What is
Sleep?
Sleep is a mental
and physical
state of rest,
during which time
the person is
usually inactive.
There is a
relative lack of awareness of environment and, to a certain
degree, the person is unaware of stimuli. Sleep is usually
accompanied by a decrease in body temperature, blood
pressure, respiration rate, and most bodily functions.
However, one's brain remains active during sleep. In fact,
tasks such as storing of short-term memory material into
long-term memory and replenishment of neurochemicals
occur during sleep.
Structure of Normal Sleep
There are two distinct types of sleep: 1) Rapid Eye
Movement (REM) sleep (also known as dreaming sleep),
and 2) Non-REM (NREM) sleep. Sleep is composed of 5
stages. Stages I-IV are known as NREM sleep (with stages
III & IV being deep sleep). Stage V is REM sleep. Humans
generally alternate between REM and NREM in 90-110
minute cycles.
The process is as follows: once asleep, we move into stage I,
then cycle through stages II – IV in roughly 30-40 minutes; we
cycle back briefly through stage III and II, then REM. This
process normally occurs 4-5 times per night.
When Do We Sleep?
Humans respond to circadian rhythms, or a "biological clock."
Certain structures in the brain (the superchiasmatic nucleus) are
responsible for coordinating the biological clock. These brain
structures are sensitive to light and dark. Some have argued that
this results in daytime sleep being less restful than night sleep.
Daylight normally triggers periods of wakefulness. As humans,
we experience "sleepy peaks" which occur every 12 hours – at
night and in the afternoon.
Why Do We Sleep?
The two main reasons for sleeping are:
Restoration – rejuvenates, refreshes; allows brain to perform
certain tasks (e.g., memory), allows certain physiological
processes to take place (e.g., replenishment of biochemicals)
Functioning – amount and quality of sleep directly impacts
how functional a person is during the day.
Sleep is a necessary biological function, and deprivation can
have many negative effects, such as: irritability, decreased short-
term memory, decreased attention/concentration, mood swings,
decrease in immune system function, and ultimately…death. It is
estimated that approximately 50% of Americans are sleep
deprived. This often results in accidents, and has resulted in the
development of legislation against sleepy driving in some states.
How Much Sleep Does One Need?
It is generally agreed that the average adult needs 6-8 hours.
Some have argued that certain people need only a few hours of
sleep per night, while other people may need as many as ten
hours of sleep per night. If one is sleep deprived, a cumulative
effect has been noted to occur over time, known as a "sleep
debt." This sleep debt must eventually be "repaid" in full, at which
time a person feels rested.
Most experts agree with the table below that shows the average
amounts of sleep needed based on a persons age.
Nevertheless, your specific sleep needs can be better determined
through our
Dyssomnias
•
Anxiety
•
Bedwetting
•
Body Jerks at Bedtime
•
Daytime Fatigue
•
Depression
•
Difficulty Sleeping
•
Dry Mouth
•
Erectile Dysfunction
•
Excessive Daytime Sleepiness
•
Frequent Nighttime Urination
•
Gasping/Shortness of Breath at Night
•
Gastroesophageal Reflux
•
Heart Arrhythmias
•
High Blood Sugar
•
Leg Movements at Bedtime
•
Leg Movements During Sleep
•
Memory Loss
•
Nasal Congestion
•
Pain
•
Snoring
•
Sore Throat
•
Tossing and Turing During Sleep
•
Obstructive Sleep Apnea
•
Restless Leg Syndrome
Periodic Limb Movement Disorder
•
Hypersomnias-Excessive Sleepiness
•
Insomnias
sleep assessment program.