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[AHA2012]睡眠与健康——渥太华东安大略省研究所儿童医院Jean-Philippe Chaput博士采访

作者:  J.Chaput   日期:2012/11/8 14:09:24

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我们知道,睡眠不足的人会通过增加食物的摄入量而导致体重增加。首先,因为他们睡得少,就会觉得饿,因此吃得更多。有许多食欲变化的关键激素,如增加胃饥饿素(一种食欲刺激激素),瘦蛋白的分泌水平下降,就会增加皮质醇激素的应激性,所有这些改变都会触发饥饿。

  International Circulation: If you are short sleeper and you have a low disinhibitive eating behavior, should you be worried?
Dr. Jean-Philippe Chaput: Much less, I would say. Again, it is not one-size-fits-all and all short sleepers will be different. We are all exposed to the modern, toxic environment with unlimited access to cheap, highly palatable, energy dense food. If you are a short-sleeper and can resist these temptations, you will be fine. However, many short sleepers do not do this.
《国际循环》:如果你是睡眠不足者并且你有一个低的去抑制饮食行为,那么你应该担心吗?
Jean-Philippe Chaput博士:我想说的是,这种担心少多了。并且,这不是放之四海而皆准的,所有的睡眠不足者情况都是不同的。我们都生活在现代,面临有毒环境,被不计其数的便宜而又特别美味的,高能量的食品所包围。如果你是一个睡眠不足者并能抵抗这些诱惑,你就会没事的。然而,许多睡眠不足者却做不到。
 International Circulation: If have a patient who sleeps 4-5 hours a night and is not obese, what kind of advice would you have for them?
Dr. Jean-Philippe Chaput: Good sleeping habits are good for overall health. We talked about obesity today, but this is just one aspect. We should promote sleep for all of the benefits of sleep. This is the same for physical activity. These are all in the package for good health. It does not just prevent chronic disease, but will also, by sleeping well, our overall well being improves. We have to address the barriers or root causes of this problem. These vary per person, some work too much, others watch television into the night, still others can drink too much coffee. For some people, it will be difficult to change but simply telling people to sleep more will not work. That is the same with physical activity. Telling people to move more or eat less is impossible, people are free to do what they want. However, if we report that lack of sleep is poor for health and we can make a couple of lifestyle changes, then we will see improvement. My best advice is to be more active. By being more active, your sleep quality and quantity will improve. I would start with physical activity.
《国际循环》:如果你有一个病人,每晚只能睡4– 5个小时,并且他并不肥胖,你会给他们什么样的建议?
 Jean-Philippe Chaput博士:良好的睡眠习惯有益于身心的整体健康。今天我们谈论肥胖,但是这仅仅是健康的一个方面。为了享有良好睡眠的益处,我们应该促进睡眠。体能活动亦是相同的。这些都是身体健康所必须的。保证身体的健康,不只是预防慢性疾病,而且也要通过保持好的睡眠来改善我们的总体福祉。我们要清楚地了解产生这些问题的壁垒或根源。这些人,每个人的情况均有不同,一些工作疲劳过度,其他人看电视到深夜,还有一些人可以喝了太多的咖啡。对于一些人来说,只是简单地告诉他们要增加睡眠,不要工作过度,是很难使他们改变的。体能活动也是一样。告诉人们多运动,或者是少吃,也是不可能的,人们可以自由地做他们想要做的事情。然而,如果我们报告称,缺乏睡眠不利于健康,我们可以通过改变几个生活方式而达到健康的目的,那么我们将会看到人们具有明显改进。我最好的建议就是要生活的更加活跃。更加活跃,你的睡眠质量和数量将会提高。我也将开始体能活动。
 

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