(DOWNLOAD) "Wake-up Call for Sleep Disorders in Developing Nations! (Editorial)" by Surendra K. Sharma # Book PDF Kindle ePub Free
eBook details
- Title: Wake-up Call for Sleep Disorders in Developing Nations! (Editorial)
- Author : Surendra K. Sharma
- Release Date : January 01, 2010
- Genre: Life Sciences,Books,Science & Nature,Health, Mind & Body,Health & Fitness,
- Pages : * pages
- Size : 68 KB
Description
Why was there a need for the Indian Journal of Medical Research to publish a special issue on Sleep Medicine? Researchers from developed countries did a remarkable job by conducting and publishing landmark studies over the last several years on sleep related disorders. These studies reported burden of various sleep disorders especially obstructive sleep apnoea (OSA), its pathophysiology, risk factors, consequences and treatment. These studies have immensely contributed towards better understanding, and increased awareness of OSA among practicing physicians and lay public. The scenario is different in the resource-poor nations where there is a lack of awareness of these disorders among physicians as well as public and equally important is scarcity of resources, infrastructure and trained human resource to carry out these studies. While infectious diseases such as malaria, tuberculosis, HIV/AIDS still remain a top priority for these nations, in the coming years the emerging epidemic of obesity including childhood obesity and its consequences will impose dual-burden that will threaten to destabilize the health services of these countries. Obesity, a major risk factor for OSA, is propelled by several factors such as adoption of sedentary lifestyle, availability of easily affordable motorized transport, use of labour-saving mechanical devices, overuse of computers, televisions, easy availability of highly refined oils and carbohydrates and consumption of ad lib fast-food items. Further, OSA also contributes to development of increased cardiovascular morbidity and mortality. While data on the association of OSA, metabolic syndrome and several of its components are conflicting, recently published literature does seem to suggest association of OSA and metabolic syndrome independent of confounding covariates especially obesity as defined by body mass index (BMI). These research topics belong to cutting-edge science. With increasing urbanization, sleep disorders related to shift-work will become more prominent in future while insomnia still remains the most prevalent sleep disorder worldwide. This special issue contains articles from some respected researchers and clinicians from all over the world. The article (1) by Chokroverty provides basic information about some important laboratory tests and principles of treatment of sleep disorders to the general physicians. The article on Circadian rhythm and sleep disorders (CRSD) (2) describes The International Classifications of Sleep Disorders-2 which recognizes 6 CRSDs [non-24-h disorder (free-running type), irregular sleep-wake phase disorder, advanced sleep phase disorder, delayed sleep phase disorder, Jet lag and shift-work disorder]. CRSDs may also be secondary to medical conditions and drug or substance abuse and CRSD Not Otherwise Specified (NOS). The review on Central sleep apnoea (3) emphasizes a need for more studies on this topic in different population groups especially Asians. The authors describe the prevalence, pathogenesis and potential treatment modalities for central sleep apnoea.