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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.

Monday, October 19, 2009

Tick-Tock: News about Your Clock
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I love a study that debunks an old theory long believed true. Last week scientists at the University of Michigan came out with a bold statement: everything we know about the human biological clock is wrong.

According to these researchers, who hail from mathematics, the cells responsible for maintaining the clock in the part of the brain called the suprachiasmatic nuclei, or SCN, don't fire all day and night like previously thought. The cells that control the clock are silent during the day. Though these cells sustain an electrically excited state, they don't actually fire until a brief period around dusk, and then remain quiet throughout the night before releasing another burst of activity around dawn. Think of a clock that only chimes twice a day - because the time only needs to be announced at two particular times. The clock keeps ticking during the silent periods, to make sure the time is accurate when it is time for the chimes to sound.

This may not sound like big news for you (or even mean all that much), but it means a lot to people in sleep medicine and in general medicine for that matter. I've written often about biological clocks in the past. It's a fascinating area of research that has so many applications to everyday life. Consider how much your internal clock determines the quality of your life. And if you don't know what I mean by that, then here's a quick summary. All of the following relate to your internal clock:

  • Your sleep/wake cycles.

  • How refreshed you feel in the morning.

  • How easy it is for you to fall asleep at night.

  • Whether you can recover quickly from jet lag.

  • The fate of a shift worker who has to be productive at odd hours.

  • Whether you're a lark or an owl.

  • Your mood and energy level.

  • The strength of your immune system.

  • Your ability to ward off diseases, including cancer and Alzheimer's.


It may seem unfathomable that your body's clock can influence diseases like cancer, but it's true. Think of your clock as your body's central pacemaker - a means by which the body can remain balanced and, in medical speak, in a state of homeostasis.

I expect future studies to validate some of this new information. It's been suggested that there's more than one clock in the body. Perhaps these math gurus should apply their mathematical model to these other clock ideas and see what emerges. Time will tell...tick-tock...

Sweet Dreams,

Michael J. Breus, PhD
The Sleep Doctorâ„¢
www.thesleepdoctor.com

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Posted by: Dr. Breus at 8:15 AM

Monday, January 12, 2009

Hope for Jet Setters and Shift Workers
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Nothing is more frustrating than needing to be and feel awake and alert, but you just can't for whatever reason. Although life is usually very busy for those who have regular 9 to 5 jobs and families to run, it's quite different for people whose jobs have them covering odd shifts or traversing the country through different time zones and long journeys (ahem, business travelers).

I admire the people who can continue to live "like that" - working when most of the world is sleeping or working mostly from the road or an airport. It's very difficult not only to sleep well (and regularly), but also to eat well and find a routine that jibes with your family life, too.

And there are more people who fall under this category than you might think: According to U.S. labor statistics, about 20 percent of the workforce or about 19.7 million U.S. workers are early risers who begin work between 2:30 a.m. and 7 a.m.m.

That kind of timing can throw any body rhythm out of whack--a rhythm that's essential to feeling sleepy or awake at the right time. Let's not forget about others like traveling athletic teams, tourists, and experts in their field who are called to speak, consult, and interview across the country. Back when I was rigorously promoting my book, my schedule fit the bill! I'm thankful I don't have to do that 365 days a year, so I'm sympathetic to those who do.

Which is why I was happy to read about a new study that offers hope for the lagging jet-setters and people dedicated to irregular job hours. Turns out that an insomnia drug that helps the body produce more melatonin, the sleep hormone that starts pumping when night falls to signal your body that it's time to go to sleep, may improve Zs for jet-lagged travelers and shift workers. The drug is called tasimelteon, or VEC-162, and it's just been shown to help people sleep longer and more deeply than a placebo.

So why not just take melatonin as a supplement instead? Given the availability of this supplement today, you'd presume it's safe and effective.

It's true that melatonin is a hormone your body produces to help it regulate your sleep-wake cycles, but taking additional melatonin in the form of a supplement can be difficult. It's not a regulated drug under the FDA, so without knowing your source, it could be trouble.

Having to take a drug at all to maximize sleep quality isn't ideal, but in many cases it's better than the alternative. If only the entire world could keep operating if everyone slept at night and work and played during the day. Maybe the cavemen - who didn't live in a global 24/7 society - really did have it better.

This sleep article is also available at Dr. Breus' official blog, The Insomnia Blog.

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Posted by: Dr. Breus at 8:30 AM

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