воскресенье, 24 февраля 2008 г.

Nightly nicotine withdrawal in smokers may contribute to restless sleep

Speculate that the stimulating effects of nicotine could cause smokers to experience nicotine withdrawal each night, which may contribute to disturbances in sleep."It is possible that smoking has time-dependent effects across the sleep period," said study author Naresh M.MD, PhD, FCCP, Johns Hopkins University School of Medicine, Baltimore, MD.Difficulty falling asleep due to the stimulating effects of nicotine.Night evolves, withdrawal from nicotine may further contribute to sleep disturbance.Dr.And colleagues from Johns Hopkins University School of Medicinepared the sleep architecture of 40 smokers with that of a matched group of 40 nonsmokers, all of whom underwent home polysomnography.Smokers and nonsmokers have primarily used subjective measures of sleep; what makes this recent study unique is the study population, the use of objective measure of sleep, and the quantitative nature of the analysis.Most studies on sleepparing smokers and nonsmokers, Dr.Study included smoking and nonsmoking subjects who were free of most medicalorbidities and medication use."Finding smokers with no health conditions was challenging.In order to isolate the effects of smoking on sleep architecture, we needed to remove all factors that could potentially affect sleep, in particular, coexisting medical conditions," said Dr."In the absence of several medical conditions, sleep abnormalities in smokers could then be directly associated with cigarette use.An additional strength of this study was that sleep architecture was analyzed using both the conventional method of visual classification of electroencephalogram (EEG) patterns and through power spectral analysis of the EEG, which relies on a mathematical analysis of different frequencies contained within the sleep EEG.Sleep studies have relied on visual scoring of sleep stages, which is time-consuming and subject to misclassification," said Dr."Spectral analysis allows us to more objectively classify the sleep EEG signals and helps detect subtle changes that may have been overlooked with visual scoring.Visual scoring of sleep staging showed similar results between smokers and nonsmokers.Analysis showed that smokers had a lower percentage of delta power, or deep sleep, and a higher percentage of alpha power, or light sleep.Asked about sleep quality, 22.Of smokers reported lack of restful sleeppared with 5.Of nonsmokers.Also showed that the largest difference in sleep architecture occurred at the onset of sleep, which supports the premise that nicotine's effects are strongest in the early stages of sleep and potentially decrease throughout the sleep cycle.Researchers speculate the results of their study may have significant future implications in the area of smoking cessation."Many smokers have difficulty with smoking cessation partly because of the sleep disturbances as a result of nicotine withdrawal," said Dr."By understanding the temporal effects of nicotine on sleep, we may be able to better tailor nicotine replacement to minimize the withdrawal effects that smokers experience, particularly during sleep.Reported more caffeine use than nonsmokers.Caffeine consumption was not associated with the results of the EEG spectral analysis or lack of restful sleep."The long-term effects of smoking on respiratory and cardiovascular health are well-known," said Alvin V.Jr.FCCP, and President of the ACCP.This study is significant because it suggests that smokers may also be deprived of the much-needed restorative effects of sleep.Study provides yet one more reason to stop smoking or to never start. _Article adapted by Medical News Today from original press release.ACCP represents 17,000 members who provide patient care in the areas of pulmonary, critical care, and sleep medicine in the United States and throughout the world.ACCP's mission is to promote the prevention and treatment of diseases of the chest through leadership, education, research, andmunication.More information about the ACCP, please visit the ACCP Web site at .Source: Jennifer Stawarz HOW INTERESTING WAS THIS ARTICLE?Not Very.= Very) 1 2 3 4 5 I AM A: Please Select Healthcare Professional Member of the Public VISITOR RATINGS: Healthcare Professional:4.
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