14. Sleep Flashcards

(43 cards)

1
Q

Why do we sleep? (4)

A
  1. energy conservation
    - reduce expenditure -> reduce fuel need?
  2. facilitate learning and memory
    - ‘classic’ EEG experiments
  3. cellular repair and restoration
    - products of oxidative stress build up
  4. evolutionary protection from predators
    - stay still, quiet, out of sight during the night when you’re vulnerable
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2
Q

Sleep requirements

A

depends on age

  • new born most sleep 14-17hrs
  • young adult 7-9hrs

variations between people
- more or less may be ok

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3
Q

how much do people actually sleep?

A

> 60% get less than 7hrs

> 30% get recommended

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4
Q

reasons for low sleep?

A

low priority
- too busy

sleep apnea (increasing)
- common with obesity
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5
Q

consequences of sleep deprivation

A
  • fatigue, lethargy. lack motivation
  • moodiness, irritability
  • creativity, problem solving
  • stress coping
  • immune system
  • concentration, memory
  • motor skills, more accidents
  • decision making
  • weight gain
  • heart disease and insulin resistance
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6
Q

top self reported sleep related difficulties

A
  1. concentration
  2. remembering
  3. working on hobbies

etc

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7
Q

low sleep requirement gene

A

DEC2 mutation

  • over expression sleep more
  • deletion sleep less

(mouse study)

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8
Q

people with DEC2 mutation

A

under expression / deletion –> require less sleep

  • faster metabolism
  • leaner
  • healthier overall

more “effecient” sleepers (maybe)

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9
Q

sleep cycle graph

A

Wake
REM
Non-REM
- 4 stages (light -> deep)

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10
Q

Metabolic processes during wake and sleep

A

wake

  • cortisol spike
  • catecholamine spike
  • insulin secretion
  • FA uptake and oxidation
  • glycolytic metabolism

sleep

  • melatonin spike
  • temp drop
  • growth hormone spike
  • leptin secretion
  • glucagon secretion
  • mitochondrial biogenesis
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11
Q

Vicious cycle of sleep and obesity

A

lack of sleep

  • decreased motivation
  • disrupted metabolism
  • hormonal changes
  • more time awake to eat
  • ** cause obesity

obesity

  • sleep apnea and other sleep disorders
  • depression and anxiety
  • chronic inflammatory state (leads to change in hormones)
  • ** cause lack of sleep
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12
Q

Study: weight gain and time spent sleeping

- women over 16 years

A

started heavier and gained more weight

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13
Q

childhood sleep and adult BMI

A

1hr reduction in sleep as child

– 50% increased risk of obesity at 32yr

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14
Q

% of people reporting insomnia increased

A

BMI

leisure time physical activity

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15
Q

sleep and appetite

- 2d with 4hr sleep vs 10hr sleep

A

lack of sleep increased appetite

  • decreased leptin
  • increased ghrelin
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16
Q

sleep and food choices

A

greater % wanted higher fat food choices
- need more energy while awake longer

study

  • 23 lean subjects
  • controlled for sleep
  • list of 80 foods, selected ones they desired
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17
Q

energy conservation during sleep

A

10% max (small)

E = BMR + thermic effect of food + physical activity

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18
Q

insomniacs and mental health

A

10x depression
17x anxiety

  • diseases cause either insomnia or oversleeping
  • ** viscous cycle
19
Q

why is lack of sleep so detrimental

A

less time spent in deep restorative sleep

20
Q

sleep and cognitive recognition and negativity

A

40% reduced recognition of words

  • forgot 50% positive words
  • only 20% negative words

negativity

21
Q

sleep and IR

A

whole body - 16% decrease
adipose - 30% decrease

study
4days of 4hr sleep vs 8hr sleep

22
Q

sleep and immune function

A

more antibodies produced during sleep

study

  • hep A shot
  • kept wake vs sleep
23
Q

shift workers

A

increased incidence of coronary heart disease

24
Q

daylight savings

A

1hr sleep huge difference

increased myocardial infarctions
- 7 days following forward (spring)

decreased myocardial infarctions
- 7 days moving back (fall)

25
OSA
obstructive sleep apnea - soft palate drops to block airway - intermittent and repetitive cessation of breathing - decreased blood O2 during sleep - fragmented sleep - decrease REM and slow wave NREM sleep * viscous cycle
26
OSA risk factors
obesity | >50% T2D
27
OSA treatment
CPAP | - continuous positive airway pressure
28
too much sleep
increased disease risk (chronic scenario) | - usually masks existing diseased
29
the body's internal clock
circardian rhythms - nerve cells hypothalamus - suprachiasmatic nucleus (SCN)
30
SCN function
suprachiasmatic nucleus in hypothalamus - produces melatonin - pineal gland - controlled by light
31
light and sleep
melanopsin receptors in eye sense light - transmit signal to SCN (suprachiasmatic nucleus) - prevents pineal gland from producing melatonin blue light worst
32
first and second sleep
used to sleep 2 ~4h - seperated 1-2hr of quiet time dark room 14hr per day for 4 weeks - returned to this sleep schedule
33
napping
20min - stages 1 and 2 - havent reached deep sleep yet
34
social jet lag
diff between body's sleep and life - work and school body clock vs social clock - dependent on chronotype
35
exercise and sleep
vigorous is best - physical exhaustion - morning is better vs evening
36
foods that help sleep
meats and dairy, complex carbs, cherries - tryptophan - increase seritonin ==> increase melatonin
37
NSRED
nocternal sleep related eating disorder
38
caffiene
antagonizes adenosine - 15mins - 6.5hrs length
39
alcohol
reduced REM sleep | - shorten latency but reduce quality
40
smoking
stimulant withdrawal during sleep sleep apnea risk factor
41
weed
reduce chronic pain - useful with illness lethargy and lack of motivation
42
technology
blue light
43
insomnia treatments
``` sleep hygeine practices prescriptions - benzodiazepines (valium) - non-benzodiazepine hypnotics (lunesta OTC (zzquil) natural (melatonin) ``` sex - men mostly - prolactin and oxytocin release