ETHealthworld Editor Shahid Akhter interviewed. Doctor.Randeep Galleriachairman of the Institute of Medicine, Respiratory and Sleep Medicine, Medanta, and former director and CEO of AIIMS, New Delhi, said the scale of the sleep disorder and how it impacts safety and productivity aside from To figure out how it affects my life, the lives of others, and the economy as a whole.
Sleep disorders emerge as epidemic
In my opinion, sleep disorders are an unrecognized epidemic that we see in our country. Data that existed prior to COVID-19 suggested that sleep disorders, particularly sleep apnea, were very common as far as India was concerned. Focusing on sleep apnea syndrome, an epidemiological study conducted in India suggested that approximately 10-25% of the adult population has features of sleep apnea syndrome. And when looking at obstructive sleep apnea with daytime sleepiness and drowsiness, the rate reached almost 5%.
Covid-19 has also caused other sleep disturbances related to job changes, working from home, and general disruptions to sleep hygiene and sleep cycles. In my opinion, there is an increasing number of people with sleep disorders, both obstructive sleep apnea and sleep-related disorders.
Sleep Disorders and Non-Communicable Diseases
Pandemics and outbreaks have occurred in India, causing large-scale outbreaks of non-communicable diseases. Global burden of disease data, also published in The Lancet, show that the burden of disease is shifting from communicable diseases to non-communicable diseases. And millions of people suffer from non-communicable diseases such as diabetes, hypertension, stroke, cancer, chronic respiratory disease, and chronic kidney disease. This puts a heavy burden on the disease. It accounts for nearly 55-60% of illnesses associated with non-communicable diseases. And communicable diseases such as maternal mortality, infectious diseases and neonatal cases have decreased significantly. But this is sparking a new epidemic as far as disability is concerned, and if we look at one of the factors that tend to tie them together: Data suggest that unrecognized sleep apnea and obstructive sleep apnea promote the overall incidence and emergence of non-communicable diseases such as diabetes, non-alcoholic fatty liver disease, and cardiovascular disease. presently present in large numbers. , or various other faults.
What we are seeing is an increase in non-communicable diseases. This has been brought about by lifestyle modifications and improved treatment of infectious diseases, but it is also caused by drastic changes in sleep habits, causing problems as far as non-communicable diseases are concerned.
Sleep Disorders: The Need for Policies and Guidelines
When it comes to sleep disorders, there are really no policies or guidelines as far as India is concerned. If you look for obstructive sleep apnea both in Europe, the UK and abroad, you have to take a test to determine if you have obstructive sleep apnea before you can get a driver’s license. yeah. To get a driver’s license, you must confirm that you do not have obstructive sleep apnea, and if you have obstructive sleep apnea, you must use a CPAP machine before you are given a driver’s license. there is.
The reason is that there is a ton of data suggesting that unexplained road accidents occur because drivers doze off, especially on highways. Therefore this should be prevented. This is because a large number of fatalities caused by Stander can occur without the Stander being at fault. That’s why it’s important to have a policy on what to do when a driver is caught. How should sleep apnea patients be diagnosed to ensure they are not exposed to potentially harmful locations? This applies not only to yourself, but also to others. For example, it applies to people who handle delicate objects such as instruments, devices, and machines. Also, falling asleep can cause serious injury.
Then there’s the issue of people working in call centers right now. I need guidelines on what to do as this causes major changes in their sleep cycles leading to insomnia, mental health problems and depression. , all of which must be addressed in a holistic manner.
Sleep Disorders Affecting Productivity
I look at sleep disorders from two perspectives. Obstructive sleep apnea syndrome is a sleep disorder characterized by daytime somnolence, decreased attention during the day due to drowsiness, and frequent sleep disturbances. I sleep when they are working. Therefore, if someone has obstructive sleep apnea and does not receive proper treatment in terms of appropriate intervention, productivity will suffer. And the other is lack of sleep, people who work late at night and are getting less and less sleep. This also leads to medical ailments, both mental health and metabolic syndrome problems, as already explained, but also reduces efficiency, alertness and work capacity. Therefore, interventions in terms of sleep hygiene, early diagnosis of obstructive sleep apnea, and possible prevention of it are very important if we want to improve productivity and reduce morbidity and mortality. .