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Showing posts with label HEALTH - INSOMNIA. Show all posts
Showing posts with label HEALTH - INSOMNIA. Show all posts

20 February 2014

INSOMNIA - The end of insomnia? Scientists discover the 'switch' that tells the brain to go sleep






The end of insomnia? Scientists discover the 'switch' that tells the brain to go sleep

  • Switch works by regulating neurons in the brain when the body is tired
  • They demonstrated the theory on fruit flies, creating insomniac insects
  • Scientists believe there is a similar group of neurons in the human brain
  • Researchers are now trying to find out how to activate the sleep switch 
Scientists think they have discovered the switch in the brain that tells our bodies when to go to sleep.
The discovery, made by neurologists at Oxford University, could pave the way for a treatment to combat sleep disorders such as insomnia.
The scientists think the switch works by regulating neurons, or nerve cells, in the brain. 
Described as a ‘homeostat’ which can tell when someone has been awake for too many hours, the mechanism fires when the body is tired.
Scientists think they have discovered the switch in the brain that tells our bodies when to go to sleep
Scientists think they have discovered the switch in the brain that tells our bodies when to go to sleep
Professor Gero Miesenböck, whose team conducted the research, said: ‘When you’re tired, these neurons in the brain shout loud and they send you to sleep.’
The researchers demonstrated the theory on fruit flies, removing the switch to create insomniac insects.
 
They are convinced the same molecular system which forces neurons to fire works in the human brain.
Dr Jeffrey Donlea, who co-authored the study in the journal Neuron, added: ‘There is a similar group of neurons in a region of the human brain. 
Researchers are trying to find out how to activate the sleep switch is so that it can be used to treat insomnia
Researchers are trying to find out how to activate the sleep switch is so that it can be used to treat insomnia

WE LOSE 85 HOURS A YEAR JUST BY PRESSING THE SNOOZE BUTTON

Hitting the snooze button
When the alarm clock goes off in the morning it is all too tempting to reach across and hit the snooze button.
But those extra minutes in bed add up all too quickly. A new survey has found that on average we lose 85 hours a year to the alarm clock snooze function.
Sleep psychologist Chireal Shallow said: ‘We snooze for many reasons, predominantly because we want to squeeze as much sleep out of the night as possible, and often still feel tired when we wake. 
‘This is especially true in the winter months as we need to wake whilst it’s still dark outside, which means our bodies do not get a chance to awake naturally. 
‘Snoozing is the way we, as humans, attempt to mitigate the lack of sleep, or how tired we feel by trying to wake up gradually and gently.’
The survey of 1,000 people, conducted by cereal brand Fuel, found that the average Briton sets their alarm for 06.58am, but most could not peel themselves out of bed until 7.12am.
Nearly a third - 29 per cent - put their alarm clock on the other side of the room in an attempt to force them out of bed.
One in ten have been sacked or bagged a written warning at work for being late because of snoozing.
‘These neurons are also electrically active during sleep and, like the flies’ cells, are the targets of general anaesthetics that puts us to sleep.
‘It’s therefore likely that a molecular mechanism similar to the one we have discovered in flies also operates in humans.’
Researchers are now trying to find out how to activate the sleep switch is so that it can be used to treat insomnia.
Dr Diogo Pimentel, who also worked on the project, said: ‘The big question now is to figure out what internal signal the sleep switch responds to. ‘What do these sleep-promoting cells monitor while we are awake? If we knew what happens in the brain during waking that requires sleep to reset, we might get closer to solving the mystery of why all animals need to sleep.’
Professor Miesenböck said there are probably two mechanisms that regulate sleep patterns.
One is the body clock, the circadian rhythm which attunes humans and animals to the 24 hour cycle of day and night.
The other - the sleep ‘homeostat’ - keeps track of waking hours and acts as a switch to make the body nod off.
Professor Miesenböck said: ‘The body clock says it’s the right time, and the sleep switch has built up pressure during a long waking day.
‘The sleep homeostat is similar to the thermostat in your home. A thermostat measures temperature and switches on the heating if it’s too cold. 
‘The sleep homeostat measures how long a fly has been awake and switches on a small group of specialized cells in the brain if necessary. It’s the electrical output of these nerve cells that puts the fly to sleep.’
The researchers demonstrated their theory by removing the homeostat neurons from the brains of a group of fruit flies.
They found the insects without the relevant neurons did not have regular sleep - they turned into insomniacs and were prone to nodding off at irregular hours.
They had severe learning and memory deficits, in the same way that sleep loss in humans leads to problems.
Dr Donlea said: ‘We discovered mutant flies that couldn’t catch up on their lost sleep after they had been kept awake all night.’


Read more: http://www.dailymail.co.uk/sciencetech/article-2563083/The-end-insomnia-Scientists-discover-switch-tells-brain-sleep.html#ixzz2tnCuNaUh
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16 September 2013

INSOMNIA - Natural Solutions for Insomnia






Making a few changes in your sleep regimen may ease your insomnia more effectively than popping a pill, according to a study from the "Journal of the American Medical Association." Of the study's 46 insomniac participants, those who learned new sleep-inducing strategies (relaxation exercises; creating a more sleep-friendly bedroom) spent 52 percent less time tossing and turning after six weeks. Those who took the sleeping pill Imovane only cut back on their wake time by 4 percent.
To shake off chronic insomnia, lead author Berge Sivertsen, Psy.D., suggests following a two-week sleep restriction plan: Wake up around six every morning, avoid daytime naps, and wait as long as you can before hitting the sack each night.

31 August 2013

SLEEP PROBLEM - Poor sleepers take 6m sickies







Poor sleepers take 6m sickies: One in five workers admits taking a day off after a bad night's sleep


  • - Sickies cost to UK economy running to £611 million
  • - but almost half of people, 44%, never enjoy a lie-in
  • - lack of sleep caused by decreased concentration levels, grumpiness and rows at home



Sleep-deprived workers take six million sick days a year according to a survey, with the cost to the UK economy running to £611 million.

One in five workers surveyed admitted taking a 'sickie' because of a bad night’s sleep, according to the online poll of 2,044 people by bed firm Silentnight, who appealed for volunteers for research in a sleep clinic.

Only 13% of those polled said they slept peacefully, while of those kept awake regularly almost a third, 32%, blamed the thought of having to get up early the next day and 26% blamed money worries and work stress.


A pillow for insomniacs that promises to get rid of sleepless nights.
Catching up on sleep the next day: Almost a third blamed the thought of having to get up early the next day and 26% blamed money worries and work stress


One-sixth of workers choose to catch up on sleep while travelling on public transport but 7% admitted to falling asleep while at their desk and 4% during a meeting.

The survey showed almost half of people, 44%, never enjoy a lie-in - even at weekends - with most lie-ins lasting less than 30 minutes.

    Problems people said were caused by a lack of sleep included decreased concentration levels, grumpiness and rows at home.

    Dr Nerina Ramlakhan.jpg
    Dr Nerina Ramlakhan, Silentnight's sleep expert, pictured, says a few steps can make a huge difference to getting a good night's sleep - switching off from work and social media channels
    Dr Nerina Ramlakhan, Silentnight’s sleep expert is searching for 10 people with everyday sleep issues to take part in a four-week sleep clinic with information and advice available for the public to follow online as the study progresses.

    Dr Ramlakhan said: 'Sleep is crucial to our health and well-being and it is clear from the findings that lack of quality sleep is making a real impact on people’s lives - from absence from work, decreased concentration levels and arguments in the home.

    'A few simple steps can make a huge difference to getting a good night’s sleep.

    'Switching off from work and social media channels an hour before bed, taking the time to unwind, eating a balanced diet and making sure that our sleep environment is as tranquil as possible are all positive steps in the right direction.

    'The Sleep Clinic is aimed at educating people across the UK that a few simple techniques can help the nation get a great night’s sleep every night.'

    More information about the sleep clinic can be found at www.silentnight.co.uk.

    4 June 2013

    HEALTH - Can't Sleep? Simple Tips to Help You Get to Sleep
















    Insomnia remedies you've probably already tried but are still worth trying again.

      See a Doctor
       Insomnia can be a symptom of physical disorders, although for most of us 
       it's the result of tension, stress and anxiety—and of course the more 
       anxious we get about our insomnia, the worse it gets. If your doctor 
       pronounces you a "healthy" insomniac, he might suggest some of the 
       techniques provided here. Or she might prescribe drugs to help you get to 
       sleep.

       We suggest you try all these methods first, and use drugs only as a last 
       resort. The decision, of course, is yours.

    ●  Take a Warm Bath
       It's a great way to relax your body. Don't overdo it, however. You merely 
       want to relax your body, not exhaust it. Too long in hot water and your body 
       is drained of vitality.

       Use bath salts, or throw in Epsom salts and baking soda—one cup of each. 
       These will relax you and also help remove toxins from your body.

    ●  Get a Massage
       Have your spouse (or whoever) give you a massage just before going to 
       sleep. If you can convince them to give you a full body massage, great. If 
       not, even a short backrub and/or a face and scalp massage can be a big 
       help. Have them make the massage strokes slow, gentle, yet firm, to work 
       the tension out of your muscles and soothe you to sleep.

    ●  Listen to Music or Other Audio
       Play some soft, soothing music that will lull you to sleep. There are many 
       CDs designed for that very purpose. Some are specially composed music, 
       others simply have sounds of waves rhythmically breaking, or the steady 
       pattern of a heartbeat. Some will lead you to sleep with a combination of 
       music, voice and other soothing sounds.


    • Headphones recommended




        Drink Warm Milk
          A glass of warm milk 15 minutes before going to bed will soothe your 
          nervous system. Milk contains calcium, which works directly on jagged 
          nerves to make them (and you) relax.

      ●  Drink Herb Tea
          If you don't like milk—or are avoiding dairy products—try a cup of hot 
          camomile, catnip, anise or fennel tea. All contain natural ingredients 
          which will help you sleep. 

          Most health food stores will also have special blends of herb tea 
          designed to soothe you and help you get to sleep.

      You can also try the followings :

      ●  Eat a Bedtime Snack
      ●  Avoid Caffeine, Alcohol and Tobacco
      ●  Sleep in a Well-Ventilated Room
      ●  Sleep on a Good Firm Bed
      ●  Sleep on Your Back
      ●  Get Some Physical Exercise During the Day
      ●  Keep Regular Bedtime Hours
      ●  If You Can't Sleep, Get Up
      ●  Don't Sleep In
      ●  Get Up Earlier in the Morning
      ●  Keep Your Bed a Place for Sleep
      ●  Avoid Naps
      ●  Avoid Illuminated Bedroom Clocks
        Counting Sheep
        Sleep With Your Head Facing North

      ●  Don't Watch TV or Read Before Going to Bed
      ●  Toe Wiggling
      ●  Stomach Rub
      ●  Deep Breathing
      ●  Visualize Something Peaceful
      ●  Visualize Something Boring
      ●  Imagine It's Time to Get Up
      ●  Quiet Ears
      ●  Yawning
      ●  Backwards Counting / Mental Computer


      Good luck and have a pleasant sleep!


      Source : http://www.well.com/~mick/insomnia/

    HEALTH - Sleep Disorder Clinical Trials















    The National Heart, Lung, and Blood Institute (NHLBI) is strongly committed to supporting research aimed at preventing and treating heart, lung, and blood diseases and conditions and sleep disorders.

    NHLBI-supported research has led to many advances in medical knowledge and care. For example, this research has uncovered some of the causes of sleep disorders and ways to diagnose and treat these conditions.

    The NHLBI continues to support research aimed at learning more about sleep disorders, including insomnia. For example, the NHLBI currently is involved in research comparing two nondrug, self-help treatments for insomnia.

    The NHLBI also supports research that explores the factors that affect sleep, how a lack of sleep increases certain health risks, and new ways to diagnose and treat sleep disorders.

    Much of this research depends on the willingness of volunteers to take part in clinical trials. Clinical trials test new ways to prevent, diagnose, or treat various diseases and conditions.

    For example, new treatments for a disease or condition (such as medicines, medical devices, surgeries, or procedures) are tested in volunteers who have the illness. Testing shows whether a treatment is safe and effective in humans before it is made available for widespread use.

    By taking part in a clinical trial, you can gain access to new treatments before they’re widely available. You also will have the support of a team of health care providers, who will likely monitor your health closely. Even if you don’t directly benefit from the results of a clinical trial, the information gathered can help others and add to scientific knowledge.

    If you volunteer for a clinical trial, the research will be explained to you in detail. You’ll learn about treatments and tests you may receive, and the benefits and risks they may pose. You’ll also be given a chance to ask questions about the research. This process is called informed consent.

    If you agree to take part in the trial, you’ll be asked to sign an informed consent form. This form is not a contract. You have the right to withdraw from a study at any time, for any reason. Also, you have the right to learn about new risks or findings that emerge during the trial.

    For more information about clinical trials related to insomnia, talk with your doctor. You also can visit the following Web sites to learn more about clinical research and to search for clinical trials:

    HEALTH - How Is Insomnia Treated?















    Lifestyle changes often can help relieve acute (short-term) insomnia. These changes might make it easier to fall asleep and stay asleep.
    A type of counseling called cognitive-behavioral therapy (CBT) can help relieve the anxiety linked to chronic (ongoing) insomnia. Anxiety tends to prolong insomnia.

    Several medicines also can help relieve insomnia and re-establish a regular sleep schedule. However, if your insomnia is the symptom or side effect of another problem, it's important to treat the underlying cause (if possible).

    Lifestyle Changes

    If you have insomnia, avoid substances that make it worse, such as:
    • Caffeine, tobacco, and other stimulants. The effects of these substances can last as long as 8 hours.
    • Certain over-the-counter and prescription medicines that can disrupt sleep (for example, some cold and allergy medicines). Talk with your doctor about which medicines won't disrupt your sleep.
    • Alcohol. An alcoholic drink before bedtime might make it easier for you to fall asleep. However, alcohol triggers sleep that tends to be lighter than normal. This makes it more likely that you will wake up during the night.
    Try to adopt bedtime habits that make it easier to fall asleep and stay asleep. Follow a routine that helps you wind down and relax before bed. For example, read a book, listen to soothing music, or take a hot bath.

    Try to schedule your daily exercise at least 5 to 6 hours before going to bed. Don't eat heavy meals or drink a lot before bedtime.

    Make your bedroom sleep-friendly. Avoid bright lighting while winding down. Try to limit possible distractions, such as a TV, computer, or pet. Make sure the temperature of your bedroom is cool and comfortable. Your bedroom also should be dark and quiet.

    Go to sleep around the same time each night and wake up around the same time each morning, even on weekends. If you can, avoid night shifts, alternating schedules, or other things that may disrupt your sleep schedule.

    Cognitive-Behavioral Therapy

    CBT for insomnia targets the thoughts and actions that can disrupt sleep. This therapy encourages good sleep habits and uses several methods to relieve sleep anxiety.

    For example, relaxation techniques and biofeedback are used to reduce anxiety. These strategies help you better control your breathing, heart rate, muscles, and mood.

    CBT also aims to replace sleep anxiety with more positive thinking that links being in bed with being asleep. This method also teaches you what to do if you're unable to fall asleep within a reasonable time.

    CBT also may involve talking with a therapist one-on-one or in group sessions to help you consider your thoughts and feelings about sleep. This method may encourage you to describe thoughts racing through your mind in terms of how they look, feel, and sound. The goal is for your mind to settle down and stop racing.

    CBT also focuses on limiting the time you spend in bed while awake. This method involves setting a sleep schedule. At first, you will limit your total time in bed to the typical short length of time you're usually asleep.

    This schedule might make you even more tired because some of the allotted time in bed will be taken up by problems falling asleep. However, the resulting tiredness is intended to help you get to sleep more quickly. Over time, the length of time spent in bed is increased until you get a full night of sleep.

    For success with CBT, you may need to see a therapist who is skilled in this approach weekly over 2 to 3 months. CBT works as well as prescription medicine for many people who have chronic insomnia. It also may provide better long-term relief than medicine alone.

    For people who have insomnia and major depressive disorder, CBT combined with antidepression medicines has shown promise in relieving both conditions.

    Medicines

    Prescription Medicines

    Many prescription medicines are used to treat insomnia. Some are meant for short-term use, while others are meant for longer use.

    Talk to your doctor about the benefits and side effects of insomnia medicines. For example, insomnia medicines can help you fall asleep, but you may feel groggy in the morning after taking them.

    Rare side effects of these medicines include sleep eating, sleep walking, or driving while asleep. If you have side effects from an insomnia medicine, or if it doesn't work well, tell your doctor. He or she might prescribe a different medicine.

    Some insomnia medicines can be habit forming. Ask your doctor about the benefits and risks of insomnia medicines.

    Over-the-Counter Products

    Some over-the-counter (OTC) products claim to treat insomnia. These products include melatonin, L-tryptophan supplements, and valerian teas or extracts.
    The Food and Drug Administration doesn't regulate “natural” products and some food supplements. Thus, the dose and purity of these substances can vary. How well these products work and how safe they are isn't well understood.

    Some OTC products that contain antihistamines are sold as sleep aids. Although these products might make you sleepy, talk to your doctor before taking them.

    Antihistamines pose risks for some people. Also, these products may not offer the best treatment for your insomnia. Your doctor can advise you whether these products will benefit you.


    HEALTH - How Is Insomnia Diagnosed?















    Your doctor will likely diagnose insomnia based on your medical and sleep histories and a physical exam. He or she also may recommend a sleep study. For example, you may have a sleep study if the cause of your insomnia is unclear.

    Medical History

    To find out what's causing your insomnia, your doctor may ask whether you:
    • Have any new or ongoing health problems
    • Have painful injuries or health conditions, such as arthritis
    • Take any medicines, either over-the-counter or prescription
    • Have symptoms or a history of depression, anxiety, or psychosis
    • Are coping with highly stressful life events, such as divorce or death
    Your doctor also may ask questions about your work and leisure habits. For example, he or she may ask about your work and exercise routines; your use of caffeine, tobacco, and alcohol; and your long-distance travel history. Your answers can give clues about what's causing your insomnia.

    Your doctor also may ask whether you have any new or ongoing work or personal problems or other stresses in your life. Also, he or she may ask whether you have other family members who have sleep problems.

    Sleep History

    To get a better sense of your sleep problem, your doctor will ask you for details about your sleep habits. Before your visit, think about how to describe your problems, including:
    • How often you have trouble sleeping and how long you've had the problem
    • When you go to bed and get up on workdays and days off
    • How long it takes you to fall asleep, how often you wake up at night, and how long it takes to fall back asleep
    • Whether you snore loudly and often or wake up gasping or feeling out of breath
    • How refreshed you feel when you wake up, and how tired you feel during the day
    • How often you doze off or have trouble staying awake during routine tasks, especially driving
    To find out what's causing or worsening your insomnia, your doctor also may ask you:
    • Whether you worry about falling asleep, staying asleep, or getting enough sleep
    • What you eat or drink, and whether you take medicines before going to bed
    • What routine you follow before going to bed
    • What the noise level, lighting, and temperature are like where you sleep
    • What distractions, such as a TV or computer, are in your bedroom
    To help your doctor, consider keeping a sleep diary for 1 or 2 weeks. Write down when you go to sleep, wake up, and take naps. (For example, you might note: Went to bed at 10 a.m.; woke up at 3 a.m. and couldn't fall back asleep; napped after work for 2 hours.)

    Also write down how much you sleep each night, as well as how sleepy you feel throughout the day.

    You can find a sample sleep diary in the National Heart, Lung, and Blood Institute's "Your Guide to Healthy Sleep."

    Physical Exam

    Your doctor will do a physical exam to rule out other medical problems that might cause insomnia. You also may need blood tests to check for thyroid problems or other conditions that can cause sleep problems.

    Sleep Study

    Your doctor may recommend a sleep study called a polysomnogram (PSG) if he or she thinks an underlying sleep disorder is causing your insomnia.
    You’ll likely stay overnight at a sleep center for this study. The PSG records brain activity, eye movements, heart rate, and blood pressure.

    A PSG also records the amount of oxygen in your blood, how much air is moving through your nose while you breathe, snoring, and chest movements. The chest movements show whether you're making an effort to breathe.


    HEALTH - What Are the Signs and Symptoms of Insomnia?















    The main symptom of insomnia is trouble falling or staying asleep, which leads to lack of sleep. If you have insomnia, you may:
    • Lie awake for a long time before you fall asleep
    • Sleep for only short periods
    • Be awake for much of the night
    • Feel as if you haven't slept at all
    • Wake up too early
    The lack of sleep can cause other symptoms. You may wake up feeling tired or not well-rested, and you may feel tired during the day. You also may have trouble focusing on tasks. Insomnia can cause you to feel anxious, depressed, or irritable.

    Insomnia also can affect your daily activities and cause serious problems. For example, you may feel drowsy while driving. Driver sleepiness (not related to alcohol) is responsible for almost 20 percent of all serious car crash injuries. Research also shows that insomnia raises older women’s risk of falling.
    If insomnia is affecting your daily activities, talk with your doctor. Treatment may help you avoid symptoms and problems related to the disorder. Also, poor sleep may be a sign of other health problems. Finding and treating those problems could improve your overall health and sleep.


    HEALTH - Who Is at Risk for Insomnia?















    Insomnia is a common disorder. It affects women more often than men. The disorder can occur at any age. However, older adults are more likely to have insomnia than younger people.

    People who might be at increased risk for insomnia include those who:
    • Have a lot of stress.
    • Are depressed or have other emotional distress, such as divorce or death of a spouse.
    • Have lower incomes.
    • Work at night or have frequent major shifts in their work hours.
    • Travel long distances with time changes.
    • Have certain medical conditions or sleep disorders that can disrupt sleep. For more information, go to "What Causes Insomnia?"
    • Have an inactive lifestyle.
    Young and middle-aged African Americans also might be at increased risk for insomnia. Research shows that, compared with Caucasian Americans, it takes African Americans longer to fall asleep. They also have lighter sleep, don't sleep as well, and take more naps. Sleep-related breathing problems also are more common among African Americans.



    HEALTH - What Causes Insomnia? .















    Secondary Insomnia

    Secondary insomnia is the symptom or side effect of another problem. This type of insomnia often is a symptom of an emotional, neurological, or other medical or sleep disorder.

    Emotional disorders that can cause insomnia include depression, anxiety, and posttraumatic stress disorder. Alzheimer's disease and Parkinson's disease are examples of neurological disorders that can cause insomnia.

    Many other disorders or factors also can cause insomnia, such as:
    • Conditions that cause chronic (ongoing) pain, such as arthritis and headache disorders
    • Conditions that make it hard to breathe, such as asthma and heart failure
    • An overactive thyroid
    • Gastrointestinal disorders, such as heartburn
    • Stroke
    • Sleep disorders, such as restless legs syndrome and sleep-related breathing problems
    • Menopause and hot flashes
    Secondary insomnia also can be a side effect of some medicines. For example, certain asthma medicines, such as theophylline, and some allergy and cold medicines can cause insomnia. Beta blockers also can cause the condition. These medicines are used to treat heart conditions.

    Commonly used substances also can cause insomnia. Examples include caffeine and other stimulants, tobacco and other nicotine products, and alcohol and other sedatives.

    Primary Insomnia

    Primary insomnia isn't a symptom or side effect of another medical condition. It is its own distinct disorder, and its cause isn’t well understood. Primary insomnia usually lasts for at least 1 month.

    Many life changes can trigger primary insomnia. It may be due to major or long-lasting stress or emotional upset. Travel or other factors, such as work schedules that disrupt your sleep routine, also may trigger primary insomnia.
    Even if these issues are resolved, the insomnia may not go away. Trouble sleeping can persist because of habits formed to deal with the lack of sleep. These habits might include taking naps, worrying about sleep, and going to bed early.

    Researchers continue to try to find out whether some people are born with an increased risk for primary insomnia.