Is there anything more frustrating than spending an entire night listening to the tick of the clock on your bedside table?
Restless nights can sap your vitality and zip. Without enough rest, you become more forgetful, have difficulty concentrating, become more accident prone, and often feel irritable. As we get older, the natural aging process, certain chronic conditions, and medicines can all erode your chances of a good night's rest.
Sleep disorders are more common than you might think. Some of the most common sleep disorders include:
Insomnia is a common complaint—it is more common in older people and women. Problems with sleep may include difficulty falling asleep, difficulty staying asleep, frequent night wakings, sleepiness during the day, and sleep that is not refreshing. Sleep troubles may seem like just an inconvenience, but if left untreated, insomnia can lead to poor overall health and even depression.
According to the National Sleep Foundation, a number of health problems can make sleeping difficult:
Good sleep habits include:
A study reported in the Journal of the American Medical Association found behavioral changes provided longer-lasting benefits in the treatment of insomnia than did sleep medicines. With a diary of your sleep and wake habits, your doctor may help determine the cause of and solution to your sleeplessness.
Melatonin supplements are not approved by the Food and Drug Administration (FDA) and lack sufficient evidence proving that they can aid sleep. However, research indicates that melatonin might be beneficial for patients with jet lag. Valerian, an herb, has been used all over the world to induce sleep. There is mixed evidence to how effective it is though. Inform your doctor if you are taking any herbal supplements.
Remember that sleep is a necessity, not a commodity. It is as much a part of overall health as good nutrition and regular exercise. So do not settle for two to three hours per night. Crawl into a comfortable bed, don your earplugs, and turn off all the lights. And call your doctor if you need help.
American Academy of Sleep Medicine
National Heart, Lung, and Blood Institute
National Institute on Aging
National Sleep Foundation
Better Sleep Council Canada
Canadian Sleep Society
Bradley TD, Floras JS. Sleep apnea and heart failure: Part I: obstructive sleep apnea. Circulation. Apr 2003;107(12):1671-8.
Brennan R, Jan JE, Lyons CJ. Light, dark, and melatonin: emerging evidence for the importance of melatonin in ocular physiology. Eye. Sep 22, 2006.
Can't sleep? what to know about insomnia. National Sleep Foundation website. Available at: http://www.sleepfoundation.org/article/sleep-related-problems/insomnia-and-sleep. Accessed July 17, 2012.
Insomnia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated July 9, 2012. Accessed July 17, 2012.
Morin CM, Koetter U, Bastien C, Ware JC, Wooten V. Valerian-hops combination and diphenhydramine for treating insomnia: a randomized placebo-controlled clinical trial. Sleep. Nov 1, 2005;28(11):1465-1471.
Tasali E, Mohkalesi B, VanCauter E. Obstructive sleep apnea and type 2 diabetes: interacting epidemics. Chest. 2008;133(2):496-506.
Last reviewed July 2012 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
What can we help you find?close ×