1 From Sleep Center to Sportscenter: Sleep as the Next Performance Enhancer for Athletes Raman Malhotra, MD Co-Director, SLUCare Sleep Disorders Center St. Louis University School of Medicine
2 Objectives: Become familiar with differences in sleep in elite athletes versus the general population Learn the effects poor sleep and sleep disorders can have on athletic performance Learn about circadian physiology and methods to combat jet lag
4 Looking for the Edge!
6 The U.S. Olympic Committee began taking the issue of adequate sleep seriously in 2005, when it consulted with sleep specialist Mark Rosekind, a former NASA scientist, to help redo rooms at the Olympic Training Center in Colorado Springs and at the 2006 Torino Olympics. Out went twin beds; in came plush-top mattresses, blackout curtains, thermostats set to cool temperatures and reliable alarm clocks. Rosekind and his colleagues pushed for the Olympians to get nine to 10 hours of sleep a night, not the five to seven most young adults manage.
8 WHY study athletes and sleep? May provide an ethical, legal, and safe performance enhancer.
9 Why study athletes? Athletes who have their sleep disorders treated may act as good ambassadors for sleep medicine. (Katie Couric effect?) Athletic performance is already tracked in detail with statistics.
10 Why study athletes? Whatever we find helps athletes perform better will likely help others perform better in society. Professional athletics/teams may provide funding for research since they do well economically.
11 What Sleep Disorders Do Athletes suffer from?
12 Insomnia in Tiger Woods
16 What sleep disorders do athletes suffer from? Sleep Deprivation Obstructive Sleep Apnea Circadian Rhythm Disorders/Jet lag Parasomnias Insomnia
17 SLEEP DEPRIVATION
18 SLEEP DEPRIVATION: UNKNOWN how common, but likely very common in athletes given their schedules. Athletes use many drugs or substances to help with alertness, including stimulants (amphetamines), modafinil, ephedrine, and caffeine.
19 Poor Quality Sleep: 46 high school athletes completed the Pittsburgh Sleep Quality Index (PSQI). 85% had scores of 5 or higher 27% had scores of 8 or higher Samuels C, Neurol Clin, Feb 2008
20 Young adults (21-36yo) 78% had scores of 5 or higher 26% had scores of 8 or higher Samuels C, Neurol Clin, Feb
22 Elite Athletes Wrist Actigraphy of Olympic Athletes showed: more sleep fragmentation (36 vs 30) Worse sleep efficiency (80.6 vs 88.7%) Leeder J, J Sports Sci, 2012
23 Use of stimulants One study of college hockey players showed that 51.8% reported using ephedrine before a game at least once. 18% reported using ephedrine within 30 days of the questionairre This substance is banned (since 1997)
24 Importance of Sleep for Memory Sleep is needed to help with memory consolidation, and sleep disruption may be associated with decreased ability to learn and improve skills necessary for team performance. (Walker M, Stickgold R. Clin Sports Med Apr 2005, p )
25 Sleep extension and napping? Dement and Carskadon showed improved alertness if subjects spent 10 hours in bed over 4 days (Sleep Res, 1979) 2007-Cheri Mah and Dr. William Dement performed studies on 6 Stanford basketball players. They allowed them to sleep as much as they could and compared their sprint times and free throw shooting percentages to their baseline that was measured 2 weeks previous.
26 Harvard Work Hours Health and Safety Group
27 Mah and Dement Sprint times improved from 16.3 seconds to 15.3 (p<0.05) Free throw % went from 79% to 88% Epworth scores decreased from 9.2 to 2.8 (p<0.05) and energy and fatigue scales improved. *Mah C, Mah K, Dement. Sleep, % (p<0.05)
28 Sleep 2008 (Balitimore) Poster Presentation Mah and Dement also looked at swimmers in 2008: Sleep extension (10 hours of sleep) showed improvements: (all with p<.05) 15m sprint times (6.98 vs 6.47) reaction times (0.88 vs 0.73) kick strokes (26.2 vs. 31.2) ESS 11 to 2.4
29 Naps Naps, including long naps (over an hour), can be used at the risk of sleep inertia persisting. Naps are used by some professional baseball (MLB) pitchers between 2-3pm on the day of the game they pitch (wake up at 3:15pm).
30 Post-lunch napping A thirty minute nap showed improvements in alertness, reaction time, short-term memory, and sprint times. Waterhouse J, J Sports Sci, Dec
31 Tennis and Sleep Serving accuracy worse in group that was sleep restricted (women worse than men) Not improved with caffeine Reyner LA. Horne JA. Sleep restriction and serving accuracy in performance tennis players, and effects of caffeine.physiol Beha
32 OBSTRUCTIVE SLEEP APNEA
33 OBSTRUCTIVE SLEEP APNEA Large neck circumference and high BMI would put them at risk. (football players, wrestlers, boxers) Physically fit, strong muscles (increased pharyngeal tone?) could decrease risk compared to age matched controls.
34 Famous Cases: In 2004, Reggie White died in his sleep at age 43 and untreated obstructive sleep apnea was mentioned as a contributor. Sara White, his wife, said If Reggie would have known about oral appliances, he might still be alive today. Matthews M, Sleep Review, Sep 2007
36 Kevin Mitchell, defensive lineman, of the San Francisco 49ers, died in his sleep at age 36 in No cause of death found, but sleep apnea was mentioned as a possible contributor. Matthews M, Sleep Review, Sep 2007
37 Others published in media: Dr. Allan Levy, team physician of the New York Giants reports 5 patients with sleep apnea that use CPAP on the team. *Matthews M, Sleep Review, Sep 2007
38 Houston Texans Coach and two players all diagnosed with sleep apnea and underwent surgery for treatment.
39 Education of athletes/coaches/trainers Living Heart Foundation Dr. Arthur Roberts, former NFL QB, and heart surgeon, founded this organization to screen players (active and retired) for cardiovascular disease and sleep apnea.
40 Sleep Apnea in the NFL George CF, et al, NEJM, 2003 They screened 8 NFL teams and 302 players. 52 underwent formal PSG 38 high risk and 14 low risk 34%(n=13) of the high risk group (linemen) were found to have OSA, 7%(n=1) of the low risk group. They estimated that 14% of all NFL players have AHI>10, but higher in linemen. George CF, NEJM, Jan 2003
41 Another Article Reported lower rates of sleep apnea 19% had mild OSA (RDI over 5) 4.4% had moderate OSA (RDI over 15) Rice TB, Sleep, June 2010
42 Does having sleep apnea make a difference?: Untreated sleep apnea affects performance Psychomotor vigilance task (PVT), alertness, and reaction times are slower. Fine motor skills and dexterity are worse Mood can change Snoring can affect bedpartner (roommate)
44 Antwan Odom Diagnosed with OSA and put on CPAP after a car accident from EDS. 7 sacks in one month as compared to 15.5 in previous five seasons The extra rest I get from being able to sleep all the way through the night cannot be underestimated. It s been a major thing for me
45 CIRCADIAN RHYTHM DISORDERS AND JET LAG
46 CIRCADIAN RHYTHM D/O- JET LAG Insomnia, sleepiness secondary to time zone change from travel Can cause malaise, bowel irregularities, headaches, poor concentration, and irritability. Coaches and players frequently speak of this when discussing road trips or away games.
48 Olympic athletes plan for this. Greg Louganis, best known for his head injury while diving, blamed the incident on jet lag. (WebMd)
49 Maurice Green blames jet lag for losing 100 meter race by.08 seconds. I only arrived here two days ago. My body is very tired. (Gecker, Associated Press, 7/23/04)
50 Some basics of circadian rhythms. Circadian peak performance would be late afternoon, whereas nadir would be late night (prior to sleep onset) or possibly early afternoon (1-3pm)
51 Peak force leg and back muscles, arm muscles, and performance in broad and vertical jumps all follow a circadian rhythm. Coldwells A Ergonomics, 1994 Gauthier A, Chronobiol Int, 1996 Reilly T, J Sports Med Phys Fitness, 1992.
53 Does jet lag make a difference?
54 Monday Night Football Retrospectively looked at 25 years of MNF games. They start at 9PM EST regardless of location. West coast (WC) teams would play during their peak (late afternoon) and East coast(ec) teams would play closer to their nadir (late night). Used the Las Vegas sports spread.» *Smith RS, Guilleminault C, Sleep 1997.
56 Results WC teams won 63.5% of the time, EC teams 36.5%. WC teams won by an avg of 14.7 pts/game versus EC teams of 9.0 pts/game.
57 Results WC teams won 59.3% of their home games, and 71% of their MNF home games. EC teams won 56.5% of home games and only 43.8% MNF home games. WC teams were winner vs point spread 67.9% of the time on MNF.
59 Other sports: NBA basketball games (Steenland K, Sleep 1997) MLB baseball games (Recht, LD, Schwartz WJ, Nature Oct 1995) (Winter WC, et al, Int J Sports Physiol Perform, Sep 2009)
60 Chronobiology Consult Why do upsets happen? What is being in the zone? Morningness vs.. eveningness of person? Each athlete has their own time of peak performance (wake maintenance zone) and nadirs (sleep gates).
61 Peak performance World records are usually broken by athletes competing in the later afternoon or evening hours in runners and swimmers. Atkinson G, Sports Med, 1996; Reilly T, Biological Rhythms and Exercise, Oxford University Press, 1997.
62 Goals of Chronobiology Consult Avoid or reduce potential decrements in performance related to circadian, menstrual, or seasonal adversity. Prevent or minimize the effects of less than optimal quantity or quality of sleep. Align the endogenous circadian peak in athletic performance with the timing of the competitive event.
63 Unique rhythm for each athlete Questionnaire Identify Temperature minimum or dim light melatonin onset. This is usually 4-5 A.M. Modify light exposure and use of melatonin. Sometimes the change in time actually helps.
67 PARASOMNIAS Undesirable motor behaviors during sleep or from sleep No published reports of incidence, but with known poor sleep hygiene, use of drugs and steroids, athletes likely have a higher incidence
70 Examples of Parasomnias Blue Jays OF Glenallen Hill dreamed he was being attacked by spiders. He cut his toes, feet, and elbows bad enough to be put on the 15 day disabled list Bryce Florie, MLB pitcher, needed 15 stitches after slicing his chin when he sleep-walked through a sliding glass door.
71 yo Peter Polansky (pro tennis player) fell three stories after he sleepwalked out of a window of his Mexico City hotel. Practices 6 hours/day along with going to high school. History of sleepwalking as a child.
72 Treatment of parasomnias Look for underlying sleep apnea Stress sleep hygiene Avoid certain substances, medications clonazepam
74 INSOMNIA Incidence in athletes unknown.. (Case reports) It could be high: anxiety, stress preceding a game or the night after a game Muscle pain or other injury could disrupt sleep Concussions/head injuries can disrupt sleep
75 Insomnia in Athletes 65.8% reported poor sleep before competition Worse in athletes of individual vs. team sports Most did not feel it affected them the next day Erlacher D, et al. J Sports Sci, 2011 Ma
76 RLS in Runners 13% by one report using a IRLSS Fagundes SB, et al, Sleep Med 2012 June
77 Treatment of Insomnia for the Athlete: CBT has been reported to be helpful in athletes with insomnia Many athletes reportedly use hypnotics, though there are concerns regarding decreased psychomotor skills in the morning and/or tolerance Grobler, LA, J Clin Sport Med, 2000
78 Future Directions/Questions Does sleep affect recovery from TBI, concussions, fractures, surgery? Do stimulants or hypnotics help or hurt? Does exercise help or hurt sleep? Timing?
79 Barriers Players and coaches don t believe it Players and coaches may not want to know Most sports medicine physicians have no sleep medicine background or training Players and coaches are very busy
Sleep and Executive Performance 2017 United Fresh Produce Executive Development Program Ana C. Krieger, MD, MPH, FAASM, FCCP Medical Director, Center for Sleep Medicine Associate Professor, Weill Cornell
Elite Athletes and Sleep: How Much are they Getting? What Happens when they Don t Get Enough? Why Short Term Sleep Extension might be a Performance Enhancement Strategy Lindsay Thornton, Senior Sport Psychophysiologist,
International Journal of Sports Physiology and Performance, 2009, 4, 394-401 2009 Human Kinetics, Inc. Measuring Circadian Advantage in Major League Baseball: A 10-Year Retrospective Study W. Christopher
Sleep Sleep is described as a state of unconsciousness or partial consciousness from which a person can be roused by stimulation Period of rest and recovery People spend about a third of their lives sleeping
Diagnosis and treatment of sleep disorders Normal human sleep Sleep cycle occurs about every 90 minutes, approximately 4-6 cycles occur per major sleep episode NREM (70-80%) slow wave sleep heart rate,
Date of birth: Today s date: Dear Patient: SLEEP HISTORY QUESTIONNAIRE Thank you for taking the time to fill out a sleep history questionnaire. This will help our healthcare team to provide the best possible
Parkinson s Disease Associated Sleep Disturbance Ehsan M. Hadi, MD, MPH. Dignity Health Neurological Institute Parkinson s Disease 2 nd most common neurodegenerative disorder Peak age at onset is 60 years
Sweet Dreams Guide to Getting a Good Night s Sleep Objectives Learn sleep facts, common myths about sleep, and the consequences of sleep deprivation Discover how sleep works and what interferes with sleeping
FCD 08-002 September 2007 A Good Night s Sleep Participant s Guide "Sleep is better than medicine." --- English Proverb "The beginning of health is sleep." --- Irish Proverb "Disease and sleep keep far
John McLachlan Respiratory & Sleep Physician @FSH Clinical Lead Pulmonary Physiology & Sleep Medicine Sleep Physician x 27 years Interest in Insomnia management President Elect, WA Branch Thoracic Society
Sleep Anil Rama, MD Medical Director, Division of Sleep Medicine The Permanente Medical Group Assistant Adjunct Clinical Faculty Stanford School of Medicine Circadian Rhythm of Sleep Body temperature 7
Let s Talk About drowsy Driving Information from the Illinois Department of Public Health Division of Injury and Tobacco Use Prevention Presented by Dale O. Ritzel, Emeritus Director Safety Center, Southern
Insomnia Teofilo Lee-Chiong MD Professor of Medicine National Jewish Health University of Colorado Denver School of Medicine Learning Objectives Learn about the causes of transient and chronic Learn how
EFFECTS OF SLEEP EXTENSION ON ATHLETIC PERFORMANCE DOI: 10.5665/SLEEP.1132 The Effects of Sleep Extension on the Athletic Performance of Collegiate Basketball Players Cheri D. Mah, MS 1 ; Kenneth E. Mah,
Sleep, Fatigue, and Performance Gregory Belenky, M.D. The Earth at Night: The Problem of 24/7 Operations The 24-Hour Sleep/Wake Cycle Waking 0000 Slow Wave 1800 0600 REM 1200 Sleep-Related Factors Affecting
Home Sleep Testing Questionnaire Patient Name: DOB: / / Gender: Male Female Study Date: / / Marital Status: Married Cohabitate Single Divorced Widow/Widower Email: Phone: Height: Weight: Neck Size: What
MEDICAL HISTORY QUESTIONNAIRE NAME: SEX: DATE: DOB: AGE: Primary Doctor / Care Manager: Additional doctors to receive sleep study results: Chief sleep related complaint: What made you decide to have this
So PAP Doesn t Work Rochelle Goldberg, MD, FAASM, FCCP Diplomat, American Board of Sleep Medicine Director Sleep Medicine Services Main Line Health Systems Lankenau Medical Center and Paoli Hospital Disclosures
Biological Rhythm Research 0165-0424/01/3202-263$16.00 2001, Vol. 32, No. 2, pp. 263 270 Swets & Zeitlinger The Relationships between Sleep-Wake Cycle and Academic Performance in Medical Students Ana Ligia
Psychological Sleep Services Sleep Assessment Name Date **************************************************** Insomnia Severity Index For each question, please CIRCLE the number that best describes your
SLEEP DEPRIVATION IN THE WORKPLACE Stephen G. Kaiser D.O., FACOEP Medical Director Summa Center for Corporate Health 444 North Main Street Akron, Ohio 44310 330-379-5959 email@example.com March 15,
Let s Sleep On It: Developing a Healthy Sleep Pattern Session Overview Describe the importance of sleep and its impact when the body is deprived Discuss the aspects of shift work sleep disorder Provide
Australian Centre for Education in Sleep (ACES) High School workbook 1 Table of Contents for High School student workbook Topic Page 1. Introduction Dear Student 1 2. Top five reasons why you need to sleep
The quality of your sleep can impact you emotionally, physically and your overall general health. Poor sleep can cause chronic fatigue, daytime drowsiness, irritability and loss of focus. It affects your
1414 116 th Ave NE Suite F Bellevue, WA 98004 Phone: (425) 451-8417 Fax: (425) 455-4089 Excessive Daytime Sleepiness Nearly everyone has days when they feel sleepy. But for some people, excessive sleepiness
2015 A good night s sleep promotes learning, improved mood, general good health, and a better quality of life for both your child and the whole family. This article written for Rettsyndrome.org by Dr Daniel
Humble Dreams Sleep Center 8901 FM 1960 Bypass West, Ste. 306 Humble, TX 77339 Dear Humble Dreams Sleep Study Patient, Thank you for allowing Humble Dreams Sleep Center to provide your sleep study as requested
SLEEP DISORDERS CENTER St. Joseph Mercy Ann Arbor 5305 Elliott Drive, Ypsilanti, MI 48197 734-712-2276 / Fax 734-712-2967 Maintenance for Wakefulness Testing (MWT) Dear, Your Maintenance for Wakefulness
SPORTS SCIENCE PERFORMANCE RECOVERY FOLLOWING LONG- HAUL INTERNATIONAL TRAVEL IN TEAM SPORT ATHLETES Written by Peter M. Fowler, Qatar Since elite team sport athletes regularly undertake long-haul international
STOP! REVIVE! SURVIVE! DRIVER FATIGUE: AN AWARENESS SESSION FOR DRIVERS AND DRIVER SUPERVISORS SUPPORTING OUR DRIVE FOR GOAL ZERO 1 Globally, it is estimated that up to 20% of all road traffic fatalities
Fax: (303) 957-5414 or 720-542-8699 For any after-hours questions, please call (303) 956-5145 Dear Mountain Sleep Patient, You have been scheduled for a sleep study at 1210 S Parker Road, Suite 101, Denver,
ROBERT C. PRITCHARD DIRECTOR MICHAEL O. FOSTER ASSISTANT DIR. SLEEP APNEA A Person is physically qualified to drive a motor vehicle if that person; -(5) has no established medical history or clinical diagnosis
INSOMNIAS INSOMNIAS General criteria for insomnia A. Repeated difficulty with sleep initiation, duration, consolidation or quality. B. Adequate sleep opportunity, persistent sleep difficulty and associated
Key FM scientific principles Philippa Gander Research Professor, Director Fatigue Management Approaches Symposium 5-6 April 2016, Montréal, Canada Fatigue a physiological state of reduced mental or physical
Sleep and Sleep Hygiene in an Occupational Health & Safety Context Glenn Legault Ph.D. Center for Research in Occupational Safety and Health, Laurentian University Nov. 12, 2014 Overview: Sleep what is
Journal of Sports Sciences, 2015 Vol. 33, No. 3, 293 299, http://dx.doi.org/10.1080/02640414.2014.942690 Sleep/wake behaviour of endurance cyclists before and during competition MICHELE LASTELLA 1, GREGORY
Introducing the College Sleep Questionnaire: A new pilot-tested formative assessment of student sleep. Lisa Broek, M.A., Birdie Cunningham, M.A., Caitlin Kelly, B.S., J. Roxanne Prichard, Ph.D. ACHA 2014,
Are You Getting Enough Sleep? Everyone knows what a good night s sleep can do for you. Sleep is one of the most important activities we do to maintain our bodies. It allows our minds and bodies to repair
TOP 10 LIST OF SLEEP QUESTIONS Kenneth C. Sassower, MD Sleep Disorders Unit Massachusetts General Hospital for Children QUESTION #1: ARE SLEEP ISSUES IN CHILDREN THE SAME AS IN ADULTS? Distinctive Features
Screening for OSA among DOT Examinees: Challenges and Advancement Chunbai Zhang, MD, MPH Medical Director Employee Occupational Health Service (EOHS) Silverman Institute of Healthcare Quality and Safety
Insomnia Q: What is insomnia? A: Insomnia is a common sleep disorder. If you have insomnia, you may: Lie awake for a long time and have trouble falling asleep Wake up a lot and have trouble returning to
Achieving better sleep A patient s guide 1 Sleep problems are common and affect a large proportion of people at some time in their lives. One question often asked is How much sleep do I need? for which
States of Consciousness: Before the turn of the century Psychology was concerned primarily with the description and explanation of states of consciousness Because of problems with directly studying and
1 Warmer Answer the questions. 1. How many hours do you usually sleep each night? 2. What is the name for the 24-hour cycle that our bodies follow? a. circular rhythm b. circumference rhythm c. circadian
Insomnia Is Not An Ambien Deficiency Disease 10 Essential Questions Janet E. Tatman, PhD, PA-C Fellow American Academy of Sleep Medicine Certified in Behavioral Sleep Medicine I Can t Sleep Chronic = 10%
Patient Label For office use only Appt date: Clinician: Sleep Center Main Campus Highlands Ranch Location 1400 Jackson Street 8671 S. Quebec St., Ste 120 Denver, CO 80206 Highlands Ranch, CO 80130 Leading
INSOMNIA SELF-CARE GUIE All of us have trouble sleeping from time to time. This is perfectly normal. Sleep problems (also known as insomnia) are often triggered by sudden life changes that lead to increased
Rocky Mountain Academy of Occupational and Environmental Medicine Denver, Colorado February 6, 2010 Obstructive Sleep Apnea in Truck Drivers Philip D. Parks, MD, MPH, MOccH Medical Director, Lifespan Health
THE DANGERS OF DROWSY DRIVING The Costs, Risks, and Prevention of Driver Fatigue Presented on behalf of Texas Department of Transportation This presentation is a modification of one created and copyrighted
SLEEP THEORIES Sleep Protects: Sleeping in the darkness when predators loomed about kept our ancestors out of harm s way. Sleep Recuperates: Sleep helps restore and repair brain tissue. Sleep Helps Remembering:
VCU CENTER FOR SLEEP MEDICINE NEW PATIENT QUESTIONNAIRE Name:_ DOB: MR#: Date: Sex: Age: Height: Referring physician: Primary care physician: What is your primary sleep problem? Please explain any strange
The following product has been developed by the American Academy of Sleep Medicine Copyright 2003 American Academy of Sleep Medicine One Westbrook Corporate Center, Ste. 920, Westchester, IL 60154 Telephone:
THE GREENHOUSE WITH GILL GAUNTLETT Your DIY and gardening questions Saturday mornings from 11.00 00am to 2.00 00pm SLEEP FACTSHEET Snoring Snoring may be a bit of a joke to some, but for millions of people
Obstructive Sleep Apnea Definition: Repetitive episodes of upper airway obstruction (complete or partial) that occur during sleep and are associated with arousals or desaturations +/or daytime sleepiness.
Narendra Kumar, M.D. PC Board Certified ENT Board Certified Sleep Medicine PATIENT DEMOGRAPHICS Who is the Physician that referred you to us? Who is the primary care Physician? Date: Do you want this report
The Structure of Sleep The Parasomnias - in REM - in Non-REM - Narcolepsy Overview Sleep Related Movement Disorders - Restless Leg Syndrome - Periodic Limb movements in Sleep Circadian Rhythm disorders
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/consequences-of-excessive-daytimesleepiness/1904/
Sleep Apnea Herbert A Berger, MD Pulmonary Division Department of Internal Medicine University of Iowa Disclosures No Relevant Financial Interests to Report Objectives Learn the history and physical examination
Concussion or Mild Traumatic Brain Injury Concussion or Mild Traumatic Brain Injury Table of Contents What is concussion... 2 Causes... 3 Symptoms..3-4 When to get treatment...4-5 Daily activities. 5 Return
Cheryl Kindig Estes, NSCA CPT Health and Wellness Graduate Assistant University of Kentucky March 28, 2012 Objectives Sleep and the body Sleep deprivation Exercise and sleep Study on insomnia and cardio
Insomnia An Integrative Approach Jeffrey S. Jump, M.D. Medical Director CHI Memorial Integrative Medicine Associates Objectives Understand the importance of sleep to health Identify patients with insomnia
Authorization and Consent for Sleep Testing I authorize the release of any medical information necessary to the durable medical equipment company for therapy, if applicable. I authorize the use of audio
Later School Start Times The Impact of School Daily Schedule On Adolescent Sleep...Why Okaloosa Needs a Change What You Will Learn Today Biology of Adolescent Sleep Awake Cycle Consequences of Sleep Deprivation
A Guide to Getting the Best Sleep Possible BEST POSITIONS FOR SLEEP On your back: Sleeping on your back makes it easy for your head, neck and spine to maintain a neutral position. On your side: Side-sleeping
For office use only Appt date: Sleep Center Clinician: Main Campus Highlands Ranch Location 1400 Jackson Street 8671 S. Quebec St., Ste 120 Denver, CO 80206 Highlands Ranch, CO 80130 #1 respiratory hospital
Sleep History Questionnaire Sleep Disorders Center Duke University Medical Center Part I: General Information Name: Address: Date: Phone: Age: Sex: F M (select one) Education (years of school): Occupation:
Tackling the Problems of Inadequate Sleep and Sleep Disorders Allan I. Pack, M.B.Ch.B., Ph.D., FRCP John Miclot Professor of Medicine Director, Center for Sleep and Circadian Neurobiology Chief, Division
Managing Insomnia Disorder A Review of the Research for Adults e Is This Information Right for Me? This information is right for you if: Your health care professional said you have insomnia disorder (said
DO HIGH SCHOOL STUDENTS GET ENOUGH SLEEP? B Y M E L I S S A S T R I C K L A N D Do High School Students Get Enough Sleep? An Inquiry lesson on sleep and sleep cycles Teacher Notes: In this lesson, students
Personal Career 0 "Exercise, nutrition and recovery; to super compensation in practice nowadays among young athletes - new aspects". Harri Hakkarainen MD, MSc ( sport physiology, - biomechanics and coaching
Polysomnography Patient Questionnaire Date Medical Record # Demographics: Patient Name Date of Birth Address_ Home Phone Work Phone Cell Phone Height Weight Please complete each section of this questionnaire,
Overview of the Biology of Sleep and Circadian Rhythms Daniel J. Buysse, MD UPMC Professor of Sleep Medicine Professor of Psychiatry and Clinical and Translational Science University of Pittsburgh School
Sleep Apnea Center For Cardiac Fitness Pulmonary Rehab Program The Miriam Hospital Outline Define sleep apnea Causes and risk factors Diagnosis Cardiovascular consequences Treatment Summary What is sleep
Traumatic Brain Injury and Sleep Javier has a hard time falling asleep and his lack of sleep made his anxiety worse. He Also became fatigued and irritable easily, It really made our lives harder. Sleep
Goals Session Putting it all Together Adherence to therapy Case presentations Treatment issues Charles Atwood, MD, FCCP, FAASM University of Pittsburgh Disclosures Advisory - Carecore National; Philips;
SLEEP QUESTIONNAIRE Patient Name: Sex: Date of Birth: Occupation: Usual Work Hours/Days: Referring Physician: Family Physician: Marital status: Single Married Divorced Widowed Please complete the following
Sleep Center of Willmar LLC 1801 19 th Avenue South West Willmar, MN. 56201 320-441-2104 (telephone) 320-441-2052 (facsimile) Welcome Our staff understands that quality care and patient comfort go hand
Managing Sleep Disorders in Primary Care Nancy Nadolski, FNP, MSN, M.Ed Insomnia Medicine of Idaho Boise Counseling Center www.sleeplessinidaho.com 1 Objectives 1) Identify stages and behaviors for normal
SLEEP ISSUES 1 OBJECTIVES 2 Know and understand: Age-related changes in sleep The psychiatric, medical, and neurologic causes of sleep problems Office-based and objective methods of evaluating sleep Appropriate
SLEEP STUDY Patient Name: Date of Birth: Date of Study: This questionnaire involves a broad range of sleep and sleep-related behaviors. Your answers enable us to develop a clearer picture of your sleep/wake
SLEEP UPDATE 2009 David Claman, MD Clinical Professor of Medicine UCSF Sleep Disorders Center OUTLINE Sleep deprivation is common! Less than 6 hours per night magnifies symptoms Insomnia is also common
Obstructive Sleep Apnea Syndrome Common sleep disorder causes high blood pressure and heart attacks Message: Sleep apnea is very common. It is estimated that 158 million people worldwide suffer from sleep
A Novel Approach to Eliminating Jetlag Using Natural Ingredients Overview One of the unwanted consequences of our busy lifestyles is travelling over different time zones, and the need to adapt our bodies
PHYSICAL CONDITION 1.PHYSICAL CAPACITIES Our body works like a machine and can adapt itself to many different situations. To keep our body fit and in good working order, we have to practice physical activities
Planning and Organizing Track Programs and Workouts Designing and Planning Your Program by Buzz Andrews, Track Coach, Lake Highlands H.S. To have a successful track program, track coaches have to be great
OBSTRUCTIVE SLEEP APNEA and WORK Treatment Update David Claman, MD Professor of Medicine Director, UCSF Sleep Disorders Center 415-885-7886 Disclosures: None Chronic Sleep Deprivation (0 v 4 v 6 v 8 hrs)
Patient Pre-Study Instructions Please read the following information below to assist us in making your overnight study more comfortable, as well as maximizing the quality of our data collection. Before
Research Paper Received May. 28, 2014 Revised Aug. 16, 2014 Accepted Oct. 18, 2014 The Effects of Sleep Deprivation on the Body Whitney L. Harrison Southern Utah University Abstract:Sleep is crucial for