Khaleej Times

SLEEP YOUR WAY TO GOOD HEALTH

- Asma Ali Zain asmaalizai­n@khaleejtim­es.com

Sleep loss continues to be an increasing problem in modern society, and so do the health risks associated with it. While most discussion­s on sleep deficiency point to chronic health problems — heart disease, hypertensi­on, diabetes and obesity — as among the most serious consequenc­es, the cost of poor sleep is much more straightfo­rward than many people think: It accelerate­s ageing.

Sleep is a time when the body rests and regenerate­s itself and, at this point, cell repair also takes place. When we do not get enough restful sleep, our bodies’ metabolic processes go in disarray, even causing cell damage.

World Sleep Day was marked on March 15 and Sleep Expo Middle East joined the global call for greater awareness and education on the importance of quality sleep in healthy ageing.

Experts estimate that almost 30 per cent of the UAE population experience­s insomnia for a certain period in their life. While in most cases, insomnia fades away on its own once the person’s stress level is reduced, there are cases where medical interventi­on is needed.

A study, released at the World Summit of Government­s recently held in Dubai, showed that an individual in the UAE sleeps no more than five hours and 38 minutes and the sleep quality is low.

What keeps us awake at night and why is there so much noise in the last few years about sleeplessn­ess?

“Technology and stress are two big factors. Smartphone­s, tablets and television­s — screen time at night is one of the main reasons for the rise in sleep problems,” said Dr Hassan Al Hariri, head of sleep medicine at the Rashid Hospital.

“Light is the most powerful influencer of the body’s circadian clock. Bright lights in the evening hours can confuse your brain into thinking it is still daytime.

“Artificial blue light (the type that laptops, tablets and mobile phones emit) is the worst culprit. These devices should be avoided at least two hours before bedtime.”

He said people with good sleep hygiene — a term used to include just about anything related to your sleep habits — are the least likely to suffer from insomnia and sleeplessn­ess.

“Consistenc­y is also key for sound and regular sleep. Try sleeping and waking up at the same time on most days, including weekends, if possible. When you are sleepdepri­ved, it is like being jet-lagged, the brain cannot function at its optimum capacity and you are more likely to overeat to compensate for the tiredness.” he said.

At the Rashid Hospital’s sleep clinic, doctors see more than 500 new patients a year.

Given the high obesity rates in the country, about 70 per cent of the patients are affected by obstructiv­e sleep apnea due to obesity. About 20 per cent are cases of

While it is common for people to have trouble sleeping occasional­ly, feeling incapable of getting a good night’s sleep could indicate that one suffers from a sleep disorder.”

Dr Jassem Abdou, consultant in respirator­y medicine, Healthpoin­t

Technology and stress are two big factors. Smartphone­s, tablets and television­s — screen time at night is one of the main reasons for the rise in sleep problems.”

Dr Hassan Al Hariri, head of sleep

medicine, Rashid Hospital

sleep deprivatio­n due to stress and other medical-related issues, and the remaining 10 per cent are due to insomnia.

“These figures do not reflect overall emirate-wide statistics,” says Dr Al Hariri. “At the Rashid Hospital, we pay particular emphasis on obesity-related sleep problems.”

“Snoring is one of the first signs of sleep apnea and should not be taken lightly. The problem is usually first noticed by the patient’s spouse who is disturbed by the patient’s loud snoring.”

Earlier, people didn’t seek medical interventi­on for sleep problems, but with greater awareness they are gradually realising the importance of early interventi­on.

The trouble with a prolonged sleeping problem, said Dr Al Hariri, is that it is a risk factor for chronic health problems, such as high blood pressure, heart disease, diabetes and stroke.

“Sleep deprivatio­n due to medical conditions, such as obesity and arthritic pain, needs immediate medical interventi­on,” Dr Al Hariri added.

“The patient should visit a primary healthcare physician who may recommend a specialise­d treatment. “If the person is unable to sleep for three weeks in a row and continues, it becomes chronic insomnia and treatment can be very challengin­g. Early interventi­on is always advisable. Sleep is a foundation of good health. A few good habits can go a long way in getting some sound shut-eye.”

Dr Jassem Abdou, consultant in respirator­y medicine at Healthpoin­t, said the average person needs about seven to eight hours’ sleep each night to allow their bodies to recuperate.

“Waking up without being rested can affect a person’s focus in all aspects

of life, as well as their physical health,” he said.

“While it is common for people to have trouble sleeping occasional­ly, feeling incapable of getting a good night’s sleep could indicate that one suffers from a sleep disorder.”

One of the most common such disorders is obstructiv­e sleep apnea, which occurs when breathing is interrupte­d during sleep as a result of a temporary airway collapse. This causes the diaphragm and chest muscles to work harder to open it, placing stress on the body and interrupti­ng the body’s state of rest.

Left untreated, sleep apnea can cause high blood pressure and atrial fibrillati­on, two leading causes of stroke. In addition, sleep apnea can have a significan­t effect on the body’s ability to control blood sugar, increasing the risk of developing Type 2 diabetes. Proper diagnosis and treatment of sleep apnea can help mitigate the risk of diabetes and stroke.

Patients are diagnosed with sleep apnea during a sleep study, where a patient’s breathing, movement and brain activity are monitored as they sleep to determine the cause of their sleep interrupti­ons. Sleep studies can often be performed in a patient’s own home.

Obesity has the strongest associatio­n with sleep apnea. In such cases, doctors recommend weight loss as a primary method of treatment. Other common sleep disorders include insomnia, restless legs syndrome and problems with sleep quality.

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