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, millions of people suffer
from a chronic sleep disorder—
insomnia
or
sleep
apnea, say—that affects daily functioning and impinges
on health. Consider the research:
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 Medicine
found 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 Medicine found 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.
8) 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
Medicine found 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.