![]() ![]() Chronic sleep loss, while neither a formal syndrome nor a disorder, has serious consequences for health, performance, and safety, as described in Chapter 4. The main symptom of sleep loss is excessive daytime sleepiness, but other symptoms include depressed mood and poor memory or concentration ( Dinges et al., 2005). Sleep loss generally, in adults, refers to sleep of shorter duration than the average basal need of 7 to 8 hours per night. ![]() As such, the committee chose to focus primarily on these disorders. There is a large body of data on these disorders, in part because they encompass the most frequently cited sleep disorders or they carry the greatest public health burden. The manifestations and prevalence, etiology and risk factors, and comorbidities for each condition are briefly described. This chapter focuses on the most common sleep conditions, including sleep loss, sleep-disordered breathing, insomnia, narcolepsy, restless legs syndrome ( RLS), parasomnias, sleep-related psychiatric disorders, sleep-related neurological disorders, sleep-related medical disorders, and circadian rhythm sleep disorders. The cumulative effects of sleep loss and sleep disorders have been associated with a wide range of deleterious health consequences including an increased risk of hypertension, diabetes, obesity, depression, heart attack, and stroke. After decades of research, the case can be confidently made that sleep loss and sleep disorders have profound and widespread effects on human health.Īlthough there are around 90 distinct sleep disorders, according to the International Classification of Sleep Disorders ( AASM, 2005), most are marked by one of these symptoms: excessive daytime sleepiness, difficulty initiating or maintaining sleep, or abnormal movements, behaviors, and sensations occurring during sleep. Others-for example, obesity and hypertension-develop more insidiously over months and years of chronic sleep problems. Some of these consequences, such as automobile crashes, occur acutely within hours (or minutes) of the sleep disorder, and thus are relatively easy to link to sleep problems. Less visible consequences of sleep conditions are far more prevalent, and they take a toll on nearly every key indicator of public health: mortality, morbidity, performance, accidents and injuries, functioning and quality of life, family well-being, and health care utilization. The most visible consequences are errors in judgment contributing to disastrous events such as the space shuttle Challenger ( Walsh et al., 2005). The public health consequences of sleep loss and sleep-related disorders are far from benign. Failure to recognize sleep problems not only precludes diagnosis and treatment-it also precludes the possibility of preventing their grave public health consequences. For example, about 80 to 90 percent of adults with clinically significant sleep-disordered breathing remain undiagnosed ( Young et al., 1997b). Questions about sleep are seldom asked by physicians ( Namen et al., 1999, 2001). It is estimated that 50 to 70 million Americans chronically suffer from a disorder of sleep and wakefulness, hindering daily functioning and adversely affecting health and longevity ( NHLBI, 2003). Sleep loss and sleep disorders are among the most common yet frequently overlooked and readily treatable health problems. This chapter focuses on manifestations and prevalence, etiology and risk factors, and comorbidities of the most common sleep conditions, including sleep loss, sleep-disordered breathing, insomnia, narcolepsy, restless legs syndrome, parasomnias, sleep-related psychiatric disorders, sleep-related neurological disorders, sleep-related medical disorders, and circadian rhythm sleep disorders. After decades of research, the case can be confidently made that sleep loss and sleep disorders have profound and widespread effects on human health. The cumulative long-term effects of sleep loss and sleep disorders have been associated with a wide range of deleterious health consequences including an increased risk of hypertension, diabetes, obesity, depression, heart attack, and stroke. There around 90 distinct sleep disorders most are marked by one of these symptoms: excessive daytime sleepiness, difficulty initiating or maintaining sleep, and abnormal events occurring during sleep. CHAPTER SUMMARY It is estimated that 50 to 70 million Americans chronically suffer from a disorder of sleep and wakefulness, hindering daily functioning and adversely affecting health and longevity. ![]()
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