WANT TO LOSE WEIGHT? THEN SLEEP BETTER

Lack of sleep is causally connected to many physical problems. We know that from numerous reliable studies.
Obstructive Sleep Apnea (OSA) is a major cause of sleep loss and one of the common symptoms of (OSA) is being overweight. Sleeping less than six hours — or more than nine hours — a night appears to increase the likelihood of weight gain. So then, how does OSA effect weight gain?
 FAT GUY SLEEPING
There are three hormones that factor in the equation of lack of sleep contributing to weight gain.  

1. Ghrelin: the Hunger Hormone

Lack of sleep increases ghrelin, and decreases leptin, both effects producing increased hunger and obesity. Ghrelin is produced in the gastrointestinal tract and functions as a neurotransmitter. When the circadian rhythm is interrupted by exposure to light at night, gherlin is released.

 2.  Leptin: the Anti-hunger Hormone
Leptin is the satiety hormone that has opposite effects from ghrelin.  The receptor for leptin is found on the same cells in the brain as the receptor for ghrelin.
3.  Melatonin:

Melatonin maintains the body’s circadian rhythm by regulating the other hormones. The circadian rhythm is an internal 24-hour “clock” that plays a critical role in when we fall asleep and when we wake up. When it is dark, your body produces more melatonin. When it is light, the production of melatonin drops. Being exposed to bright lights in the evening, or too little light during the day, can disrupt the body’s normal melatonin cycles. For example, jet lag, shift work, and poor vision can disrupt melatonin cycles.

Melatonin supplements can be helpful for those who are sleep disadvantaged but adherence to directions is recommended.

melatonin 5-6-15

The Process

An inverse relationship between the hours of sleep and blood concentrations of ghrelin exists: as the hours of sleep increase, ghrelin levels trend lower and obesity is less likely.  Short sleep duration is associated with high levels of ghrelin and obesity.

When the stomach is empty, ghrelin is secreted. When we eat something the stomach is stretched and ghrelin secretion stops. Ghrelin acts to increase hunger and to increase gastric acid secretion and gastrointestinal motility to prepare the body for food intake.

What else does Ghrelin do to effect weight gain?
Beyond regulating hunger, ghrelin also plays a significant role in other systemic functions. Ghrelin influences body composition, it stimulates the release of growth hormone and regulates the distribution and rate of use of energy.
Conclusion
This is just another convincing reason to get adequate healthy sleep…. at the right time. Light is the circadian rhythm disrupter. Avoid light disturbances during sleep: have no lights in the bed room, pull the shades down to block any outside light, wear an eye mask.

https://adental.files.wordpress.com/2015/06/counting-sheep-a.jpg

Resources
WebMD
Wikipedia
Zarouna SWozniak, G, Papachristou, Stalo Zarouna,
Psychology Department, University of Cyprus, Nicosia 1678, Cyprus.
  • Department of Cell Biology, Physiology and Immunology, University of Cordoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), and CIBER Fisiopatología de la Obesidad y Nutrición, 14004 Córdoba, Spain.

TWO SIGNIFICANT INDICATORS OF SLEEP APNEA- BMI and NECK CIRCUMFERENCE. Calculate them here:

The Body Mass Index (BMI) appraisal is one of the most widely used tools to measure healthy body weight. This ratio of height to weight will help assess whether you are underweight, normal weight or overweight.

 The higher the BMI, the greater the risk of some diseases, including:
Sleep Apnea, Stroke, High blood pressure, Coronary artery disease, Osteoarthritis, Some cancers,  Diabetes type 2
1-30-14 OBESE
Sleep Apnea awareness is “contagious”. As more and more people learn about SA, doctors are driven to get training and certification to be able to discover and treat this disease. Less than 1 % of doctors are trained in Sleep Medicine to help the 40 million people afflicted with SA.
1-21-13 LOGO DENTAL PROS SHARING
 Here is a BMI calculator, from the Mayo Clinic, that you can use to determine your (or a child’s) BMI. http://www.mayoclinic.com/health/bmi-calculator/NU00597
Take the assessment, then rate yourself (below).
Category BMI range – kg/m2 BMI Prime
Very severely underweight less than 15 less than 0.60
Severely underweight from 15.0 to 16.0 from 0.60 to 0.64
Underweight from 16.0 to 18.5 from 0.64 to 0.74
Normal (healthy weight) from 18.5 to 25 from 0.74 to 1.0
Overweight from 25 to 30 from 1.0 to 1.2
Obese Class I (Moderately obese) from 30 to 35 from 1.2 to 1.4
Obese Class II (Severely obese) from 35 to 40 from 1.4 to 1.6
Obese Class III (Very severely obese) over 40 over 1.6

Each unit increase in BMI is associated with a 14% increased risk of developing sleep apnea, and a 10% weight gain increases the odds of developing moderate or severe obstructive sleep apnea by six times. Compared to normal-weight adults, those who are obese have a sevenfold increased risk of developing obstructive sleep apnea.
NECK CIRCUMFERENCE
 Taking neck measurements is inexpensive, easy to obtain and could indicate health problems like sleep apnea, says one study.
BMI isn’t the sole marker of obesity that’s important. Men with a neck circumference above 16.5 inches (43 centimeters) and women with a neck circumference above 15 inches (38 centimeters) also have a significantly increased risk of developing obstructive sleep apnea.  That is because a thick neck may narrow the airway.
1-30-14 neck-circumference.jp g
MEN- What size shirt do you wear?

WARM UP YOUR DENTAL PRACTICE WITH A NEEDED NICHE.

The warmest part of the continental U.S. this week has been Ft Lauderdale, 
Florida. The temperature is 68 degrees at 9 PM this evening. 

10-1-13 FT LAUDJoin us here for a 2 day training seminar on Jan. 17-18.  Dr. Jeffrey Horowitz will
present his Sleep Medicine seminar and offer you 16 CE credits and a Q and A 
dinner with him after Friday's session. 

                        Had enough of this cold weather yet? "Common down."
12-18-13 HANDS ON HEAD

Sleep Apnea victims are looking for a dental professional like you to treat 
their symptoms. This course is designed to give you with the knowledge to 
return to your practice and begin Sleep Apnea screening and treatment protocols. 
40 million patients need YOUR help.
7-14-12 MAN SLEEPINGDr. Horowitz shares his unique perspective on Dental Sleep Medicine in an A to Z 
presentation.  Included: Medical Insurance billing, Codes, Fees and Procedures.

Review the course outline and register here:  
http://sleepgroupsolutions.com/2.0/modules/piCal/
index.php?action=View&event_id=0000003028

Dr. Jeffrey Horowitz

5-16-13 JEFF HOROWITZ

 Dr. Horowitz has dedicated himself to continuing education, earning fellowship award from the Academy of General Dentistry, Mentorship status at the prestigious Kois Center for Advanced Dental Studies, and fellowship in the Pierre Fauchard Academy. Dr. Horowitz is also a member of the American Association of Dental Sleep Medicine.


					

Sleep Apnea from A to Z with Dr. Marty Lipsey in Salt Lake City, UT on September 6th and 7th

Learn Sleep Apnea Medical Insurance Billing in Salt Lake City, Utah

 Dr. Lipsey is a recognized and highly respected authority on electronic medical billing and successful insurance coding and processing for Sleep Apnea services.

  This 2 day course, on 9/6 and 9/7, is designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.

1-21-13 LOGO DENTAL PROS SHARING

In this 2 day Friday and Saturday seminar Dr. Marty Lipsey presents a Dental Sleep protocol from A to Z, including Medical Insurance billing- Codes, Fees and Procedures.

After the Seminar Dr. Lipsey will continue to Mentor you, giving you the confidence to be a Sleep Medicine Doctor.

 Read the 2-day course outline and register here: http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?action=View&event_id=0000002909

3-24-14 SNORING

About Dr. Marty Lipsey the Instructor:

Dr. Marty Lipsey Dr. Marty Lipsey, received his DDS degree from UCLA and a Master of Science from Northwestern University Dental School. Dr. Lipsey is the founder of Dental Sleep Med Systems, offering dental teams assistance in implementing and/or improving their dental sleep medicine practices, including electronic medical billing and successful insurance coding and processing. Dr. Lipsey is also a Sleep Group Solutions Instructor, and teaches Dental Sleep Medicine regularly.

Learn Sleep Apnea in The City That Never Sleeps on April 12th -13th

Learn to become a Sleep Medicine Dentist in Las Vegas with 16 CE credits.

This course is designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.

In this 2 day seminar Dr. Jeffrey Horowitz presents a Dental Sleep protocol from A to Z,  including Medical Insurance billing- Codes, Fees and Procedures.

1-21-13 LOGO DENTAL PROS SHARING

After the Seminar Dr. Horowitz will continue to Mentor you, giving you the confidence to be a Sleep Medicine Doctor.

Read the 2-day course outline and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?action=View&event_id=0000001411

1-29-13  SNORING

About Dr. Jeff Horowitz the Instructor:
Dr. Jeffrey Horowitz
 
Dr. Jeff Horowitz, a native of Old Bridge, New Jersey, completed his undergraduate studies at the University of Pittsburgh, receiving early admission to dental school after his junior year. In 1991 he earned his Doctorate of Dental Medicine degree from the Medical University of South Carolina. Dr Horowitz has dedicated himself to continuing education, earning him the fellowship award from the Academy of General Dentistry, Mentorship status at the prestigious Kois Center for Advanced Dental Studies, and fellowship in the Pierre Fauchard Academy. Dr. Horowitz is also a member of the American Association of Dental Sleep Medicine.

Today is National Panic Day.

WEEKEND SMILE
Today is National Panic Day.

5-21-11 blowing smoke

OMG, only a few hours left…..I have to set my clocks forward tonight.  Do I have enough time to get ready for it?
Gotta stay calm. Take a deep breath. Where did I put the Prozac?
I have to find something to worry about, quick. Do you have any ideas I can worry about? Send them quickly. Time’s running out.
 
3-6-12 SPRING FORWARD

Are you sleeping soundly or sleeping with sound?

3-6-12 SPRING FORWARD

National Sleep Awareness Week, March 3 through March 10, ends with Daylight Saving Time on Sunday midnight, March 10. We “Spring forward” and lose an hour of sleep. Are you going to get to bed one hour earlier?

Are you sleeping soundly or sleeping with sound?

1-29-13  SNORING

 

CELEBRATE VETERANS’ DAY WITH LADY LIBERTY!

Live web-cams from the Statue of Liberty

On October 28th, 2011, as a part of the celebration of the 125th anniversary of the dedication of the Statue of Liberty, five live web-cams were installed in Ms. Liberty’s torch, in her crown, and at the harbor. There’s also a Panorama of the NJ and NY skylines, Ellis Island, and the New York-New Jersey Harbor.

At 8:45 a.m. there was a Naturalization Ceremony, which honored the millions of U.S. immigrants who were first welcomed to America by Lady Liberty.

Click on any of the five pictures and enjoy a live streaming video… day or night.

There’s live audio too, so you can hear the whoosh of aircraft overhead and the honk of boat horns as YOU watch the ships steam across the bay. Click on this link to look and listen:

http://www.earthcam.com/usa/newyork/statueofliberty/

I wish I could have been there. When Lady Liberty was still in her youth, my parents saw her on their freedom voyage from Kiev, in Ukrania (then part of the Russian Empire) to Ellis Island. I can only imagine their teenage excitement and fulfillment of hope when they saw Lady Liberty from their ship. They were so proud and determined to become Americans- in every way. They quickly learned to speak English and adapted to every American way of life. I am very proud of them.
 
The one time I saw The Statue of Liberty was from a US Army troop ship returning to the Port of New York on a foggy morning. The scene is emblazoned in my memory.
On Sunday, 11/11/12 let’s remember the Veterans of our struggles for Liberty who never returned to see this beautiful tribute.

DOCTOR: Is “The ECONOMY” affecting YOUR Dental Practice? Why?

The only ECONOMY you should be concerned about is the ECONOMY OF YOUR TIME.
 Let others complain about a weak Economy; YOU know how YOU can flourish.
 
Plan your day
Use the Morning Huddle. Coordinate your dental team for the day to work cohesively, create a seamless flow, increase efficiency, reduce stress, and provide exceptional patient care. 
Schedule your patients for efficiency and production
See the “high production” services at the start of the day and first after the lunch break – when you are at your peak concentration and performance. 
Create a “uniqueness ” for your dental practice, and Brand yourself with it.
Stay consistent and don’t get distracted from your plan and its OUTCOMES. 
Select your Resources for economy and “one stop shopping”
Use a service like the Dental Mall Online to save your time and money, and select from vetted, reliable, vendors.
 
Don’t pour money down the drain. TIME is money.
  “Dost thou love life?

Then do not squander time, for time is the stuff life is made of .”

– Ben Franklin

The creator of the first Post Office in the United States,

depicted on the first adhesive American postage stamp (1847).