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SLEEP... QUALITY SLEEP

Sleep plays a vital role in good health and well-being throughout your life. Getting enough quality sleep at the right times can help protect your mental health, physical health, quality of life, and safety.  The way you feel while you're awake depends in part on what happens while you're sleeping.  During sleep, your body is working to support healthy brain function and maintain your physical health.  In children and teens, sleep also helps support growth and development. The damage from sleep deficiency can occur in an instant (such as a car crash), or it can harm you over time.  For example, ongoing sleep deficiency can raise your risk for some chronic health problems.  It also can affect how well you think, react, work, learn, and get along with others.
 
Healthy Brain Function and Emotional Well-Being

Sleep helps your brain work properly.  While you're sleeping, your brain is preparing for the next day.  It's forming new pathways to help you learn and remember information. Studies show that a good night's sleep improves learning.  Whether you're learning math, how to play the piano, how to perfect your golf swing, or how to drive a car, sleep helps enhance your learning and problem-solving skills.   Sleep also helps you pay attention, make decisions, and be creative.  Studies also show that sleep deficiency alters activity in some parts of the brain.   If you're sleep deficient, you may have trouble making decisions, solving problems, controlling your emotions and behavior, and coping with change. Sleep deficiency also has been linked to depression, suicide, and risk-taking behavior.  Children and teens who are sleep deficient may have problems getting along with others.  They may feel angry and impulsive, have mood swings, feel sad or depressed, or lack motivation. They also may have problems paying attention, and they may get lower grades and feel stressed.  Physical HealthSleep plays an important role in your physical health. For example, sleep is involved in healing and repair of your heart and blood vessels.  Ongoing sleep deficiency is linked to an increased risk of heart disease, kidney disease, high blood pressure, diabetes, and stroke. Sleep deficiency also increases the risk of obesity.  For example, one study of teenagers showed that with each hour of sleep lost, the odds of becoming obese went up.  Sleep deficiency increases the risk of obesity in other age groups as well. Sleep helps maintain a healthy balance of the hormones that make you feel hungry (ghrelin) or full (leptin).  When you don't get enough sleep, your level of ghrelin goes up and your level of leptin goes down.  This makes you feel hungrier than when you're well-rested.  Sleep also affects how your body reacts to insulin, the hormone that controls your blood glucose (sugar) level.   Sleep deficiency results in a higher than normal blood sugar level, which may increase your risk for diabetes. 

 
Sleep also supports healthy growth and development.
 Deep sleep triggers the body to release the hormone that promotes normal growth in children and teens.  This hormone also boosts muscle mass and helps repair cells and tissues in children, teens, and adults.  Sleep also plays a role in puberty and fertility.Your immune system relies on sleep to stay healthy.  This system defends your body against foreign or harmful substances.  Ongoing sleep deficiency can change the way in which your immune system responds.  For example, if you're sleep deficient, you may have trouble fighting common infections. Daytime Performance and SafetyGetting enough quality sleep at the right times helps you function well throughout the day.  People who are sleep deficient are less productive at work and school.  They take longer to finish tasks, have a slower reaction time, and make more mistakes.  After several nights of losing sleep—even a loss of just 1–2 hours per night—your ability to function suffers as if you haven't slept at all for a day or two. 
Lack of sleep also may lead to microsleep.

  Microsleep refers to brief moments of sleep that occur when you're normally awake.  You can't control microsleep, and you might not be aware of it.   For example, have you ever driven somewhere and then not remembered part of the trip?  If so, you may have experienced microsleep.  Even if you're not driving, microsleep can affect how you function.  If you're listening to a lecture, for example, you might miss some of the information or feel like you don't understand the point.   In reality, though, you may have slept through part of the lecture and not been aware of it.  Some people aren't aware of the risks of sleep deficiency. In fact, they may not even realize that they're sleep deficient. Even with limited or poor-quality sleep, they may still think that they can function well.  For example, drowsy drivers may feel capable of driving.  Yet, studies show that sleep deficiency harms your driving ability as much as, or more than, being drunk.  It's estimated that driver sleepiness is a factor in about 100,000 car accidents each year, resulting in about 1,500 deaths.  Drivers aren't the only ones affected by sleep deficiency.  It can affect people in all lines of work, including health care workers, pilots, students, lawyers, mechanics, and assembly line workers.  As a result, sleep deficiency is not only harmful on a personal level, but it also can cause large-scale damage.  For example, sleep deficiency has played a role in human errors linked to tragic accidents, such as nuclear reactor meltdowns, grounding of large ships, and aviation accidents.

Sleep deficiency is a common public health problem in the United States.  People in all age groups report not getting enough sleep.  As part of a health survey for the Centers for Disease Control and Prevention, about 7–19 percent of adults in the United States reported not getting enough rest or sleep every day.   Nearly 40 percent of adults report falling asleep during the day without meaning to at least once a month.  Also, an estimated 50 to 70 million Americans have chronic (ongoing) sleep disorders.  Sleep deficiency is linked to many chronic health problems, including heart disease, kidney disease, high blood pressure, diabetes, stroke, obesity, and depression.  Sleep deficiency also is associated with an increased risk of injury in adults, teens, and children.  For example, driver sleepiness (not related to alcohol) is responsible for serious car crash injuries and death. In the elderly, sleep deficiency might be linked to an increased risk of falls and broken bones.  In addition, sleep deficiency has played a role in human errors linked to tragic accidents, such as nuclear reactor meltdowns, grounding of large ships, and aviation accidents.  A common myth is that people can learn to get by on little sleep with no negative effects.   However, research shows that getting enough quality sleep at the right times is vital for mental health, physical health, quality of life, and safety.
SO WHAT DO WE DO TO GET GOOD QUALITY SLEEP???
The Mayo Clinic Recommends:
Many factors can interfere with a good night's sleep — from work stress and family responsibilities to illnesses. It's no wonder that quality sleep is sometimes elusive.
You might not be able to control the factors that interfere with your sleep. However, you can adopt habits that encourage better sleep. Start with these simple tips.
 
1. Stick to a sleep schedule
Set aside no more than eight hours for sleep. The recommended amount of sleep for a healthy adult is at least seven hours. Most people don't need more than eight hours in bed to be well rested.
Go to bed and get up at the same time every day, including weekends. Being consistent reinforces your body's sleep-wake cycle.
If you don't fall asleep within about 20 minutes of going to bed, leave your bedroom and do something relaxing. Read or listen to soothing music. Go back to bed when you're tired. Repeat as needed, but continue to maintain your sleep schedule and wake-up time.
 
2. Pay attention to what you eat and drink
Don't go to bed hungry or stuffed. In particular, avoid heavy or large meals within a couple of hours of bedtime. Discomfort might keep you up.
Nicotine, caffeine and alcohol deserve caution, too. The stimulating effects of nicotine and caffeine take hours to wear off and can interfere with sleep. And even though alcohol might make you feel sleepy at first, it can disrupt sleep later in the night.
 
3. Create a restful environment
Keep your room cool, dark and quiet. Exposure to light in the evenings might make it more challenging to fall asleep. Avoid prolonged use of light-emitting screens just before bedtime. Consider using room-darkening shades, earplugs, a fan or other devices to create an environment that suits your needs.
Doing calming activities before bedtime, such as taking a bath or using relaxation techniques, might promote better sleep.
 
4. Limit daytime naps
Long daytime naps can interfere with nighttime sleep. Limit naps to no more than one hour and avoid napping late in the day.
However, if you work nights, you might need to nap late in the day before work to help make up your sleep debt.
 
5. Include physical activity in your daily routine
Regular physical activity can promote better sleep. However, avoid being active too close to bedtime.
Spending time outside every day might be helpful, too.
 
6. Manage worries
Try to resolve your worries or concerns before bedtime. Jot down what's on your mind and then set it aside for tomorrow.
Stress management might help. Start with the basics, such as getting organized, setting priorities and delegating tasks. Meditation also can ease anxiety.
 
Know when to contact your health care provider
Nearly everyone has an occasional sleepless night. However, if you often have trouble sleeping, contact your health care provider. Identifying and treating any underlying causes can help you get the better sleep you deserve.