Sleep debt

Sleep debt

Sleep debt is the cumulative effect of not getting enough sleep. A large sleep debt may lead to mental and/or physical fatigue. There is debate in the scientific community over the specifics of sleep debt.

Scientific skepticism

There is debate among researchers as to whether the concept of sleep debt describes a measurable phenomenon. The September 2004 issue of the journal "Sleep" contained dueling editorials from two of the world's leading sleep researchers: David F. Dinges and Jim Horne. A 1997 experiment conducted by psychiatrists at the University of Pennsylvania School of Medicine [ [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=9231952&query_hl=5&itool=pubmed_docsum] , "Record" of Journal of Sleep Studies, April 1, 1997] suggested that cumulative nocturnal sleep debt affects daytime sleepiness, particularly on the first, second, sixth, and seventh days of sleep restriction.

Psychology

Sleep debt has been a subject in health and work psychology courses where it is mentioned that in order for one to "pay back" this debt it is necessary to sleep for half the amount of time owed.Fact|date=May 2008 For example, if of a daily recommended 8 hours sleep one sleeps only 4 hours, one will owe 4 hours; therefore 2 hours of sleep can make up for the 4. This rule is oversimplified, as timing and other factors will play a role.

Evaluation

Sleep debt has been tested in a number of studies, most notably by Klerman and Dijk through the use of a sleep onset latency test. [ [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=16295210&query_hl=3&itool=pubmed_docsum"] , "Record" of Journal of Sleep Studies, October 1, 2005] This test attempts to measure how easily someone can fall asleep. When this test is done several times during a day, it is called a "multiple sleep latency test" (MSLT). The subject is told to go to sleep and is awakened after a short period of time to determine the amount of time it took to fall asleep.

However, one does not have to go to a sleep clinic to try this experiment; a home process has been considered: it involves relaxing quietly and alone for a short amount of time. If the feeling of sleep comes fairly easily, one is considered to have sleep debt. Some also suggest that the quality of sleep can have an effect on the level of one's sleep debt.

The Epworth Sleepiness Scale (ESS) is among the tools used to measure potential sleep debt. Specifically, the ESS; created by Australian researchers, is a simple eight item questionnaire with scores ranging 0-24.

A January 2007 study [ [http://record.wustl.edu/news/page/normal/8539.html "First Biomarker for Human Sleepiness Identified"] , "Record" of Washington University of St. Louis, January 25, 2007] suggests that saliva tests of the enzyme amylase could be used to indicate sleep debt, as the enzyme increases its activity in correlation with the length of time a subject has been deprived of sleep.

Across society

The "National Geographic Magazine" reported the demands of work, social activities, and the availability of 24-hour home entertainment and internet access have caused people to sleep less now than in premodern times. [ [http://news.nationalgeographic.com/news/2005/02/0224_050224_sleep.html "U.S. Racking Up Huge "Sleep Debt""] , "National Geographic Magazine", February 24, 2005 ] However, Jim Horne, a sleep researcher at Loughborough University, questions such claims. In a 2004 editorial in the journal "Sleep", he notes available data suggest the average number of hours of sleep in a 24-hour period has not changed significantly in recent decades among adults.Fact|date=July 2008 Comparing data collected from the Bureau of Labor Statistics' American Time Use Survey [ [http://www.bls.gov/tus/home.htm Bureau of Labor Statistics' American Time Use Survey] ] from 1965-1985 [ [http://www.popcenter.umd.edu/sdaweb/glaser/Doc/GLAS.htm National Time Use Studies (1965-1985)] ] and 1998-2001, [ [http://www.popcenter.umd.edu/sdaweb/diary9801/Doc/Diar.htm National Time Use Studies (1998 thru 2001)] ] shows that the median amount of sleep, napping, and resting done by the average adult American has changed by less than 0.7%, from a median of 482 minutes per day from 1965 through 1985, to 479 minutes per day from 1998 through 2001. Furthermore, the editorial suggests that there is a range of normal sleep time required by healthy adults, and many indicators used to suggest chronic sleepiness among the population as a whole do not stand up to scientific scrutiny.

Footnotes

External links

* [http://www.harvardmagazine.com/on-line/070587.html "Harvard Magazine" article, "Deep into Sleep"]


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