Sleep and Quality of Life

“Appetite and Sleep” are very important to enjoy the quality of life. The sleeping patterns are variable depending on the physical condition and different kinds of diseases.  

Recently a new study showed that poor sleep quality is strongly associated with mood disturbance and lower quality of life among people with extreme obesity. The study involved 270 patients with a mean body mass index (BMI) of 47.0 kg/m2 who were consecutively enrolled in a regional specialist weight management service. They had a mean age of 43 years. Sleep disturbance, daytime sleepiness, mood and quality of life were assessed using standardized questionnaires. The medical personnel working on night duties in busy centers are usually missing that necessary sleep. In a big hospital when there shortage of staff it is still worse as they may be doing continuous duties for 24 to 48 hours (weekend).

Some time back people were concerned about the decisions one would make in absence of sleep for saving the lives of critically ill patients. One can also see the mood changes in people deprived of adequate sleep which can affect the interpersonal relationships. The results of this recent study showed that 74.8 percent of participants were poor sleepers, and their mean self-reported sleep duration was only six hours and 20 minutes. Fifty-two percent of study subjects were anxious, and 43 percent were depressed. After controlling for age, sex, hypertension, diabetes, and obstructive sleep apnea, sleep quality and daytime sleepiness were significantly associated with mood disturbance and quality of life impairment.

"There was a clear association between the sleep problems such as short sleep duration and the psychological disorders and with quality of life," said Dr. G. Neil Thomas, lead supervisor, study methodology lead and reader in epidemiology at the Department of Public Health, Epidemiology and Biostatistics at the University of Birmingham in the United Kingdom. "These associations remained significant even after adjusting for a range of potential confounders." According to the authors, the potential role of sleep in the health and well-being of individuals with severe obesity is underappreciated. Although the cross-sectional design of the study did not allow for an examination of causality, the results suggest that the early detection of disturbed sleep could prevent the potential development and perpetuation of psychological problems among people with extreme obesity. "Despite the very high levels of problems in these patients, those involved with their care usually don't ask about sleep problems and often pay little heed to the psychological issues underlying the obesity," said Thomas. "The focus is often on treating the obesity and its consequences, such as diet and exercise interventions, rather than addressing its underlying cause, which may be psychological in nature, such as an unhappy marriage or job stress."

According to the Centers for Disease Control and Prevention, 35.7 percent of U.S. adults are obese with a BMI of 30 or higher. The CDC estimates that the annual medical cost of obesity in the U.S. was $147 billion in 2008 dollars. Obesity is a huge burden on the society in developed countries; it is soon to be seen in the other countries too. We are already seeing the advertisements on the road side by the people providing the bariatric surgery for the obese people.

In mammals and birds, sleep is divided into two broad types: rapid eye movement (REM sleep) and non-rapid eye movement (NREM or non-REM sleep). Each type has a distinct set of associated physiological and neurological features. The American Academy of Sleep Medicine (AASM) further divides NREM into three stages: N1, N2, and N3, the last of which is also called delta sleep or slow-wave sleep.