Commemorative Issue: 15 Years of the Sleep Medicine Clinics - Part 1: Sleep and Sleep Disorders
SLEEP MEDICINE CLINICS (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 1, 2022 Category: Sleep Medicine Authors: Ana c. Krieger, Teofilo Lee-Chiong Source Type: research
Copyright
ELSEVIER (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 1, 2022 Category: Sleep Medicine Source Type: research
Forthcoming Issues
Commemorative Issue: 15 years of the Sleep Medicine Clinics, Part 2: Medication and treatment effect on sleep disorders (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 1, 2022 Category: Sleep Medicine Source Type: research
Contributors
TEOFILO LEE-CHIONG Jr, MD (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 1, 2022 Category: Sleep Medicine Source Type: research
Contents
Ana C. Krieger and Teofilo Lee-Chiong Jr. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 1, 2022 Category: Sleep Medicine Source Type: research
Epidemiology of Insomnia
This article summarizes epidemiologic evidence on insomnia, including the prevalence, incidence, and risk factors, as well as its course and consequences. Approximately 10% of the adult population suffers from an insomnia disorder and another 20% experiences occasional insomnia symptoms. Women, older adults, and people with socioeconomic hardship are more vulnerable to insomnia. Insomnia is often a chronic condition, with a 40% persistence rate over a 5-year period. Insomnia is a significant public health problem that should be addressed at the individual level with appropriate clinical care and at the population level wit...
Source: Sleep Medicine Clinics - April 23, 2022 Category: Sleep Medicine Authors: Charles M. Morin, Denise C. Jarrin Source Type: research
Sleep Deprivation and Circadian Disruption Stress, Allostasis, and Allostatic Load
This article reviews these areas contextualized using the model of allostasis and allostatic load emphasiz ing the impact of this “wear and tear” on the brain and body. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - April 23, 2022 Category: Sleep Medicine Authors: Bruce S. McEwen, Ilia N. Karatsoreos Source Type: research
Menstrual Cycle Effects on Sleep
Sleep and circadian rhythms are altered in association with the hormonal changes in the menstrual cycle and in the presence of menstrual-associated disorders. The magnitude of the effect varies, particularly for self-reported sleep quality, which worsens in some, but not all, women when premenstrual symptoms emerge. Importantly, women with polycystic ovary syndrome (PCOS) have an increased risk for sleep-disordered breathing (SDB), which should be treated to mitigate health impacts. Potential menstrual cycle variability in sleep quality, as well as upper airway resistance, should be considered when evaluating reproductive-...
Source: Sleep Medicine Clinics - April 22, 2022 Category: Sleep Medicine Authors: Fiona C. Baker, Kathryn Aldrich Lee Source Type: research
Parasomnias and Sleep-Related Movement Disorders in Older Adults
Sleep paralysis is rare in the elderly but may occur particularly in families suffering from this phenomenon. In a minority of patients with disorders of arousal, the episodes persist until the age of 70. Zolpidem and other medications may induce sleepwalking and sleep eating-related syndrome. Most patients with idiopathic REM sleep behavior disorder (RBD) eventually develop Parkinson disease and dementia with Lewy bodies. Anti-IgLON5 disease includes abnormal behaviors in both nonrapid eye movement sleep and rapid eye movement sleep (REM) sleep. Restless legs syndrome prevalence increases with age until the sixth decade. ...
Source: Sleep Medicine Clinics - April 22, 2022 Category: Sleep Medicine Authors: Alex Iranzo Source Type: research
Neurobiology of Circadian Rhythm Regulation
In this review, we provide a summary of the field of mammalian circadian neurobiology circa 2015. While many additional details have emerged in the intervening 7 years, understanding of the fundamental structure and function of this critical neural system remains intact. Thus, the present review continues to provide a valuable introduction for those seeking an integrative multilevel overview of the circadian system. In brief, the circadian system comprises a coupled network of molecular/cellular- and tissue-level oscillators, hierarchically coordinated by the hypothalamic suprachiasmatic nuclear circadian pacemaker, and ...
Source: Sleep Medicine Clinics - April 22, 2022 Category: Sleep Medicine Authors: Alan M. Rosenwasser, Fred W. Turek Source Type: research
Neurodegenerative Disorders and Sleep
Patients suffering from neurodegenerative conditions frequently report sleep complaints, such as insomnia and excessive daytime sleepiness. These symptoms are likely multifactorial, caused by their underlying neurologic disorder and also by medications and other comorbidities associated with the progressive condition. A detailed history, sleep logs, actigraphy, or polysomnography may be necessary to properly diagnosis and manage these patients. Improvement in sleep may result in improvement in neurologic symptoms and quality of life in this population. There is growing evidence that disrupted sleep may lead to acceleration...
Source: Sleep Medicine Clinics - April 22, 2022 Category: Sleep Medicine Authors: Raman K. Malhotra Source Type: research
Sleep, Health, and Society
Insufficient sleep and sleep disorders are highly prevalent in the population and are associated with significant morbidity and mortality. Adverse outcomes of insufficient sleep and/or sleep disorders are weight gain and obesity, cardiovascular disease, diabetes, accidents and injuries, stress, pain, neurocognitive dysfunction, psychiatric symptoms, and mortality. Exposure to sleep difficulties varies by age, sex, race/ethnicity, and socioeconomic status; significant sleep health disparities exist in the population. Societal influences, such as globalization, technology, and public policy, affect sleep at a population leve...
Source: Sleep Medicine Clinics - April 22, 2022 Category: Sleep Medicine Authors: Michael A. Grandner Source Type: research
Sleep in Hospitalized Older Adults
Hospitalization is a period of acute sleep deprivation for older adults due to environmental, medical, and patient factors. Although hospitalized patients are in need of adequate rest and recovery during acute illness, older patients face unique risks due to acute sleep loss during; hospitalization. Sleep loss in the hospital is associated with worse health outcomes, including; cardio-metabolic derangements and increased risk of delirium. Because older patients are at risk of; polypharmacy and medication side effects, a variety of nonpharmacological interventions are recommended first to improve sleep loss for hospitalized...
Source: Sleep Medicine Clinics - April 21, 2022 Category: Sleep Medicine Authors: Nancy H. Stewart, Vineet M. Arora Source Type: research
Sleep Health and Road Safety
In 2017, the Asia-Pacific Economic Cooperation Sleep Technology Agenda emphasized the impacts of sleep health on road safety. An official meeting between the Department of Transportation of United States and the International Sleep Science and Technology Association took place in Washington, DC, on February 3, 2020. This was followed by several meetings in Taiwan advocated by the International Sleep Science and Technology Association Taiwan Chapter. We hope to raise the awareness in the government sectors, and to provide the scientific evidence of verified sleep and fatigue-monitoring technologies to avoid numerous tragedi...
Source: Sleep Medicine Clinics - March 1, 2022 Category: Sleep Medicine Authors: Rayleigh Ping-Ying Chiang, Hsiao-Ling Chen, Chi Jui Huang, Jung-Lung Chen Source Type: research
Contributors
RAYLEIGH PING-YING CHIANG, MD, MMS (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - March 1, 2022 Category: Sleep Medicine Source Type: research
