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Health & Wellness

The Stunning Consequences of Not Getting Enough Sleep

By Allison Ford, Divine Caroline. Posted April 1, 2009.


Many people don't get as much sleep as they should. And their brains are paying the price.
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Nothing feels worse than hearing your alarm clock ring in the morning when your body is screaming for a few extra hours of rest. Given the opportunity, who wouldn’t get more sleep? If I had a choice between a year of unlimited Easter candy and a year of unlimited sleep, I’d say “Bye-bye Cadbury” and “Hello, bed!”

Many people don’t get as much sleep as they should. Since the invention of the light bulb, people sleep about 500 hours per year less than they used to. Whether we’re kept awake by our partner’s snoring or we stay up too late watching TV, we wake up tired, groggy, and cranky. No wonder the coffee industry does so well. Unfortunately, sleep deprivation has some side effects and they can’t all be remedied with a little extra caffeine.

This Is Your Brain on Sleep

While the mechanism of sleep isn’t fully understood yet, doctors and scientists do know that it’s one of our body’s most important processes. Studies show that sleep is important for cellular renewal, helping to replace muscle tissue and dead cells throughout the body. Studies have also shown that sleep is a key time for the brain to process and archive information, including memories. Deep, restorative REM sleep, the kind associated with dreaming, seems to stimulate regions of the brain used in learning.  

Every night without adequate rest is like adding to a sleep debt—eventually it will have to be repaid. Even after one sleepless night, we can feel the first effects of sleep deprivation—irritability, memory loss, and drowsiness. Continued sleep deprivation can result in trouble concentrating, blurry vision, impaired judgment, and even more severe mental effects. After just a few days without any sleep, people can begin to experience hallucinations, mania, and nausea. Luckily, if you repay your sleep debt right away, those effects vanish immediately.

Short-Term Side Effects

Sleep deprivation doesn’t just cause mental deficits; our physical abilities are diminished too. Studies have demonstrated that not sleeping can reduce glucose metabolism by as much as 40 percent. We use stored glucose for energy and sleep deprivation can interfere with how the body stores and processes it. Sleep-deprived athletes also experience high levels of cortisol, a stress hormone, as well as lower levels of human growth hormone, which is important for muscle repair. The immune system is also thought to be maintained while asleep; people who don’t get enough sleep tend to be more susceptible to infections and have slower healing times.

Sleep deprivation also has an effect on how the brain stores information. A study at the University of Pennsylvania showed that mice who were taught a task and allowed to sleep afterward remembered what they had learned better than mice that didn’t sleep. Among school-aged children, those who get even one less hour of sleep than their peers have shown to perform more poorly on tests of memory and attention.


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Allison Ford is a staff writer with Divine Caroline.

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You said it!
Posted by: jparsons on Apr 2, 2009 12:46 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I haven't had a decent block of sleep since I was
heavily pregnant with kid #1, who is now 4. Kid #2
is also a frequent waker.

And I know my capacities are heavily diminished.

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» RE: You said it! Posted by: chrish
» Oh dear! :-) Posted by: jparsons
» And more importantly Posted by: jparsons
Something to think about when you fly...
Posted by: teel on Apr 2, 2009 3:16 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Airlines are reducing the pay and benefits to the crew. Many of the airplanes you get on every day are piloted by inexperienced cadets who PAID 20-30,000$ to get their job with the airline, putting more and more pressure on the captain. With increased demand pressuring flight crews to get the job done with shorter turn-arounds and longer days fatigue is becoming a real issue.

Let me ask you something, are you happy to fly with a carrier where the pilots up front have had 4 hours of sleep? This is what you get for chasing the lowest "bargain" price for your flight. Pressured companies demanding more work for less money, and crew accepting it because they want to keep their jobs. It is illegal to work if you feel too tired to perform your duties safely, and there is legislation in place to give crew a minimum rest period however when push comes to shove most pilots fly. Partly because as a group they have a "get the job done" mentality and partly because companies are clamping down on employees who don't perform. Officially all companies will claim that they put safety first but behind the scenes they are struggling to survive and you better know that there are operators who are not too thrilled with pilots who stand up for their right to not fly fatigued. How far away are we from seeing smoking holes in the ground in the constant demand for cheaper and cheaper air travel? Planes flown by overworked captains and underskilled cadets on too-tight rosters and less and less pay. It may surprise you that after spending 60-70,000$ on training your starting salary will be 160,000$ a year. There's only one logical place this journey will take us, we'll be transported around by dreamer rich-kids and enthusiasts with debts they'll never pay off, earning peanuts and fighting to stay awake. The glamour status from the -50s is forever gone, yet most people seem to think pilots make 200k a year and work a 30 hr week.

You know that feeling when you're tossing and trurning in bed, 3 hours until the alarm goes off and you just can't fall asleep worrying that you may get laid off? Know the feeling of climbing out of bed fighting just to keep your eyes open? Almost missing a red light driving to work?

Yeah, imagine getting out of your car, going through security and then operating a 737 for the next 12 hours.

Feel safe?

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» RE: Something to think about when you fly... Posted by: Robert G. Mac Donald.M.D.
One of the Best Things Americans Can Do for Their Health
Posted by: drricklippin on Apr 2, 2009 4:15 AM   
Current rating: 4    [1 = poor; 5 = excellent]
President Dwieght Eisenhower's famous cardiologist-Paul Dudley White- said in the 1950's that the best thing American's could do for their health is to walk 30 minutes a day.

The current equivalent is American's getting 30 minutes more of sleep per night

But one of the great American cultural "sicknesses" is workaholism and freneticism/mulitasking even in our private lives.

So my Rx-

"slow down-you move too fast.You've got to make the morning last"- "Feelin Groovy"-Simon and Garfinkle

Dr. Rick Lippin
Southampton,Pa

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ratbone
Posted by: ratbone on Apr 2, 2009 4:23 AM   
Current rating: 4    [1 = poor; 5 = excellent]
zzzzzzzzzzzzzzzz..no duh....zzzzzzzzzzzzzz

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Ponder This
Posted by: lkagy on Apr 2, 2009 5:43 AM   
Current rating: 5    [1 = poor; 5 = excellent]
We are conditioned to believe that sleep time is wasted time. If we just didn't need to sleep, we could get x-number of more things done. But what if most of our 'living' happened during the sleeping hours and that our waking time was an interruption of that quality time? How would that change our approach to life?

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» RE: Ponder This Posted by: Hecate_magika
» RE: Ponder This Too Posted by: Cybershaman
» RE: Ponder This Posted by: greenknight
Children need more sleep
Posted by: teritenn on Apr 2, 2009 5:51 AM   
Current rating: 5    [1 = poor; 5 = excellent]
There are been many studies around the world on kids with ADHD. It was found that over 50% of the kids with ADHD when given more hours of sleep a night they symptoms of ADHD went away. The other kids still needed their meds but were behaving much better.

School kids age 5 - 10 need 10 - 12 hours of sleep a night
12 - 18 need 10 hours of sleep a night.

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more hours in the day, less sleep
Posted by: raine1 on Apr 2, 2009 6:48 AM   
Current rating: 4    [1 = poor; 5 = excellent]
Golly, and if we all go on "daylight savings time"....we can grill out that "extra hour"....or deprive ourselves of two hours sleep time. kids don't need their circadian clocks boogered with any more than adults do. As animals, our bodies are geared to light as much as any other animal. Yet, our government seems to think that messing with those rhythms for the sake of commerce, or worse, simply because they as legislators CAN mess with our natural body rhythms,is a great thing. Touting that we get, in exchange, an extra hour of daylight, is madness. Want a little more sleep? Demand the END of "daylight saving time."

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» DST Must Go!! Posted by: CanuckKid
» Daylight Shopping Time Posted by: Don
» Makes sense to me...! Posted by: CanuckKid
b
Posted by: mnstra on Apr 2, 2009 7:44 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
what can you do about urban noise/?
What can you do about a night time home invasion.?
Can one get better sleep in a fortified bunker/?
Hitler had insomnia .

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Blaming the Symptom
Posted by: Gravitas on Apr 2, 2009 8:05 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I am very glad the author pointed out that sleep deprivation can cause weight gain. People who don't get enough sleep suffer a whole host of health problems. But if they gain weight, the problems will be attributed entirely to obesity. Therefore we never really understand, or correct their real cause. Obesity is just a symptom. If a person doesn't reduce their stress, only losing weight, especially through pills or surgery makes as much sense as trying to cure measles by erasing spots.

I also think it is the ultimate hypocrisy that the same employers who want to penalize employees for being fat are probably those who place the most stress on their workers. When the media harps about the U.S. being the fattest country (although both Canada and Australia media tell their citizens that too) do they ever talk about how Americans have less vacations than Western European countries? If you kill yourself making your boss a buck, that is o.k. But heaven help you if you get any pleasure for yourself along the way!

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» RE: Blaming the Symptom Posted by: TheLimit
» RE: Blaming the Symptom Posted by: Shey
Exxon Valdez
Posted by: Parallax on Apr 2, 2009 8:50 AM   
Current rating: 5    [1 = poor; 5 = excellent]
As it is known, the crash of the Exxon Valdez was not cause by the pilot being asleep at the wheel.
Sources say that the pilot was asleep..in his bunk. The person at the wheel was not asleep...
the radar was turned off...a money saving issue you see.

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» Exxon Valdez Posted by: MtnWolfGrl
A victim
Posted by: truthteller on Apr 2, 2009 8:58 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I've been part of one of the longest-running industrial behavior experiments ever. I spent over 20 years in Class 1 railroading, the last nine in train and engine service. Six days a week I was on-call or subject to call at any time of the day or night. I often was not allowed any more than eight hours off the clock from sign out to being back on duty - including travel time to and from, getting to bed, getting ready and eating. Works out to about 4-41/2 hours of sleep.

Do you know what it feels like to fall asleep sounding the horn of a heavy freight train for a highway grade crossing? I do. The sickening feeling of realizing you don't remember the last 30 seconds of going down the tracks. Of being awake for so many hours out of the past week that no amount of caffeine is going to keep you awake. Oh, and rules that sort of allow for napping on duty, but are practically impossible to follow.

After the horrible commuter train crash in California last Fall, Congress passed a package of reforms in railroading that had been kicking around for several years, but didn't have any urgency behind them. Starting soon, all crew members on a freight train, and the operating crew on a passenger train will be required to have 10 hours off after 12 on duty, and be required to have two days off a week under most circumstances. Currently, some runs have no scheduled days off. Part of that is the fault of senior union officials, who in trying to make up for lack of decent raises in the past 20 years, have allowed crews to work hair-raising amounts of over-time to try and keep their earnings up. Sixty to 80 hour weeks have not been uncommon for years on end for a lot of these guys, with longer hours during peak times.

I blame some of it on greed on the part of my brother railroaders, but a lot of the blame rests with the railroads themselves, who would never be considered for Fortune's list of the 100 best places to work.

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» RE: A victim Posted by: Cybershaman
» phone companies too Posted by: hardwroc
» RE: A victim Posted by: MausMasher54
» RE: A victim - addendum Posted by: MausMasher54
» RE: A victim Posted by: Mel H.
» to Mel H. Posted by: eviltwit
types of sleep
Posted by: buechel on Apr 2, 2009 12:44 PM   
Current rating: 5    [1 = poor; 5 = excellent]
I just wanted to let you know that REM sleep is completely different from deep sleep. Both types play a part in learning and memory, but while their jobs are related, they are not the same. REM sleep is identical to light sleep in respect to the EEG signal, as opposed to the EEG reading for deep sleep. The value of the deeper stages of sleep has only (relatively) recently been discovered (and that's what I work on in my lab).

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John Davis
Posted by: rankfive on Apr 2, 2009 1:12 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Wow, I had no idea sleep was so critical even though I know for a fact I dont get enough of it!

RT
http://www.anonymity.us.tc

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samg
Posted by: zipflock on Apr 2, 2009 3:11 PM   
Current rating: 1    [1 = poor; 5 = excellent]
i'd be cautious about anything i read about the negative effects of sleep deprivation. i did some research on that subject years ago and found that the chief promoters of the negative effects of sleep deprivation are the drug companies that make sleeping pills. they set up front groups which then devise surveys that supposedly prove that every year americans get less sleep than they did the year before, and that that is a very bad thing. i mean to cast no aspersions on this article, its author, or the publication in which it first appeared. but i'd like to know more about the research that "proves" the long term bad effects of sleep deprivation, who paid for the studies, whether any drug companies or other interested parties paid the authors of any journal articles, etc. before believing a lot of this stuff.

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» RE: samg Posted by: TheLimit
It's not always the quantity but often times the quality of rest.
Posted by: Benn_Miller on Apr 2, 2009 3:19 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Now, I'm a 35 year old and I'll still be better off sleeping an average of 7 hours a night. However, we have to take quality into the equation. I can sleep 6 hours and very well on one night while on another night I sleep 8 hours but poorly. The result is I feel good on the 6 hour sleep but sleepy or even somewhat cranky on the latter because I got worried about something or other and didn't put that worry aside. That doesn't mean that sleeping less is necessarily a good thing. At my age, sleeping 4 hours on a given night is detrimental to one's health no matter how well he or she sleeps in that time frame.

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Quality not quantity
Posted by: mrxls on Apr 3, 2009 12:24 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I average 5 1/2 hours and have done so for 35 years. I got the idea I could sleep less in psychology class at college and trained myself to wake up one dream cycle earlier than a "full" night. I have one, sometimes two full nights at a week but am also comfortable on 4 and sometimes 2 hours (but never an all nighter). My best hours are in the morning (no coffee) and late at night. I suck at jetlag going east and have no problem west.

I fall asleep quickly (more than a minute or two and I think I have insomnia), sleep soundly through noise and wake up without an alarm. I have been reading for many years I should be sleep deprived. I still don't buy it.

I figure I get an extra waking year for every 7 with this routine.

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Sleep disorders can make things worse
Posted by: LeonBNJ on Apr 3, 2009 7:31 PM   
Current rating: 5    [1 = poor; 5 = excellent]
My 80 year old mom, my 52 year old brother and now me, have all been diagnosed with a common and hazardous sleep disorder - sleep apnena. What happens is that the flesh in your throat is loose and causes the airway from your mouth to keep closing up, you then snore, or are triggered to wake up to get you breathing again. Weight gain, age and family history are all factors as to the possibility of sleep apnena. It mainly means that you are not getting the true, full, deep and uninterupted sleep you need and if you have it, you snore or 'snort' making noises to wake up anyone around you. Sleep disorders are diagnosed with a overnight in a sleep clinic, usually in a hospital or related facility where you are monitered all over your body to determine if you have apenea or other related sleep disorders. If you are haveing frequent breathing interuptions, like 20 times an hour in deep sleep, then you will need a CPAC device that keeps positive air pressure into your lungs - no drugs.
If you already are not getting enough time to sleep and you have a sleep disorder, then you will suffer double. If you think you have a problem, see your primary doctor about it and they may refer you to a specialist and clinic to look at it.

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sleep deprivation has real risks
Posted by: littlepitcher on Apr 4, 2009 6:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Truck drivers fall asleep and run over other cars.

I've had a lifetime full of various kinds of sleep deprivation. Bronchial asthma in the old days, before good medications, made me into a night person who would work nothing but second shift. Come home after work, eat dinner, read through the asthma hours, sleep after daylight, wake up with creep neighbors running lawn equipment in the AM.

Ended up alcoholic from drinking myself into daytime sleep. I've seen this problem over and over in shift workers. Inhaled corticosteroids weaned me from the liquor and enabled me to work days.

A series of nocturnal burglaries which left me sleeping with a light on for four years, with resulting cognitive problems and weight gain. I was self-employed, but how many victims of crime lose their jobs after sleep deprivation for this reason? Relocation and new lodging within a block of the police station cured that one, albeit with a foreclosure.

Don't underestimate the damage sleep deprivation can do to a life. I'll never be able to rehab my employment record, and anyone can claim I drink, even after almost 21 years of sobriety.

Multiply the social costs and costs to the tax base by millions.

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ABUSE OF MEDICAL RESIDENTS
Posted by: fg on Apr 4, 2009 11:17 AM   
Current rating: 5    [1 = poor; 5 = excellent]
And what about the 25- and 30-hour hospital shifts young inexperienced resident physicians are made to endure? How, pray, does practicing medicine in a nonsentient state benefit either physician or (mon dieu) patient?

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The Skeptical Cynic
Posted by: The Cynical Skeptic on Apr 4, 2009 1:00 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If you want to know how much sleep you in particular need, try the following. Pick a night when you do not have to be up at a certain time. Stay up until you more or less feel it is time to turn in. Place cotton in your ears so as not to be disturbed, be sure that the light in the room is quite dark, but not pitch black (this can be disturbing)and remains dim even when the sun comes up. Try to estimate roughly the time you actually dozed off and then figure just how many hours it was that you began to stir naturally, not with alarms, bells, whistles or anything that jars you awake, but when you actually become aware of your surroundings.Do this a few times - you'll learn just what your particular brain/body requires.

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I'm so tired
Posted by: d_may on Apr 4, 2009 3:13 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Recently laid off I had been working the midnight shift for over six years.
I am always tired. I cannot go right home and fall asleep at 8:00AM, just as everyone else is heading off to work. I stay up till 10:00AM and then head to bed.
I am one of the lucky one's that recently found another job. This one is being a Security Guard at a plant, on the midnight shift. Oh joy!!!

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Moonlighting, Graveyard Shift and Swing Shift.
Posted by: chorton on Apr 5, 2009 7:29 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The politics that is missing from this article is that millions of Americans are working themselves to their deaths.

I have known so many people who were working two jobs and were exhausted all the time. You could see them getting old before their time, before your very eyes, like a speeded-up movie!

This has become the American disease for working people trying to feed a family and pay the bills. Even teachers, with good union-scale salaries, would moonlight to make ends meet! Then they come home, if they're lucky they see their kids for a few minutes before bed, and then there's the choice to spend an hour with a husband or wife who is gradually becoming a stranger, or get that hour of urgently-needed sleep!

(For myself I found keeping up with five back-to-back classes of squirrelly adolescents, plus hall duty on my period off to be utterly exhausting - but then there would be 120 tests or homework papers to grade, and try as I might I could only keep up at the expense of my sleep! By Friday night I'd be running on fumes. Once, my mind fogged by this state of chronic exhaustion, I lost it and physically threatened the town's professional right-wing loudmouth, who was sounding off again about lazy overpaid teachers driving the tax rates up.)

Another source of exhaustion is night work. I was more or less able to adjust to second shift, or even a shift that ran from 6 pm to 2 am, but the "Graveyard Shift" from midnight to eight is aptly named. Another person commented on what that took out of him, as it did me too - and most of my co-workers! Most of us could never fully adjust to sleeping through the day, and we were tired all the time.

The worst is probably what's called the "swing shift" that they used to run in the steel industry, (they may still), rotating every week between first, second and third shifts. Probably a lot like what the railroad worker who commented above was experiencing. I haven't been able to lay my hands on it, but there was a study back about 20 years ago which showed that working swing shift actually took a measurable 8 years on average off the life-span of the people who did it long term!

The issue of sleep is a national health issue, a part of the issue of leisure time, and should be included in what we think and talk about as we consider how we want to rebuild our country from the wreckage of this financial meltdown and the economic collapse that's following on its heels.

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If you have sleep problems
Posted by: Defenestrator on Apr 6, 2009 6:34 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I manage a neuroendocrinology lab that does a bunch of circadian research. I wrote this blurb specifically for people with concussions, but the basic strategies will work for anyone, especially if you are a "can't sleep because my mind is racing" case:

link

A couple other things: Don't lie awake in your bed, get up and get out of bed. You don't want to associate your bed with not being able to sleep. Get up and do something.

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I laid awake all night thinking about this article
Posted by: mayawhinn on Apr 7, 2009 9:10 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Exhausting!

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Nonsentient hospital residents
Posted by: fg on Apr 8, 2009 6:05 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If you find yourself in a hospital it might be a good idea to ask any resident caring for you whether it has, perhaps, been 25 or 30 hours since he/she slept.

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Tip for New Yorkers with noisy apts
Posted by: larrysmith on Apr 18, 2009 12:07 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
A white noise sleep machine helps....

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