Dr Dingle's Blog / sleep

A short time between eating your last meal and sleep can increase your risk of breast and prostate cancer.

A short time between eating your last meal and sleep can increase your risk of breast and prostate cancer.

Our modern life involves irregular sleeping and eating patterns that are associated with adverse health effects. Studies have shown late eating habits and short periods between sleep and eating are associated with metabolic syndrome, weight gain and altering the gut microbiome and gut health.
 
This study of breast and prostate cancer patients and their controls in Spain found those sleeping two or more hours after supper had a 20% reduction in cancer risk for breast and prostate cancer combined and in each cancer individually. A similar protection was observed in subjects having supper before 9 pm compared with supper after 10 pm.
The effect of longer breaks between eating and sleep was more pronounced among subjects adhering to cancer prevention recommendations and in morning types.
Adherence to diurnal eating patterns and specifically a long interval between last meal and sleep are associated with a lower cancer risk, stressing the importance of evaluating timing in studies on diet and cancer.
 
source
https://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.31649
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Our sense of purpose keeps us healthy.

Our sense of purpose keeps us healthy.

Research shows a sense of purpose is a major factor in living longer and the benefits of perceiving and living a life directed toward a broader purpose are widespread. Having a purpose in life provides individuals with a sense of direction and goals for the future, as well as a marker of flourishing and a life well-lived. Purposeful adults tend to outlive their peers and experience a diminished risk for both cognitive decline and disability in older adulthood. Moreover, having a purpose in life appears to lead to unique health benefits relative to other aspects of psychological well-being, such as having positive relations with others.

This study of 749 people with an average age of 60 found that the participants’ sense of purpose was positively associated with their reports of both vigorous and moderate activity, vegetable intake, flossing, and sleep quality. The authors note, some behaviors they examined serve as proxies for broader health variables. For instance, if an individual flosses regularly, they are likely to participate in other healthy activities. Eating vegetables on regular basis signals healthy eating habits. Sleep quality has been associated with reduced stress.

Participants who reported a higher sense of purpose also reported greater strenuous and moderate activity, likelihood to eat vegetables and floss, as well as better quality sleep.


A strong sense of purpose buffers us from the storms of life. It like the roots of a tree, keeping us steady and grounded even in stormy weather. It provides us with a greater sense of controlling our direction in life, are more motivated and may even feel inspired.

However, our sense of purpose is not to make money it has to be directed at something greater than yourself.

So what is your sense of purpose and are you flossing?

 

http://journals.sagepub.com/doi/10.1177/1359105317708251

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Dr Peter Dingle’s South West WA Wellness Tour

Dr Peter Dingle’s South West WA Wellness Tour

Hope you can make it to one of our talks

Toxic Overload

October 16, 7.00 pm

Harvey

http://tix.yt/toxicoverloadharvey

 

Toxic Overload

October 17, 7.00 pm

Dalyellup

http://tix.yt/toxicoverloaddalyellup

 

Your Gut Health, Microbiome and Probiotics

October 18 2017

Bunbury turf club

Blair Street Bunbury 6230 Australia

7.00-9.00 PM each night

http://tix.yt/gutmicrobiomeprobioticsbunbury

 

7 Steps To Permanent Weight Loss 

October 19 2017

Bunbury turf club

Blair Street Bunbury 6230 Australia

7.00-9.00 PM each night

http://tix.yt/weightlossbunbury

 

Toxic Overload

October 20, 9.30 am

Leshenault

http://tix.yt/toxicoverloadleshanaultam

 

Toxic Overload

October 20, 7.00 pm

Leshenault

http://tix.yt/toxicoverloadleshanaultpm

 

 

Toxic Overload

October 23, 7.00-9.00 pm

Dunsborough

http://tix.yt/toxicoverloaddunsborougham

 

 

Toxic Overload

October 24, 9.30 -11.30 am

Dunsborough

http://tix.yt/toxicoverloaddunsboroughpm

 

 

Your Gut Health, Microbiome and Probiotics

October 24, 2017

Dunsborough

St George Community Care 48 Gibney Street

 http://tix.yt/gut-healthprobioticsdunsborough

 

Albany

Dog Rock Motel seminar room

303 Middleton Road Mount Clarence 6330

7.00-9.00 PM each night

 

October 26, 2017

Your Gut Health, Microbiome and Probiotics

http://tix.yt/gutmicrobiomeprobioticsalbany

 

October 27 2017

Dangerous Beauty. The toxic truth about cosmetics and personal care products

http://tix.yt/dangerousbeautyalbany

 

October 28 2017

The 7 steps to permanent weight loss

http://tix.yt/weightlossalbany

 

Toxic Overload

We are now surrounded by long list of modern day toxic chemicals in our homes and the personal care products that are impacting on our health.  These poisons and potions are playing their role in making us sick and are linked with the increase in disease like breast cancer, hormone imbalances, thyroid problems and even infertility. Even at “so called” normal levels these chemicals contribute to diseases such as fatigue, depression, stress and anxiety and are linked with diabetes, cardio vascular disease, cancer, estrogen and hormone havoc and weight gain.

This presentation will change your attitudes to many things around you and your home, how you clean and what you put on your skin and empower you to make some simple changes to improve your health. We’ll show you that with a few simple modifications you can easily improve the health status of your home, your wellbeing and that of your family.

 

Gut Health, Microbiome and Probiotics.

Probiotics and a healthy microbiome in our digestive tract is now recognised as one of the most critical conditions for our health and wellbeing. While it is obvious when it comes to many digestive disorders recent research has shown it can be involved in virtually every form of chronic illness. A study in 2016 for example confirmed that up to 50% of Parkinson’s disease can be related to an unhealthy gut microbiome. While many skin conditions like eczema, psoriasis and even acne as well as Alzheimer’s, MS, allergies, diabetes type 1 and 2 and high blood pressure are all related to a healthy gut. Even weight gain and weight loss is influenced by your gut microbiome. Both directly and indirectly a healthy gut can determine how healthy you are and even how much weight you put on. However, a healthy gut is determined by many more factors than just supplementing with probiotics or eating yoghurt.

In this one night presentation you will learn about the importance of gut health as well as what steps you can take to improve. This night is a must to see.

 

7 Steps To Permanent Weight Loss 

Diets, counting calories and low fat foods don’t work because they are working against your genes. These diets are going against millions of years of evolution. Studies on these types of diets show impaired mental performance, poor immediate memory and slower reaction times, they lose more muscle and develop metabolic and immune system disorders. Even more disturbing people on these diets lose muscle, end up putting on more weight and die younger.

The reason is that these Diets focus on the wrong thing. They ignore the genetic, biochemical and nutritional needs of your body so they can never succeed.

Learn the secrets of weight loss and the language of talking to your genes. Learn to retune your genes to lose extra kilos of weight without dieting.

Dr Dingle will show you by focusing on nutrient dense foods, supplementation, the right protein foods, probiotics and eliminating toxins you can unlock your genes for weight loss and wellbeing without dieting and exercise.

 

Dangerous Beauty. The toxic truth about cosmetics and personal care products

(Albany Only)

The personal care and cosmetic products you use directly influence the health of your family. These products impact their hormone levels and thyroid function and are linked with weight gain. These chemicals are linked with Estrogen overload and hormone imbalances, Breast and prostate cancer, Thyroid dysfunction and hypothyroidism, Impaired immune system, Skin ageing, infertility and testosterone in males and so much more.

Most Personal care products contain parabens, phthalates, solvents, mineral oils and other hormone disrupting chemicals and you won’t even know it because they may be a “secret ingredient” or even formaldehyde hidden under another name.

We now know that many of these toxic chemicals pass through the skin and into the blood where they can accumulate and cause damage and can pass into the placenta and accumulate in breast tissue.

Every application increases the risk and exposure and of greatest concern is that it is young women and girls who are most exposed to these toxins. But no one is exempt. Even girls of 5 and 6 are showing up with high concentrations of these toxins.

The good news is that by learning a little bit and avoiding these chemicals and making a few simple changes to your lives you can make a big difference to the health of your family. Your choices today have the power to affect fertility, breast cancer and weight gain even for the next few generations.

At this presentation you will find out what you can do to protect your family health, what to avoid and what is ok.

Dr Peter Dingle PhD

Exploding old belief systems, Dr Dingle dispels myths and confusion around health and how to create long lasting wellbeing. He puts the real facts at your fingertips, then provides you with personalised options to ensure your choices get you the best out of your future.

Nobody knows wellness like Dr Peter Dingle, Australia’s most engaging and innovative thought leader on the topics of health, wellness and weight loss who presents cutting-edge science in a bold, courageous, humourous and straight-shooting manner.

Dr Dingle is Australia's most popular and qualified professional speaker. He holds 2 Degrees in Science and a PhD, 21 years as an academic at Murdoch University and written 15 books on health and wellness.

Dr Dingle has a unique ability to entertain, educate and involve simultaneously. A natural entertainer, Dr D transports delighted audiences on a journey of truth and laughter that will empower them to optimize energy and health, find better life balance and their health

Dr Peter Dingle is known both in Australia and around the world as one of the most impactful and engaging thought leaders in the Health and Wellness Movement.  Over the last 30 Years he has helped hundreds of thousands of people better their lives by cutting through medical and health myths to give the real facts on evidence-based wellness.

 

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The Essential Sleep (Part 1)

The Essential Sleep (Part 1)

In today’s busy and hectic society many see sleep as a luxury rather than what it is – a necessity.  More and more people are working overtime, and shift work trying to juggle a busy family life around their work.  Along with this, it is not unusual for both parents to be working full time.  The advent of our 24/7 society has pushed regular sleep to the side. Because of this, many men and women (and even children) wrongly consider sleep a waste of time. 

Sleep is an essential element of the human body, without it we cannot survive. Getting enough sleep is associated with energy, joy, optimistic thinking and coping with negative emotions. Despite this almost 90 percent of Australians suffer from some type sleep disorder at some stage of their lives.  Of these, 30 percent suffer from severe sleep disorders.  Very few people regularly enjoy the amount or quality of sleep that they need.  The estimated economic costs to the country from this are between $3 billion and $7 billion annually.  There are also huge, unmeasured physical, psychological, emotional and social costs. 

Sleep is complicated in the way that there are many different factors that influence the effectiveness of sleep. It’s not just duration that determines the effectiveness of said sleep, factors such as quality, frame of mind and deepness all contribute to the maximum desired outcome and even our perception of how we sleep. Many factors can play a part in the quality and quantity of our sleep and to maximise our sleep time an understanding of this is essential.     

On average a healthy person will spend around one third of their life sleeping (Duman et al, 2009).  Sleep is considered a natural periodic state of rest for the mind and body, in which the eyes will usually close and consciousness is completely or partially lost resulting in a decrease in bodily movements and responsiveness to external stimuli (Blanch et al, 2009). Inadequate hours of good quality sleep leads to a disruption to vital biological processes resulting in a decrease in cognitive function mental and physical health (Anderson et al, 2009) including impaired work performance due to a decrease in attention, judgement and responsible decision making (Volkow, 2009). 

Why we sleep

Mammals are naturally diurnal animals and sleep for humans are broken into two distinct phases. These phases, Non Rapid Eye Movement (NREM) and Rapid Eye Movement (REM), represent the depth of sleep and electrical activity in the central nervous system (CNS) (Cirelli & Tononi, 2008). However, sleep is a heightened anabolic state where rejuvenation of many organ systems occurs, especially the immune and nervous systems. NREM is further broken into phases one to three during which have different waves of sleep and cognitive perceptions, phase one for example is associated with hyper‑CNS responses. During this phase the body may quickly jerk out of steep and this will be felt as a falling sensation (Walsh, 2009). Various genetic mutations have been associated with sleep including DEC2 mutations that lower the sleep requirement from eight hours to six and the 600072 prion gene that predisposes to Fatal Familial Insomnia (Kniff in, 2009; McKusick and Kniffin, 2009). The natural circadian rhythms of the body are a result of variations in levels of circulating melatonin hormone, from the pineal gland, and also adenosine levels which increase over the course of the day (Imeri & Opp, 2009).

Among the theories on why humans sleep, scientists have proposed the following:

Sleep may be a way of recharging the brain. The brain has a chance to shut down and repair neurons and to exercise important neuronal connections that might otherwise deteriorate due to lack of activity or over activity.

Sleep gives the brain an opportunity to reorganize data to help find a solution to problem, process newly learned information and organize and archive memories.

Sleep lowers a person’s metabolic rate and energy consumption.

The cardiovascular system also gets a break during sleep. People with normal or high blood pressure experience a 20 to 30% reduction in blood pressure and 10 to 20% reduction in heart rate.

During sleep, the body has a chance to replace chemicals and repair muscles, other tissues and aging or dead cells.

In children and young adults, growth hormones are released during deep sleep (World Federation of Sleep Research and Sleep Medicine Societies

Immune function is highest when we sleep

Detoxing. There appear to be “hidden caves” inside the brain, which open up during sleep, allowing cerebrospinal fluid (CSF) to flush out potential neurotoxins, like β-amyloid, which has been associated with Alzheimer’s disease. The research discovered “hidden caves” inside the brain, which open up during sleep, allowing cerebrospinal fluid (CSF) to flush out potential neurotoxins, like β-amyloid, which has been associated with Alzheimer’s disease. The interstitial spaces in the mouse’s brain took up only 14% of the brain’s volume while it was awake. Yet, while it slept, this increased by almost two-thirds to take up fully 23% of the brain’s total volume. The effect is that potential neurotoxins, like β-amyloid, are cleared twice as fast during sleep as during waking. While many neurological diseases, like strokes and dementia, are associated with problems sleeping. It could be that lack of sleep, and restriction of the brain’s cleaning system, may cause toxic metabolites to building up, leading to long-term damage.

Most likely we sleep for a combination of these reasons

 

Part 2 and more coming

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Essential Sleep (Part 8). Sleep and the immune system

Essential Sleep (Part 8). Sleep and the immune system

Sleep, like most other processes in our body, is mediated by the interaction of cytokines and chemokines with neurotransmitters (Dilger & Johnson, 2008). During infection our sleep patterns change and interactions of cytokines, especially IL‑1 and IL‑1 2 and the neurotransmitter serotonin amplify (Dantzer et al. 2008; Lange et at. 2006). During sleep, it has been suggested that, the synapses not used during the day's activities are given an opportunity to prime and regenerate, cognitive function also rejuvenates, memories are consolidated and on a cellular level glycogen stores can re‑fuel. However, sleep deprivation has been associated with inflammatory based diseases including obesity, Cardiovascular Disease and Diabetes (lmeri & Opp, 2009).

 

Sleep deprivation has been shown to further enhance end stage renal disease, decrease vaccine efficacy as attested with both Influenza and Hepatits A vaccines, prolong wound healing, lengthen critical care stays and enhance depression or other psychiatric disorders (Lange et al. 2003; Miller et al. 2004; Koch et al. 2009).

Several recent studies report that reducing sleep to 6.5 or fewer hours for successive nights causes potentially harmful metabolic, hormonal and immune changes.  All of the changes are similar to those detected in the normal aging process (Cobb, 2002) and so sleep deprivation could be the biggest indicator of how long you live (Sateia, et al., 2004).  There is a strong link between sleep deprivation and low immune system function (Redwine, et al., 2003).  A reduction of sleep makes people more prone to infection and potentially more prone to cancer; one study found that poor sleep was associated with a 60 percent increase in breast cancer. 

In one study of 153 volunteers who spent less time in bed, or who spent their time in bed tossing and turning instead of snoozing, were much more likely to catch a cold when viruses were dripped into their noses, while those who slept longer and more soundly resisted infection better. The study showed that even relatively minor sleep disturbances can influence the body's reaction to cold viruses ( Cohen et al  Archives of Internal Medicine). The men and women who reported fewer than seven hours of sleep on average were 2.94 times more likely to develop sneezing, sore throat and other cold symptoms than those who reported getting eight or more hours of sleep each night. Volunteers who spent less than 92 percent of their time in bed asleep were 5 1/2 times more likely to become ill than better sleepers, they found.

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Essential Sleep (Part 7). Sleep fatigue and accidents

Essential Sleep (Part 7). Sleep fatigue and accidents

Fatigue

Sleep deprivation also contributes to the physiological state known as fatigue.  A fatigued person is accident prone and judgment impaired.  After approximately 20 hours of no sleep, reaction times are comparable to having a blood alcohol reading of .08.  Staying awake for 24 hours leads to a reduced hand‑to‑eye coordination that is similar to having a blood alcohol content of 0.1. An example of a sleep deprivation accident occurred when a space shuttle mission was aborted 30 seconds before lift‑off because a technician who had worked several consecutive l2hr shifts accidentally released 18,000 pounds of liquid fuel just minutes before the scheduled flight. An investigation of the Challenger space shuttle disaster attributed ground crew fatigue as one of the factors contributing to the disaster. An incident such as this shows the seriousness of the situation and the potential loss of life through human related errors in technical fields. Even operating simple machinery such as forklifts can become extremely dangerous if the operators are not filly alert. Other examples of work related sleep deprivation include a flight which flew 100 miles out over the Pacific before controllers on the ground were able to wake the pilots up using chimes, piped into the cockpit audio. It is common practice for flight attendants to check in on pilots to ensure they do not fall asleep. The Exxon Valdez oil spill occurred on a ship with a crew that had had very little sleep, with the accident happening in the middle of the night.

Pain

45 to 80% of all nursing home residents suffer from chronic pain and this pain is strongly linked to insomnia (Dodla and Lyons, 2006). In Japan a survey conducted by Tanaka and Shirakawa (2004) found that one in five Japanese people suffer from insomnia, and within the elderly population one in three suffer, because of this the Japanese government increased the needs of insomnia patients at community health sites and names insomnia a refactory disease of the 21st centuary. A similar Honk Kong based study found 11.9% of Chinese people living in Honk Kong suffer from insomnia approximately three times a week and the females were 1.6 times more likely to show symptoms of insomnia than males (Li et a!. 2002). 

Accidents, errors and Risk taking

Studies using card games have found that with little sleep, players get stuck in a strategic rut. Sleepy people keep taking risks, even though it’s obviously not working for them.

A study of musicians who practised a new song had improved in speed and accuracy compared with before a night’s sleep. a good night’s sleep can also improve motor performance.

In a study of 1891 male employees compared with those working 6-8 h day(-1) with good sleep characteristics, positive interactive effects for workplace injury were found between long work hours (>8-10 h day(-1) or >10 h day(-1) ) and short sleep duration (<6 h). This study suggests that long work hours coupled with poor sleep characteristics are synergistically associated with increased risk of workplace injury. Greater attention should be paid to manage/treat poor sleep and reduce excessive work hours to improve safety at the workplace (Nakata 2011).

A study looking at the effect of working “standard shifts” (that is, the traditionally accepted long, sleepless shifts) for hospital interns showed that the interns made 36 percent more serious medical errors during a standard work schedule compared to during an intervention schedule that eliminated extended work shifts.  The errors included significantly more serious medication errors and 5.6 times as many serious diagnostic errors.  As a consequence, the overall rates of serious medical errors were significantly higher during the standard schedule than during the intervention schedule (Landrigan, 2004).  Fortunately, most serious medical errors were either intercepted by people who were awake and concentrating or did not result in clinically detectable harm to the patient.  How does this affect you?  It might be all right if you could always go into hospital at the beginning of the shift or be operated on only by doctors who had just started a shift. 

One study found that interns who worked 24-hour shifts made 36 percent more medical errors than those working 16-hour shifts and five times the number of diagnostic errors, and were 61 percent more likely to accidentally cut themselves during procedures.

The study found that the rates of serious medical errors in two intensive care units “were lowered by eliminating extended work shifts and reducing the number of hours interns worked each week.” By asking interns to work less, the hospitals improved their performance.

A number of studies have highlighted the increased number of motor vehicle accidents associated with young adults driving fatigued. It’s conservatively estimated that at least 112 lives could be saved in Australia if fatigue and falling asleep at the wheel were eliminated.

Several studies have highlighted the increased number of motor vehicle accidents associated with young adults driving while fatigued.  Fatigue is estimated to be responsible for 35 percent of road accidents.  It’s conservatively estimated that at least 112 lives could be saved in Australia every year if fatigue and falling asleep at the wheel were eliminated.  In the United States, the National Highway Traffic Safety Administration (NHTSA) reports that fatigue and sleep deprivation contribute to about 100,000 highway crashes each year, causing more than 1,500 deaths annually (Sullivan, 2003).  At a grander level the 1989 Exxon Valdez oil spill off Alaska, the Challenger space shuttle disaster and the Chernobyl nuclear accident have each been attributed to human errors in which sleep deprivation played a role (Grunstein, 2000). 

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Essential Sleep (Part 6). Cognitive decine and the brain

Essential Sleep (Part 6). Cognitive decine and the brain

Late night

Research on 59 participants, those who were confirmed night owls (preferring late to bed and late to rise) had lower integrity of the white matter in various areas of the brain (Rosenberg et al 2014). Lower integrity in these areas has been linked to depression and cognitive instability.

 

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Essential Sleep (Part 5). Sleep and weight gain

Essential Sleep (Part 5). Sleep and weight gain

Sleep and weight

Obesity in another disorder linked with insomnia. Research shows that diets that are higher in saturated fats are more susceptible to chronic diseases and disorders which includes insomnia (Novak et al. 1995). This is an alarming fact as 20% of the population of the United States of American are overweight or obese (Patterson et al. 2004).

Many studies, including one spanning twenty years, have tested the hypothesis that sleep and obesity are linked and the majority of results show positive correlations (Gangwisch et al. 2005). Further studies, with over 500,000 total participants via meta‑analysis have supported obesity and insomnia in adults and children (Cappuccio et al. 2008). The trends of increasing BMI and reduced sleep hours appear to go hand in hand, along with sleeping troubles related to Sleep Apnoea often seen in obese patients.

This link between Obesity and the symptoms of its associated diseases demonstrates a common trend towards diminishing an individual’s peak performance. Obesity and many of the health conditions which result from it increase the lower productivity levels associated with lower mental and cognitive functioning.

Obesity is also a serious factor in poor sleep habits. In a number of studies obesity was associated with "reduced sleeping hours " (Ko et al (2007). Obesity, particularly abdominal and upper body obesity, is the most significant risk factor for Obstructive Sleep Apnea (OSA). Patients with sleep apnea often experience daytime sleepiness and difficulty concentrating (Teran-Santos et al, 1999). Studies have also shown a strong association between sleep apnea and the risk of traffic accidents (Terán-Santos et al (1999).  In fact, subjects suffering from sleep apnea were at a higher risk than those who had consumed alcohol to be involved in a traffic accident. This has major implications, particularly for overweight and obese workers using any form of equipment of driving vehicles.

This lack in sleep will then leave the employee going to the work already feeling tired, irritable and stressed, therefore making it difficult to concentrate, and highly increasing the chances of being injured or making a mistake which may put fellow workmates in danger (Lynch, 2005) It is situations like this, where the worker comes to work already feeling tired, that the employee is putting his safety and other's safety at risk.

Shift workers are known to be a high-risk group for obesity. In the current study population, rotating-shift workers showed a higher distribution of the highest body mass index compared with daytime workers

In a study of the brains of 24 participants after both a good and a bad night’s sleep. after disturbed sleep, there was increased activity in the depths of the brain, areas which are generally associated with rewards and automatic behaviour. It seems a lack of sleep robs people of their self-control and so their good intentions are quickly forgotten.

What we have discovered is that high-level brain regions required for complex judgments and decisions become blunted by a lack of sleep, while more primal brain structures that control motivation and desire are amplified.”

In other words: lack of sleep robs people of their self-control and so their good intentions are quickly forgotten.

On top of this, the researchers found that after being deprived of sleep, participants displayed greater craving for high-calorie junk food. The more sleep-deprived they were, the greater the cravings. A stufy of 13,284 teenagers found that those who slept poorly also made poor decisions about food. Similarly, a Swedish study found that at a buffet, tired people were more likely to load up their plates.

The link has even been made from poor sleep through to food shopping. A Swedish study found that men who were sleep-deprived bought, on average, 9% more calories than those who’d had a good night’s sleep. These results were likely the result of the poor decision-making. It had been thought that the tendency to eat more after poor sleep was related to the so-called ‘hunger hormone’ ghrelin. But the latest studies suggest that it’s simple self-control that is most important in causing the sleep-deprived to over-indulge.

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Essential Sleep (Part 3)

Essential Sleep (Part 3)

Sleep problems

Many sleep problems but by far the biggest is sleep deprivation and poor sleep. However too much sleep can also be a problem. Over sleeping may also be a problem. In one study sleeping 10 hours or more also increased the mortality rates by one and a half times.

 Sleep Deprivation

Sleep is as important to the human body as food and water, but most of us don't get enough sleep. Dysoninia (poor sleep) related sleep disorders alone are broken into Intrinsic, Extrinsic and Circadian‑Rhythm sleep disorders including disorders such as but not limited to: "Psychophysiologic Insomnia, Sleep State Misperception Idiopathic Insomnia, Narcolepsy, Recurrent Hypersomnia, Idiopathic Hypersomnia...Restless Legs Syndrome & Intrinsic Sleep Disorder NOS" (MSM, 2001, pp. 27).

Risk factors for sleep related illness are diet, lifestyle, occupation, stress and grief, amongst many others (Helmanis, 2006 pp. 24‑25).

Almost 90 per cent of Australians suffer from some type sleep disorder at some stage of their lives. Of these, 30 per cent suffer from severe sleep disorders. Very few people regularly enjoy the amount, or quality of sleep that they need. The estimated economic costs to the country from this are between 3 and 7 billion dollars annually. There are also huge, unmeasured physical, psychological, emotional and social costs.

Insomnia

Causative factors for insomnia may be multifaceted but generally include some psycho physiologic hyperarousal or emotional distress. Other precursors may be pain, movement disorders, psychiatric disorders, circadium rhythm dysfunction, medication and substance abuse (Billiard and Bentley, 2004). In some cases, the risk of insomnia is subject to a genetic bias. However, specific physiologic indicators for the familial influence have not been fully identified (Parkes and Lock, 2009).

 Insomnia is the difficulty initiating or maintaining sleep or both resulting in inadequate quality or quantity of sleep (Tomoda et al, 2009). Insomnia can manifest itself by many symptoms from not being able to sleep at normal hours and low quality and quantity of sleep to sleeping but not finding it refreshing. Other symptoms may include daytime sleepiness, frequent waking, early morning waking and difficulty retuning to sleep (Cureresearch.com, 2005).

Most adults have experienced insomnia or sleeplessness at one time or another in their lives (Straker, 2008). It is estimated that insomnia effects around 30-50% of the general population with 10% experiencing chronic insomnia (Straker, 2008). It has been estimated that in the US that 70 million people suffer sleep problems, and of these, 30 million suffer chronic insomnia (Stahura and Martin, 2006). Recently a survey showed that 1046 of the 2000 adults surveyed experience at least one night of lost sleep due to insomnia symptoms; the survey also concluded that insomnia is a growing issue of concern (Goolsby, 2006).

Insomnia generally affects women more than men and the incidence rate tends to increase with age (Straker, 2008).

There is a clear correlation of age to insomnia (Curless et a!. 1993). A number of surveys have reported between 28% and 64% of post menopausal women suffer from insomnia (Hachul de Campos et al. 2006).

Insomnia can be classified into three categories transient, short-term and chronic insomnia (Tomoda et al, 2009). Transient insomnia are symptoms lasting less than one week, short term insomnia are symptoms lasting between one-three weeks and chronic insomnia are those symptoms lasting longer than three weeks (Tomoda, 2009).

Narcolepsy

Narcolepsy is a sleep disorder that causes overwhelming and severe day time sleepiness (Retsas et al, 2000). Pathologic sleepiness is characterised by the fact that it occurs at inappropriate times and places (Retsas et al, 2000). These daytime sleep attacks may occur with or without warning and can occur repeatedly in a single day (Edgar et al, 2006). People who suffer from Narcolepsy often have fragmented night time sleep with frequent brief awakenings (Edgar et al, 2006).

Narcolepsy is typically characterised by the following four symptoms:

Excessive daytime sleepiness (90%)

Cataplexy: A sudden and temporary loss of muscle tone often triggered by emotions such as laughter. (75%)

Hallucinations: Vivid dreamlike experiences that occur while falling asleep or upon wakening. (30%)

Sleep paralysis: Paralysis that occurs most often upon falling asleep or waking up. The person is unable to move for a few minutes. (25%) (Retsas et al, 2000)

Interestingly, regular night time sleep schedule and scheduled naps during the day is required for favourable outcomes (Edgar et al, 2006).

Sleep Apnoea

Sleep apnoea affects over 12 million Americans with it being more prevalent in men than women (Sjosten et al, 2009).  Sleep apnoea not only deprives sleep from the individual but their partners too (Yip, 2001). Sleep apnoea is defined as frequent and loud snoring and breathing cessation for at least 10 second for five or more episodes per hour followed by awakening abruptly with a loud snort as the blood oxygen level drops (Sjorsten et al, 2009).   People with sleep apnoea can experience anywhere between 5 apnoeic episodes per hour to several hundred per night (Sjorsten et al, 2009).

Symptoms of sleep apnoea are:

Excessive daytime sleepiness

Morning headaches

Sore throat

Intellectual deterioration

Personality changes

Behavioural disorders

Obesity

(Yip, 2001)

Obesity is the major cause of sleep apnoea often losing weight is all that is need to treat this disorder (Yip, 2001).

 

Part 3 and more coming

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Essential Sleep (Part 2)

Essential Sleep (Part 2)

The benefits of sleep include:

Feeling rested;

Being physically and mentally alert;

Having more energy;

Making fewer mistakes (including causing accidents);

Feeling psychologically and emotionally recovered;

and to experience:

Improved cognitive function;

Improved memory;

Higher stress tolerance and resilience;

Increased productivity;

Normal body balance;

Healthier weight;

Reduced risk of CVD, diabetes and cancer;

Living longer; and

Feeling healthier. 

during sleep the mind is cataloguing our memories and deciding what to keep and what to throw away it is making memories stronger. It also seems to be reorganizing and restructuring memories.

It’s not possible to learn something new when you sleep, like a foreign language, but you can reinforce something you already know.One study found that students learned to play a series of musical notes better after listening to them during a 90-minute nap. The research shows that memory is strengthened for something you’ve already learned. Rather than learning something new in your sleep.

A review of studies on sleep found that we tend to hold on to the most emotional parts of our memories.

Getting enough sleep is associated with energy, joy, optimistic thinking and coping with negative emotions. 

Stages of Sleep                                                                           

Sleep Stage

Brain Waves

Common Characteristics

Frequency

Type

 

 

Stage 1

NREM

 

 

4 to 8

 

 

Alpha

& Theta

 

Transition between sleep and wakefulness

Eyes begin to roll and close

Consists of mostly theta waves with some brief periods of alpha waves (similar to waves of wakefulness)

Stage lasts 5-10 mins

 

 

 

Stage 2

NREM

 

 

8 to 15

 

 

Theta, Spindles,

k-complexes

 

Brain wave peaks become higher

Spontaneous periods of muscle tone mixed with periods of muscle relaxation

Heart rate  and temperature decrease

Stage last 5-10 mins

 

 

Stage 3

NREM

 

2 to 4

 

Delta, Theta

 

Deep Sleep or Delta sleep

Very slow brain waves

 

 

Stage 4

NREM

 

0.5 to 2

 

Delta, Theta

 

The last of deep sleep before REM begins.

Consist mostly of Delta waves

 

 

 

Stage 5

 REM

 

 

 

≥ 12

 

 

 

Beta

 

Beta waves have a high frequency and occur when the brain is active when asleep and awake.

Frequent bursts of rapid eye movement (REM) and muscle twitches.

Increase in heart and breathing rate

Vivid dreaming occurs here.

(Cook and Nendick, 2007)

Circadian Cycle

When a person falls asleep and wakes up is largely determined by their circadian rhythm, a day-night cycle of about 24 hours. Circadian rhythms greatly influence the timing, amount and quality of sleep (Lockley et al. 1997).

Literally hundreds of circadian rhythms have been identified in mammals (Campbell 1993). Among the numerous systems and functions mediated by the circadian timing system are, hormonal output, core body temperature and metabolism. The circadian clock is believed to sit in the suprachiasmatic nucleus (SCN) located in the hypothalamus of the brain. It was thought that processes now linked with circadian timing e.g. sleep wake cycles, were due solely to environmental cues, for example solar activity, it is now recognised however that these biological rhythms are regulated by factors inherent to the organism (Campbell 1993). A circadian rhythm displays a 24 hour cycle of wakefulness and sleep synchronised with the world’s night/day clock (Mansuy et al, 2003).  Everyone’s cycle will vary depending on behavioural and psychological factors (Mansuy et al, 2003).  The most typical pattern will be low alertness in the mornings as we wake, to highly alert mid afternoon (Swain et al, 2007).

The natural circadian rhythm in the body, which maintains a regular sleep-wake cycle, makes important contributions to physiological processes and psychological health. The normal rhythm is reset daily by the influence of bright light in the morning. Shift-workers, who may work at night and sleep in the daytime, and blind people may have difficulty maintaining a normal sleep-wake cycle because the natural environmental cues are miss-timed (Morris 1999). Studies show that shift work is one the greatest influencing factor causing an alteration in an individual’s cycle along with sleeping disorders (Baulk, 2008).  Altering the circadian cycle can lead to periods of decreased alertness leaving people extremely vulnerable to accidents and injuries (Andersen et al, 2009).

Our sleep patterns appear to be polyphasic. In one experiment, subjects were exposed to 14 hours of darkness; then they remained in a state of quiet rest for about two hours before falling asleep.  They then slept for four hours, awakened from a dream, spent another two-hour period in quiet rest, and then fell asleep again for four hours more.  The subjects awoke at 6 a.m. each morning from their dream sleep and then spent two hours in quiet rest before arising at 8 a.m.  These subjects followed their own natural rhythms, sleeping for eight hours with blocks of time at quiet rest (Wehr, S.E, 1996).  This polyphasic sleep appears to be a pattern in many mammals.  We experience hypnagogic imagery – a state described as dreaming, drowsy, floating, wandering – every night just before we fall asleep.  Every night before we go to sleep we spend a few minutes in a state of relaxed wakefulness characterised by drifting thoughts and alpha brainwaves.

Another interesting method for lessening the impact of sleep deprivation was through a study that found there were certain hours better to sleep through the night. A new Stanford University study on the science of sleep deprivation suggests that early­ morning sleep is more restful than a middle‑of‑the‑night nap. In a study of two groups of men they found that early‑morning sleepers scored higher on wakefulness tests and on measures of sleep efficiency. (Stratton, 2003) Although this study shows that there may some advantages to when you get your sleep it is more an avoidance of the problem rather than a solution.

We are also influenced not just by sleep but also our perceptions of its quality. If we think we’ve had a wonderful sleep last night, we feel and perform better, even if our sleep was actually the same as usual. In this study researchers randomly told some people they’d had better sleep than others after they were hooked up to some placebo brain sensors). When they were given a cognitive test the next day, those who’d been told they slept the best also did the best in the test.

 

Part 3 and more coming

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