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Home CPAP product reviews and other helpful tips for CPAP users!

CPAP product reviews and other helpful tips for CPAP users!

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Sleep, why it’s essential, how a lack of it can shrink your brain

October 17, 2014

If you snooze, you lose, the saying goes. And if you don't snooze for long or well enough? Well, researchers are just beginning to understand how wide-ranging the consequences of sleep deficits can be. Sleep is one of those facets of life we never notice until it starts to go wrong. Take what happened to a…

Dr. Aw: Sleep, why it's essential, how a lack of it can shrink your brain, and what to do if you can't get enough

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Light from tablets, phones disrupts sleep

October 17, 2014

Screens’ bluish tones cut production of sleep-friendly melatonin. But yes, there is an app for that

What seems like a nice way to wind down the day -- snuggling up in bed with a tablet or notebook -- may be just he opposite. The bluish light from screens appears to interfere with the production of the melatonin that eases us into sleep.

The pervasive glow of electronic devices may be an impediment to a good night’s sleep. That’s particularly noticeable now, when families are adjusting to early wake-up times for school. Teenagers can find it especially hard to get started in the morning. For nocturnal animals, it spurs activity. For daytime species such as humans, melatonin signals that it’s time to sleep.

As lamps switch off in teens’ bedrooms across America, the lights from their computer screens, smartphones and tablets often stay on throughout the night. These devices emit light of all colours, but it’s the blues in particular that pose a danger to sleep. Blue light is especially good at preventing the release of melatonin, a hormone associated with nighttime.

Ordinarily, the pineal gland, a pea-size organ in the brain, begins to release melatonin a couple of hours before your regular bedtime. The hormone is no sleeping pill, but it does reduce alertness and make sleep more inviting.

However, light — particularly of the blue variety — can keep the pineal gland from releasing melatonin, thus warding off sleepiness. You don’t have to be staring directly at a TV or computer screen: If enough blue light hits the eye, the gland can stop releasing melatonin. So easing into bed with a tablet or a laptop makes it harder to take a long snooze, especially for sleep-deprived teenagers who are more vulnerable to the effects of light than adults.

During adolescence, the circadian rhythm shifts, and teens feel more awake later at night. Switching on a TV show or video game just before bedtime will push off sleepiness even later. The next-day result? Drowsy students struggling to stay awake, despite the caffeinated drinks many now consume.

“Teenagers have all the same risks of light exposure, but they are systematically sleep-deprived because of how society works against their natural clocks,” said sleep researcher Steven Lockley of Harvard Medical School. “Asking a teenager to get up at 7 a.m. is like asking me to get up at 4 a.m.”

In 2014 the U.S. National Sleep Foundation, an advocacy organization, polled parents, asking them to estimate their children’s sleep. More than half said their 15-to-17-year-olds routinely get seven or fewer hours of sleep. (The recommendation for teens is 8 1/2 to 10 hours.) In addition, 68 per cent of these teens were also said to keep an electronic device on all night — a TV, computer, video game or something similar.

Based on what parents reported, sleep quality was better among children age 6 to 17 who always turned their devices off: 45 per cent of them were described as having excellent sleep quality vs. 25 per cent of those who sometimes left devices on.

“It is known that teenagers have trouble falling asleep early, and every teenager goes through that,” said light researcher Mariana Figueiro of the Rensselaer Polytechnic Institute in Troy, N.Y.

Figueiro investigates how light affects human health, and her recent research focused on finding out which electronics emit blue light intense enough to affect sleep. Comparing melatonin levels of adults and teenagers looking at computer screens, she was astonished by the younger group’s light sensitivity. Even when exposed to just one-tenth as much light as adults were, the teens suppressed more melatonin than the older people.

In another experiment, she had adults use iPads at full brightness for two hours and measured their melatonin levels with saliva samples. One hour of use didn’t significantly curtail melatonin release, but two hours did.

“The premise to remember is [that] all light after dusk is unnatural,” Lockley said. “All of us push our sleep later than we actually would if we didn’t have electric light.”

A study from 2013 found that people who spent a week camping in the Rocky Mountains, exposed to only natural light and no electronic devices, had their circadian clocks synchronized with the rise and fall of the sun. Although there were only eight campers, they all reacted in the same way, whether they considered themselves early birds or night owls.

So light serves as a cue, but how? It has long been known that the retina contains two types of photoreceptors, or light sensors: rods and cones. The cones allow us to see colours, while the ultra-sensitive rods are used for night vision, motion detection and peripheral vision. But surprisingly, neither of them is the body’s primary tool for detecting light and darkness and synchronizing our circadian clocks.

There’s a third kind of sensor in our eyes, officially discovered in 2002. Called intrinsically photosensitive retinal ganglion cells, or ipRGCs, these relatively crude sensors are unable to pick up on low levels of light — from a dim night light, for example — but sluggishly signal light changes.

They are the body’s way of sending ambient light information to the master circadian clock, a huddle of nerve cells in the brain. This clock makes the pineal gland start and stop the secretion of melatonin. The ipRGCs are most sensitive to blue light — that’s why blue light is bad for your sleep.

To counteract the effects of tablets’ blue light, Figueiro and Lockley recommend a free app, F.lux, that automatically warms up the colours on your various screens — more reds and yellows — at sunset and returns them to normal at sunrise.

“The amount of light you need (in order) to see is lower than the amount of light you need to affect your melatonin,” Figueiro said, which means that light-emitting screens can be used at night without disrupting sleep cycles if you put some distance between your eyes and the device. In other words, place the tablet farther away from your face than usual, or watch TV instead. Also, turning the brightness setting down on laptops, tablets and phones should help.

But for teenagers, this doesn’t completely remedy the problem of early school start times. Lockley also blames the early-morning sluggishness of many students on school start times that ignore their changing body clock.

By: Meeri Kim The Washington Post, Published on Sun Sep 14 2014

 

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Snoring linked to having a fat tongue

October 17, 2014

Republish Reprint - 
Samantha Sobolewski, National Post Staff | October 1, 2014
Even after adjusting for other factors, researchers found that having a larger and more fat-laden tongue is strongly linked to suffering from obstructive sleep apnea, commonly known as snoring.
Getty Creative Images

Even after adjusting for other factors, researchers found that having a larger and more fat-laden tongue is strongly linked to suffering from obstructive sleep apnea, commonly known as snoring.

Obese adults with a larger tongue may have a higher risk of sleep apnea, according to a new study from the American Academy of Sleep Medicine released Wednesday.

The study, involving 90 obese participants with sleep apnea and 31 without, indicated that participants suffering from sleep apnea also had significantly larger tongues, greater tongue fat and a higher percentage of tongue fat than participants without the sleep disorder, once results were adjusted for certain biases such as age, body mass index, gender and race.

“This is the first study to show that fat deposits are increased in the tongue of obese patients with obstructive sleep apnea,” said principal investigator and senior author Dr. Richard J. Schwab. “This work provides evidence of a novel pathogenic mechanism explaining the relationship between obstructive sleep apnea and obesity.”

The study’s authors indicated that as well as having an enlarged tongue, a higher amount of tongue fat can impact the muscle that attaches the tongue to the bone, keeping the muscles from positioning the tongue away from blocking the airway.

Researchers also found that the tongue fat percentage in participants was site specific. Those with sleep apnea had a higher percentage of fat towards the base of the tongue.

“Tongue size is one of the physical features that should be evaluated by a physician when screening obese patients to determine their risk for obstructive sleep apnea,” said American Academy of Sleep Medicine president Dr. Timothy Morgenthaler.

“Effective identification and treatment of sleep apnea is essential to optimally manage other conditions associated with this chronic disease, including high blood pressure, heart disease, Type 2 diabetes, stroke and depression.”

Common warning signs for sleep apnea include snoring, choking, gasping or silent pauses in breathing during sleep.

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Recent Articles

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