scholarly journals Sleep as a biological rhythm: clinical aspects

2021 ◽  
pp. 56-61
Author(s):  
A. N. Puchkova ◽  
M. G. Poluektov

Insomnia is a widespread disorder affecting not only sleep quantity and quality, but also daytime well-being and performance, as well as having a negative impact on physical and mental health. Many people have problems falling asleep and maintaining sleep that do not reach the clinical criteria of insomnia. For all the prevalence of such sleep disorders, specialists often overlook a fundamentally important factor that affects sleep and wakefulness cycle, ease of falling asleep and daytime performance. These are circadian rhythms of the body under the control of the biological clock.This review highlights the specifics of the human biological clock and its relationship to insomnia and complaints of poor sleep. The phenomenon of the human chronotype as a set of individual preferences in sleep-wake rhythm is considered. Late chronotype, tat tends to wake up late and be active in the evening turns out to be the most vulnerable to the appearance of complaints of poor sleep and development of insomnia. This result is typical for different age groups. The reason for problems sleep for the late chronotype is the need to adjust to social demands and to fall asleep and wake up too early relative to the phase of one’s own circadian rhythm.Circadian rhythms may contribute to the formation and maintenance of insomnia. Both chronic and acute insomnia may have a chronobiological component that is not always considered. Late chronotype may be a factor further exacerbating the course of insomnia. The regularity of circadian rhythms may also be impaired in insomnia.The importance of the biological clock in the regulation of sleep and wakefulness also explains the successful approach to insomnia treatment with melatonin, which plays an important signaling role in the circadian regulation of the body.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 933-933
Author(s):  
Tara Gruenewald ◽  
Anthony Ong ◽  
Danielle Zahn

Abstract The COVID-19 pandemic represents an unprecedented threat to individual and public health, psychosocial, and economic well-being, although COVID-19 threats and impacts may vary by age and other demographic characteristics. Although greater age is a risk factor for greater COVID-19 disease severity, we know little about the association between age and perceived and experienced COVID-19 threats and their association to well-being. These associations were examined in an ongoing 3-wave investigation of over 1,700 U.S. adults (age 18-89; 53.1% female). Wave 1 analyses indicate no significant age variation in perceived threat of COVID-19 infection, with older and younger individuals reporting similar levels of COVID-19 infection threat. However, greater age was associated with lower perceived negative impact on financial and needed resources (r=-.10**), lower perceptions of COVID-19 induced harm to mental well-being (r=-.17**), and more favorable well-being profiles. Greater perceived COVID-19 threat and negative impact on resources and well-being were linked to greater feelings of stress (β’s=.45 to .68***), loneliness (β’s=.24 to .49***), social well-being (β’s=-.19 to -.36***), and poor sleep quality (β’s=.34 to .51***). These associations did not vary with age with the exception that older individuals showed stronger links between COVID-19 threat and impacts and poorer sleep quality. Ongoing analyses are examining whether these associations persist over time. Despite older adults’ greater risk of COVID-19 disease severity and mortality, older age did not appear to be linked to greater perceived COVID-19 threat or impacts, nor linkages to ill-being, with the possible exception of potential greater vulnerability to poor sleep quality.


Kidney360 ◽  
2020 ◽  
Vol 1 (12) ◽  
pp. 1390-1397
Author(s):  
Jacqueline Lee ◽  
Jennifer Steel ◽  
Maria-Eleni Roumelioti ◽  
Sarah Erickson ◽  
Larissa Myaskovsky ◽  
...  

BackgroundThe coronavirus disease 2019 (COVID-19) may have a negative effect on the mental and social health of patients with ESKD on chronic in-center hemodialysis (HD), who have a high burden of psychologic symptoms at baseline and unavoidable treatment-related COVID exposures. The goal of our study was to assess the effect of the COVID-19 pandemic on the psychosocial health of patients on chronic in-center HD.MethodsParticipants enrolled in the ongoing Technology Assisted Collaborative Care (TĀCcare) trial in Western Pennsylvania and New Mexico were approached for participation in a phone survey in May 2020. Data on the pandemic’s effects on participants’ physical and mental health, symptoms (such as anxiety, mood, loneliness, sleep, and stress), and food and housing security were collected.ResultsSurveys were completed by 49 participants (mean age 56 years; 53% men, 18% Black, 20% American Indian, and 22% Hispanic). Almost 80% of participants reported being moderately to extremely worried about the pandemic’s effects on their mental/emotional health and interpersonal relationships. More than 85% of the participants were worried about obtaining their dialysis treatments due to infection risk from close contact in the dialysis facility or during transportation. Despite this, 82% of participants reported being not at all/slightly interested in trying home dialysis as an alternative option. Overall, 27% of the participants had clinical levels of depressive symptoms but only 12% had anxiety meeting clinical criteria. About 33% of participants reported poor sleep quality over the last month. Perceived stress was high in about 30% of participants and 85% felt overwhelmed by difficulties with COVID-19, although 41% felt that things were fairly/very often going their way.ConclusionsOur study provides preliminary insights into the psychosocial distress caused by the COVID-19 pandemic among a diverse cohort of patients receiving chronic HD who are participating in an ongoing clinical trial.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S526-S526
Author(s):  
G Rainville ◽  
Cheryl Lampkin

Abstract Getting restful sleep is essential to well-being but stress and poor sleep habits may make sleeping through the night challenging. This research explored life event stressors and pre-sleep activities among 2,464 randomly selected Americans age 40 and older (using Ipsos’ KnowledgeNetwork panel) to determine their joint effects on mental well-being. Respondents reported how often they engaged in twelve individual behaviors within an hour of going to sleep. These behaviors (found to be inter-correlated) were combined using EFA into four factors representing levels of engagement in each of four classes of pre-sleep activities: pre-sleep electronics use (e.g. texting/e-mail before bed), deep relaxation activities, reliance on sleep-aids, and “nightowl” behaviors (i.e., snacking). Counter to expectations, only electronics use had significant conditional effects on the path between a life events stressor index (a count of current, potentially stressful life events) and scores on the positively-framed Warwick Edinburgh well-being scale (WEMWBS). How often one sleeps through the night also had unexpected effects in a conditional path analysis. A somewhat-involved relationship emerges between each of the theoretically-relevant measures. First, the negative impact of stress is moderated by sleeping through the night. Sleeping through the night is, counter to previous studies on electronics use and sleep, mediated by the use of electronics prior to sleep. We propose that mechanisms (such as the nature of backlighting used in electronics) that hamper restfulness may be offset by relaxation effects or by setting one’s ducks in a row by texting/emailing before going to sleep.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A76-A76
Author(s):  
K Fergason ◽  
W Rowatt ◽  
M K Scullin

Abstract Introduction The psychology of religion literature indicates that religious engagement is beneficial to physical and mental health. Such effects might be mediated by sleep health, which causally affects mood, cognitive, and immune functioning. However, few studies have investigated whether religiosity is associated with better sleep, and no studies have considered the reverse causal direction: better sleep may impact religious behaviors or perceptions. Methods We conducted a secondary data analysis of 1,501 participants in Wave 5 of the Baylor Religion Survey (BRS-5). Completed in Spring 2017, the BRS-5 used Address Based Sample methodology to derive a population-based sample. The survey included questions on religious affiliation, behaviors, and perceptions (e.g., certainty of Heaven). Additionally, participants rated their difficulty falling asleep and their average total sleep time. We investigated whether participants were meeting AASM/SRS consensus guidelines of 7–9 hours/night. Results Religious affiliation was associated with sleep duration, but not in the predicted direction. Atheists/Agnostics (73%) were significantly more likely to report meeting consensus sleep duration guidelines than religiously-affiliated individuals (65%), p<.05. For example, Atheists/Agnostics reported better sleep duration than Catholics (63%, p<.01) and Baptists (55%, p<.001). Atheists/Agnostics also reported less difficulty falling asleep at night than Catholics (p=.02) and Baptists (p<.001). The effects persisted when controlling for age and were particularly evident in members of African American congregations. Perceptions of getting into Heaven were significantly higher in participants who obtained better sleep duration, p<.05, but interestingly, such beliefs/perceptions were unrelated to difficulty falling asleep at night, suggesting that better sleep may lead to these perceptions rather than vice versa. Conclusion In contrast to predictions, religious affiliation was associated with significantly poorer sleep health. Poor sleep health has implications for physical and mental health, and seemingly also religious perceptions/beliefs. Future experimental work is required to disentangle the causal direction of sleep-religiosity associations. Support The Baylor Religion Survey was supported by the John Templeton Foundation.


2021 ◽  
Vol 8 (12) ◽  
pp. 332
Author(s):  
Kristel J. Scoresby ◽  
Elizabeth B. Strand ◽  
Zenithson Ng ◽  
Kathleen C. Brown ◽  
Charles Robert Stilz ◽  
...  

Pet ownership is the most common form of human–animal interaction, and anecdotally, pet ownership can lead to improved physical and mental health for owners. However, scant research is available validating these claims. This study aimed to review the recent peer reviewed literature to better describe the body of knowledge surrounding the relationship between pet ownership and mental health. A literature search was conducted in May 2020 using two databases to identify articles that met inclusion/exclusion criteria. After title review, abstract review, and then full article review, 54 articles were included in the final analysis. Of the 54 studies, 18 were conducted in the general population, 15 were conducted in an older adult population, eight were conducted in children and adolescents, nine focused on people with chronic disease, and four examined a specific unique population. Forty-one of the studies were cross-sectional, 11 were prospective longitudinal cohorts, and two were other study designs. For each of the articles, the impact of pet ownership on the mental health of owners was divided into four categories: positive impact (n = 17), mixed impact (n = 19), no impact (n = 13), and negative impact (n = 5). Among the reviewed articles, there was much variation in population studied and study design, and these differences make direct comparison challenging. However, when focusing on the impact of pet ownership on mental health, the results were variable and not wholly supportive of the benefit of pets on mental health. Future research should use more consistent methods across broader populations and the development of a pet-ownership survey module for use in broad, population surveys would afford a better description of the true relationship of pet ownership and mental health.


2021 ◽  
Vol 12 ◽  
Author(s):  
Elena Dubinina ◽  
Lyudmila S. Korostovtseva ◽  
Oxana Rotar ◽  
Valeria Amelina ◽  
Maria Boyarinova ◽  
...  

Background and hypothesisPhysical activity (PA) is an important behavioral factor associated with the quality of life and healthy longevity. We hypothesize that extremely low and extremely high levels of daily PA (including occupational PA) may have a negative impact on sleep quality and psychological well-being.ObjectiveThe aim of the study is to investigate the association between the level and type of PA and sleep problems in adult population.Materials and methodsThe sample of the study consisted of the participants from the population-based cohort of The Epidemiology of Cardiovascular Risk Factors and Diseases in Regions of the Russian Federation Study (ESSE-RF). The data of three regions (Saint Petersburg, Samara, Orenburg), varying in geographic, climatic, socioeconomic characteristics, was included into analysis. The total sample consisted of 4,800 participants (1,600 from each region; 1,926 males, 2,874 females), aged 25–64. The level of PA was evaluated using three parameters: the type of PA at work, the frequency of an intensive/high PA including sport (times a week), the mean duration of leisure-time walking (minutes a day). The measures of sleep quality were sleep duration and the frequency of difficulty falling asleep, difficulty maintaining sleep, daytime sleepiness, and sleep medication use. PA and sleep characteristics were assessed by interview carried by the trained medical staff.ResultsWhen controlling for gender, age and socioeconomic status (SES) extremely high occupational PA was a significant risk factor for difficulty falling asleep three or more times a week [OR(CI95%) = 1.9(1.2–3.0), p = 0.003] while working in a sitting position or having moderate physical load at work were not associated with sleep characteristics. Having a high physical load six or more times a week was a risk factor for difficulty falling asleep controlling for gender, age and SES [OR(CI95%) = 1.9(1.4–3.4), p = 0.001]. The association between leisure-time walking and sleep characteristics was insignificant. Walking less than an hour a day was associated with increased depression scores (46.5 vs. 41.9%, p = 0.006).ConclusionHigh physical load at work and excessively frequent intensive PA are associated with difficulties initiating sleep and may represent a risk factor for insomnia.


2021 ◽  
Vol 162 (27) ◽  
pp. 1089-1098
Author(s):  
Zsolt Szakály ◽  
József Bognár ◽  
Zoltán Tánczos ◽  
Csaba András Dézsi

Összefoglaló. Bevezetés: A szociális szférában dolgozók túlterheltsége jelentős, és munkakörülményeik többnyire kedvezőtlenek. Bizonyított, hogy az életcélok meghatározzák a karrier, az egészségtudatosság és az életminőség területeit, de ez utóbbi a szociális dolgozók mintáján még nem került bizonyításra. Célkitűzés: A kutatás célja, hogy bemutassa egy szociális és egészségügyi szolgáltatóintézmény női dolgozóinak (n = 127) tápláltsági és fittségi állapotát és életminőségét, valamint az életcélok meghatározó szerepét ezekre a mutatókra. Módszer: Kérdőív, teszt, testösszetétel-vizsgálat és fittségiállapot-felmérés segítségével gyűjtöttünk adatokat, amelyeket különbözőségvizsgálattal és regresszióelemzéssel elemeztünk. Eredmények: A minta tápláltsági mutatója túlsúlyra utal, míg a fittségi állapot, az életminőség és az életcélok még elfogadható tartományban vannak, de a szélsőértékek jelentősek. A magasabb életcélokkal rendelkezők jobb fittségi mutatókkal és életminőséggel jellemezhetők. Az ülőmunkát és a fizikai munkát végzők között minimális különbség volt kimutatható a tápláltsági mutatók, a fittség és az életminőség tekintetében. A táppénzt igénybe vevők gyengébb fittségi és életminőség-mutatókkal rendelkeznek, mint akik nem voltak betegszabadságon. Az életkor előrehaladtával romló testösszetételt és fittségi állapotot detektáltunk. Következtetés: A korábbi kutatási eredményeket megerősíthetjük abban, hogy a szociális dolgozók tápláltsági és fittségi mutatói, valamint életminőségszintje nem optimális. Az életcélok meghatározó szerepe a vizsgált területek számottevő részében bizonyítást nyert. A dolgozói életcélok megerősítésének egyik fontos színtere a munkahely, ahol számos pozitív hatás érhető el a testi-lelki egészség, a jóllét és a munkateljesítmény területein is. Orv Heti. 2021; 162(27): 1089–1098. Summary. Introduction: Professionals working in the social sector typically do significant overwork in rather unfavourable working conditions. Although the purpose in life is proved to determine the areas of career, health awareness, and the quality of life, the latter has not yet been confirmed among social workers. Objective: The purpose of this research is to demonstrate body composition and fitness status as well as the quality of life of female employees (n = 127) at a social institution, furthermore the decisive role purpose of life plays in these indicators. Method: Data were collected through questionnaires, tests, body composition analyses, and fitness status tests, and were assessed by t-test, analysis of variance and regression analysis. Results: Body composition of the participants indicates a generally overweight status, while fitness status, quality of life, and purpose of life are within the acceptable range, however, all with notable range values. Those with a higher-level purpose of life demonstrate better fitness indicators and higher quality of life. In terms of body composition, fitness, and quality of life, only a minor difference was found between those who do intellectual and physical type of work. Those who took sick leave demonstrated a lower level of fitness and quality of life compared to those who did not take any sick leave. Body composition and fitness status have proven to deteriorate with age. Conclusion: Previous research findings can be confirmed by stating that neither the body composition and fitness indicators, nor the quality-of-life level of social workers are optimal. The determining role of purpose in life has been proven in substantial aspects in this study. One of the focus areas of enhancing purpose in life is the workplace, where major positive impacts can be achieved in terms of the physical and mental health, well-being, and work performance. Orv Hetil. 2021; 162(27): 1089–1098.


The structure of the human biological rhythm is most sensitive to changes that occur when you alter usual living conditions. That is why the authors of the work devoted their attention to the study of its basic parameters such as the analysis of the daily regimen, taking into account the “wakefulness and rest” cycles, the sleep quality index, the severity of insomnia. These parameters directly affect the person’s efficiency and results of sports activities. The authors have developed a system for the electronic diagnosis of human biorhythms. You can get acquainted with it at the open educational resources of V.N.Karazin Kharkiv National University. In the work, for the first time, the basic cycles of “wakefulness and sleep”, “activity and rest” were evaluated as basic cycles of the day regimen of students professionally involved in sports using electronic diagnostics. Insomnia severity index was evaluated, which directly affects the psychosomatic state and can be a cause of violation of the dynamic stereotype of a person, deterioration of health. These factors contribute to the development of desynchronosis. The data obtained indicate that the surveyed group of individuals can quite easily adapt to work both in the morning and in the evening, but it is likely that these individuals have unnatural types of daily working capacity, which are manifestations of adaptation to new living conditions. Also, this group of people is characterized by medium and high levels of sleep quality and body recovery. It is easier for people of this group to fall asleep in non-standard conditions than to stay awake at unusual time. Modern youth, despite an active (sporty) lifestyle, has certain violations in the duration and nature of sleep. The data obtained indicate that reducing the duration of sleep by 1.3–1.5 hours directly affects the state of wakefulness and sleep during the day. Despite the fact that chronic sleep deprivation in this group of students professionally involved in sports has not been identified, some individual variations in the need for quality of sleep are revealed, after a long sleep, there is minimal improvement in daytime wakefulness, reduction of fatigue, improvement in the processes of memory, perception and concentration. All these indicators directly affect the sports result. Compensation of lack of nocturnal sleep is mainly possible only due to longer breaks for rest during the day. Thus, the need for sleep is determined on the one hand by the processes of relaxation and fatigue, which increase during wakefulness, and the circadian process – the cycle of “activity and rest”. The level of need for sleep increases during wakefulness and decreases during sleep, while the circadian rhythm is an independent component under the control of the internal biological clock. Thus, the need for sleep at any given moment is a summation of the processes of “activity and rest”, “wakefulness and sleep” and internal biological clocks, and disturbances in the interaction of these processes explain subjective experiences associated with disruption of the daily rhythm at abrupt changes in the daily pattern and changes of length of daylight. Therefore, when the time of falling asleep falls on the period of activity and the person cannot fall asleep, and feels constant drowsiness during the day due to the growing need for sleep, this is a violation of the “wakefulness and sleep” cycle associated with new living conditions and stress loads on the body.


Author(s):  
Heather C. Guidone

Abstract Embedded in the centuries-old assertion that the womb was a nomadic entity wandering about the body causing hysteria and distress, persistent menstrual misinformation and misconceptions remain prevalent wherein pain disorders like endometriosis are concerned. Affecting an estimated 176 million individuals worldwide, endometriosis is a major cause of non-menstrual pain, dyspareunia, painful menses and reduced quality of life among individuals of all races and socioeconomic backgrounds. Wide-ranging symptoms may be dismissed as routine by both patients and practitioners alike due to lack of disease literacy, and lengthy diagnostic delays can exacerbate the negative impact of endometriosis on the physical, psychological, emotional and social well-being of those affected. This chapter identifies some of these challenges and explores how obstacles to best practice can be reduced in part through adoption of early educational campaigns which incorporate endometriosis as a major component of menstrual health education.


Author(s):  
C.R Srinivasan ◽  
Guru Charan ◽  
P Chenchu Sai Babu

<span>Smart and connected health care is of specific significance in the spectrum of applications enabled the Internet of Things (IoT). Networked sensors, either embedded inside our living system or worn on the body, enable to gather rich information regarding our physical and mental health. In specific, the accessibility of information at previously unimagined scales and spatial longitudes combined with the new generation of smart processing algorithms can expedite an advancement in the medical field, from the current post-facto diagnosis and treatment of reactive framework, to an early-stage proactive paradigm for disease prognosis combined with prevention and cure as well as overall administration of well-being rather than ailment. This paper sheds some light on the current methods accessible in the Internet of Things (IoT) domain for healthcare applications. The proposed objective is to design and create a healthcare system centered on Mobile-IoT by collecting patient information from different sensors and alerting both the guardian and the doctor by sending emails and SMS in a timely manner. It remotely monitors the physiological parameters of the patient and diagnoses the illnesses swiftly. </span>


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