Sleep Wake Cycle, Its Physiology and Impact on Health.pdf

(2642 KB) Pobierz
69516 Inside.indd
Sleep-Wake Cycle:
Its Physiology and Impact on Health
174408498.003.png 174408498.004.png
Sleep-Wake Cycle:
Its Physiology and Impact on Health
Copyright © 2006 National Sleep Foundation
www.sleepfoundation.org
174408498.005.png
Acknowledgements
The National Sleep Foundation (NSF) wishes to thank two distinguished
members of the sleep community, Meir Kryger, MD and Phyllis Zee, MD, for
volunteering their time and providing the guidance and expertise that helped
make this project possible. Dr. Kryger is a professor of medicine and director
of the Sleep Disorders Center at St. Boniface Hospital, University of Manitoba
in Winnipeg, Canada. Dr. Zee is director of the Sleep Disorders Center at
Northwestern Memorial Hospital, Chicago, associate director of the Center
for Circadian Biology and Medicine at Northwestern University and Professor
of Neurology at Northwestern University Feinberg School of Medicine.
Dr. Kryger and Dr. Zee are NSF directors.
Sleep-Wake Cycle: Its Physiology and Impact on Health was independently
created by the National Sleep Foundation and was supported by an
unrestricted educational grant from Takeda Pharmaceuticals North America, Inc.
174408498.006.png
Table of Contents
I. Introduction
II. Mechanisms Controlling Sleep and Wakefulness
III. Why Sleep Matters: The Impact of Sleep and Sleep Loss
IV. Sleep Disorders
V. Glossary
VI. References
www.sleepfoundation.org
174408498.001.png
No doubt, the consequences of sleep loss are signifi cant. Historic tragedies have been linked to fatigue-related human
error, among them the Exxon Valdez oil spill 1 and the NASA Challenger shuttle explosion. 2 The grave outcomes of
events like these are just some of the reasons why improved understanding of the biology of sleep and wake can lead
to improved quality of life and safety.
Emerging science and advances in technology now are allowing us to examine sleep at a level of detail never before
possible. In addition to documenting the more obvious consequences of poor sleep, scientists are increasingly exploring
what happens during sleep at the neurological and physiological level. And what they’re recognizing is that sleep
provides more benefi ts than previously thought and is absolutely crucial to promoting health and bodily function.
So why is sleep so important? Although we naturally think of sleep as a time of rest and recovery from the stresses
of everyday life, research is revealing that sleep is a dynamic activity, during which many processes vital to health and
well-being take place. New evidence shows that sleep is essential to helping maintain mood, memory, and cognitive
performance. It also plays a pivotal role in the normal function of the endocrine and immune systems. In fact, studies
show a growing link between sleep duration and a variety of serious health problems, including obesity, diabetes,
hypertension, and depression.
It is no exaggeration to say that some of the most pressing problems we face as a society may be linked to poor
sleep. Drowsiness in sleep-deprived drivers is likely the cause of more than 100,000 crashes, 71,000 injuries and more
than 1,500 deaths each year. 3 In addition, sleep disorders are estimated to cost Americans over $100 billion annually
in lost productivity, medical expenses, sick leave, and property and environmental damage. 4 On a personal level, we all
know how miserable we feel after a night of poor sleep.
Despite the fact that at least 40 million Americans report having sleep problems, more than 60 percent of adults have
never been asked about the quality of their sleep by a physician, and fewer than 20 percent ever initiated a discussion
about it. 5 Clearly, sleep’s impact on health and well being is under-recognized. But the growing body of knowledge
about the complex structure, function, and mechanisms of sleep, as well as the consequences when sleep is lost or
disturbed, should serve as a wake-up call for making sleep a public health priority.
Barbara A. Phillips, MD, MSPH
Richard L. Gelula, MSW
Chair, National Sleep Foundation
Chief Executive Offi cer, National Sleep Foundation
1
174408498.002.png
Zgłoś jeśli naruszono regulamin