Monday, September 27, 2010

Sleepless College Students Risk Academic Failure

The all-night cram sessions, after-hours parties and early morning tailgates that characterize the college experience leave little room for sleep. All the excitement and academic stress is putting college students at risk for sleep disorders.

A study in the Journal of American College Health reports more than a quarter of students could develop at least one sleep disorder due to their lifestyle. Students who burn the candle at both ends have a higher risk of failing out of school.

27 percent of the 1,845 students surveyed at the University of North Carolina at Charlotte reported irregular sleep patterns and symptoms of sleep deprivation. Many students said they shifted their sleep schedule on weekends to make up for the school week.

A high percentage of the sleepless students posted failing grades according to school records. At-risk students averaged a 2.65 Grade Point Average; normal sleepers had an average 2.82 GPA.

Physical and mental health problems are common in poor sleeping college students. Tension and stress are predictors of low sleep quality for students, a 2009 study shows. Only 30 percent of students in the 2009 study reported at least eight hours of sleep per night.

Sleep deprivation may be common in college, but it’s not difficult to make sleep a priority. Flexible scheduling allows students to develop a routine that suits their individual chronotypes. Night owls should stay away from early-morning classes and opt for evening offerings instead. Many schools are increasing the number of evening classes offered per semester. Some schools are evening scheduling classes that end after midnight.

Friday, September 24, 2010

Gluten Intolerance Tied to Sleep Disorders

Special diet or not, sleep suffers with celiac disease. The digestion condition triggered by gluten intolerance is linked to a higher rate of sleep disorders.

Intestinal damage from celiac disease prevents the body from absorbing key nutrients. Generally, people with celiac disease carefully manage their diets, avoiding foods like bread, pasta or any other foods containing wheat, barely or rye.

A gluten-free diet may minimize symptoms, but it won’t help improve sleep quality, a study in Alimentary Pharmacology & Therapeutics reports.

The study compared newly coeliacs, coeliacs on a gluten-free diet and healthy volunteers. Each completed assessments for sleep disorders, daytime fatigue, anxiety and depression.

Both celiac groups posted similar results, with higher than normal rates of depression, fatigue and anxiety and lower sleep quality.

A higher rate of depression or anxiety results in more cases of secondary insomnia. The relationship goes both ways; sleep disorders can also cause a decline in mental health.

More than two million people in the U.S. have celiac disease. Gluten-free diets are the only treatment for the disease.

Thursday, September 23, 2010

Perceived Control is the Secret to CPAP

The answer to sleep apnea seems so simple on the surface. Get diagnosed and get set up with CPAP, the front-line treatment for the sleep disorder.

The reality is many people give up on CPAP before seeing improvements in health, oftentimes because of comfort issues. These patients are putting their health at risk before giving the treatment much of a chance.

So what’s the secret to CPAP adherence? A new study in Sleep & Breathing suggests you have to believe in yourself. Confidence that you have control over sleep apnea will lead to quicker improvements and a better likelihood of permanently adopting the treatment.

The study involved 31 sleep apnea patients who were unfamiliar with CPAP. Each subject answered questions about knowledge, expectations and belief that their health can improve, before starting CPAP.

The patients received daily screenings for fatigue, CPAP adherence and mood during the first 10 days of treatment.

Data analysis shows patients who entered treatment with the belief that they can control CPAP saw the greatest overall benefits, including next-day improvements in fatigue and mood. Those who started treatment with inflated expectations were less likely to stick to CPAP.

Patients with less severe cases of CPAP also showed better adherence and overall daily health improvements.

Some patients may never adhere to CPAP. Alternative treatments like surgery or oral appliance therapy may be the best solution for certain people.

Never leave sleep apnea untreated. Risks include headaches, hypertension, cognitive problems associated with brain damage and even death.

Wednesday, September 22, 2010

Percy Harvin Sidelined Again with Migraines

After a 0-2 start to the season, things are looking bleaker by the day for the Minnesota Vikings. 40-year-old Quarterback Brett Favre is showing his age, and his primary target Sidney Rice won’t catch a pass until at least November.

The latest let-down involves the feel-good story of the NFL’s season opener. NBC’s Andrea Kremer reported mid-game that Percy Harvin found the cure for debilitating migraines. The athletic wide-receiver had sleep apnea and didn’t know it.

Harvin was diagnosed after collapsing on the field during practice last month. Numerous reports claimed CPAP treatment would solve the chronic migraines that plagued him since childhood. Harvin would be a whole new player capable of living up to his sky-high potential.

Then the news broke Wednesday that the 2008 first-round pick and future franchise wide receiver did not participate in team practice because of migraines.

Harvin’s health issues are huge blow for the Vikings, who have scored only 19 points over the first two regular season games.

Currently, it’s not entirely clear why the migraines have returned. There are two likely possibilities:

a) Harvin didn’t sleep with CPAP previous to practice

b) Something other than sleep apnea is causing the migraines

It’s disappointing that Harvin is having migraines again, but the sleep apnea diagnosis is a huge step forward for his health. After all, treatment can save his life.

Harvin’s doctors are more than likely re-evaluating his health. The Sleep Education Blog will continue to follow any developments. Look for breaking updates on Twitter: www.twitter.com/aasmorg

Tuesday, September 21, 2010

Childhood Money Troubles Lead to Insomnia Later

Times of financial uncertainty are understandably cause for insomnia. Worry about how to pay the mortgage and put food on the table kept many women awake in bed during the height of the recession in late 2008.

In 20 years, many of their children will struggle to sleep, regardless of their financial state. Growing up in a family with financial difficulties raises the risk of insomnia later in life, a new study found.

The findings published in the September issue of the journal Sleep Medicine shows how difficult economic times can affect us our entire lives.

The study surveyed 8960 government employees in Helsinki, Finland about their economic circumstances and quality of sleep. The economic portion of the survey addressed childhood and current economic difficulties, education, occupation, household income and years lived in current home. Responders who complained of difficulties falling asleep, staying asleep or getting unrestful sleep had insomnia in the study.

Statistical analysis shows both men and women who had childhood economic difficulties had more frequent complaints of insomnia than their peers. Oddly, current economic conditions affected the sleep of women but not men.

Insomnia stemming from past economic problems affects the rich and the poor. The authors report the findings were the same regardless of level of education, tax bracket, age, marital status.

The study doesn’t provide an explanation for the phenomenon because statistical analysis can’t demonstrate causality.

You can’t control the past or the forces influencing the world economy, but you can control your insomnia. Learn how you can improve your sleep hygiene at Sleepeducation or see a sleep specialist at an AASM Accredited sleep center for cognitive-behavioral therapy.