SUNDAY, June 8 (HealthDay News) -- The pace of life gets faster
and faster, and people try to cram more and more into every minute
of the day.
As things get more hectic, sleep tends to get short shrift. It's
seen as wasted time, lost forever.
"For healthy people, there's a big temptation to voluntarily
restrict sleep, to stay up an hour or two or get up an hour or two
earlier," said Dr. Greg Belenky, director of the Sleep and
Performance Research Center at Washington State University
Spokane.
"But you're really reducing your productivity and exposing
yourself to risk," Belenky added.
That's a message doctors are trying to spread to Americans,
including the estimated 40 million people who struggle with some
type of sleep disorder each year.
Before Thomas Edison invented the light bulb in 1880, people
slept an average of 10 hours a night. These days, Americans average
6.9 hours of sleep on weeknights and 7.5 hours a night on weekends,
according to the National Sleep Foundation.
"The group of people getting optimal sleep is getting smaller
and smaller," said Dr. Chris Drake, senior scientist at the Henry
Ford Hospital Sleep Disorders and Research Center in Detroit. "When
a person's sleep drops to six hours or less, that's when a lot of
things become very problematic."
While experts recommend seven to eight hours of sleep each
night, the amount needed for an individual can vary.
But lack of sleep affects a person in one of two ways, Belenky
said. First, sleeplessness influences the day-to-day performance of
tasks.
"The performance effects are seen immediately," he said. "You
short-change yourself of sleep, and you see the effects
immediately. You can make a bad decision. You can miss something.
Have a moment's inattention, and you're off the road."
The longer-term effects of sleep deprivation involve a person's
health. Doctors have linked lack of sleep to weight gain, diabetes,
high blood pressure, heart problems, depression and substance
abuse.
"Hormones that process appetite begin to get disorganized," said
Drake, who's also an assistant professor of psychiatry and
behavioral neuroscience at the Wayne State University School of
Medicine. There's a decrease in the amount of leptin, an
appetite-suppressing hormone, when a person gets too little sleep.
At the same time, ghrelin -- a hormone that stimulates appetite --
increases with a lack of sleep.
Too little sleep also interferes with the body's ability to
regulate glucose and can cause inflammation leading to heart
problems and a rise in blood pressure. "There's a stress response
to being in a sleep loss," Belenky said.
The types of people not getting enough sleep also break down
into two groups. First, there are those who make the conscious
choice to go without enough sleep.
"It's sort of part of the culture," Belenky said. "People pride
themselves on getting little sleep. You'll hear people bragging, 'I
only need six hours a night.' So there's a macho element here."
On the other hand, there are people who are suffering from sleep
disorders. These disorders include:
- Insomnia, an inability to go to sleep or stay asleep.
- Sleep apnea, or breathing interruptions during sleep that cause
people to wake up repeatedly.
- Restless legs syndrome, a tingling or prickly sensation in the
legs that causes a person to need to move them, interrupting
sleep.
Someone suffering from any of these problems should visit their
doctor or see a sleep specialist, Belenky said.
Sleep apnea, the most prevalent sleep disorder, can have
particularly serious long-term effects if left untreated. "You're
waking up out of sleep to breathe. You can't sleep and breathe at
the same time," Drake said. "It's a risk factor for developing
major cardiovascular health effects."
Some people who have trouble sleeping will resort to mild
sedatives like Ambien and Lunesta.
The U.S. Food and Drug Administration recently asked the makers
of these sedative-hypnotic drugs to strengthen their warning
labels. This action followed reports of dangerous allergic
reactions, as well as a host of bizarre behavioral side effects
that include sleep-driving, making phone calls, and preparing and
eating food or having sex while asleep.
Drake and Belenky both consider sleeping pills to be fine for
the short term if taken properly.
"Sleeping pills are a temporary solution," Belenky said. "If
you're upset about something or have situational insomnia, or
you're trying to sleep at the wrong time of day because you've
traveled across time zones, they are effective."
But, both doctors noted the pills will do nothing to help a
chronic sleep problem. "They don't address the pathology of their
sleeplessness," Drake said.
The U.S. National Institutes of Health offers these tips for
getting a good night's sleep:
- Stick to a regular sleep schedule.
- Avoid exercising closer than five or six hours before
bedtime.
- Avoid caffeine, nicotine and alcohol before bed.
- Avoid large meals and beverages late at night.
- Don't take naps after 3 p.m.
- Relax before bed, taking time to unwind with a hot bath, a good
book or soothing music.
- If you're still awake after more than 20 minutes in bed, get up
and do something relaxing until you feel sleepy. Anxiety over not
being able to sleep can make it harder to fall asleep.
More information
To learn more, visit the
National Sleep Foundation.