Skip to content
2000
image of Sleep Disturbances Associated with Different Systems of the Body: Underlying Mechanisms Involved and Consequences

Abstract

Sleep is necessary for long-term health and well-being. Sleep is divided into the rapid eye movement (REM), and non-rapid eye movement (NREM) stages. The normal sleep pattern follows a 90-minute cycle, and within those cycles, the body undergoes a regenerative state, restoring various components used daily. A sleep disorder can be due to multiple factors, , genetic, environmental, and individual factors. Short and long-term effects of sleep deprivation can have harmful effects. The immune system requires sufficient sleep to maintain optimal function, and sleep deprivation leads to the release of proinflammatory cytokines, which dysregulate the function of the immune system. Sleep deprivation affects the central nervous system, resulting in cognitive impairments and diseases related to decreased prefrontal cortex activity. Sleep disturbance affects the hypothalamus, secreting corticotrophin-releasing hormone, which results in the release of adrenocorticotropic hormone. This leads to the secretion of cortisol and catecholamines. Sleep disturbance causes reduced muscle glycogen concentration and gives rise to various gastrointestinal problems. Sleep disturbance affects the cardiovascular system which results in hypertension, cardiac ischemia, congestive cardiac failure, and arrhythmia. Sleep disturbances affect the endocrine system leading to insulin resistance, obesity, and metabolic syndrome. Interestingly, treatment of obstructive sleep apnea with continuous positive airway pressure was found to enhance metabolic status. We discuss the pharmacological, non-pharmacological, and surgical treatment options for sleep disorders. Understanding the mechanism of sleep disturbance and its association with different systems of the body may help in better treatment outcomes.

Loading

Article metrics loading...

/content/journals/cmc/10.2174/0109298673350476250331181123
2025-04-23
2025-09-06
Loading full text...

Full text loading...

References

  1. How Sleep Works - Why Is Sleep Important? 2022 Available from: https://www.nhlbi.nih.gov/health/sleep/why-sleep-important
  2. Buysse D.J. Sleep health: Can we define it? Does it matter? Sleep 2014 37 1 9 17 10.5665/sleep.3298 24470692
    [Google Scholar]
  3. Memar P. Faradji F. A novel multi-class EEG-based sleep stage classification system. IEEE Trans. Neural Syst. Rehabil. Eng. 2018 26 1 84 95 10.1109/TNSRE.2017.2776149 29324406
    [Google Scholar]
  4. Brinkman J.E. Reddy V. Sharma S. Physiology of sleep. StatPearls StatPearls Publishing Treasure Island (FL) 2024
    [Google Scholar]
  5. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington (DC) National Academies Press (US) 2006
    [Google Scholar]
  6. Carskadon M.A. Dement W.C. Chapter 2 – Normal human sleep : An overview. Principles and practice of sleep medicine 5th ed St. Louis Elsevier Saunders 2011 16 26 10.1016/B978‑1‑4160‑6645‑3.00002‑5
    [Google Scholar]
  7. Borb A.A. Achermann P. Sleep homeostasis and models of sleep regulation. J. Biol. Rhythms 1999 14 6 559 570 10.1177/074873099129000894 10643753
    [Google Scholar]
  8. Diekelmann S. Born J. The memory function of sleep. Nat. Rev. Neurosci. 2010 11 2 114 126 10.1038/nrn2762 20046194
    [Google Scholar]
  9. Fishbein A.B. Knutson K.L. Zee P.C. Circadian disruption and human health. J. Clin. Invest. 2021 131 19 e148286 10.1172/JCI148286 34596053
    [Google Scholar]
  10. Zhu L. Zee P.C. Circadian rhythm sleep disorders. Neurol. Clin. 2012 30 4 1167 1191 10.1016/j.ncl.2012.08.011 23099133
    [Google Scholar]
  11. Thorpy M.J. Classification of sleep disorders. Neurotherapeutics 2012 9 4 687 701 10.1007/s13311‑012‑0145‑6 22976557
    [Google Scholar]
  12. Riemann D. Nissen C. Palagini L. Otte A. Perlis M.L. Spiegelhalder K. The neurobiology, investigation, and treatment of chronic insomnia. Lancet Neurol. 2015 14 5 547 558 10.1016/S1474‑4422(15)00021‑6 25895933
    [Google Scholar]
  13. Bonvalet M. Ollila H.M. Ambati A. Mignot E. Autoimmunity in narcolepsy. Curr. Opin. Pulm. Med. 2017 23 6 522 529 10.1097/MCP.0000000000000426 28991006
    [Google Scholar]
  14. Iranzo A. Santamaría J. Severe obstructive sleep apnea/hypopnea mimicking REM sleep behavior disorder. Sleep 2005 28 2 203 206 10.1093/sleep/28.2.203 16171244
    [Google Scholar]
  15. Peppard P.E. Young T. Barnet J.H. Palta M. Hagen E.W. Hla K.M. Increased prevalence of sleep-disordered breathing in adults. Am. J. Epidemiol. 2013 177 9 1006 1014 10.1093/aje/kws342 23589584
    [Google Scholar]
  16. Sack R.L. Auckley D. Auger R.R. Carskadon M.A. Wright K.P. Jr Vitiello M.V. Zhdanova I.V. American Academy of Sleep Medicine Circadian rhythm sleep disorders: Part I, basic principles, shift work and jet lag disorders. An American academy of sleep medicine review. Sleep 2007 30 11 1460 1483 10.1093/sleep/30.11.1460 18041480
    [Google Scholar]
  17. Okechukwu C.E. The neurophysiologic basis of the human sleep–wake cycle and the physiopathology of the circadian clock: A narrative review. Egypt. J. Neurol. Psychiat. Neurosurg. 2022 58 1 34 10.1186/s41983‑022‑00468‑8
    [Google Scholar]
  18. Wang C. Holtzman D.M. Bidirectional relationship between sleep and Alzheimer’s disease: Role of amyloid, tau, and other factors. Neuropsychopharmacology 2020 45 1 104 120 10.1038/s41386‑019‑0478‑5 31408876
    [Google Scholar]
  19. Roenneberg T. Merrow M. The circadian clock and human health. Curr. Biol. 2016 26 10 R432 R443 10.1016/j.cub.2016.04.011 27218855
    [Google Scholar]
  20. Medic G. Wille M. Hemels M. Short- and long-term health consequences of sleep disruption. Nat. Sci. Sleep 2017 9 151 161 10.2147/NSS.S134864 28579842
    [Google Scholar]
  21. Meerlo P. Sgoifo A. Suchecki D. Restricted and disrupted sleep: Effects on autonomic function, neuroendocrine stress systems and stress responsivity. Sleep Med. Rev. 2008 12 3 197 210 10.1016/j.smrv.2007.07.007 18222099
    [Google Scholar]
  22. Irwin M. Thompson J. Miller C. Gillin J.C. Ziegler M. Effects of sleep and sleep deprivation on catecholamine and interleukin-2 levels in humans: Clinical implications. J. Clin. Endocrinol. Metab. 1999 84 6 1979 1985 10.1210/jc.84.6.1979 10372697
    [Google Scholar]
  23. Ekstedt M. Åkerstedt T. Söderström M. Microarousals during sleep are associated with increased levels of lipids, cortisol, and blood pressure. Psychosom. Med. 2004 66 6 925 931 10.1097/01.psy.0000145821.25453.f7 15564359
    [Google Scholar]
  24. Sadeh A. Gruber R. Raviv A. Sleep, neurobehavioral functioning, and behavior problems in school-age children. Child Dev. 2002 73 2 405 417 10.1111/1467‑8624.00414 11949899
    [Google Scholar]
  25. Phillips B. Mannino D.M. Do insomnia complaints cause hypertension or cardiovascular disease? J. Clin. Sleep Med. 2007 3 5 489 494 10.5664/jcsm.26913 17803012
    [Google Scholar]
  26. Narang I. Manlhiot C. Davies-Shaw J. Gibson D. Chahal N. Stearne K. Fisher A. Dobbin S. McCrindle B.W. Sleep disturbance and cardiovascular risk in adolescents. CMAJ 2012 184 17 E913 E920 10.1503/cmaj.111589 23027917
    [Google Scholar]
  27. Meisinger C. Heier M. Löwel H. Schneider A. Döring A. Sleep duration and sleep complaints and risk of myocardial infarction in middle-aged men and women from the general population: The MONICA/KORA Augsburg cohort study. Sleep 2007 30 9 1121 1127 10.1093/sleep/30.9.1121 17910384
    [Google Scholar]
  28. Ali T. Choe J. Awab A. Wagener T.L. Orr W.C. Sleep, immunity and inflammation in gastrointestinal disorders. World J. Gastroenterol. 2013 19 48 9231 9239 10.3748/wjg.v19.i48.9231 24409051
    [Google Scholar]
  29. Sigurdardottir L.G. Valdimarsdottir U.A. Mucci L.A. Fall K. Rider J.R. Schernhammer E. Czeisler C.A. Launer L. Harris T. Stampfer M.J. Gudnason V. Lockley S.W. Sleep disruption among older men and risk of prostate cancer. Cancer Epidemiol. Biomarkers Prev. 2013 22 5 872 879 10.1158/1055‑9965.EPI‑12‑1227‑T 23652374
    [Google Scholar]
  30. Schernhammer E.S. Laden F. Speizer F.E. Willett W.C. Hunter D.J. Kawachi I. Fuchs C.S. Colditz G.A. Night-shift work and risk of colorectal cancer in the nurses’ health study. J. Natl. Cancer Inst. 2003 95 11 825 828 10.1093/jnci/95.11.825 12783938
    [Google Scholar]
  31. Filipski E. King V.M. Li X. Granda T.G. Mormont M.C. Claustrat B. Hastings M.H. Lévi F. Disruption of circadian coordination accelerates malignant growth in mice. Pathol. Biol. 2003 51 4 216 219 10.1016/S0369‑8114(03)00034‑8 12852994
    [Google Scholar]
  32. Cooke J.R. Ancoli-Israel S. Normal and abnormal sleep in the elderly. Handb. Clin. Neurol. 2011 98 653 665 10.1016/B978‑0‑444‑52006‑7.00041‑1 21056216
    [Google Scholar]
  33. Blackwell T. Yaffe K. Ancoli-Israel S. Schneider J.L. Cauley J.A. Hillier T.A. Fink H.A. Stone K.L. Study of Osteoporotic Fractures Group Poor sleep is associated with impaired cognitive function in older women: The study of osteoporotic fractures. J. Gerontol. A Biol. Sci. Med. Sci. 2006 61 4 405 410 10.1093/gerona/61.4.405 16611709
    [Google Scholar]
  34. Ohayon M.M. Vecchierini M.F. Normative sleep data, cognitive function and daily living activities in older adults in the community. Sleep 2005 28 8 981 989 16218081
    [Google Scholar]
  35. Dam T.T. Ewing S. Ancoli-Israel S. Ensrud K. Redline S. Stone K. Osteoporotic Fractures in Men Research Group Association between sleep and physical function in older men: The MrOS sleep study. J. Am. Geriatr. Soc. 2008 56 9 1665 1673 10.1111/j.1532‑5415.2008.01846.x 18759758
    [Google Scholar]
  36. Stone K.L. Ewing S.K. Lui L.Y. Ensrud K.E. Ancoli-Israel S. Bauer D.C. Cauley J.A. Hillier T.A. Cummings S.R. Self-reported sleep and nap habits and risk of falls and fractures in older women: The study of osteoporotic fractures. J. Am. Geriatr. Soc. 2006 54 8 1177 1183 10.1111/j.1532‑5415.2006.00818.x 16913982
    [Google Scholar]
  37. Joffe H. Chang Y. Dhaliwal S. Hess R. Thurston R. Gold E. Matthews K.A. Bromberger J.T. Lifetime history of depression and anxiety disorders as a predictor of quality of life in midlife women in the absence of current illness episodes. Arch. Gen. Psychiatry 2012 69 5 484 492 10.1001/archgenpsychiatry.2011.1578 22566580
    [Google Scholar]
  38. Feeley C.A. Turner-Henson A. Christian B.J. Avis K.T. Heaton K. Lozano D. Su X. Sleep quality, stress, caregiver burden, and quality of life in maternal caregivers of young children with bronchopulmonary dysplasia. J. Pediatr. Nurs. 2014 29 1 29 38 10.1016/j.pedn.2013.08.001 23999065
    [Google Scholar]
  39. McCoy J.G. Strecker R.E. The cognitive cost of sleep lost. Neurobiol. Learn. Mem. 2011 96 4 564 582 10.1016/j.nlm.2011.07.004 21875679
    [Google Scholar]
  40. Groeger J.A. Stanley N. Deacon S. Dijk D.J. Dissociating effects of global SWS disruption and healthy aging on waking performance and daytime sleepiness. Sleep 2014 37 6 1127 1142 10.5665/sleep.3776 24882908
    [Google Scholar]
  41. Tempesta D. De Gennaro L. Natale V. Ferrara M. Emotional memory processing is influenced by sleep quality. Sleep Med. 2015 16 7 862 870 10.1016/j.sleep.2015.01.024 26008959
    [Google Scholar]
  42. Shochat T. Cohen-Zion M. Tzischinsky O. Functional consequences of inadequate sleep in adolescents: A systematic review. Sleep Med. Rev. 2014 18 1 75 87 10.1016/j.smrv.2013.03.005 23806891
    [Google Scholar]
  43. Chung K.F. Cheung M.M. Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep 2008 31 2 185 194 10.1093/sleep/31.2.185 18274265
    [Google Scholar]
  44. Mak K.K. Ho S.Y. Thomas G.N. Lo W.S. Cheuk D.K.L. Lai Y.K. Lam T.H. Smoking and sleep disorders in Chinese adolescents. Sleep Med. 2010 11 3 268 273 10.1016/j.sleep.2009.07.017 20176504
    [Google Scholar]
  45. Pérez A. Roberts R.E. Sanderson M. Reininger B. Aguirre-Flores M.I. Disturbed sleep among adolescents living in 2 communities on the Texas-Mexico border, 2000-2003. Prev. Chronic Dis. 2010 7 2 A40 20158968
    [Google Scholar]
  46. Umlauf M.G. Bolland J.M. Lian B.E. Sleep disturbance and risk behaviors among inner-city African-American adolescents. J. Urban Health 2011 88 6 1130 1142 10.1007/s11524‑011‑9591‑4 21638116
    [Google Scholar]
  47. Morioka H. Itani O. Kaneita Y. Ikeda M. Kondo S. Yamamoto R. Osaki Y. Kanda H. Higuchi S. Ohida T. Associations between sleep disturbance and alcohol drinking: A large-scale epidemiological study of adolescents in Japan. Alcohol 2013 47 8 619 628 10.1016/j.alcohol.2013.09.041 24188738
    [Google Scholar]
  48. Paavonen E.J. Porkka-Heiskanen T. Lahikainen A.R. Sleep quality, duration and behavioral symptoms among 5–6-year-old children. Eur. Child Adolesc. Psychiatry 2009 18 12 747 754 10.1007/s00787‑009‑0033‑8 19466475
    [Google Scholar]
  49. Singareddy R. Krishnamurthy V.B. Vgontzas A.N. Fernandez-Mendoza J. Calhoun S.L. Shaffer M.L. Bixler E.O. Subjective and objective sleep and self-harm behaviors in young children: A general population study. Psychiatry Res. 2013 209 3 549 553 10.1016/j.psychres.2013.03.036 23623452
    [Google Scholar]
  50. Davis K.F. Parker K.P. Montgomery G.L. Sleep in infants and young children. J. Pediatr. Health Care 2004 18 2 65 71 10.1016/S0891‑5245(03)00149‑4 15007289
    [Google Scholar]
  51. Mirmiran M. Baldwin R.B. Ariagno R.L. Circadian and sleep development in preterm infants occurs independently from the influences of environmental lighting. Pediatr. Res. 2003 53 6 933 938 10.1203/01.PDR.0000061541.94620.12 12621096
    [Google Scholar]
  52. Adams S.M. Jones D.R. Esmail A. Mitchell E.A. What affects the age of first sleeping through the night? J. Paediatr. Child Health 2004 40 3 96 101 10.1111/j.1440‑1754.2004.00317.x 15009572
    [Google Scholar]
  53. Galland B.C. Taylor B.J. Elder D.E. Herbison P. Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Med. Rev. 2012 16 3 213 222 10.1016/j.smrv.2011.06.001 21784676
    [Google Scholar]
  54. Sadeh A. Mindell J.A. Luedtke K. Wiegand B. Sleep and sleep ecology in the first 3 years: A web-based study. J. Sleep Res. 2009 18 1 60 73 10.1111/j.1365‑2869.2008.00699.x 19021850
    [Google Scholar]
  55. Tham E. Schneider N. Broekman B. Infant sleep and its relation with cognition and growth: A narrative review. Nat. Sci. Sleep 2017 9 135 149 10.2147/NSS.S125992 28553151
    [Google Scholar]
  56. Young T. Peppard P.E. Gottlieb D.J. Epidemiology of obstructive sleep apnea: A population health perspective. Am. J. Respir. Crit. Care Med. 2002 165 9 1217 1239 10.1164/rccm.2109080 11991871
    [Google Scholar]
  57. Kwon Y. Tzeng W.S. Seo J. Logan J.G. Tadic M. Lin G.M. Martinez-Garcia M.A. Pengo M. Liu X. Cho Y. Drager L.F. Healy W. Hong G.R. Obstructive sleep apnea and hypertension; Critical overview. Clin. Hypertens. 2024 30 1 19 10.1186/s40885‑024‑00276‑7 39090691
    [Google Scholar]
  58. Calhoun D.A. Jones D. Textor S. Goff D.C. Murphy T.P. Toto R.D. White A. Cushman W.C. White W. Sica D. Ferdinand K. Giles T.D. Falkner B. Carey R.M. American Heart Association Professional Education Committee Resistant hypertension: Diagnosis, evaluation, and treatment. Circulation 2008 117 25 e510 e526 10.1161/CIRCULATIONAHA.108.189141 18574054
    [Google Scholar]
  59. Carlson J.T. Hedner J. Elam M. Ejnell H. Sellgren J. Wallin B.G. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993 103 6 1763 1768 10.1378/chest.103.6.1763 8404098
    [Google Scholar]
  60. Shahar E. Whitney C.W. Redline S. Lee E.T. Newman A.B. Javier Nieto F. O’Connor G.T. Boland L.L. Schwartz J. Samet J.M. Sleep-disordered breathing and cardiovascular disease: Cross-sectional results of the Sleep Heart Health Study. Am. J. Respir. Crit. Care Med. 2001 163 1 19 25 10.1164/ajrccm.163.1.2001008 11208620
    [Google Scholar]
  61. DiCaro M.V. Lei K. Yee B. Tak T. The effects of obstructive sleep apnea on the cardiovascular system: A comprehensive review. J. Clin. Med. 2024 13 11 3223 10.3390/jcm13113223 38892933
    [Google Scholar]
  62. Somers V.K. Dyken M.E. Clary M.P. Abboud F.M. Sympathetic neural mechanisms in obstructive sleep apnea. J. Clin. Invest. 1995 96 4 1897 1904 10.1172/JCI118235 7560081
    [Google Scholar]
  63. Onat A. Ceyhan K. Başar Ö. Erer B. Toprak S. Sansoy V. Metabolic syndrome: Major impact on coronary risk in a population with low cholesterol levels—a prospective and cross-sectional evaluation. Atherosclerosis 2002 165 2 285 292 10.1016/S0021‑9150(02)00236‑8 12417279
    [Google Scholar]
  64. Marin J.M. Carrizo S.J. Vicente E. Agusti A.G.N. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: An observational study. Lancet 2005 365 9464 1046 1053 10.1016/S0140‑6736(05)71141‑7 15781100
    [Google Scholar]
  65. Ip M.S.M. Tse H.F. Lam B. Tsang K.W.T. Lam W.K. Endothelial function in obstructive sleep apnea and response to treatment. Am. J. Respir. Crit. Care Med. 2004 169 3 348 353 10.1164/rccm.200306‑767OC 14551167
    [Google Scholar]
  66. Martínez-García M.Á. Oscullo G. Garcia-Ortega A. Gómez-Olivas J.D. Beauperthuy T. OSA and ischemic heart disease in the elderly. Curr. Sleep Med. Rep. 2021 7 3 105 111 10.1007/s40675‑021‑00208‑z
    [Google Scholar]
  67. Yaggi H.K. Concato J. Kernan W.N. Lichtman J.H. Brass L.M. Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N. Engl. J. Med. 2005 353 19 2034 2041 10.1056/NEJMoa043104 16282178
    [Google Scholar]
  68. Kimura K. Yamashita S. Shibazaki K. Cardioembolic stroke associated with atrial fibrillation. Rinsho Shinkeigaku 2013 53 11 989 991 10.5692/clinicalneurol.53.989 24291855
    [Google Scholar]
  69. Mohamed B. Yarlagadda K. Self Z. Simon A. Rigueiro F. Sohooli M. Eisenschenk S. Doré S. Obstructive sleep apnea and stroke: Determining the mechanisms behind their association and treatment options. Transl. Stroke Res. 2024 15 2 239 332 10.1007/s12975‑023‑01123‑x 36922470
    [Google Scholar]
  70. Redline S. Yenokyan G. Gottlieb D.J. Shahar E. O’Connor G.T. Resnick H.E. Diener-West M. Sanders M.H. Wolf P.A. Geraghty E.M. Ali T. Lebowitz M. Punjabi N.M. Obstructive sleep apnea-hypopnea and incident stroke: The sleep heart health study. Am. J. Respir. Crit. Care Med. 2010 182 2 269 277 10.1164/rccm.200911‑1746OC 20339144
    [Google Scholar]
  71. Davis A.P. Billings M.E. Longstreth W.T. Jr Khot S.P. Early diagnosis and treatment of obstructive sleep apnea after stroke. Neurol. Clin. Pract. 2013 3 3 192 201 10.1212/CPJ.0b013e318296f274 23914326
    [Google Scholar]
  72. Bassetti C. Aldrich M.S. Michael S. Sleep apnea in acute cerebrovascular diseases: Final report on 128 patients. Sleep 1999 22 2 217 223 10.1093/sleep/22.2.217 10201066
    [Google Scholar]
  73. Javaheri S. Sleep disorders in systolic heart failure: A prospective study of 100 male patients. The final report. Int. J. Cardiol. 2006 106 1 21 28 10.1016/j.ijcard.2004.12.068 16321661
    [Google Scholar]
  74. Brisco M.A. Goldberg L.R. Sleep apnea in congestive heart failure. Curr. Heart Fail. Rep. 2010 7 4 175 184 10.1007/s11897‑010‑0033‑5 20953852
    [Google Scholar]
  75. Oldenburg O. Lamp B. Faber L. Teschler H. Horstkotte D. Töpfer V. Sleep-disordered breathing in patients with symptomatic heart failure A contemporary study of prevalence in and characteristics of 700 patients. Eur. J. Heart Fail. 2007 9 3 251 257 10.1016/j.ejheart.2006.08.003 17027333
    [Google Scholar]
  76. Bradley T.D. Logan A.G. Kimoff R.J. Sériès F. Morrison D. Ferguson K. Belenkie I. Pfeifer M. Fleetham J. Hanly P. Smilovitch M. Tomlinson G. Floras J.S. CANPAP Investigators Continuous positive airway pressure for central sleep apnea and heart failure. N. Engl. J. Med. 2005 353 19 2025 2033 10.1056/NEJMoa051001 16282177
    [Google Scholar]
  77. Gami A.S. Howard D.E. Olson E.J. Somers V.K. Day-night pattern of sudden death in obstructive sleep apnea. N. Engl. J. Med. 2005 352 12 1206 1214 10.1056/NEJMoa041832 15788497
    [Google Scholar]
  78. Laczay B. Faulx M.D. Obstructive sleep apnea and cardiac arrhythmias: A contemporary review. J. Clin. Med. 2021 10 17 3785 10.3390/jcm10173785 34501232
    [Google Scholar]
  79. Monahan K. Storfer-Isser A. Mehra R. Shahar E. Mittleman M. Rottman J. Punjabi N. Sanders M. Quan S.F. Resnick H. Redline S. Triggering of nocturnal arrhythmias by sleep-disordered breathing events. J. Am. Coll. Cardiol. 2009 54 19 1797 1804 10.1016/j.jacc.2009.06.038 19874994
    [Google Scholar]
  80. Gami A.S. Pressman G. Caples S.M. Kanagala R. Gard J.J. Davison D.E. Malouf J.F. Ammash N.M. Friedman P.A. Somers V.K. Association of atrial fibrillation and obstructive sleep apnea. Circulation 2004 110 4 364 367 10.1161/01.CIR.0000136587.68725.8E 15249509
    [Google Scholar]
  81. Taheri S. Lin L. Austin D. Young T. Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med. 2004 1 3 e62 10.1371/journal.pmed.0010062 15602591
    [Google Scholar]
  82. Spiegel K. Tasali E. Penev P. Cauter E.V. Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann. Intern. Med. 2004 141 11 846 850 10.7326/0003‑4819‑141‑11‑200412070‑00008 15583226
    [Google Scholar]
  83. Meyer E.J. Wittert G.A. Approach the patient with obstructive sleep apnea and obesity. J. Clin. Endocrinol. Metab. 2024 109 3 e1267 e1279 10.1210/clinem/dgad572 37758218
    [Google Scholar]
  84. Mullington J.M. Chan J.L. Van Dongen H.P.A. Szuba M.P. Samaras J. Price N.J. Meier-Ewert H.K. Dinges D.F. Mantzoros C.S. Sleep loss reduces diurnal rhythm amplitude of leptin in healthy men. J. Neuroendocrinol. 2003 15 9 851 854 10.1046/j.1365‑2826.2003.01069.x 12899679
    [Google Scholar]
  85. Spiegel K. Leproult R. Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet 1999 354 9188 1435 1439 10.1016/S0140‑6736(99)01376‑8 10543671
    [Google Scholar]
  86. Harsch I.A. Schahin S.P. Radespiel-Tröger M. Weintz O. Jahreiß H. Fuchs F.S. Wiest G.H. Hahn E.G. Lohmann T. Konturek P.C. Ficker J.H. Continuous positive airway pressure treatment rapidly improves insulin sensitivity in patients with obstructive sleep apnea syndrome. Am. J. Respir. Crit. Care Med. 2004 169 2 156 162 10.1164/rccm.200302‑206OC 14512265
    [Google Scholar]
  87. Alberti K.G.M.M. Eckel R.H. Grundy S.M. Zimmet P.Z. Cleeman J.I. Donato K.A. Fruchart J.C. James W.P.T. Loria C.M. Smith S.C. Jr. International Diabetes Federation Task Force on Epidemiology and Prevention Hational Heart, Lung, and Blood Institute American Heart Association World Heart Federation International Atherosclerosis Society International Association for the Study of Obesity Harmonizing the metabolic syndrome. Circulation 2009 120 16 1640 1645 10.1161/CIRCULATIONAHA.109.192644 19805654
    [Google Scholar]
  88. Xu H. Li X. Adams H. Kubena K. Guo S. Etiology of metabolic syndrome and dietary intervention. Int. J. Mol. Sci. 2018 20 1 128 10.3390/ijms20010128 30602666
    [Google Scholar]
  89. Saklayen M.G. The global epidemic of the metabolic syndrome. Curr. Hypertens. Rep. 2018 20 2 12 10.1007/s11906‑018‑0812‑z 29480368
    [Google Scholar]
  90. Afshin A. Forouzanfar M.H. Reitsma M.B. Sur P. Estep K. Lee A. Marczak L. Mokdad A.H. Moradi-Lakeh M. Naghavi M. Salama J.S. Vos T. Abate K.H. Abbafati C. Ahmed M.B. Al-Aly Z. Alkerwi A. Al-Raddadi R. Amare A.T. Amberbir A. Amegah A.K. Amini E. Amrock S.M. Anjana R.M. Ärnlöv J. Asayesh H. Banerjee A. Barac A. Baye E. Bennett D.A. Beyene A.S. Biadgilign S. Biryukov S. Bjertness E. Boneya D.J. Campos-Nonato I. Carrero J.J. Cecilio P. Cercy K. Ciobanu L.G. Cornaby L. Damtew S.A. Dandona L. Dandona R. Dharmaratne S.D. Duncan B.B. Eshrati B. Esteghamati A. Feigin V.L. Fernandes J.C. Fürst T. Gebrehiwot T.T. Gold A. Gona P.N. Goto A. Habtewold T.D. Hadush K.T. Hafezi-Nejad N. Hay S.I. Horino M. Islami F. Kamal R. Kasaeian A. Katikireddi S.V. Kengne A.P. Kesavachandran C.N. Khader Y.S. Khang Y.H. Khubchandani J. Kim D. Kim Y.J. Kinfu Y. Kosen S. Ku T. Defo B.K. Kumar G.A. Larson H.J. Leinsalu M. Liang X. Lim S.S. Liu P. Lopez A.D. Lozano R. Majeed A. Malekzadeh R. Malta D.C. Mazidi M. McAlinden C. McGarvey S.T. Mengistu D.T. Mensah G.A. Mensink G.B.M. Mezgebe H.B. Mirrakhimov E.M. Mueller U.O. Noubiap J.J. Obermeyer C.M. Ogbo F.A. Owolabi M.O. Patton G.C. Pourmalek F. Qorbani M. Rafay A. Rai R.K. Ranabhat C.L. Reinig N. Safiri S. Salomon J.A. Sanabria J.R. Santos I.S. Sartorius B. Sawhney M. Schmidhuber J. Schutte A.E. Schmidt M.I. Sepanlou S.G. Shamsizadeh M. Sheikhbahaei S. Shin M.J. Shiri R. Shiue I. Roba H.S. Silva D.A.S. Silverberg J.I. Singh J.A. Stranges S. Swaminathan S. Tabarés-Seisdedos R. Tadese F. Tedla B.A. Tegegne B.S. Terkawi A.S. Thakur J.S. Tonelli M. Topor-Madry R. Tyrovolas S. Ukwaja K.N. Uthman O.A. Vaezghasemi M. Vasankari T. Vlassov V.V. Vollset S.E. Weiderpass E. Werdecker A. Wesana J. Westerman R. Yano Y. Yonemoto N. Yonga G. Zaidi Z. Zenebe Z.M. Zipkin B. Murray C.J.L. GBD 2015 Obesity Collaborators Health effects of overweight and obesity in 195 countries over 25 years. N. Engl. J. Med. 2017 377 1 13 27 10.1056/NEJMoa1614362 28604169
    [Google Scholar]
  91. Wang Y. Mi J. Shan X. Wang Q.J. Ge K. Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int. J. Obes. 2007 31 1 177 188 10.1038/sj.ijo.0803354 16652128
    [Google Scholar]
  92. Sliem H. Ahmed S. Nemr N. El-Sherif I. Metabolic syndrome in the Middle East. Indian J. Endocrinol. Metab. 2012 16 1 67 71 10.4103/2230‑8210.91193 22276254
    [Google Scholar]
  93. Al-Riyami A.A. Afifi M.M. Prevalence and correlates of obesity and central obesity among Omani adults. Saudi Med. J. 2003 24 6 641 646 12847595
    [Google Scholar]
  94. Riediger N.D. Clara I. Prevalence of metabolic syndrome in the Canadian adult population. CMAJ 2011 183 15 E1127 E1134 10.1503/cmaj.110070
    [Google Scholar]
  95. Aguilar M. Bhuket T. Torres S. Liu B. Wong R.J. Prevalence of the metabolic syndrome in the United States, 2003-2012. JAMA 2015 313 19 1973 1974 10.1001/jama.2015.4260 25988468
    [Google Scholar]
  96. Aguilar-Salinas C.A. Rojas R. Gómez-Pérez F.J. Valles V. Ríos-Torres J.M. Franco A. Olaiz G. Rull J.A. Sepúlveda J. High prevalence of metabolic syndrome in Mexico. Arch. Med. Res. 2004 35 1 76 81 10.1016/j.arcmed.2003.06.006 15036804
    [Google Scholar]
  97. Vernay M. Salanave B. de Peretti C. Druet C. Malon A. Deschamps V. Hercberg S. Castetbon K. Metabolic syndrome and socioeconomic status in France: The french nutrition and health survey (ENNS, 2006–2007). Int. J. Public Health 2013 58 6 855 864 10.1007/s00038‑013‑0501‑2 23999626
    [Google Scholar]
  98. Moebus S. Hanisch J. Bramlage P. Lösch C. Hauner H. Wasem J. Jöckel K.H. Regional differences in the prevalence of the metabolic syndrome in primary care practices in Germany. Dtsch. Arztebl. Int. 2008 105 12 207 213 10.3238/artzebl.2008.0207 19629210
    [Google Scholar]
  99. Miccoli R. Bianchi C. Odoguardi L. Penno G. Caricato F. Giovannitti M.G. Pucci L. Del Prato S. Prevalence of the metabolic syndrome among Italian adults according to ATP III definition. Nutr. Metab. Cardiovasc. Dis. 2005 15 4 250 254 10.1016/j.numecd.2004.09.002 16054548
    [Google Scholar]
  100. Athyros V.G. Bouloukos V.I. Pehlivanidis A.N. Papageorgiou A.A. Dionysopoulou S.G. Symeonidis A.N. Petridis D.I. Kapousouzi M.I. Satsoglou E.A. Mikhailidis D.P. MetS-Greece Collaborative Group The prevalence of the metabolic syndrome in Greece: The MetS-Greece multicentre study. Diabetes Obes. Metab. 2005 7 4 397 405 10.1111/j.1463‑1326.2004.00409.x 15955126
    [Google Scholar]
  101. Metelskaya V.A. Shkolnikova M.A. Shalnova S.A. Andreev E.M. Deev A.D. Jdanov D.A. Shkolnikov V.M. Vaupel J.W. Prevalence, components, and correlates of metabolic syndrome (MetS) among elderly Muscovites. Arch. Gerontol. Geriatr. 2012 55 2 231 237 10.1016/j.archger.2011.09.005 21955584
    [Google Scholar]
  102. Abd Elaziz K.M. Gabal M.S. Aldafrawy O.A. Abou Seif H.A.A. Allam M.F. Prevalence of metabolic syndrome and cardiovascular risk factors among voluntary screened middle-aged and elderly Egyptians. J. Public Health 2014 37 4 fdu097 10.1093/pubmed/fdu097 25503580
    [Google Scholar]
  103. Owolabi EO Ter Goon D Adeniyi OV Adedokun AO Seekoe E Prevalence and correlates of metabolic syndrome among adults attending healthcare facilities in Eastern Cape, South Africa. Open Public Health J. 2017 10 148 159 10.2174/1874944501710010148
    [Google Scholar]
  104. Al-Rubeaan K. Bawazeer N. Al Farsi Y. Youssef A.M. Al-Yahya A.A. AlQumaidi H. Al-Malki B.M. Naji K.A. Al-Shehri K. Al Rumaih F.I. Prevalence of metabolic syndrome in Saudi Arabia - A cross sectional study. BMC Endocr. Disord. 2018 18 1 16 16 10.1186/s12902‑018‑0244‑4 29506520
    [Google Scholar]
  105. Pengpid S. Peltzer K. Prevalence and associated factors of metabolic syndrome among a national population-based sample of 18–108-year-olds in Iraq: Results of the 2015 STEPS survey. Int. J. Diabetes Dev. Ctries. 2021 41 3 427 434 10.1007/s13410‑020‑00912‑6
    [Google Scholar]
  106. Al-Lawati J.A. Mohammed A.J. Al-Hinai H.Q. Jousilahti P. Prevalence of the metabolic syndrome among Omani adults. Diabetes Care 2003 26 6 1781 1785 10.2337/diacare.26.6.1781 12766109
    [Google Scholar]
  107. Mahmoud I. Sulaiman N. Prevalence of metabolic syndrome and associated risk factors in the United Arab Emirates: A cross-sectional population-based study. Front. Public Health 2022 9 811006 10.3389/fpubh.2021.811006 35141192
    [Google Scholar]
  108. Al-Thani M.H. Al-Thani A.A.M. Cheema S. Sheikh J. Mamtani R. Lowenfels A.B. Al-Chetachi W.F. Almalki B.A. Hassan Khalifa S.A. Haj Bakri A.O. Maisonneuve P. Prevalence and determinants of metabolic syndrome in Qatar: results from a National Health Survey. BMJ Open 2016 6 9 e009514 10.1136/bmjopen‑2015‑009514 27601485
    [Google Scholar]
  109. Ali N.S. Khuwaja A.K. Adnan-ur-Rahman Nanji K. Retrospective analysis of metabolic syndrome: Prevalence and distribution in executive population in urban pakistan. Int. J. Family Med. 2012 2012 1 8 10.1155/2012/649383 22988504
    [Google Scholar]
  110. Bansal S. Paliwal A. Verma V. Chauhan J. A study on prevalence of metabolic syndrome in general population in Western Uttar Pradesh, India. Int. J. Res. Med. Sci. 2017 5 6 2641 10.18203/2320‑6012.ijrms20172462
    [Google Scholar]
  111. Mainuddin A. Choudhury K. Ahmed K. Akter S. Islam N. The metabolic syndrome: Comparison of newly proposed IDF, modified ATP III and WHO criteria and their agreements. Cardiovasc J. 2013 6 1 17 22 10.3329/cardio.v6i1.16110
    [Google Scholar]
  112. Aekplakorn W. Chongsuvivatwong V. Tatsanavivat P. Suriyawongpaisal P. Prevalence of metabolic syndrome defined by the international diabetes federation and national cholesterol education program criteria among Thai adults. Asia Pac. J. Public Health 2011 23 5 792 800 10.1177/1010539511424482 21984495
    [Google Scholar]
  113. Zainuddin L.R. Isa N. Muda W.M. Mohamed H.J. The prevalence of metabolic syndrome according to various definitions and hypertriglyceridemic-waist in malaysian adults. Int. J. Prev. Med. 2011 2 4 229 237 22174962
    [Google Scholar]
  114. Gu D. Reynolds K. Wu X. Chen J. Duan X. Reynolds R.F. Whelton P.K. He J. InterASIA Collaborative Group Prevalence of the metabolic syndrome and overweight among adults in China. Lancet 2005 365 9468 1398 1405 10.1016/S0140‑6736(05)66375‑1 15836888
    [Google Scholar]
  115. Park H.S. Park C.Y. Oh S.W. Yoo H.J. Prevalence of obesity and metabolic syndrome in Korean adults. Obes. Rev. 2008 9 2 104 107 10.1111/j.1467‑789X.2007.00421.x 17986177
    [Google Scholar]
  116. Hidaka T. Hayakawa T. Kakamu T. Kumagai T. Hiruta Y. Hata J. Tsuji M. Fukushima T. Prevalence of metabolic syndrome and its components among Japanese workers by clustered business category. PLoS One 2016 11 4 e0153368 10.1371/journal.pone.0153368 27082961
    [Google Scholar]
  117. Cameron A.J. Magliano D.J. Zimmet P.Z. Welborn T. Shaw J.E. The metabolic syndrome in Australia: Prevalence using four definitions. Diabetes Res. Clin. Pract. 2007 77 3 471 478 10.1016/j.diabres.2007.02.002 17350710
    [Google Scholar]
  118. Kareem O. Tanvir M. Bader G.N. Obstructive sleep apnea and metabolic syndrome. Sleep Vigil. 2022 6 1 85 99 10.1007/s41782‑022‑00204‑5
    [Google Scholar]
  119. Vgontzas A.N. Legro R.S. Bixler E.O. Grayev A. Kales A. Chrousos G.P. Polycystic ovary syndrome is associated with obstructive sleep apnea and daytime sleepiness: Role of insulin resistance. J. Clin. Endocrinol. Metab. 2001 86 2 517 520 10.1210/jcem.86.2.7185 11158002
    [Google Scholar]
  120. Tasali E. Van Cauter E. Ehrmann D.A. Ehrmann D.A. Polycystic ovary syndrome and obstructive sleep apnea. Sleep Med. Clin. 2008 3 1 37 46 10.1016/j.jsmc.2007.11.001 19255602
    [Google Scholar]
  121. Zhao J. Chen Q. Xue X. Relationship between sleep disorders and female infertility among US reproductive-aged women. Sleep Breath. 2023 27 5 1875 1882 10.1007/s11325‑023‑02802‑7 36877353
    [Google Scholar]
  122. Fogel R.B. Malhotra A. Pillar G. Pittman S.D. Dunaif A. White D.P. Increased prevalence of obstructive sleep apnea syndrome in obese women with polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 2001 86 3 1175 1180 10.1210/jc.86.3.1175 11238505
    [Google Scholar]
  123. Gohil A. Eugster E. Growth hormone deficiency and excessive sleepiness: A case report and review of the literature. Pediatr. Endocrinol. Rev. 2019 17 1 41 46 10.17458/per.vol17.2019.ge 31599135
    [Google Scholar]
  124. Hayashi M. Shimohira M. Saisho S. Shimozawa K. Iwakawa Y. Sleep disturbance in children with growth hormone deficiency. Brain Dev. 1992 14 3 170 174 10.1016/S0387‑7604(12)80259‑2 1445594
    [Google Scholar]
  125. Lo Bue A. Salvaggio A. Insalaco G. Obstructive sleep apnea in developmental age. A narrative review. Eur. J. Pediatr. 2020 179 3 357 365 10.1007/s00431‑019‑03557‑8 31940071
    [Google Scholar]
  126. Bonuck K.A. Freeman K. Henderson J. Growth and growth biomarker changes after adenotonsillectomy: Systematic review and meta-analysis. Arch. Dis. Child. 2008 94 2 83 91 10.1136/adc.2008.141192 18684748
    [Google Scholar]
  127. Gozal D. Wang M. Pope D.W. Jr. Objective sleepiness measures in pediatric obstructive sleep apnea. Pediatrics 2001 108 3 693 697 10.1542/peds.108.3.693 11533338
    [Google Scholar]
  128. Peker Y. Kraiczi H. Hedner J. Löth S. Johansson Å. Bende M. An independent association between obstructive sleep apnoea and coronary artery disease. Eur. Respir. J. 1999 14 1 179 184 10.1034/j.1399‑3003.1999.14a30.x 10489848
    [Google Scholar]
  129. Fletcher E.C. DeBehnke R.D. Lovoi M.S. Gorin A.B. Undiagnosed sleep apnea in patients with essential hypertension. Ann. Intern. Med. 1985 103 2 190 195 10.7326/0003‑4819‑103‑2‑190 4014900
    [Google Scholar]
  130. Sharma B. McSharry D. Malhotra A. Sleep disordered breathing in patients with heart failure: Pathophysiology and management. Curr. Treat. Options Cardiovasc. Med. 2011 13 6 506 516 10.1007/s11936‑011‑0145‑6 21894522
    [Google Scholar]
  131. Lv R. Liu X. Zhang Y. Dong N. Wang X. He Y. Yue H. Yin Q. Pathophysiological mechanisms and therapeutic approaches in obstructive sleep apnea syndrome. Signal Transduct. Target. Ther. 2023 8 1 218 10.1038/s41392‑023‑01496‑3 37230968
    [Google Scholar]
  132. Schiza S. Schwarz E.I. Bonsignore M.R. McNicholas W.T. Pataka A. Bouloukaki I. Co-existence of OSA and respiratory diseases and the influence of gender. Expert Rev. Respir. Med. 2023 17 12 1221 1235 10.1080/17476348.2024.2304065 38198636
    [Google Scholar]
  133. Inoue D. Obstructive sleep apnea syndrome(OSAS)and bone. Clin. Calcium 2016 26 10 1399 1406 27666686
    [Google Scholar]
  134. Vitale K.C. Owens R. Hopkins S.R. Malhotra A. Sleep hygiene for optimizing recovery in athletes: Review and recommendations. Int. J. Sports Med. 2019 40 8 535 543 10.1055/a‑0905‑3103 31288293
    [Google Scholar]
  135. Kurin M. Shibli F. Kitayama Y. Kim Y. Fass R. Sorting out the relationship between gastroesophageal reflux disease and sleep. Curr. Gastroenterol. Rep. 2021 23 9 15 10.1007/s11894‑021‑00815‑4 34338891
    [Google Scholar]
  136. Tarquini B. Cecchettin M. Cariddi A. Serum gastrin and pepsinogen in shift workers. Int. Arch. Occup. Environ. Health 1986 58 2 99 103 10.1007/BF00380760 3744572
    [Google Scholar]
  137. Alghamdi A.A. Alghamdi A.M. Alshareef M.A. AlGhamdi A.A. Alghamdi R.A. AlAmri A.A. Alzahrani G.T. Assessment of sleep quality among adolescents and adults with self-diagnosed irritable bowel syndrome, in Jeddah, Saudi Arabia. Cureus 2023 15 7 e42778 10.7759/cureus.42778 37663979
    [Google Scholar]
  138. Gombert M. Carrasco-Luna J. Pin-Arboledas G. Codoñer-Franch P. The connection of circadian rhythm to inflammatory bowel disease. Transl. Res. 2019 206 107 118 10.1016/j.trsl.2018.12.001 30615844
    [Google Scholar]
  139. Mesarwi O.A. Loomba R. Malhotra A. Obstructive sleep apnea, hypoxia, and nonalcoholic fatty liver disease. Am. J. Respir. Crit. Care Med. 2019 199 7 830 841 10.1164/rccm.201806‑1109TR 30422676
    [Google Scholar]
  140. Rasmussen M.K. Mestre H. Nedergaard M. The glymphatic pathway in neurological disorders. Lancet Neurol. 2018 17 11 1016 1024 10.1016/S1474‑4422(18)30318‑1 30353860
    [Google Scholar]
  141. Lysen T.S. Darweesh S.K.L. Ikram M.K. Luik A.I. Ikram M.A. Sleep and risk of parkinsonism and Parkinson’s disease: A population-based study. Brain 2019 142 7 2013 2022 10.1093/brain/awz113 31038176
    [Google Scholar]
  142. Braley T.J. Boudreau E.A. Sleep disorders in multiple sclerosis. Curr. Neurol. Neurosci. Rep. 2016 16 5 50 50 10.1007/s11910‑016‑0649‑2 27068547
    [Google Scholar]
  143. McDermott M. Brown D.L. Chervin R.D. Sleep disorders and the risk of stroke. Expert Rev. Neurother. 2018 18 7 523 531 10.1080/14737175.2018.1489239 29902391
    [Google Scholar]
  144. St Louis E.K. Sleep and epilepsy: Strange bedfellows no more. Minerva Pneumol. 2011 50 3 159 176 23539488
    [Google Scholar]
  145. Raymond K. Chen W.H. Bracher M. Foster A. Lovley A. Saucier C. Jackson K. McDermott E.J. A concept elicitation study to understand the relationship between sleep and pain in rheumatoid arthritis and axial spondyloarthritis. Qual. Life Res. 2024 33 2 373 385 10.1007/s11136‑023‑03524‑9 37889386
    [Google Scholar]
  146. Choi M.Y. Malspeis S. Sparks J.A. Cui J. Yoshida K. Costenbader K.H. Association of sleep deprivation and the risk of developing systemic lupus erythematosus among women. Arthritis Care Res. 2023 75 6 1206 1212 10.1002/acr.25017 36094865
    [Google Scholar]
  147. Poggiogalle E. Jamshed H. Peterson C.M. Circadian regulation of glucose, lipid, and energy metabolism in humans. Metabolism 2018 84 11 27 10.1016/j.metabol.2017.11.017 29195759
    [Google Scholar]
  148. Ali T. Sleep and inflammatory bowel disease. Gastroenterol. Hepatol. 2014 10 11 748 751 28435412
    [Google Scholar]
  149. Rault C. Sangaré A. Diaz V. Ragot S. Frat J.P. Raux M. Similowski T. Robert R. Thille A.W. Drouot X. Impact of sleep deprivation on respiratory motor output and endurance. A physiological study. Am. J. Respir. Crit. Care Med. 2020 201 8 976 983 10.1164/rccm.201904‑0819OC 31810378
    [Google Scholar]
  150. Jackson C. Stewart I.D. Plekhanova T. Cunningham P.S. Hazel A.L. Al-Sheklly B. Aul R. Bolton C.E. Chalder T. Chalmers J.D. Chaudhuri N. Docherty A.B. Donaldson G. Edwardson C.L. Elneima O. Greening N.J. Hanley N.A. Harris V.C. Harrison E.M. Ho L.P. Houchen-Wolloff L. Howard L.S. Jolley C.J. Jones M.G. Leavy O.C. Lewis K.E. Lone N.I. Marks M. McAuley H.J.C. McNarry M.A. Patel B.V. Piper-Hanley K. Poinasamy K. Raman B. Richardson M. Rivera-Ortega P. Rowland-Jones S.L. Rowlands A.V. Saunders R.M. Scott J.T. Sereno M. Shah A.M. Shikotra A. Singapuri A. Stanel S.C. Thorpe M. Wootton D.G. Yates T. Gisli Jenkins R. Singh S.J. Man W.D.C. Brightling C.E. Wain L.V. Porter J.C. Thompson A.A.R. Horsley A. Molyneaux P.L. Evans R.A. Jones S.E. Rutter M.K. Blaikley J.F. Jackson C. Stewart I.D. Plekhanova T. Cunningham P.S. Hazel A.L. Al-Sheklly B. Aul R. Bolton C.E. Chalder T. Chalmers J.D. Chaudhuri N. Docherty A.B. Donaldson G. Edwardson C.L. Elneima O. Greening N.J. Hanley N.A. Harris V.C. Harrison E.M. Ho L-P. Houchen-Wolloff L. Howard L.S. Jolley C.J. Jones M.G. Leavy O.C. Lewis K.E. Lone N.I. Marks M. McAuley H.J.C. McNarry M.A. Patel B. Piper-Hanley K. Poinasamy K. Raman B. Richardson M. Rivera-Ortega P. Rowland-Jones S.L. Rowlands A.V. Saunders R.M. Scott J.T. Sereno M. Shah A.M. Shikotra A. Singapuri A. Stanel S.C. Thorpe M. Wootton D.G. Yates T. Jenkins G. Singh S.J. Man W.D-C. Brightling C.E. Wain L.V. Porter J.C. Thompson R. Horsley A. Molyneaux P.L. Evans R.A. Jones S.E. Rutter M.K. Blaikley J.F. Abel K. Adamali H. Adeloye D. Adeyemi O. Adrego R. Aguilar Jimenez L.A. Ahmad S. Ahmad Haider N. Ahmed R. Ahwireng N. Ainsworth M. Al-Sheklly B. Alamoudi A. Ali M. Aljaroof M. All A.M. Allan L. Allen R.J. Allerton L. Allsop L. Almeida P. Altmann D. Alvarez Corral M. Amoils S. Anderson D. Antoniades C. Arbane G. Arias A. Armour C. Armstrong L. Armstrong N. Arnold D. Arnold H. Ashish A. Ashworth A. Ashworth M. Aslani S. Assefa-Kebede H. Atkin C. Atkin P. Aung H. Austin L. Avram C. Ayoub A. Babores M. Baggott R. Bagshaw J. Baguley D. Bailey L. Baillie J.K. Bain S. Bakali M. Bakau M. Baldry E. Baldwin D. Baldwin M. Ballard C. Banerjee A. Bang B. Barker R.E. Barman L. Barratt S. Barrett F. Basire D. Basu N. Bates M. Bates A. Batterham R. Baxendale H. Bayes H. Beadsworth M. Beckett P. Beggs M. Begum M. Beirne P. Bell D. Bell R. Bennett K. Beranova E. Bermperi A. Berridge A. Berry C. Betts S. Bevan E. Bhui K. Bingham M. Birchall K. Bishop L. Bisnauthsing K. Blaikely J. Bloss A. Bolger A. Bonnington J. Botkai A. Bourne C. Bourne M. Bramham K. Brear L. Breen G. Breeze J. Briggs A. Bright E. Brill S. Brindle K. Broad L. Broadley A. Brookes C. Broome M. Brown A. Brown J. Brown J.S. Brown M. Brown V. Brugha T. Brunskill N. Buch M. Buckley P. Bularga A. Bullmore E. Burden L. Burdett T. Burn D. Burns G. Burns A. Busby J. Butcher R. Butt A. Byrne S. Cairns P. Calder P.C. Calvelo E. Carborn H. Card B. Carr C. Carr L. Carson G. Carter P. Casey A. Cassar M. Cavanagh J. Chablani M. Chambers R.C. Chan F. Channon K.M. Chapman K. Charalambou A. Checkley A. Chen J. Cheng Y. Chetham L. Childs C. Chilvers E.R. Chinoy H. Chiribiri A. Chong-James K. Choudhury G. Choudhury N. Chowienczyk P. Christie C. Chrystal M. Clark D. Clark C. Clarke J. Clohisey S. Coakley G. Coburn Z. Coetzee S. Cole J. Coleman C. Conneh F. Connell D. Connolly B. Connor L. Cook A. Cooper B. Cooper J. Cooper S. Copeland D. Cosier T. Coulding M. Coupland C. Cox E. Craig T. Crisp P. Cristiano D. Crooks M.G. Cross A. Cruz I. Cullinan P. Cuthbertson D. Daines L. Dalton M. Daly P. Daniels A. Dark P. Dasgin J. David A. David C. Davies E. Davies F. Davies G. Davies G.A. Davies K. Davies M.J. Dawson J. Daynes E. De Soyza A. Deakin B. Deans A. Deas C. Deery J. Defres S. Dell A. Dempsey K. Denneny E. Dennis J. Dewar A. Dharmagunawardena R. Diar-Bakerly N. Dickens C. Dipper A. Diver S. Diwanji S.N. Dixon M. Djukanovic R. Dobson H. Dobson S.L. Donaldson A. Dong T. Dormand N. Dougherty A. Dowling R. Drain S. Draxlbauer K. Drury K. Dulawan P. Dunleavy A. Dunn S. Dupont C. Earley J. Easom N. Echevarria C. Edwards S. Edwardson C. El-Taweel H. Elliott A. Elliott K. Ellis Y. Elmer A. Evans D. Evans H. Evans J. Evans R. Evans R.I. Evans T. Evenden C. Evison L. Fabbri L. Fairbairn S. Fairman A. Fallon K. Faluyi D. Favager C. Fayzan T. Featherstone J. Felton T. Finch J. Finney S. Finnigan J. Finnigan L. Fisher H. Fletcher S. Flockton R. Flynn M. Foot H. Foote D. Ford A. Forton D. Fraile E. Francis C. Francis R. Francis S. Frankel A. Fraser E. Free R. French N. Fu X. Fuld J. Furniss J. Garner L. Gautam N. Geddes J.R. George J. George P.M. Gibbons M. Gill M. Gilmour L. Gleeson F. Glossop J. Glover S. Goodman N. Goodwin C. Gooptu B. Gordon H. Gorsuch T. Greatorex M. Greenhaff P.L. Greenhalf W. Greenhalgh A. Greenwood J. Gregory H. Gregory R. Grieve D. Griffin D. Griffiths L. Guerdette A-M. Guillen Guio B. Gummadi M. Gupta A. Gurram S. Guthrie E. Guy Z. Henson H. Hadley K. Haggar A. Hainey K. Hairsine B. Haldar P. Hall I. Hall L. Halling-Brown M. Hamil R. Hancock A. Hancock K. Haq S. Hardwick H.E. Hardy E. Hardy T. Hargadon B. Harrington K. Harris E. Harrison P. Hart N. Harvey A. Harvey M. Harvie M. Haslam L. Havinden-Williams M. Hawkes J. Hawkings N. Haworth J. Hayday A. Haynes M. Hazeldine J. Hazelton T. Heaney L.G. Heeley C. Heeney J.L. Heightman M. Heller S. Henderson M. Hesselden L. Hewitt M. Highett V. Hillman T. Hiwot T. Ho L-P. Hoare A. Hoare M. Hockridge J. Hogarth P. Holbourn A. Holden S. Holdsworth L. Holgate D. Holland M. Holloway L. Holmes K. Holmes M. Holroyd-Hind B. Holt L. Hormis A. Hosseini A. Hotopf M. Howard K. Howell A. Hufton E. Hughes A.D. Hughes J. Hughes R. Humphries A. Huneke N. Hurditch E. Hurst J. Husain M. Hussell T. Hutchinson J. Ibrahim W. Ilyas F. Ingham J. Ingram L. Ionita D. Isaacs K. Ismail K. Jackson T. Jacob J. James W.Y. Jang W. Jarman C. Jarrold I. Jarvis H. Jastrub R. Jayaraman B. Jenkins R.G. Jezzard P. Jiwa K. Johnson C. Johnson S. Johnston D. Jones D. Jones G. Jones H. Jones I. Jones L. Jones M.G. Jones S. Jose S. Kabir T. Kaltsakas G. Kamwa V. Kanellakis N. Kaprowska S. Kausar Z. Keenan N. Kelly S. Kemp G. Kerr S. Kerslake H. Key A.L. Khan F. Khunti K. Kilroy S. King B. King C. Kingham L. Kirk J. Kitterick P. Klenerman P. Knibbs L. Knight S. Knighton A. Kon O. Kon S. Kon S.S. Koprowska S. Korszun A. Koychev I. Kurasz C. Kurupati P. Laing C. Lamlum H. Landers G. Langenberg C. Lasserson D. Lavelle-Langham L. Lawrie A. Lawson C. Layton A. Lea A. Lee D. Lee J-H. Lee E. Leitch K. Lenagh R. Lewis D. Lewis J. Lewis V. Lewis-Burke N. Li X. Light T. Lightstone L. Lilaonitkul W. Lim L. Linford S. Lingford-Hughes A. Lipman M. Liyanage K. Lloyd A. Logan S. Lomas D. Loosley R. Lord J.M. Lota H. Lovegrove W. Lucey A. Lukaschuk E. Lye A. Lynch C. MacDonald S. MacGowan G. Macharia I. Mackie J. Macliver L. Madathil S. Madzamba G. Magee N. Magtoto M.M. Mairs N. Majeed N. Major E. Malein F. Malim M. Mallison G. Mandal S. Mangion K. Manisty C. Manley R. March K. Marciniak S. Marino P. Mariveles M. Marouzet E. Marsh S. Marshall B. Marshall M. Martin J. Martineau A. Martinez L.M. Maskell N. Matila D. Matimba-Mupaya W. Matthews L. Mbuyisa A. McAdoo S. McAllister-Williams H. McArdle A. McArdle P. McAulay D. McCann G.P. McCormick J. McCormick W. McCourt P. McGarvey L. McGhee C. Mcgee K. McGinness J. McGlynn K. McGovern A. McGuinness H. McInnes I.B. McIntosh J. McIvor E. McIvor K. McLeavey L. McMahon A. McMahon M.J. McMorrow L. Mcnally T. McNarry M. McNeill J. McQueen A. McShane H. Mears C. Megson C. Megson S. Mehta P. Meiring J. Melling L. Mencias M. Menzies D. Merida Morillas M. Michael A. Miller C. Milligan L. Mills C. Mills G. Mills N.L. Milner L. Misra S. Mitchell J. Mohamed A. Mohamed N. Mohammed S. Monteiro W. Moriera S. Morley A. Morrison L. Morriss R. Morrow A. Moss A.J. Moss P. Motohashi K. Msimanga N. Mukaetova-Ladinska E. Munawar U. Murira J. Nanda U. Nassa H. Nasseri M. Neal A. Needham R. Neill P. Neubauer S. Newby D.E. Newell H. Newman T. Newman J. Newton-Cox A. Nicholson T. Nicoll D. Nikolaidis A. Nolan C.M. Noonan M.J. Norman C. Novotny P. Nunag J. Nwafor L. Nwanguma U. Nyaboko J. O’Brien C. O’Donnell K. O’Regan D. O’Brien L. Odell N. Ogg G. Olaosebikan O. Oliver C. Omar Z. Openshaw P.J.M. Orriss-Dib L. Osborne L. Osbourne R. Ostermann M. Overton C. Owen J. Oxton J. Pack J. Pacpaco E. Paddick S. Painter S. Pakzad A. Palmer S. Papineni P. Paques K. Paradowski K. Pareek M. Parekh D. Parfrey H. Pariante C. Parker S. Parkes M. Parmar J. Patale S. Patel M. Patel S. Pattenadk D. Pavlides M. Payne S. Pearce L. Pearl J.E. Peckham D. Pendlebury J. Peng Y. Pennington C. Peralta I. Perkins E. Peterkin Z. Peto T. Petousi N. Petrie J. Pfeffer P. Phipps J. Pimm J. Pius R. Plant H. Plein S. Plowright M. Polgar O. Poll L. Porter J. Portukhay S. Powell N. Prabhu A. Pratt J. Price A. Price C. Price D. Price L. Prickett A. Propescu J. Prosper S. Pugmire S. Quaid S. Quigley J. Quint J. Qureshi H. Qureshi I.N. Radhakrishnan K. Rahman N.M. Ralser M. Ramos A. Ramos H. Rangeley J. Rangelov B. Ratcliffe L. Ravencroft P. Reddington A. Reddy R. Reddy A. Redfearn H. Redwood D. Reed A. Rees M. Rees T. Regan K. Reynolds W. Ribeiro C. Richards A. Richardson E. Roberts K. Robertson E. Robinson E. Robinson L. Roche L. Roddis C. Rodger J. Ross A. Ross G. Rossdale J. Rostron A. Rowe A. Rowland A. Rowland J. Rowland M.J. Rowland-Jones S.L. Roy K. Roy M. Rudan I. Russell R. Russell E. Saalmink G. Sabit R. Sage E.K. Samakomva T. Samani N. Sampson C. Samuel K. Samuel R. Sanderson A. Sapey E. Saralaya D. Sargent J. Sarginson C. Sass T. Sattar N. Saunders K. Saunders P. Saunders L.C. Savill H. Saxon W. Sayer A. Schronce J. Schwaeble W. Scott K. Selby N. Semple M.G. Sewell T.A. Shah K. Shah P. Shankar-Hari M. Sharma M. Sharpe C. Sharpe M. Shashaa S. Shaw A. Shaw K. Shaw V. Sheikh A. Shelton S. Shenton L. Shevket K. Short J. Siddique S. Siddiqui S. Sidebottom J. Sigfrid L. Simons G. Simpson J. Simpson N. Singh C. Singh S.J. Sissons D. Skeemer J. Slack K. Smith A. Smith D. Smith S. Smith J. Smith L. Soares M. Solano T.S. Solly R. Solstice A.R. Soulsby T. Southern D. Sowter D. Spears M. Spencer L.G. Speranza F. Stadon L. Stanel S. Steele N. Steiner M. Stensel D. Stephens G. Stephenson L. Stern M. Stimpson R. Stockdale S. Stockley J. Stoker W. Stone R. Storrar W. Storrie A. Storton K. Stringer E. Strong-Sheldrake S. Stroud N. Subbe C. Sudlow C.L. Suleiman Z. Summers C. Summersgill C. Sutherland D. Sykes D.L. Sykes R. Talbot N. Tan A.L. Tarusan L. Tavoukjian V. Taylor A. Taylor C. Taylor J. Te A. Tedd H. Tee C.J. Teixeira J. Tench H. Terry S. Thackray-Nocera S. Thaivalappil F. Thamu B. Thickett D. Thomas C. Thomas D.C. Thomas S. Thomas A.K. Thomas-Woods T. Thompson T. Thompson A A R. Thornton T. Thwaites R.S. Tilley J. Tinker N. Tiongson G.F. Tobin M. Tomlinson J. Tong C. Toshner M. Touyz R. Tripp K.A. Tunnicliffe E. Turnbull A. Turner E. Turner S. Turner V. Turner K. Turney S. Turtle L. Turton H. Ugoji J. Ugwuoke R. Upthegrove R. Valabhji J. Ventura M. Vere J. Vickers C. Vinson B. Wade E. Wade P. Wainwright T. Wajero L.O. Walder S. Walker S. Wall E. Wallis T. Walmsley S. Walsh J.A. Walsh S. Warburton L. Ward T.J.C. Warwick K. Wassall H. Waterson S. Watson E. Watson L. Watson J. Weir McCall J. Welch C. Welch H. Welsh B. Wessely S. West S. Weston H. Wheeler H. White S. Whitehead V. Whitney J. Whittaker S. Whittam B. Whitworth V. Wight A. Wild J.M. Wilkins M. Wilkinson D. Williams B. Williams N. Williams J. Williams-Howard S.A. Willicombe M. Willis G. Willoughby J. Wilson A. Wilson D. Wilson I. Window N. Witham M. Wolf-Roberts R. Wood C. Woodhead F. Woods J. Wormleighton J. Worsley J. Wraith D. Wrey Brown C. Wright C. Wright L. Wright S. Wyles J. Wynter I. Xu M. Yasmin N. Yasmin S. Yip K.P. Young B. Young S. Young A. Yousuf A.J. Zawia A. Zeidan L. Zhao B. Zheng B. Zongo O. PHOSP-COVID Study Collaborative Group Effects of sleep disturbance on dyspnoea and impaired lung function following hospital admission due to COVID-19 in the UK: A prospective multicentre cohort study. Lancet Respir. Med. 2023 11 8 673 684 10.1016/S2213‑2600(23)00124‑8 37072018
    [Google Scholar]
  151. Dáttilo M. Antunes H.K.M. Galbes N.M.N. Mônico-Neto M. Effects of sleep deprivation on acute skeletal muscle recovery after exercise. Med. Sci. Sports Exerc. 2020 52 2 507 514 10.1249/MSS.0000000000002137 31469710
    [Google Scholar]
  152. Orr W.C. Fass R. Sundaram S.S. Scheimann A.O. The effect of sleep on gastrointestinal functioning in common digestive diseases. Lancet Gastroenterol. Hepatol. 2020 5 6 616 624 10.1016/S2468‑1253(19)30412‑1 32416862
    [Google Scholar]
  153. Vernia F. Di Ruscio M. Ciccone A. Viscido A. Frieri G. Stefanelli G. Latella G. Sleep disorders related to nutrition and digestive diseases: A neglected clinical condition. Int. J. Med. Sci. 2021 18 3 593 603 10.7150/ijms.45512 33437194
    [Google Scholar]
  154. Voigt R.M. Forsyth C.B. Keshavarzian A. Circadian rhythms: A regulator of gastrointestinal health and dysfunction. Expert Rev. Gastroenterol. Hepatol. 2019 13 5 411 424 10.1080/17474124.2019.1595588 30874451
    [Google Scholar]
  155. Semple J.I. Newton J.L. Westley B.R. May F.E.B. Dramatic diurnal variation in the concentration of the human trefoil peptide TFF2 in gastric juice. Gut 2001 48 5 648 655 10.1136/gut.48.5.648 11302963
    [Google Scholar]
  156. Bellini M. Gemignani A. Gambaccini D. Toti S. Menicucci D. Stasi C. Costa F. Mumolo M.G. Ricchiuti A. Bedini R. de Bortoli N. Marchi S. Evaluation of latent links between irritable bowel syndrome and sleep quality. World J. Gastroenterol. 2011 17 46 5089 5096 10.3748/wjg.v17.i46.5089 22171143
    [Google Scholar]
  157. Indah Kusumawati Noor L. Bakri A. Soejadhi R. Kesuma Y. Association between irritable bowel syndrome and sleep disturbance in adolescents. Adolesc. Health Med. Ther. 2020 11 73 77 10.2147/AHMT.S248711 32607040
    [Google Scholar]
  158. Logan R.W. McClung C.A. Rhythms of life: Circadian disruption and brain disorders across the lifespan. Nat. Rev. Neurosci. 2019 20 1 49 65 10.1038/s41583‑018‑0088‑y 30459365
    [Google Scholar]
  159. Killgore W.D.S. Effects of sleep deprivation on cognition. Prog. Brain Res. 2010 185 105 129 10.1016/B978‑0‑444‑53702‑7.00007‑5 21075236
    [Google Scholar]
  160. Yi T. Gao P. Zhu T. Yin H. Jin S. Glymphatic system dysfunction: A novel mediator of sleep disorders and headaches. Front. Neurol. 2022 13 885020 10.3389/fneur.2022.885020 35665055
    [Google Scholar]
  161. Goldstein A.N. Walker M.P. The role of sleep in emotional brain function. Annu. Rev. Clin. Psychol. 2014 10 1 679 708 10.1146/annurev‑clinpsy‑032813‑153716 24499013
    [Google Scholar]
  162. Shokri-Kojori E. Wang G.J. Wiers C.E. Demiral S.B. Guo M. Kim S.W. Lindgren E. Ramirez V. Zehra A. Freeman C. Miller G. Manza P. Srivastava T. De Santi S. Tomasi D. Benveniste H. Volkow N.D. β-Amyloid accumulation in the human brain after one night of sleep deprivation. Proc. Natl. Acad. Sci. USA 2018 115 17 4483 4488 10.1073/pnas.1721694115 29632177
    [Google Scholar]
  163. Besedovsky L. Lange T. Born J. Sleep and immune function. Pflugers Arch. 2012 463 1 121 137 10.1007/s00424‑011‑1044‑0 22071480
    [Google Scholar]
  164. Garbarino S. Lanteri P. Bragazzi N.L. Magnavita N. Scoditti E. Role of sleep deprivation in immune-related disease risk and outcomes. Commun. Biol. 2021 4 1 1304 10.1038/s42003‑021‑02825‑4 34795404
    [Google Scholar]
  165. Balbo M. Leproult R. Van Cauter E. Impact of sleep and its disturbances on hypothalamo-pituitary-adrenal axis activity. Int. J. Endocrinol. 2010 2010 1 1 16 10.1155/2010/759234 20628523
    [Google Scholar]
  166. Irwin M.R. Wang M. Ribeiro D. Cho H.J. Olmstead R. Breen E.C. Martinez-Maza O. Cole S. Sleep loss activates cellular inflammatory signaling. Biol. Psychiatry 2008 64 6 538 540 10.1016/j.biopsych.2008.05.004 18561896
    [Google Scholar]
  167. Lv Y.N. Cui Y. Zhang B. Huang S.M. Sleep deficiency promotes Alzheimer’s disease development and progression. Front. Neurol. 2022 13 1053942 10.3389/fneur.2022.1053942 36588906
    [Google Scholar]
  168. Fluyau D. Ponnarasu S. Patel P. Temazepam. StatPearls. Treasure Island, FL StatPearls Publishing 2024
    [Google Scholar]
  169. Chung C. Valtoco (diazepam) dosing, indications, interactions, adverse effects, and more. Available from: https://reference.medscape.com/drug/valium-valtoco-diazepam-342902
  170. Lerchenfeldt S. Rosenfeld G.C. BRS pharmacology. 7th ed Philadelphia Wolters Kluwer 2020
    [Google Scholar]
  171. Ambien, Ambien CR (zolpidem) dosing, indications, interactions, adverse effects, and more. Available from: https://reference.medscape.com/drug/ambien-cr-zolpidem-342931
  172. Lunesta (eszopiclone) dosing, indications, interactions, adverse effects, and more. Available from: https://reference.medscape.com/drug/lunesta-eszopiclone-342927
  173. Mogavero M.P. Silvani A. Lanza G. DelRosso L.M. Ferini-Strambi L. Ferri R. Targeting orexin receptors for the treatment of insomnia: From physiological mechanisms to current clinical evidence and recommendations. Nat. Sci. Sleep 2023 15 17 38 10.2147/NSS.S201994 36713640
    [Google Scholar]
  174. Katzung B.G. Vanderah T.W. Basic & clinical pharmacology. Fifteenth ed McGraw-Hill New York Chicago San Francisco Athens London Madrid Mexico City Milan New Delhi Singapore Sydney Toronto 2021 1311
    [Google Scholar]
  175. Cruz-Sanabria F Carmassi C Bruno S Bazzani A Carli M Scarselli M Faraguna U. Melatonin as a chronobiotic with sleep-promoting properties. Curr Neuropharmacol. 2023 21 4 951 987 10.2174/1570159X20666220217152617
    [Google Scholar]
  176. Kuriyama A. Honda M. Hayashino Y. Ramelteon for the treatment of insomnia in adults: A systematic review and meta-analysis. Sleep Med. 2014 15 4 385 392 10.1016/j.sleep.2013.11.788 24656909
    [Google Scholar]
  177. Tuft C. Matar E. Menczel Schrire Z. Grunstein R.R. Yee B.J. Hoyos C.M. Current insights into the risks of using melatonin as a treatment for sleep disorders in older adults. Clin. Interv. Aging 2023 18 49 59 10.2147/CIA.S361519 36660543
    [Google Scholar]
  178. Thakkar M.M. Histamine in the regulation of wakefulness. Sleep Med. Rev. 2011 15 1 65 74 10.1016/j.smrv.2010.06.004 20851648
    [Google Scholar]
  179. Sicari V. Zabbo C.P. Diphenhydramine. StatPearls. Treasure Island, FL StatPearls Publishing 2024
    [Google Scholar]
  180. Wichniak A. Wierzbicka A. Walęcka M. Jernajczyk W. Effects of antidepressants on sleep. Curr. Psychiatry Rep. 2017 19 9 63 10.1007/s11920‑017‑0816‑4 28791566
    [Google Scholar]
  181. Jaffer K.Y. Chang T. Vanle B. Dang J. Steiner A.J. Loera N. Abdelmesseh M. Danovitch I. Ishak W.W. Trazodone for insomnia: A systematic review. Innov. Clin. Neurosci. 2017 14 7-8 24 34 29552421
    [Google Scholar]
  182. Sheffler Z.M. Patel P. Abdijadid S. Antidepressants. StatPearls. Treasure Island, FL StatPearls Publishing 2024
    [Google Scholar]
  183. Gandotra K Chen P Jaskiw GE Konicki PE Strohl KP. Effective treatment of insomnia with mirtazapine attenuates concomitant suicidal ideation. J Clin Sleep Med. 2018 14 5 901 902 10.5664/jcsm.7142
    [Google Scholar]
  184. Krystal A.D. Durrence H.H. Scharf M. Jochelson P. Rogowski R. Ludington E. Roth T. Efficacy and safety of Doxepin 1 mg and 3 mg in a 12-week sleep laboratory and outpatient trial of elderly subjects with chronic primary insomnia. Sleep 2010 33 11 1553 1561 10.1093/sleep/33.11.1553 21102997
    [Google Scholar]
  185. Almasi A. Patel P. Meza C.E. Doxepin. StatPearls. Treasure Island, FL StatPearls Publishing 2024
    [Google Scholar]
  186. Cohrs S. Rodenbeck A. Guan Z. Pohlmann K. Jordan W. Meier A. Rüther E. Sleep-promoting properties of quetiapine in healthy subjects. Psychopharmacology 2004 174 3 421 429 10.1007/s00213‑003‑1759‑5 15029469
    [Google Scholar]
  187. Khaledi-Paveh B. Maazinezhad S. Rezaie L. Khazaie H. Treatment of chronic insomnia with atypical antipsychotics: Results from a follow-up study. Sleep Sci. 2021 14 1 27 32 10.5935/1984‑0063.20190149 34104334
    [Google Scholar]
  188. Rossman J. Cognitive-behavioral therapy for insomnia: An effective and underutilized treatment for insomnia. Am. J. Lifestyle Med. 2019 13 6 544 547 10.1177/1559827619867677 31662718
    [Google Scholar]
  189. Baranwal N. Yu P.K. Siegel N.S. Sleep physiology, pathophysiology, and sleep hygiene. Prog. Cardiovasc. Dis. 2023 77 59 69 10.1016/j.pcad.2023.02.005 36841492
    [Google Scholar]
  190. Lovato N. Lack L. The role of bright light therapy in managing insomnia. Sleep Med. Clin. 2013 8 3 351 359 10.1016/j.jsmc.2013.06.003
    [Google Scholar]
  191. Epstein L.J. Kristo D. Strollo P.J. Jr Friedman N. Malhotra A. Patil S.P. Ramar K. Rogers R. Schwab R.J. Weaver E.M. Weinstein M.D. Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J. Clin. Sleep Med. 2009 5 3 263 276 10.5664/jcsm.27497 19960649
    [Google Scholar]
  192. Sleep Disorder Treatments - Sleep Disorder Treatments. Available from: https://www.nhlbi.nih.gov/health/sleep-disorder-treatments
  193. Peters B. Sleep apnea surgery: Overview. Available from: https://www.verywellhealth.com/surgery-options-for-obstructive-sleep-apnea-3015238
  194. Sleep foundation. 2021 Available from: https://www.sleepfoundation.org/sleep-apnea/surgery-for-sleep-apnea
/content/journals/cmc/10.2174/0109298673350476250331181123
Loading
/content/journals/cmc/10.2174/0109298673350476250331181123
Loading

Data & Media loading...


  • Article Type:
    Review Article
Keywords: cardiac ischemia ; hormones ; metabolism ; hypertension ; insulin ; Sleep
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test