at Dr. Breus's Blog, The Insomnia Blog.

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Posted by: Dr. Breus at 2:29 PM

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