Sleep Disorders: Insomnia

Truck drivers and doctors are also at increased risk, as are parents and teenagers. Many American teenagers are forced to wake up quite early for school and this can affect sleep patterns even though continued for a long time. A lack of physical activity during the day can also contribute. Certain physiological abnormalities can also contribute, directly or indirectly, to sleep problems, such as abnormalities in major body systems (brain, nervous system, cardiovascular system, immune system). Not all Sleep Problems Develop into Disorders Stress is the number one cause of short-term sleep issues, and many sleep issues will dissipate when the stress levels return to normal.
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Sleep Disorders in AD

Surgery of any kind, as well as back injuries, may precipitate or worsen restless leg syndrome. Medications known to worsen symptoms include anti-nausea drugs, caffeine antihistamines, antidepressants, antipsychotic drugs, and anti-seizure medications. Patients with gluten sensitivity enteropathy may notice a worsening of symptoms when gluten is ingested. Because restless leg syndrome is associated with low iron levels, all patients with symptoms should have iron and ferritin levels. Iron supplements are often used as a treatment for restless leg syndrome. In familial cases, folic acid supplements, vitamin E and ginkgo biloba are reported to improve symptoms.
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Sleep Disorders in Chronic Fatigue Syndrome

When they performed sleep studies of 343 people meeting the Fukuda definition of ME/CFS, they found that 104 – nearly a third – had a primary sleep disorder that explained their symptoms, and thus didn’t have ME/CFS at all. A 1/3 misdiagnosis rate is enough of a reason to look more closely for sleep disorders. In those who didn’t have primary sleep disorders, just under 90% met the criteria for at least one measurable sleep problem. Researchers identified four different groups based on sleep abnormalities. They were: Group 1: Slower to get to sleep, delayed Rapid Eye Movement (REM), lower percentages of stage 2 and REM sleep; Group 2: More frequent awakenings; Group 3: Longer total sleep time, less delayed REM sleep, higher percentage of REM sleep, lower percentage of wake time; Group 4: Shortest total sleep time, highest percentage of wake time after sleep onset. Researchers concluded that doctors need to routinely screen for sleep disorders when considering an ME/CFS diagnosis, and that they should use sleep studies to identify sleep problems and tailor treatments to the specific groups.
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