Sleep

  • Study Reinforces Link Between Mobile Phone Addiction and Insomnia

    Original Article March 30, 2024 | Kyle Munz

    A cross-sectional study utilizing self-reports from Chinese college students correlated mobile phone use with insomnia, bolstering previous research that made similar conclusions.

    A study recently published in Frontiers Public Health reinforced the known correlation between mobile phone addiction and insomnia, while additionally suggesting that increasing one’s physical activity could mitigate this negative impact.

    Man Endlessly Scrolling in Bed | image credit: Louis-Photo - stock.adobe.com

    Man Endlessly Scrolling in Bed | image credit: Louis-Photo – stock.adobe.com

    During the COVID-19 pandemic, the use of social media was seen as a benefit both for providing social support during large-scale isolation and disseminating information on public health. However, as the authors of the current study mentioned, the negative consequences associated with mobile phone use—such as its documented influence on insomnia—should not be ignored. The authors added that investigations into the effects of mobile phone use during the pandemic have largely focused on the mental health of adolescents while the outcomes related to insomnia have been unknown.

    To address this gap in knowledge, researchers conducted a study to investigate what underlying factors influence the relationship between insomnia and mobile phone addiction in college students, considering the mediating role of social anxiety and the moderating role of physical activity. This study was conducted in China, which endured the first outbreak of COVID-19, and surveyed Chinese college students.

    This study was conducted with an online questionnaire, which was completed by 301 college students. A student’s degree of mobile phone addiction was measured with the Chinese iteration of the Mobile Phone Addiction Tendency Scale (MPATS), where higher scores indicate more intense addiction. The Chinese iteration of the Social Phobia Inventory (SPIN) was used to measure social anxiety, and higher scores indicate higher levels of social anxiety. Physical activity levels were measured with the Physical Activity Rating Scale (PARS-3) and insomnia by the Insomnia Severity Index where, similarly in both, higher scores indicate higher levels of activity and more severe insomnia.

    Their results showed that mobile phone addiction had a positive association with social anxiety (< .001) and that social anxiety was positively associated with insomnia (P < .01). Overall, the correlation between mobile phone addiction and insomnia was found to be significant (< .001). These findings suggested that social anxiety could be a mediator of this relationship because the indirect effect between them was also found to be significant (indirect effect = 0.03; SE = 0.01; 95% Boot CI, 0.01–0.06).

    The self-reports indicated that more physical activity could reduce both feelings of social anxiety as well as feelings of addiction to one’s mobile phone. This moderating role of physical activity on the relationship between insomnia and mobile phone addiction was found to be significant (< .05). The authors went on to comment that physical activity has previously demonstrated to be beneficial for the management of stress and loneliness, and can improve one’s mental health. The authors’ findings were consistent with prior reports in this area.

    “But it is worth noting that social anxiety could only partially account for the relationship between mobile phone addiction and insomnia; thus other key latent indicators, such as interpersonal distress, should also considered when examining the mediation role between them afterwards,” they added.

    The limitations of the study include the inability to establish causal relationships due to the cross-sectional design, the risk of recall bias that comes with self-reported data, and the use of convenient sampling which resulted in a moderate sample size. Additionally, the exclusive focus on college students during a specific pandemic period may limit the generalizability of the findings.

    “In summary, our research results indicate that increasing physical activity and reducing social anxiety can improve insomnia symptoms among college students,” the authors concluded. “To prevent future problematic behaviors among college students, it is necessary to adopt proactive health behaviors, such as engaging in physical activity, to counteract or avoid subsequent passive impacts.”

    Reference

    Wang J, Xu X, Zuo L, Wang H, Yang G. Mobile phone addiction and insomnia among college students in China during the COVID-19 pandemic: a moderated mediation model. Front Public Health. 2024;12:1338526. doi:10.3389/fpubh.2024.1338526

  • Why people should prioritize sleep quality over quantity.

    By Analisa Novak – February 19, 2024 / 11:59 AM EST / CBS News

    When it comes to maintaining heart health, it’s not just how long you sleep — it’s how well you sleep that matters equally, if not more, said Dr. Shelby Harris, a behavioral sleep psychologist and clinical associate professor at Albert Einstein College of Medicine.

    “Poor quality sleep really can influence our heart health as well,” Harris told “CBS Mornings” in an interview during American Heart Month

    Harris said the body’s balance of ghrelin and leptin, hormones that regulate hunger, is also disrupted by poor sleep, leading to increased consumption of high-sugar and high-fat foods. 

    Sleep disorders like sleep apnea and insomnia are closely linked to heart health. Sleep apnea, characterized by snoring and breathing pauses, affects both men and women, though women are evaluated less frequently for it. 

    Strategies for improving sleep quality include limiting alcohol and caffeine intake, reducing screen time before bed and managing how much liquid you drink before bed. 

    “Once you have better quality then we try to work on the quantity of sleep possible,” Harris said.

    For those struggling to achieve a longer sleep duration, getting a good quality amount of sleep but shorter is ideal when you first are trying to tackle this goal. 

    “For some people, I might have them go to bed later and then I might slowly have them go to bed earlier over time as opposed to that shifting back and forth. Because that can create a lot of problems for people as well,” she said. 

    Harris said that sleeping pills and aids are not ideal for most people, but said cognitive-behavioral therapy for insomnia may offer an alternative solution to medication. 

    She said most people try four to eight sessions of the therapy and if that doesn’t work, then she would recommend sleeping aids. 

    “You work on not just the hygiene but you work on the timing of sleep. … We work on thoughts about sleep, a lot of people put pressure on themselves to sleep and they worry about what’s going to happen if they don’t sleep and so we work on that aspect,” she said. 

    Harris said dietary choices also play a role in a good night’s sleep. She said people should avoid consuming large or heavy meals, such as a big dinner, before going to bed.

    Instead, opting for a small, light snack that includes a mix of protein and carbohydrates can be beneficial. “That’s a really good mix to help you throughout the night so you don’t wake up hungry, which a lot of people do as well,” said Harris.

  • Can obstructive sleep apnea negatively impact brain health?

    Original Article | Medical News Today

    • Obstructive sleep apnea, the most common type of sleep breathing disorder, is a risk factorTrusted Source for cerebrovascular disease, conditions that affect blood vessels in the brain.
    • Obstructive sleep apnea is also linkedTrusted Source to mild cognitive impairment and Alzheimer’s disease, but the mechanisms underlying this association are not well understood.
    • Dementia is also associated with abnormalities in the brain’s white matter that are hallmarks or markers of cerebrovascular diseases.
    • A recent observational study shows that severe obstructive sleep apnea and reduced deep sleep were independently associated with white matter abnormalities related to cerebrovascular diseases in cognitively unimpaired older adults.
    • These findings show that severe obstructive sleep apnea and poor sleep quality can lead to an increase in the biomarkers of cerebrovascular disease, potentially increasing the risk of cognitive decline and stroke.

    Obstructive sleep apnea is the most common type of sleep-breathing disorder that affects nearly a billionTrusted Source individuals across the globe.

    A recent study published in Neurology suggests that obstructive sleep apnea and a reduction in deep sleep, also known as slow-wave sleep, were independently associated with an increase in white matter abnormalities in the brain.

    The white matter abnormalities assessed in the study are known markers of cerebrovascular disease and are also observed in mild cognitive impairment and Alzheimer’s disease.

    The findings from this observational study thus suggest that obstructive sleep apnea and poor sleep quality could potentially lead to increased white matter abnormalities, subsequently increasing the risk of dementia and stroke.

    The study’s author Dr. Diego Carvalho, a neurologist at the Mayo Clinic in Rochester, MN, told Medical News Today:

    “White matter abnormalities increase with aging and may contribute to cognitive decline, dementia, and stroke. Since there is no treatment to reverse or slow them down other than risk factor prevention, it is important to understand what may contribute to their development.”

    “In our study, we found that severe sleep apnea and decreased deep sleep were associated with more white matter abnormalities. Although we cannot infer a direct causal relationship with a cross-sectional study design, the findings raise the possibility that sleep interventions may prevent the progression of white matter disease. Although there is already compelling evidence that sleep apnea is involved in white matter abnormalities, the potential role of slow-wave sleep (or deep sleep) in white matter health is much less understood,” added Dr. Carvalho.

    Sleep quality and dementia

    Obstructive sleep apneaTrusted Source is a sleep-breathing disorder characterized by episodes of interruption of breathing due to partial or complete blockage of the upper airway. The episodes of reduced breathing are known as hypopnea, whereas apnea refers to events involving a complete blockage of the upper airway.

    The apnea-hypopnea index (AHI) describes the number of apnea and hypopnea events per hour. Specifically, obstructive sleep apnea involves at least five such episodes of apnea or hypopnea per hour.

    The interruption of breathing triggers a compensatory response that leads to arousal from sleep. Thus, obstructive sleep apnea leads to sleep disturbances and an experience of feeling unrefreshed after sleep.

    Several studies have shown that poor sleep quality is associated with an increased risk of cognitive decline and dementia.

    The accumulation of misfolded deposits of the amyloid-beta and tau proteins is a hallmark of Alzheimer’s disease. A previous study showed a higher accumulation of the amyloid-beta protein in the brains of individuals experiencing excessive daytime sleepiness.

    In contrast, a brain imaging studyTrusted Source showed that cognitively unimpaired individuals with higher tau levels in their brains were at an increased risk of obstructive sleep apnea.

    These studies suggest a bidirectional relationship between sleep quality and pathological changes associated with Alzheimer’s disease.

    Why white matter changes have an impact

    In addition to the accumulation of misfolded proteins, individuals with dementia also show damage to neurons.

    The brain tissue can be categorized into white matter and gray matter. The gray matter consists of the cell bodies of neurons, whereas the white matter consists of axons that transmit information.

    Several of the axonal processes in the white matter are encased in an insulating layer called the myelin sheath. The myelin sheath gives white matter its color and allows the axons to conduct electrical impulses more rapidly and efficiently.

    Individuals with dementia and mild cognitive impairment show abnormalities in the white matter. Some of these white matter abnormalities, such as white matter hyperintensitiesTrusted Source and a decline in the integrity of the white matter tract, are also markers for cerebrovascular diseases, which are diseases of the blood vessels in the brain.

    White matter hyperintensities are hyperintense regions identified using MRI that represent lesions of white matter generally caused by cerebral small vessel disease.

    The integrity of the white matter tract is measured in terms of fractional anisotropy using a technique called diffusion tensor imaging. These white matter abnormalities due to damage to blood vessels may contribute to cognitive decline.

    Sleep and cerebrovascular health

    Sleep disorders such as obstructive sleep apnea are also associatedTrusted Source with increased risk of cerebrovascular diseases. Thus, sleep disorders could potentially lead to cerebrovascular disease-related white matter abnormalities and increase the risk of dementia.

    For instance, there is evidence from the authors’ own work showing that individuals with daytime sleepiness have elevated levels of the neurofilament light chain protein in their blood, though research evidence is contradictoryTrusted Source.

    The neurofilament light chain protein is a protein associated with the myelin sheath covering the axons of neurons. Thus, elevated neurofilament light chain protein levels suggest damage to myelinated axons and, thus, white matter damage.

    In the present study, the researchers examined the association between sleep quality, including the presence of obstructive sleep apnea, with white matter abnormalities in the brain of cognitively unimpaired individuals.

    A study on sleep and cognitive impairment

    The new study consisted of 140 individuals participating in the Mayo Clinic Study of Aging (MCSA), a population-based cohort study that aims to characterize the prevalence and risk factors associated with mild cognitive impairment and dementia.

    The study included individuals who had previously undergone a brain MRI scan and at least one polysomnography test as a part of the MCSA study.

    A polysomnographic study is a sleep study that assesses multiple parameters associated with sleep, including brain waves, breathing and heart rate, and blood oxygen levels. The average duration between the brain MRI scan and the polysomnography test was 1.74 years.

    The researchers aimed to only include participants who were cognitively unimpaired at the time of both the MRI and the polysomnography test. The study consisted of 90.7% of the participants who were cognitively unimpaired at the time of both assessments.

    Only participants with obstructive sleep apnea were included in the study. These participants were categorized as having either mild, moderate, or severe obstructive sleep apnea on the basis of the number of episodes of apnea and hypopnea per hour.

    Sleep quality and cerebrovascular biomarkers

    The researchers first examined the association between sleep patterns and white matter abnormalities. Sleep can be dividedTrusted Source into the non-rapid eye movement (NREM) and rapid eye movement (REM) phases.

    Furthermore, the NREM phase can be further subdivided into N1-N3 phases, with the N1 being the lightest sleep phase and N3 involving deep sleep. These phases show differences in their patterns of brain waves, eye movements, and muscle tone.

    Using brain waves collected during polysomnography, the researchers found that a lower fraction of time spent in the N3 phase or slow wave sleep was associated with elevated levels of white matter damage.

    This association was present after accounting for variables such as age, sex, genetic risk of Alzheimer’s disease, and cardiovascular risk factors.

    In a separate analysis, the researchers looked at the association between obstructive sleep apnea severity and markers of white matter damage. They categorized patients as either having severe or mild-to-moderate obstructive sleep apnea and matched individuals from the two groups for age, sex, and N3 sleep levels for this analysis.

    Individuals with severe obstructive sleep apnea showed higher white matter abnormalities than those with mild-to-moderate.

    Individuals in the two groups did not show differences in cardiometabolic risk factors, but the individuals with severe obstructive sleep apnea showed higher arousal levels. This indicates the fragmentation of sleep in individuals with severe obstructive sleep apnea.

    Dr. Sandra Narayanan, a board-certified vascular neurologist and neuro-interventional surgeon at Pacific Stroke & Neurovascular Center at Pacific Neuroscience Institute in Santa Monica, CA, not involved in the research told us that these findings show that, while obstructive sleep apnea is associated with cardiovascular disease, it could independently increase the risk of cerebrovascular diseases.

    Dr. Narayanan said: “[Obstructive sleep apnea] is an important vascular comorbidity, as it is significantly associated with an increased risk of hypertension, cardiovascular disease, and stroke. This study demonstrates a separate association of OSA with imaging biomarkers of cerebrovascular disease.”

    Strengths and limitations

    Some of the previous studies showing a link between sleep quality and white matter abnormalities have not controlled for cardiometabolic risk factors. These cardiometabolic factors can increase the risk of cerebrovascular conditions, such as stroke, thus potentially biasing the results.

    One of the strengths of the present study was that the researchers controlled for cardiometabolic risk factors.

    The authors acknowledged that their study had a few limitations. They noted that they only collected sleep data during the initial few hours of sleep.

    This could have biased the data on sleep patterns. For instance, the period of REM sleep tends to increase during the night, whereas the duration of deep sleep tends to decline.

    Dr. Narayanan noted: “While the imaging biomarkers of CVD noted in this study were not independently linked during the course of this study to the development of incident stroke, the presence of white matter hyperintensities is strongly associated with cognitive impairment, stroke, and death in numerous other studies.”

    “Fractional anisotropy (FA) is a marker of white matter integrity, as noted in diffusion tensor imaging (DTI),“ she explained. “Decreased FA is associated with other neurodegenerative disorders such as Alzheimer’s dementia and Parkinson’s disease, but has a poor prognostic value for motor recovery following stroke.”

    The authors also noted that the study had an observational design, and further studies are needed to show that obstructive sleep apnea and reduced slow-wave sleep can cause an increase in the biomarker of cerebrovascular disease.

  • Too Little Sleep Might Raise a Woman’s Odds for Diabetes

    Original Article | Dennis Thompson, Published in HealthDay Magazine

    Key Takeaways

    • Women who get poor sleep might have an increased risk of diabetes
    • Getting just 90 minutes less sleep increased insulin resistance in women
    • Researchers will look at whether better sleep helps control diabetes

    TUESDAY, Nov. 14, 2023 (HealthDay News) — Women who don’t get enough sleep might have an increased risk of diabetes, an effect even more pronounced in postmenopausal females, a new study finds.

    Shortening sleep by just 90 minutes increased insulin resistance in women used to getting adequate sleep, researchers at Columbia University.

    The findings are the first to show that even a mild sleep deficit maintained for six weeks can raise the risk of diabetes, researchers said.

    “Throughout their lifespan, women face many changes in their sleep habits due to childbearing, child-rearing and menopause,” said lead researcher Marie-Pierre St-Onge, director of the Center of Excellence for Sleep and Circadian Research at Columbia University in New York City. “And more women than men have the perception they aren’t getting enough sleep.”

    For this study, St-Onge and her colleagues enrolled 38 healthy women, 11 of whom had gone through menopause.

    All of the women routinely slept at least seven hours each night. The recommended amount of sleep for optimal health is between seven and nine hours, researchers said, but about a third of Americans get less sleep than that.

    Each of the women were asked to participate in two different phases of the study, in random order.

    Women were asked to maintain their regular adequate sleep in one phase, but in the other phase they were asked to delay their bedtime by an hour and a half, shortening their total sleep to around six hours. Each phase lasted six weeks.

    Curtailing sleep by 90 minutes for six weeks increased fasting insulin levels by more than 12% overall, and by 15% among premenopausal women.

    Insulin resistance increased by nearly 15% overall, and by more than 20% among postmenopausal women.

    Average blood sugar levels remained stable for all participants throughout the study, but researchers said the changes in insulin resistance could cause them to start rising in the long-term.

    Although increased belly fat is a key driver of insulin resistance, the researchers found that the effects of sleep loss on insulin resistance were not linked to any increases in fat.  

    “The fact that we saw these results independent of any changes in body fat, which is a known risk factor for type 2 diabetes, speaks to the impact of mild sleep reduction on insulin-producing cells and metabolism,” St-Onge said.  

    Researchers will next investigate whether better sleep can improve blood sugar control and glucose metabolism.

    The study was published Nov. 13 in the journal Diabetes Care.

    More information

    The U.S. Centers for Disease Control and Prevention has more about sleep and diabetes.

    SOURCE: Columbia University, news release, Nov. 13, 2023

  • Why Potatoes Are the Perfect Food for Sleep 

    Original Article | by Stephanie Eckelkamp · March 8, 2022, The Wellnest

    If you struggle with sleep, chances are you’ve tried it all: eye masks, reducing nighttime screen timeguided meditations, and more. But did you know nutrition can be another tool to help you slumber?

    Sweet potatoes, in particular, are a lovely little package of good carbs and sleep-promoting micronutrients. While it may seem like a strange pick, there are a few reasons why potatoes are some of the best foods to eat for better sleep. 

    1. POTATOES HELP STABILIZE BLOOD SUGAR

    study in the Journal of Sleep Research found carbohydrates were associated with less difficulty staying asleep—but only complex carbohydrates. Complex carbs are carbs composed of fibers and starches (think: the kind you find in whole plant foods such as potatoes and other veggies, legumes, and whole grains). They digest more slowly than the simple carbs present in sugary foods, refined grains, and baked goods. This means complex carbs lead to a slower, steadier rise and fall in blood sugar, not the type of blood sugar surge and subsequent drop that interferes with sleep. 

    Sugary foods and refined carbs, on the other hand, can cause a blood sugar spike and subsequent drop about four hours later—and this drop is associated with increased production of the neurotransmitter norepinephrine, which promotes alertness. Translation: Not a recipe for good sleep.

    2. POTATOES HELP YOUR BODY PREPARE FOR SLEEP

    Sweet potatoes still have a moderate impact on blood sugar, but that isn’t a bad thing. In fact, the nutrients they contain make them one of the best tryptophan foods for sleep. “They have the right amount of complex carbohydrates to elicit an insulin response that clears the way for the amino acid tryptophan to flood the brain with less competition from other amino acids,” says Judes Scharman Draughon, MS, RDN, author of 12 Fixes to Healthy. “More tryptophan in the brain helps promote more serotonin production and consequently more of the sleep-enhancing hormone melatonin.” 

    3. POTATOES CONTAIN SLEEP-SUPPORTING VITAMINS AND MINERALS

    Think of sweet potatoes like a natural (and delicious) sleep supplement. “They have the right balance of nutrients like potassium and vitamin B6 to stimulate the production of the sleep hormones serotonin and melatonin,” says Scharman Draughon. Sweet potatoes also contain magnesium, which aids in the production of the neurotransmitter gamma-aminobutyric acid (GABA), which calms nerve activity and helps you relax. 

    What about white potatoes? They’re not as nutrient-rich, but as long as you’re not eating them in the form of French fries, go ahead and give them a try. “White potatoes produce similar sleep effects as sweet potatoes, but sweet potatoes contain more tryptophan than white potatoes and a nice dose of beta-carotene,” says Scharman Draughon.

    HOW TO EAT POTATOES FOR BETTER SLEEP

    Whatever potato you choose, don’t eat it too late in the evening. “Eating any food within 60 minutes of going to bed can negatively affect your sleep,” says Scharman Draughon. Your best bet: Incorporate it into your dinner several hours before bed, or (if you’re still hungry) have half a potato as a small late-night snack a bit closer to bedtime. 

    “Eating a potato for dinner or at least four hours before bed may promote better sleep than eating it an hour before bed,” Scharman Draughon says “It takes time for all these sleep-promoting reactions to occur in the body.” That said, everybody is a little different, so you may need to experiment to find your ideal potato-eating window. 

    And if you can stomach it, eat the potato skin, too! This provides an extra dose of fiber which promotes balanced blood sugar—and eating enough fiber every day has been associated with improved sleep. Drizzling your baked potato with a little Greek yogurt, olive oil, avocado, or almond butter—all of which provide a dose of healthy fats—helps further stabilize blood sugar and aids in the absorption of fat-soluble nutrients such as beta-carotene (which helps support healthy eyes and skin and a stronger immune system). 

    THE BEST FOODS FOR SLEEP

    Aside from potatoes and sweet potatoes, what are some other healthy bedtime snacks? Here are five foods to eat for better sleep:

    OATS

    Oats are another complex carb that may have a similar sleep-promoting effect to potatoes. They also produce enough insulin to help clear the way for tryptophan to get to the brain. Plus, they contain a healthy dose of vitamin B6 and melatonin, making them one of the best bedtime snacks. but complex carbs aren’t the only way to enhance sleep. 

    KIWI

    Craving something sweet before bed? Good news: Kiwi is one of the best snacks you can have before bedtime. That’s because they have an unusually high serotonin content, according to Scharman Draughon. 

    MILK

    Turns out, the age-old tradition of having a glass of milk before bed holds up. According to Scharman Draughon, it’s one of the best foods for deep sleep. “Drinking milk in the evening may help you sleep, as it contains a component known as casein trypsin hydrolysate (CTH), which binds to a receptor in the brain to suppress nerve signaling and promote sleep,” she says.

    CHERRIES

    “Tart cherries, with their high concentration of both melatonin and antioxidant capacity, also enhance sleep,” says Scharman Draughon. In fact, research shows that tart cherry juice before bed improves both sleep duration and sleep quality. Looking for some cherry bedtime snack ideas? Consider making a simple tart cherry smoothie with frozen tart cherries, magnesium-rich almond butter, milk (or non-dairy milk such as almond milk or oat milk), and a bit of easy-to-digest protein like HUM’s plant-based vanilla protein powder, Core Strength. In addition to sleep-promoting micronutrients, this blend contains protein, complex carbs, and fats to promote stable blood sugar. 

    CHAMOMILE TEA

    For something lighter that you can sip closer to bedtime, try chamomile tea. This cozy beverage has been shown to improve sleep quality and quell anxiety, thanks in part to an antioxidant called apigenin, which appears to promote muscle relaxation and sleepiness. For something extra dreamy,  try one of these bedtime latte recipes.

    KEEP IN MIND, YOUR OVERALL DIET MATTERS THE MOST 

    While some individual foods may offer sleep-promoting properties when consumed closer to bedtime, your overall eating pattern throughout the day is even more important.  

    One study in the Journal of Clinical Sleep Medicine found that even just one day of eating low fiber, high saturated fat foods negatively influenced participants’ sleep, in part, by interfering with slow wave sleep, which is considered the most restorative sleep stage. Additionally, eating a higher percentage of calories from sugar and refined carbohydrates was associated with waking up during the night, likely due to fluctuations in blood sugar.

    Eating low-fiber, high-sugar, and high-saturated fat foods during the day can also drive your urge for less healthy late-night snacking, which can further interfere with sleep, says Scharman Draughon. At meals, aim for a balance of protein, high-fiber complex carbs (veggies, whole grains, certain fruits), and a healthy source of fat (olive oil, avocadoes, nuts, seeds, salmon).

    THE TAKEAWAY

    Potatoes, especially sweet potatoes, offer a great combination of complex carbohydrates for steady blood sugar, along with vitamins and minerals that enhance the body’s production of sleep-promoting hormones and neurotransmitters. Try incorporating them into your dinner or a small evening snack for deeper, more restful sleep. Pro tip: Half a baked sweet potato slathered with almond butter and sprinkled with cinnamon is almost like dessert. 

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  • Why do more women struggle with insomnia than men?

    Sleeping is an essential part of our lives. It helps us recharge for the next day. Research in this area has helped understand various sleep disorders.

    But most research has dodged the question of how different women’s sleep patterns are compared to men.

    Why is insomnia more common in women?

    The National Sleep Foundation survey, one of the first surveys in this field, found that 46% of women reported troubles with sleep almost every night. Other studies also conclude that insomnia is 40% more prevalent among women.

    A prominent reason for this difference is biological, where hormone production during pregnancy, postpartum, menopause and menstruation changes. But social and cultural reasons, like work and family, also play a role, according to the survey.

    Gender and sleep

    Gender differences have important scientific consequences. For instance, almost a decade ago, the Food and Drug Administration reduced the recommended dose of zolpidem, a drug similar to Ambien, by half for women to treat insomnia. This came after the discovery that women metabolized the drug much slower than men — which led to gender-specific guidelines.

    “It was important to raise the issue of sex differences — which is biological differences between women and men — to point out that there are differences in sleep in both the sexes,” said Dr. Monica Mallampalli, the senior scientific adviser for Healthywomen.org and a board member for Alliance of Sleep Apnea Partners.

    For example, obstructive sleep apnea, a sleep disorder in which breathing repeatedly stops and starts, is typically found in men. But women also experience it, Mallampalli explained.Report ad

    “Usually, they’re misdiagnosed or undiagnosed, and the symptoms that they present are very different than what a typical man would present,” she said, adding, “it’s also mostly hormonal.” Fibromyalgia, a condition that causes pain all over the body, has also been linked to insomnia, peaking at puberty and menopause for women, both periods of hormonal change.

    What are the types of sleep problems women face?

    1. Depression, anxiety and stress

    Sleep is often tied to mental health and women are proven to be more likely to suffer through depression and anxiety. Studies show that women are more likely to ruminate about their concerns which can hamper their ability to fall asleep or go back to sleep.

    2. Pregnancy

    According to a study, around 30% of women say they rarely sleep and more than 50% have insomnia-like symptoms. Neck and back pain paired with difficulty finding a comfortable sleeping position can disturb the quality of sleep. These problems can persist after childbirth.

    3. Obstructive sleep apnea

    Women with sleeping problems like obstructive sleep apnea are less likely to be referred to specialized sleep clinics, according to a study on gender bias in sleep disorder diagnosis. Mallampalli explained, obstructive sleep apnea is often underdiagnosed in women.

    4. Restless leg syndrome

    This syndrome creates a strong under to move limbs, especially legs, when lying down. Restless leg syndrome is also more common in men than women. Mallampalli adds that this syndrome is commonly seen in pregnant women.

    How do you improve your quality of sleep?

    Environmental stimuli such as a bright light in the bedroom, traffic noises, music, television, room temperature, pets and bedpartners can all affect sleep. The Society for Women’s Health Research created a Women & Sleep guide which suggests darkening rooms with blackout shades and drapes, turning off electronics in the room and double-paning windows for noise cancellation.

    Earplugs, eye masks and white noise machines are also extremely helpful. Caffeine and electronic gadgets should be avoided at night time, as well as stimuli like nicotine and alcohol, according to researchers.

    Mallampalli, who was involved in creating this guide, believes that by spreading awareness, more women will be able to advocate for themselves and ask their physical care physicians about sleep health. And this is how a change can begin.