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learned, and to have the energy to make the most of your college experience. It’s that simple.
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10 https://news.gallup.com/poll/166553/less-recommended-amount-sleep.aspx
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11 Cleveland Clinic, https://health.clevelandclinic.org/lack-sleep-make-crave-junk-food/
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Access for free at openstax.org
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11.2 • Sleep
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What Happens When We Sleep?
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Sleep is a time when our bodies are quite busy repairing and detoxifying. While we sleep we fix damaged
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tissue, toxins are processed and eliminated, hormones essential for growth and appetite control are released
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and restocked, and energy is restored. Sleep is essential for a healthy immune system. How many colds do you
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catch a year? How often do you get the flu? If you are often sick, you do not have a healthy immune system,
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and sleep deprivation may be a key culprit.
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A review of hundreds of sleep studies concluded that most adults need around eight hours of sleep to
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maintain good health. Some people may be able to function quite well on seven and others may need closer to
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nine, but as a general rule, most people need a solid eight hours of sleep each night. And when it comes to
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sleep, both quantity and quality are important.
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When sleep is cut short, the body doesn’t have time to complete all the phases needed for the repair and
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detoxification.
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A tiny lobe called the pineal gland helps us fall asleep. The pineal gland secretes melatonin to calm the brain.
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The pineal gland responds to darkness. If you are watching TV until the minute you go to bed and then sleep
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with the artificial light from smartphones and other devices, your brain is tricked into thinking it is still
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daylight; this makes it difficult for the pineal gland to do its job. In addition, if the TV shows you watch before
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bed are violent or action-packed, your body will release cortisol (the stress hormone). Anything that creates
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stress close to bedtime will make it more difficult to fall asleep. A bedtime practice of quiet activities like
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reading, journaling, listening to music, or meditation will make it much easier to fall asleep.
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What Happens If You Don’t Get Enough Sleep?
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Lack of sleep has a big impact on your overall state of health and well-being. Studies have linked poor sleep to
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a variety of health problems. The U.S. Centers for Disease Control and Prevention have identified sleep
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deprivation as a public health epidemic.
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A lack of sleep can change the way your genes express themselves. One notable study involved a group of
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healthy adults limited to six hours of sleep for one week. Researchers then measured the change in gene
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activity compared to the prior week when these same people were getting a full eight hours of sleep a night.
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The lack of sleep caused the activity of 711 genes to become distorted. About half of the genes were switched
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off by a lack of sleep, and these genes were associated with the immune system. The other half of the genes
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experienced increased activity from a lack of sleep, and these were genes associated with the promotion of
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12
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tumors, genes associated with long-term chronic inflammation, and stress genes.
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12 Archer, https://www.ncbi.nlm.nih.gov/pubmed/23440187
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343
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344
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11 • Engaging in a Healthy Lifestyle
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Figure 11.5 The Effects of Sleep Deprivation This visual depicts many of the ways we are affected by insufficient sleep. (Credit:
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Häggström, Mikael (2014). "Medical gallery of Mikael Häggström 2014". WikiJournal of Medicine. Public Domain.)
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Some of the health risks of insufficient sleep include the following:
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Increased risk of heart attack and stroke: In his book Why We Sleep, Matthew Walker, PhD, shares Japanese
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research showing that male workers who average six hours of sleep or less are 400 to 500 percent more likely
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to suffer one or more cardiac arrests than those getting more than six hours of sleep each night. Another
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study of women between the ages of 20 and 79 found that those who had mild sleep disturbance such as
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taking longer to fall asleep or waking up one or more times during the night were significantly more likely to
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13
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have high blood pressure than those who fell asleep quickly and slept soundly.
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Impaired cognitive function: Even one night of sleeping less than six hours can impact your ability to think
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clearly the next day.
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Increased risk of accidents: Sleep deprivation slows your reaction time, which increases your risk of
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accidents. You are three times more likely to be in a car crash if you are tired. According to the American Sleep
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Foundation, 40 percent of people admitted to falling asleep behind the wheel at least once. A Governor’s
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Highway Safety Association report estimates there are 6,400 fatal drowsy driving crashes each year. Fifty
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14
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percent of these crashes involve drivers under the age of 25.
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Figure 11.6 Driving while drowsy puts you, your passengers, and many others in danger. (Credit: Modification of work by Governors
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13 Matthew Walker, PhD Why We Sleep
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14 Governors Highway Safety Association
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Access for free at openstax.org
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11.2 • Sleep
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Highway Safety Association.)
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Driving after 20 hours without sleep is the equivalent of driving with a blood-alcohol concentration of 0.08
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percent—the U.S. legal limit for drunk driving.
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Weight gain/increased risk for obesity: Sleep helps balance your appetite by regulating hormones that play
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a role in helping you feel full after a meal. Also, cortisol is released during times of anxiety, and exhaustion
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causes your body to produce more cortisol. This can stimulate your appetite.
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Increased risk of cancer: Tumors grow up to three times faster in laboratory animals with severe sleep
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dysfunctions. Researchers believe this is because of disrupted melatonin production, as melatonin has both
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antioxidant and anticancer activity.
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Increased emotional intensity: The part of the brain responsible for emotional reactions, your amygdala, can
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be 60 percent more reactive when you've slept poorly, resulting in increased emotional intensity.
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For more information on the advantages and health risks of sleep watch this TED Talk (https://openstax.org/l/
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sleepsuperpower) by Matt Walker, PhD, Director of the Sleep Center at U California Berkeley.
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Tips to Improve the Quality of Your Sleep
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Now that you are more aware of the ways insufficient sleep harms your body, let’s review some of the things
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you can do to enhance your sleep.
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Make sleep a priority.
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It can be challenging in college, but try to get on a schedule where you sleep and wake at the same time every
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day to get your body accustomed to a routine. This will help your body get into a sleep rhythm and make it
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easier to fall asleep and get up in the morning.
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Sleep in a cool, quiet, dark room.
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