10 Reasons Not to Skimp on Sleep
Too busy to go to bed? Having trouble getting quality sleep once you do? Your health may be at risk By Sarah Baldauf
Posted October 16, 2008
You
may literally have to add it to your to-do list, but scheduling a good
night's sleep could be one of the smartest health priorities you set.
It's not just daytime drowsiness you risk when shortchanging yourself
on your seven to eight hours. Possible health consequences of getting
too little or poor sleep can involve the cardiovascular,
endocrine, immune, and nervous systems. In addition to letting life get
in the way of good sleep, between 50 and 70 million Americans suffer
from a chronic sleep disorder—insomnia or sleep apnea, say—that affects daily functioning and impinges on health. Consider the research:
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1) Less may mean more. For people who sleep under seven hours a night, the fewer zzzz's they get, the more obese
they tend to be, according to a 2006 Institute of Medicine report. This
may relate to the discovery that insufficient sleep appears to tip
hunger hormones out of whack. Leptin, which suppresses appetite, is
lowered; ghrelin, which stimulates appetite, gets a boost. 2) You're more apt to make bad food choices. A study published this week in the
Journal of Clinical Sleep Medicinefound that people with obstructive sleep apnea or other severely
disordered breathing while asleep ate a diet higher in cholesterol,
protein, total fat, and total saturated fat. Women were especially
affected. 3) Diabetes and impaired glucose tolerance, its precursor, may become more likely. A 2005 study published in the
Archives of Internal Medicinefound that people getting five or fewer hours of sleep each night were
2.5 times more likely to be diabetic, while those with six hours or
fewer were 1.7 times more likely. 4) The ticker is put at risk. A 2003 study found that heart attacks were 45 percent more likely in women who slept for five or fewer hours per night than in those who got more. 5)
Blood pressure may increase. Obstructive sleep apnea, for example, has
been associated with chronically elevated daytime blood pressure, and
the more severe the disorder, the more significant the hypertension, suggests the 2006 IOM report. Obesity plays a role in both disorders, so losing weight can ease associated health risks. 6) Auto accidents rise. As stated in a 2007 report in the
New England Journal of Medicine, nearly 20 percent of serious car crash injuries involve a sleepy driver—and that's independent of alcohol use. 7) Balance is off. Older folks who have trouble getting to sleep, who wake up at night, or are drowsy during the day could be 2 to 4.5 times more likely to sustain a fall, found a 2007 study in the
Journal of Gerontology.
You may be more prone to depression. Adults who chronically operate on
fumes report more mental distress, depression, and alcohol use.
Adolescents suffer, too: One survey of high school students found
similarly high rates of these issues. Middle schoolers, too, report
more symptoms of depression and lower self-esteem. 9) Kids may suffer more behavior problems. Research from an April issue of the
Archives of Pediatric and Adolescent Medicinefound that children who are plagued by insomnia, short duration of
sleeping, or disordered breathing with obesity, for example, are more
likely to have behavioral issues like attention deficit hyperactivity disorder. 10)
Death's doorstep may be nearer. Those who get five hours or less per
night have approximately 15 percent greater risk of dying—regardless of
the cause—according to three large population-based studies published
in the journals
Sleep and the
Archives of General Psychiatry.
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