Sleep More, Stress Less to Achieve Your Weight Loss Goals

Weight Watchers and Jenny Craig should get with the program. Neither of the weight loss leaders integrates sleep education and sleep diaries. And the companies are making a big mistake, new research suggests. Popular approaches used by groups like Weight Watchers use a diary to keep track of food and exercise. Adding an extra column in the diary for hours slept would be a minor change that could make a significant impact.

A new study in the International Journal of Obesity found that adequate sleep increases your chances of success during weight loss efforts. People trying to lose at least 10 pounds more often reached their goal if they had six to eight hours of sleep per night. Stress reduction also helps with weight loss, the study reports.

A group of 500 study participants were instructed to lose 10 pounds over a six month period. All participants attended weekly weigh-in and educational meetings. Instructors at the meetings encouraged the participants to consume 500 fewer calories per day, adopt a healthy low-fat, low-sugar diet and exercise for at least 180 minutes a week. Participants were required to keep record of how long they slept, stress levels and mood. The class instructors encouraged participants to keep a food diary as well.

Nearly three-quarters of the people who slept more than six hours and kept a low-stress lifestyle were successful in losing 10 pounds or more and were twice as likely to meet their goals compared to those who get six or fewer hours of sleep.

Sleep loss tends to lead to weight gain or undermine dietary weight loss because it changes the body’s hormone levels. Lower leptin and higher ghrelin can lead to a slower metabolism but a bigger appetite for junk food.

Whether you are trying to lose weight or stay trim for swimsuit season, prioritizing sleep is always a good idea. The American Academy of Sleep Medicine recommends adults get at least seven hours of sleep. Don’t underestimate the power of diet and exercise. Weight loss programs like Weight Watchers work for many people because they educate people to make the right choices and encourage them to hold themselves accountable for their health.

Planes Land in D.C. Airport While Traffic Controller Sleeps

Numerous attempts to contact air traffic control went unanswered during the final approach to Washington D.C.’s Ronald Reagan National Airport early Wednesday. Two planes had to rely on directions from a regional facility located about 40 miles away, while the nearby control tower remained mysteriously silent.

Only one person was scheduled for duty at the time and that air traffic controller was asleep, sources tell the Associated Press.

Authorities insist the risk Wednesday was minimal because pilots are trained to announce an emergency landing over a special broadcast channel in the event that no air traffic controllers are present. The pilots would not be able to see if there was equipment on the runway that could be a landing hazard.



Air traffic controllers like many professionals in the airline industry face grueling and irregular work schedules that puts them at risk. Shift work disorder is especially prevalent. People with shift work disorder may fight their own circadian rhythms on a daily basis. The body may signal its time to sleep mid-shift and by the time shift workers get home circadian rhythms can make it difficult to fall asleep and stay asleep.

The airline industry has had its share of problems possibly related to shift work disorder and other sleep problems. An NTSB investigation named impairment from fatigue and pilot inexperience as causes of the deadly crash of Colgan Air Flight 3407 in February 2009. One pilot napped in the airport while the other took a cross-country red-eye prior to the flight.

Recent investigations found similar working conditions to be common in the industry. Pilots are required a rest period of only eight hours between shifts. The rest period can occur at any time, day or night, without considering whether the pilot has the ability to fall asleep.

Low wages among pilots who work for smaller carriers also pose a safety problem. Pilots may try to save money by sleeping at hostel-like “crash-pads” instead of hotels. With up to a dozen airline employees sleeping in bunks in the same room, “crash-pads” aren’t a good place to sleep.

Last fall, the Federal Aviation Authority proposed scheduling regulations intended to address pilot fatigue. Those changes were met with strong opposition.

It appears that regulators have turned their attention to air traffic controllers. Reagan airport has agreed to increase its overnight staffing, after a direct request from Transportation Secretary Ray LaHood.

It will remain to be seen if the sleeping air traffic controller will lead to major industry changes.

Shift Work May Cause Swell in Sleep Apnea Symptoms

A new study provides further health concerns for the estimated 20 million Americans who sleep during the daytime because of their work schedule. The symptoms of untreated obstructive sleep apnea may be worse for shift workers, a new study reports.

The study compared a group of 31 shift workers to ten daytime workers. Members in both groups were previously diagnosed with sleep apnea and had similar ages, weights and sleep lengths.

Daytime and nighttime polysomnograph results show that the shift workers had more frequent breathing pauses in breathing and higher oxygen desaturation levels. Both measures show that shift workers had more severe symptoms of sleep apnea.

The authors of the study caution that patients with untreated sleep apnea should avoid nighttime work. The Sleep Education Blog urges workers with sleep apnea to take that warning one step further and never let sleep apnea go untreated. Sleep apnea has been linked to heart disease, diabetes, dementia and other serious health problems.

Shift work also can also harm your health. Some workers may struggle with shift work disorder, which causes your internal body clock to go awry. Workers with shift work disorder may be severely tired but unable to sleep. Loss of sleep length and quality may affect job performance and put workers at risk for injury.

Read more about obstructive sleep apnea and shift work disorder.

Did Sleep Medicine Help Boost U.S. Life Expectancy?

Life expectancy hit an all-time high in 2009, according to a new report from the U.S. Centers for Disease Control and Prevention. An American born in 2009 can now expect to live about 78 years and two months, a two month increase compared to 2008. Only 2.4 million Americans died in 2009, an all-time low and the 10th consecutive yearly decrease. As usual, women (80.6 years) had a longer life expectancy than men (75.7 years).

The CDC speculates that vaccinations, public health measures against smoking and better overall medical treatment for the life span improvements. Sleep medicine may be able to share some of the credit.

Deaths from heart disease, Alzheimer’s disease and diabetes – three diseases commonly associated with sleep apnea - all decreased in 2009. This raises the question, is an increase in awareness and treatment of sleep apnea contributing to these rates and helping Americans live longer?

Research shows that people with untreated severe sleep apnea are more than twice as likely to die. Even moderate cases increase the overall risk of death by 17 percent.

Diagnosis and treatment of sleep apnea may prevent countless deaths from heart disease. The pauses in breathing from untreated obstructive sleep apnea can put enormous strain on your heart. Heart disease risks associated with this include coronary heart disease, heart attack and congestive heart failure.

CPAP and other sleep apnea treatments may also slow the development of diabetes. Sleep disorders that disrupt sleep, including but not limited to sleep apnea increases the likelihood of getting diabetes.

Treatment can also limit sleep loss related to sleep apnea, which is a factor in the development of Alzheimer’s disease. CPAP also helps slow the cognitive decline of people with Alzheimer’s.

Think you might have sleep apnea? Find out by scheduling an overnight sleep study for diagnosis. it could save your life in the long run and help.

Note: The average life expectancy in the U.S. is still among the lowest of the developed western nations. The National Research Council reports that the heavy smoking in the past five decades has long figured for the slower growth in life expectancy. The national obesity epidemic is expected to offset the eventual gains from the recent reduction in smoking. Excess body weight a primary risk factor for heart disease and diabetes as well as sleep apnea.

Why Accidents Increase After Daylight Savings Switch

Was traffic noticeably slower on your morning commute these past couple of days? If so, blame daylight saving time. The “spring forward” is believed to cause a temporary spike in traffic incidents. A 1998 Canadian study found that auto accidents may increase as much as 17 percent immediately following the time change.

Media outlets tend to report a few theories on why accidents swell after the spring time change. Each seems reasonable at first glance:

• Drivers acclimated to commuting after the sun is already out may find themselves blinded by the sunrise or driving in the dark.


• More drowsy drivers are on the road after difficulty falling asleep at the regular time due to the spring forward.


• Some people recklessly rushed to work after forgetting to reset their alarm clocks and accidently oversleeping.

The authors of the Canadian study argue drowsy driving – rather than the other two factors – is why the frequency of accidents escalates after the time change. The study found the only significant increase in accidents occurred during the afternoon commute. That finding appears to rule out an early sunrise or forgetfulness as the reason for an increase in accidents.

Last week, the Sleep Education Blog shared some tips to better brace for the time change but not everyone spends days preparing for the hour of lost sleep. The blog also reported that well-intentioned evening types may still struggle because falling asleep even slightly earlier than normal may be difficult. It may take weeks, but most of the people who fall under either category will eventually adjust and become safer drivers once again.

The “fall back” in November appears to have the opposite effect of the “spring forward”: a sudden temporary decrease in accidents, according to the study. However, that may be quickly negated by Seasonal Affective Disorder (SAD), which tends flare up with the fall time change. SAD may lead to increased daytime sleepiness, which potentially, could mean more drowsy drivers on the roadways during the winter months.

Do you find yourself nodding off at the wheel on a regular basis? You may have a sleep disorder that prevents you from getting regular restful sleep. Schedule an appointment with a clinical sleep specialist and find out if you have sleep apnea or seek treatment for insomnia.

Photo by Slinkydragon