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SLEEP DISORDERS

NUTRITION FOR A GOOD NIGHTS SLEEP

There are two categories of insomnia, although often the two will coincide and overlap.
1. Sleep onset insomnia - difficulty falling asleep
2. Maintenance insomnia - waking frequently throughout the night, or waking early without being able to get back to sleep.
Low blood glucose levels are a common cause of maintenance insomnia. Stimulants like tea, coffee and alcohol are a common cause of insomnia both due to their direct stimulating effect and their effect on blood sugar levels. Food intolerances, food additives and pesticides all interfere with normal metabolism and should be identified and eliminated from the diet. Tryptophan is converted in the body to serotonin and melatonin, two important neurotransmitters for onset and maintenance of sleep. Serotonin is an important initiator of sleep and is essential for non-REM sleep, while melatonin can induce and maintain sleep. The amino acids phenylalanine, leucine, isoleucine, valine and tyrosine all compete with tryptophan for binding sites on transport proteins. Therefore, a protein-rich meal, containing large amounts of these amino acids will inhibit the uptake of tryptophan.

A carbohydrate rich meal is more likely to increase tryptophan uptake, due to reduced competition. Foods containing tryptophan are: Alfalfa, baked beans, beetroot, beef, broccoli, brussels sprouts, carrot, cauliflower, celery, chicken, chives, cottage cheese, eggs, endive, fennel, fish, milk, oats, nuts, soybeans, spinach, sweet potato, turkey, turnip, watercress.

Vitamin B6 and magnesium are important for the conversion of tryptophan to serotonin. Therefore, combining the foods listed above with things like bananas, nuts seeds or green leafy vegetables will aid this conversion. Foods containing tyramine, an amino acid found in the nightshade family of vegetables such as potatoes, aubergine, tomatoes, courgettes and spinach all stimulate the production of adrenaline, which may interfere with a good night’s sleep. Tyramine is also found in alcohol, bacon, ham and sausage.
McClenaghan, J.
NUTRIT. PRACT. 1999, 1 (3) 40-2

ASSOCIATION OF PHYSICAL ACTIVITY AND HUMAN SLEEP DISORDERS

modality Symptoms of disturbed sleep are common in the general population, with overall prevalence rates of between 35% and 41%. A study was carried out to investigate the influence of moderate exercise or physical activity on self-reported sleep disorders among a randomly selected population of adults. Sleep disorders were classified as disorders in maintaining sleep, excessive daily sleepiness, nightmares, and any sleep disorder. The results showed that more women than men reported participating in a regular exercise program and having sleep symptoms of disorders in maintaining sleep and nightmares, and that more men than women did regular vigorous activity and walking at a brisk pace for more than 6 blocks per day. Both men and women had significantly reduced risk of disorders in maintaining sleep associated with regular activity at least once a week, participating regularly in an exercise program, and walking at a normal pace for more than 6 blocks per day. Therefore, the data supports the evidence that a program of regular exercise may be a useful therapeutic in the treatment of patients with sleep disorders.
Sherrill, D.L. et al
ARCH. INTERN. MED. 1998, 158 (17) 1894-98

UFOs OF THE INTESTINES

Interstinal parasites are much closer to home than we think. Antony Haynes reviews evidence which highlights the prevalence of previously unidentified faecal organisms (UFOs) and their significance to health. Parasitic infestations are now so widespread thay they affect about 150 million people in the US and at least 40% of the world’s population. Dr. Hermann Bueno, one of the world’s most experienced parasitologists, believes that parasites are the missing diagnosis in the genesis of many chronic health problems. Signs of parasitic infection in adults include:

• abdominal pain
• abdominal bloating
• aches and pains
• anaemia
• arthritis
• autoimmune disease
• chronic fatigue
• colitis
• constipation
• diarrhoea
• fever
• flatulence
• food allergy
• gastritis
• headaches
• inflammatory bowel disease
• immune system problems
• irritable bowel syndrome
• malabsorption
• skin conditions and itching
• sleep disturbances
• rectal bleeding
• vomiting

While over 130 different parasites have been found in Americans, the following are the most common:

Blastocystis hominis, which can be asymptomatic, but can cause irritable bowel, chronic fatigue, arthritis and rheumatism.

Dientamoeba fragilis, which can also be asymptomatic, or cause diarrhoea, tenderness and melaena.

Entamoeba coli, often asymptomatic, but can cause systemic illness and auto-immune reactions.

Giardia lamblia, which adhere to the upper part of the small intestine, preventing digestion and assimilation and causing a range of symptoms.

Endolimax nana, the smallest of the intestinal amoebas, and suspected of being the cause of rheumatoid arthritis and collagen-related diseases.

Most NHS laboratories do not use techniques which could help to identify parasites, and some organisms are thought to be harmless. It can take an average of 16 investigations to diagnose the presence of Giardia.

The major sources of infection are tap water, badly cooked or stored food, human and pet faeces, and holidays abroad.

The best laboratories for detecting UFOs are:
Parascope Laboratory, Tel: 01133 292 4657.
Diagnos-Techs Labs., Tel: 0121 458 3407.
Health Interlink (agents for Great Smokies Diagnostic Lab.), Tel: 01582 794 094.
OPTIMUM NUTRITION 1998, 11; 1; 22-7

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