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Harvard Health Publications -- Harvard Medical School HEALTHbeat
January 18, 2006

Dear HEALTHbeat subscriber,

What goes into a healthy lifestyle? Certainly diet and exercise do. Some might add stress management to the list. But did you know that adequate sleep is one of the most important and overlooked aspects of health? Research is just beginning to explore the links between chronic sleep loss and health, but we already know that for good health you need adequate sleep.

This issue of HEALTHbeat gives you six reasons not to shortchange sleep — and some practical tips on how to sleep better. Also, Celeste Robb-Nicholson, M.D., Editor in Chief of Harvard Women’s Health Watch, discusses the connection between wine and headaches.

Best wishes,
The Editors
The editors of Harvard Health Publications
Harvard Medical School
HEALTHbeat@hms.harvard.edu

In This Issue
1 Six reasons why you need your sleep
READ
2 Notable from Harvard Medical School:
* Preventing and Treating
   Headaches
* What to do about Erectile
   Dysfunction
READ
3 Question and Answer with Celeste Robb-Nicholson, M.D.:
What causes red wine headaches?
READ

From Harvard Medical School
Improving Sleep: A Guide to a Good Night’s Rest

Trouble sleeping? This report pinpoints  the factors that can disturb sleep, reveals the latest in sleep research, and, most important, helps you take the steps you need to get a good night's rest. Plus, gain in-depth knowledge  about sleep disorders, including restless legs syndrome, narcolepsy, and sleep apnea.

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1\ Six reasons why you need your sleep

How much sleep do we need? Experts believe that seven to nine hours is about right. The goal is to wake up feeling refreshed and to stay awake and alert throughout the day without relying on stimulants or other pick-me-ups.

While more research is needed to understand the relationship between chronic sleep loss and health, it’s safe to say that sleep is too important to shortchange. So if you haven't considered sleep as part of your healthy lifestyle goals, here are six reasons to consider doing so.

1. Learning and memory

Sleep helps the brain commit new information to memory by way of a process called memory consolidation. One study showed that those who slept before a cognitive task did better. In others, subjects discovered more insightful or creative ways to problem-solve after a night’s sleep.

2. Metabolism and weight

Chronic sleep deprivation may cause weight gain by altering metabolic functions, such as processing and storing carbohydrates, and by stimulating the release of excess cortisol, a stress hormone. Loss of sleep also reduces levels of leptin, a hormone that suppresses appetite, and increases levels of ghrelin (pronounced GRELL-in), an appetite-stimulating hormone — a combination that can encourage eating.

3. Safety

Sleep debt contributes to a greater tendency to fall asleep during the daytime. These lapses may cause falls and mistakes such as medical errors, air traffic mishaps, and road accidents.

4. Mood/quality of life

Sleep loss, whether long- or short-term, may result in symptoms — irritability, impatience, inability to concentrate, and moodiness — that suggest psychological problems such as anxiety and depression. Too little sleep can leave you so tired that you don’t want to do the things you enjoy. Poor sleep also affects the ability to work effectively.

5. Cardiovascular health

We don’t know much yet about the effect of chronic partial sleep loss on cardiovascular health. But serious sleep disorders such as insomnia and sleep apnea have been linked to hypertension, increased stress hormone levels, cardiac arrhythmias, and increased inflammation (which has been implicated in heart attacks).

6. Immunity/cancer prevention

Though all the mechanisms aren’t clear, scientists have found that sleep deprivation alters immune function, including the activity of the body’s killer cells. For example, sleep loss around the time of a flu vaccine has been shown to reduce the production of flu-fighting antibodies. Keeping up with sleep may also help fight cancer. Harvard researchers have shown that women who work at night are at increased risk for breast and colon cancer. The connection may be through melatonin, a hormone that helps put us to sleep; light at night cuts melatonin production.

Getting your Zs

So if you think you aren't getting enough rest at night, follow these tips to get better sleep:

  • Get regular exercise, but not within three hours of bedtime.
  • Don’t use alcohol as a sleep aid.
  • Avoid caffeine after noon.
  • Establish times for going to bed and getting up.
  • Keep your bedroom temperature cool.

For more information on sleep, order our special health report Improving Sleep: A Guide to a Good Night’s Rest www.health.harvard.edu/IS.

 
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2\ Notable from Harvard Medical School
** Preventing and Treating Headaches

If you are among the almost 45 million Americans who suffer from recurring headaches, this report can help you find relief. Find out the most effective treatments for the most common kinds of headaches (including sinus, tension, migraine, and daily headaches). You’ll also find out when over-the-counter medications will work for you and when you need to consult your doctor for a prescription. Plus, the doctors at Harvard Medical School also spell out other effective tactics for coping with headaches, such as physical therapy and acupuncture.

 
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** What to do about Erectile Dysfunction

The introduction of highly effective pills for erectile dysfunction (formerly known as impotence) has been nothing short of a revolution in its treatment. But no single therapy works for everyone and oral medications are just part of the story. This report will help you understand the many causes of erectile dysfunction and the most effective treatment options. You will also learn about sex therapy and ways to involve your partner in treatment.
 
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3\ Q&A: What causes red wine headaches?

Q: I get headaches after drinking red wine. Why? I’m 56 years old and in excellent health.

A: Getting a headache after drinking red wine seems to be common, but no single explanation has been found. Several theories have been proposed, but none has much evidence behind it.

One theory holds that the culprit is histamine, a compound found in grape skins. Red wine contains more histamine than white wine because it’s made from the whole grape (including the skin), not just the juice. Some people have a shortage of an enzyme that breaks down histamine in the small intestine. Alcohol also inhibits this enzyme, so the combination may boost histamine levels in the blood, which can dilate blood vessels and cause a headache.

Tannins, another grape-skin constituent, could also be at fault. Tannins are plant chemicals that impart flavor to red wines and contain antioxidants. But they also spur the release of the neurotransmitter serotonin, which at high levels can cause headaches in some people. Other plant chemicals (polyphenols) may be involved.

Some experts think that sulfites, a preservative in wine, are to blame. But sulfite sensitivity usually causes breathing problems rather than headaches. Moreover, many white wines and other foods also contain sulfites.

These potential culprits vary from wine to wine, so if you don’t want to give up red wine altogether, you might try different brands or varieties to see how they affect you. When you try a new red wine, start with less than half a drink. If it’s going to give you a headache, it’ll do so within 15 minutes.

Any alcoholic beverage can dilate blood vessels in the brain and cause a headache. Avoid drinking wine, beer, or liquor on an empty stomach or when you’re dehydrated. Try to drink a glass of water between glasses of wine. And limit your wine intake. No more than one glass per day is most healthful for women, and men should aim for two at most. But if you have two at a sitting, they should be separated by at least an hour.

Celeste Robb-Nicholson, M.D. is the Editor in Chief of Harvard Women’s Health Watch www.health.harvard.edu/women

 
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Harvard Medical School publishes authoritative special health reports on a wide range of topics. Each report delivers practical information on diagnosis, treatment, and prevention of major health concerns in clear, easy-to-understand language. For more information on a specific topic, click the appropriate link below:

Alzheimer’s, Arthritis, Bladder, Cholesterol, Depression, Diabetes, Digestion, Energy, Exercise, Eye Disease, Headache, Heart Disease, High Blood Pressure, Memory, Menopause, Prostate, Sexuality, Sleep, Stroke, Vitamins

 

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Harvard Medical School offers special reports on over 50 health topics. Visit our website at http://www.health.harvard.edu to find reports of interest to you and your family.

Copyright 2006 by the President and Fellows of Harvard College.
To view our archive of past HEALTHbeat e-newsletters click here.
Harvard Health Publications
Harvard Medical School

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* Please note, we do not provide responses to personal medical concerns, nor can we supply related medical information, other than what is available in our print products or Web site. For specific, personalized medical advice we encourage you to contact your physician.
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