Sleep Flashcards

(48 cards)

1
Q

Why is sleep critical for the body?

A

To repair/restore mental and physical function and to enter information into memory

Sleep is essential for both cognitive and physical health.

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2
Q

What are the two main drivers of sleep?

A
  • Sleep-Drive
  • Circadian Rhythm

These drivers work together to regulate sleep patterns.

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3
Q

What is Sleep-Drive?

A

The internal drive to balance the need for sleep with the time spent awake

AKA Sleep Pressure

Sleep pressure increases the longer one stays awake.

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4
Q

What is the Adenosine Sleep Theory?

A

A theory stating that adenosine accumulates in the brain while awake, signaling the body to sleep

Caffeine blocks adenosine receptors, affecting sleepiness.

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5
Q

What is Circadian Rhythm?

A

A 24-hour internal clock that regulates wakefulness and sleepiness, regardless of time spent awake

Controlled by the suprachiasmatic nucleus (SCN) in the hypothalamus.

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6
Q

What role does the SCN play in sleep?

A

It coordinates the circadian rhythm based on light signals and regulates melatonin release

The SCN is considered the master clock of the body.

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7
Q

What happens in the morning regarding alertness?

A

Alertness rises as light hits the eyes, signaling the SCN to stop melatonin production

This process helps the body feel awake.

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8
Q

What is a zeitgeber?

A

External cues that synchronize the internal circadian rhythm to a 24-hour cycle

Light is the primary zeitgeber.

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9
Q

What are some examples of zeitgebers?

A
  • Light
  • Temperature
  • Social Interactions
  • Food Intake
  • Exercise/Physical activity

These factors help align the internal clock with the environment.

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10
Q

What characterizes brain waves when awake?

A

Desynchronized, low voltage, and high frequency

Indicates a state of alertness and active brain function.

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11
Q

What characterizes brain waves when asleep?

A

Synchronized, high voltage, and low frequency

Reflects a resting state of the brain.

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12
Q

What are the two primary phases of sleep?

A
  • Rapid Eye Movement (REM)
  • Non-Rapid Eye Movement (NREM)

REM accounts for 20-25% of total sleep, while NREM accounts for 75-80%.

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13
Q

What occurs during NREM stage N1?

A
  • Lasts 1-5 minutes
  • Regular breathing
  • Awakes easily with minimal stimulation
  • Rolling eye movement

This is light sleep.

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14
Q

What occurs during NREM stage N2?

A
  • Lasts 10-25 minutes
  • Deeper sleep
  • Body temperature and heart rate decrease
  • Rolling eye movement

This stage is considered true sleep.

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15
Q

What is NREM stage N3 known for?

A
  • Deepest phase of sleep
  • Lasts 20-60 minutes
  • Difficult arousal
  • Body repairs tissues and builds muscle

This stage is crucial for physical restoration.

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16
Q

What characterizes REM sleep?

A
  • Dreams occur
  • Rapid eye movement
  • Breathing and heart rate are irregular
  • Difficult to awaken

REM sleep is also known as paradoxical sleep.

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17
Q

How many sleep cycles do most people go through each night?

A

4-6 cycles, each lasting approximately 90 minutes

Each cycle includes all phases of sleep.

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18
Q

What is insomnia?

A

Disrupted sleep patterns leading to increased time to fall asleep, frequent awakenings, or reduced sleep efficiency

Insomnia can be acute or chronic.

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19
Q

What are the two types of insomnia?

A
  • Acute Insomnia (occurs at least 3 nights/wk for LESS than 3 months)
  • Chronic Insomnia (occurs at least 3 nights/wk for MORE than 3 months)

Acute lasts less than 3 months, while chronic lasts longer.

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20
Q

What is Obstructive Sleep Apnea?

A

A sleep disorder characterized by repeated interruptions of breathing during sleep

This condition can lead to fragmented sleep and other health issues.

21
Q

What is narcolepsy?

A

A disorder characterized by excessive daytime sleepiness and sudden sleep attacks. Caused by lack of orexinergic neurons.

Narcolepsy can significantly affect daily functioning.

22
Q

What is the primary function of sleep?

A

Repair/restore mental and physical function

Sleep is necessary for memory consolidation and energy restoration.

23
Q

What are the consequences of sleep deprivation?

A
  • Skin lesions
  • Compromised immunity
  • Motor weakness
  • Loss of executive function
  • Disruption in homeostasis
  • Death
24
Q

What are the two main drivers of sleep?

A
  • Sleep-Drive
  • Circadian Rhythm
25
What is sleep-wake homeostasis?
The body's internal drive to balance the need for sleep with the amount of time awake.
26
What chemical builds up in the brain while awake, signaling the need for sleep?
Adenosine
27
What happens to adenosine levels during sleep?
Adenosine is cleared away, resetting the sleep-drive cycle.
28
What role does caffeine play in sleep?
Blocks adenosine receptors
29
What regulates the circadian rhythm?
Suprachiasmatic nucleus (SCN) in the hypothalamus
30
What is the strongest zeitgeber?
Light
31
What is the primary characteristic of brain waves when awake?
Desynchronized - low voltage & high frequency
32
What occurs during Rapid Eye Movement (REM) sleep?
* Dreams occur * Muscle atonia * Irregular breathing & heart rate
33
What percentage of total sleep is REM sleep?
20-25%
34
What are the three stages of Non-Rapid Eye Movement (NREM) sleep?
* N1 * N2 * N3
35
What is the duration of NREM stage N1?
1-5 minutes
36
What is a key feature of NREM stage N2?
True sleep state with sleep spindles and K-complexes
37
What is the deepest phase of sleep?
NREM stage N3
38
What can occur during NREM stage N3?
* Sleepwalking * Night terrors * Enuresis
39
What is obstructive sleep apnea?
A disorder characterized by excessive daytime sleepiness and snoring
40
What is the primary treatment for obstructive sleep apnea?
Continuous positive airway pressure (CPAP)
41
What are benzodiazepines used for?
Short-term treatment of insomnia
42
What is a common side effect of nonbenzodiazepines?
Daytime drowsiness
43
What is the mechanism of action for dual orexin receptor antagonists?
Inhibits wakefulness by targeting OX1/OX2 neuropeptides
44
What is the effect of melatonin agonists?
Activation of melatonin receptors for chronic insomnia
45
What neurotransmitters promote wakefulness?
* Hypocretins (orexins) * Histamine * Acetylcholine * Norepinephrine * Epinephrine * Serotonin * Glutamate
46
What neurotransmitters promote sleepiness?
* Prostaglandin D2 * Adenosine * Melatonin * GABA * Growth factors
47
Which sleep disorder has the highest INCIDENCE?
Insomnia
48
Which sleep disorder has the highest prevalence?
Obstructive Sleep Apnea