Pichard Luis E, Simonelli Guido, Schwartz Lindsay, Balkin Thomas J, Hursh Steven
Division of Pulmonary and Critical Care Medicine, Department of Medicine, The Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
Behavioral Biology Branch, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, USA.
Sleep Med Clin. 2019 Sep;14(3):399-406. doi: 10.1016/j.jsmc.2019.05.006.
Sleep loss is a widespread phenomenon and a public health threat. Sleep disorders, medical conditions, lifestyles, and occupational factors all contribute to insufficient sleep. Regardless of the underlying cause, insufficient sleep has well-defined consequences and the severity of said consequences partially influenced by individual characteristics. It is here where precision medicine needs to understand and define sleep insufficiency in hopes for personalizing medical approach to improve patient outcomes. Following a discussion on causes and consequences of sleep loss, this article discusses tools for assessing sleep sufficiency, mitigating strategies to sleep loss, and sleep loss in the context of fatigue management.
睡眠不足是一种普遍现象,也是对公众健康的一种威胁。睡眠障碍、健康状况、生活方式和职业因素都会导致睡眠不足。无论潜在原因是什么,睡眠不足都会产生明确的后果,而且这些后果的严重程度部分受到个体特征的影响。正是在这一点上,精准医学需要理解并界定睡眠不足,以期采用个性化医疗方法来改善患者的治疗效果。在讨论了睡眠不足的原因和后果之后,本文将探讨评估睡眠充足程度的工具、缓解睡眠不足的策略以及疲劳管理背景下的睡眠不足问题。