CPAP Basics - 23 - Sleep Inertia

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mollete
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CPAP Basics - 23 - Sleep Inertia

Post by mollete » Thu Aug 08, 2013 5:49 am

1. What is Sleep Inertia?

The majority of people who use a regular alarm clock often experience trouble waking up in the morning. Sleep Inertia often appears as the feeling of incomplete awakening and grogginess that reduces your ability to perform even simple tasks. Part of your body is actually still in a sleep state.

2. Sleep inertia costs you

Sleep inertia typically lasts 15-30 minutes, but can last as long as 4 hours. During this period, you are at a reduced level of capacity and may have trouble doing the simplest of everyday actions. In order to get rid of this state, most people rely on caffeine from their morning coffee or adrenaline from using loud alarm clocks.

3. The root cause of sleep inertia is clear

Sleep inertia is the result of sudden awakening during REM sleep. When you wake up during REM, you still have high levels of melatonin, causing sleepiness. The longer you sleep, the higher level of melatonin is observed during REM stage. When you wake up during non-REM sleep, your blood pressure, heart rate and brain activity are slowed down, helping you feel awake and alert much quicker.

4. The more you sleep… So what? Sleep inertia is still here.

Sleep inertia is dependent on several things, such as:

◾how long you have been asleep
◾the efficiency of your sleep
◾the stage of sleep at awakening

The longer we sleep, the more our body restores, and logically, sleep inertia should be reduced. However, when we get closer to awakening, the nature of our sleep changes creating new risks for sleep efficiency.

If any of your sleep stages is interrupted by sudden awakening, your sleep efficiency will be reduced. And on the contrary, there’s nothing better than awakening at the end of a sleep stage.

5. The human body doesn’t like to leave a job half-done

Think about sleep as of maintenance or recovery for your cells. Your body will be happier to leave you with 3 or 4 sleep stages completed rather than with 3 and a half.

6. Sleep inertia and regular alarm clocks are friends!


If you use regular alarm clock, your chances of sleep inertia can be as high as 89%.

Fixed-time alarm clocks wake you up the time you set it to, so it has no way of knowing what stage of sleep your body is in. It simply does what it can, and concerning the right moment for awakening, it just plays roulette. It’s hard to predict in which sleep stage you will be at 7AM the next morning.

Statistically speaking, there is a 45% chance that a fixed-time alarm clock will wake you up from REM sleep, and a 49% chance from non-REM sleep. These are your approximate chances to have sleep inertia. And there is only a 9% chance to be awakened around the optimal moment of sleep stage transition. You can play this roulette all your life and suffer from morning grogginess in the majority of cases.

7. Sleep inertia is dangerous

If you are awoken suddenly, the effects of sleep inertia can last from 30 minutes to 4 hours. During this period, you are most likely to make mistakes doing even well known routine actions. Sleep inertia has a wide range of unpleasant and definitely dangerous effects, affecting you and others:

◾Large amounts of caffeine affecting your heart
◾High adrenaline levels caused by loud alarm clock
◾Wake-up stress
◾Reduction in memory ability
◾Drowsy driving
◾Being late for work
◾Lower productivity in the first part of the day
◾Low performance and response time on tasks, loss of concentration
◾Impairment of the capability to make decisions

Some of these effects may be especially dangerous for bus drivers, pilots and other shift workers.

8. Sleep inertia and drowsy driving


Drowsy driving is estimated to cause about 20 percent of accidents. That is an estimated 1.2 million accidents a year, more than drugs and alcohol combined.

Many drowsy driving accidents occur early in the morning, not when the driver has been up too long, but when he or she has recently awoken and is still suffering from sleep inertia. Sleep inertia in a driver behind the wheel can be very risky as the impairment of motor and cognitive functions can affect a person’s ability to drive safely.

It is extremely important not to drive or operate machinery during any episode of sleep inertia. Your reaction time and level of concentration diminishes greatly during this time.

9. Even a short nap may result in severe sleep inertia


Sleep inertia can occur regardless of the duration of sleep. Disorientation can be experienced after a few seconds of sleep, a nap, or a long episode of sleep. Naps can leave people with sleep inertia, especially when they last more than 10-20 minutes. While sleep inertia usually only lasts for a few minutes to a half-hour, it can be detrimental to those who must perform immediately after waking from a napping period. Post-nap impairment and disorientation is more severe, and can last longer, in people who are sleep deprived or nap for longer periods.

10. Sleep inertia affects decision-making

Within the first 3 minutes of waking, decision-making performance can be as low as 51 percent of the person’s best decision-making ability before sleep. Decision-making performance may still be 20 percent below optimum performance as long as 30 minutes after waking. Sleep inertia may affect cognitive performance for up to two hours.

11. Traditional “old school” approach to fight sleep inertia

The most well-known “remedies” for sleep inertia are caffeine and adrenaline. However, these only help to overcome the consequences of sleep inertia, not the cause of the problem.

Caffeine and adrenaline stimulate the central nervous system, increasing wakefulness, and improving concentration and focus by boosting your heart rate and blood pressure.

12. Next Generation Approach: Prevent Sleep Inertia.

A regular alarm clock will go off at the preset time regardless of the sleep stage you are in, so if a regular alarm clock with a fixed time of awakening is the main reason for sleep inertia, the best option is to get rid of it. However in this case, there’s a risk of oversleeping. Sleeping without any alarm may be also an extreme route, especially if you need to get to work in the morning.

There are several sleep stage alarm clocks that significantly simplify the life for their owners. These alarm clocks are aware of your sleep patterns and by waking you during optimal stages of sleep, can greatly fend off sleep inertia and improve how you feel first thing in the morning.

From Valley Sleep Center, Easy Wake, et al

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robysue
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Re: CPAP Basics - 23 - Sleep Inertia

Post by robysue » Thu Aug 08, 2013 9:19 am

mollete wrote: There are several sleep stage alarm clocks that significantly simplify the life for their owners. These alarm clocks are aware of your sleep patterns and by waking you during optimal stages of sleep, can greatly fend off sleep inertia and improve how you feel first thing in the morning.
The only sleep stage alarm clock I've ever been aware of was the Zeo. And Zeo went belly up this spring.

So mollete have you any knowledge of where someone could find an alternative to the Zeo??

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Re: CPAP Basics - 23 - Sleep Inertia

Post by chunkyfrog » Thu Aug 08, 2013 9:24 am

I have seen some "easy-wake" alarm clocks that incorporate a light that comes on gradually,
which may influence sleep stages by mimicing a "sunrise" effect, allowing an more natural transition to wakefulness.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by oak » Thu Aug 08, 2013 10:17 am

i have a sunrise alarm clock that i paid $$$ for in 2011. i bought it thinking it might help me awake easier. it also has a sunset effect you can use when going to sleep. i havent noticed it helping with either.

the best thing i have found for great sleep is cpap and going to bed earlier

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Re: CPAP Basics - 23 - Sleep Inertia

Post by robysue » Thu Aug 08, 2013 10:32 am

chunkyfrog wrote:I have seen some "easy-wake" alarm clocks that incorporate a light that comes on gradually,
which may influence sleep stages by mimicing a "sunrise" effect, allowing an more natural transition to wakefulness.
A long time ago in what feels like a galaxy far, far away, deep in my pre-CPAP memories I did find that in the middle of winter having my bedside lamp come on before the alarm went off made it much easier to wake up when it was time to get up. Of course, the bedroom at the time was on the northwest corner of the house and it's one window faced the neighbor's house, which is about 15-20 feet away from our house. And wake up time was 45-60 minutes before sunrise in December in Buffalo. And I hate having to get out of bed in the dark ....

But sunrise clocks for all that they may make it easier to wake up by providing some ambient light (that may or may not effect the sleep cycles) are not what mollete is talking about. She specifically mentioned clocks that "are aware of your sleep patterns" and referred to them as "sleep stage alarm clocks". And I'd like to know what the heck she's talking about since the Zeo is no longer made.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by DreamDiver » Thu Aug 08, 2013 11:11 am

robysue wrote:... I'd like to know what the heck she's talking about since the Zeo is no longer made.
A couple examples...
Not sure if one is better than another.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by Sir NoddinOff » Thu Aug 08, 2013 12:37 pm

DreamDiver: Interesting reading... thanks for sharing that info.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by Big fella » Thu Aug 08, 2013 2:43 pm

Sleep cycle works quite well for me

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Re: CPAP Basics - 23 - Sleep Inertia

Post by robysue » Thu Aug 08, 2013 3:04 pm

DreamDiver,

Thanks for the links! I'll be sure to peruse them.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by mollete » Fri Aug 09, 2013 6:02 am

It would seem that for this particular use, actigraphy (measuring body motion) does as good a job as EEG.

If so, an app that costs 2 bucks pretty much doomed Zeo:

http://www.healthyobsessions.net/2010/1 ... p-cycle-1/

http://lifehacker.com/5993271/most-popu ... =hive-five

http://www.dvice.com/archives/2012/10/9 ... ch_dev.php

http://dreamstudies.org/2013/07/16/best ... s-devices/

For those looking to DIY Zeo headbands (previously noted by XB):

http://www.instructables.com/id/DIY-Rep ... nd-Sensor/

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Re: CPAP Basics - 23 - Sleep Inertia

Post by fmj13 » Wed Jul 02, 2014 7:52 pm

My sleeptracker died this weekend and I am looking if there is something better or I want to buy a new one even through this didn't last 11 months. I don't want something that is only a phone app. Is there anything else other than a jawbone up?

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Re: CPAP Basics - 23 - Sleep Inertia

Post by Julie » Wed Jul 02, 2014 9:15 pm

How about an old fashioned notebook and pencil?

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Re: CPAP Basics - 23 - Sleep Inertia

Post by fmj13 » Wed Jul 02, 2014 10:24 pm

Julie wrote:How about an old fashioned notebook and pencil?
The tracking is not as material as a sleep cycle alarm - which a notebook and pencil won't do.

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Re: CPAP Basics - 23 - Sleep Inertia

Post by Sludge » Thu Jul 03, 2014 3:32 am

Aurora (Dream Enhancer. Whatever.) and NeuroOn are The Next Best Thing(s) (according to them, anyway).

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Re: CPAP Basics - 23 - Sleep Inertia

Post by fmj13 » Thu Jul 03, 2014 4:45 am

Thanks, but I'm looking for something available now.

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