More About Sleep Deprivation

Sleep...my absolute favorite thing in the world. Crucial for life (next to food, water, shelter). Every Monday I take in at least twelve hours (after a weekend of overnight shifts, it's easy to conk out at 9:00 PM and wake up at 10:00 AM). I guess I am repairing the damage that was done - the wear-and-tear that happens when you do something unnatural like staying awake when others are sleeping.  

I have written before about sleep deprivation leading to high cortisol levels and increases in hunger and cravings. But this week I read something amazing. There was a study conducted by researchers at the University of Pennsylvania that looked into the adverse effects of sleep deprivation: Restricted sleep for nine days caused a 2.9 pound weight gain! Makes me wonder about my choice to do eight night shifts a month in the ER. Three pounds is a lot! It will take 21 days of exercise (for one hour) to burn off those calories.

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One Size Fits All
Well, this may have been true many years ago, but its 2009, and we know that this statement is really outdated.  The overweight person has a terrible chore of finding things to fit: clothes, shoes, seats at restaurants……I remember traveling to Korea and Japan years ago and feeling like I weighed five hundred pounds wherever I went.  I came home with trinkets but definitely no clothes.

As a physician I have noticed that as the American population gets bigger and bigger there are more instances where there isn’t the right fit. Each month I have to tell people they don’t fit: the CT scan machines cannot hold their weight or the ultrasound evaluation is suboptimal because there is too much adipose (fat) tissue around to allow a good look at the abdominal organs. Not being able to find designer clothes and such is embarrassing……….but having so much adipose tissue that your medical care is hindered is life threatening. Even more reason to get a fitness kick.
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The Ultimate Shopping List

To obtain as many antioxidants and nutrients as possible, update your shopping list. The body needs variety.  Eating the same thing day in and day out is boring and will leave you nutritionally deficient.  Supplements are great, but you need to eat and whenever possible eat:

  • Whole Foods      
  • Organic        
  • All Natural     
  • 100% Whole Wheat           
  • Wild         
  • Free-Range        
  • No Preservatives

Put a red check mark next to the items whenever you eat them. Make it a goal to take in most of these items every month. You do not know how lucky you are to have a variety of foods at your fingertip when its time to shop. Just remember that many crops are genetically modified or picked when unripe, so we have to be selective about where we shop and what we buy. For instance years ago there were different kinds of broccoli planted but now due to high costs, most farmers tend to stick to one kind. If a veggie grows fast and is resistant to pests that’s the one that’s selected for planting. Therefore...variety is diminishing.

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A False Sense of Security

Recently in the news, there has been a lot of talk about the status of the nation’s security post 9-11. Some say the subway system is still not safe and more could be done to keep this country from harms way. That got me thinking this week as I was talking to someone who has been experiencing chest pain for a week, and I told him he should get a complete work-up and see a heart doctor. This person refused. Said he was a fit as a fiddle and that he had a catheterization two years ago and normal cholesterol tests. Standing before me was a person with a false sense of security.

Many of us are afraid of the “enemy” beyond our borders - immigrants, religious fanatics or enemies in our neighborhoods like pedophiles or gang members. But sometimes when it comes time to answer the question of “How healthy are you?”, we rely on old blood tests and the need to convince ourselves that we are okay. 

News flash: Half of people who have heart attacks have normal cholesterol tests. I have even seen in the Emergency Department people who have “clean arteries” on cardiac catheterization have massive heart attacks two months later. The message we should glean from this: its great to pass our tests with flying colors but we should make healthy behaviors a daily part of our lives. Don’t let your defenses down. Get moving, get active and eat right.

Let's see - have you been lulled into a fall sense of security?

  • Do you take in less than 25 to 30g of fiber a day?
  • Do you eat less than five veggies a day?
  • Do you drink more than one glass of wine a day for women, or two glasses per day for men?
  • Do you get in a minimum of 30 minutes of activity on most days of the week?
  • Have you missed your doctor's appointment?
  • Would you rather take medication than try to heal thyself (i.e. It's too hard to eat right and lower cholesterol, blood pressure, or blood glucose)?
Do something good for your body everyday so that you never have to personally experience a medical disaster.
 
Sleep - Are You Getting Enough?
One of my favorite things in the world is sleep.  In fact I think I like it more than chocolate. After all you can’t live without it. I have mentioned it before that lack of sleep can upset your metabolism.

A recent Canadian study found the following:
  • Women who sleep less than six hours per night weight 13-17 pounds more than those people who sleep at least seven hours.
  • Men who sleep less than six hours per night weight 19-24 lbs more than those who sleep at least seven.
So there it is again: sleep is important.  Finding ways to squeeze in more shut eye can improve your health and waistline. Many of us who are struggling to lose weight often focus on spending more time at the gym or cutting back on calories.  Make adequate shut eye a high priority in your weight management program.
 
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