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Is there a link between getting a good night’s sleep and the ability to ward off winter ailments like bronchitis, colds and pneumonia?
There’s plenty of
evidence linking poor sleep to chronic diseases like diabetes and heart
disease, but remarkably few good clinical trials have looked at whether
sleep is a bulwark against respiratory infections. One such study, published last September in the journal Sleep,
reported that adults who slept less than five or six hours a night were
four times more likely to catch a cold than those who slept at least
seven hours.
The trial was one of
the first to objectively measure the amount of sleep volunteers got
before they were deliberately exposed to the common cold through nasal
drops containing the cold virus. A clinical trial in 2009 that
relied on participants’ own accounts of their sleep habits also found
sleep protective against the common cold. In that trial, volunteers who
reported sleeping fewer than seven hours a night were nearly three times
more likely to catch a cold after exposure than those who slept eight
hours or more.
An observational study from 2012
of nearly 60,000 women in the Nurses Health Study II also suggested
sleep patterns may affect pneumonia risk. It found that women who slept
five hours or less were more likely to develop pneumonia, though oddly
enough, those who slept nine hours or more were also at higher risk. Dr.
Sanjay Patel, the study’s author, suggested that the women who slept
excessively may have suffered from poor quality sleep. It is also
possible that being in the sleep position for an extended time increases
susceptibility to pneumonia, since bacteria that colonize the nose and
throat may drip into the lungs, he said. Sleep scientists were not aware
of any studies examining the role of sleep in bronchitis.
Scientists are
uncertain how sleep might help fight infections, but sleep is known to
play a role in the regulation of the immune system. Studies suggest that
sleep deprivation, for example, may lead to a weaker antibody response
to vaccination, Dr. Patel said. Insufficient sleep “seems to reduce the
functioning of cells like natural killer cells and lymphocytes that are
important in giving you an immune response.”
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