What is it called when you sleep but don't feel rested?

Interview Highlights. What is hypersomnia: “Hypersomnia is when people sleep too much. When they wake up, even though they've slept ten, 12 hours, they don't feel rested. During the daytime, they also get sleepy or have small naps, and therefore hypersomnia lasts all 24 hours.

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The majority of patients with depression have problems with sleep, usually insomnia. But about 10 to 12 percent have the opposite problem. KERA News spoke with Dr. Madhukar Trivedi, Director of University of Texas Southwestern’s Center for Depression Research and Clinical Care about hypersomnia and how aerobic exercise may alleviate the problem.

Interview Highlights

What is hypersomnia: “Hypersomnia is when people sleep too much. When they wake up, even though they’ve slept ten, 12 hours, they don’t feel rested. During the daytime, they also get sleepy or have small naps, and therefore hypersomnia lasts all 24 hours. It does seem it’s disrupting the circadian rhythm all of us have. Secondly, that may be associated with different kinds of hormones and proteins in the brain that may be responsible for this.” Hypersomnia’s link to major depressive disorder: “That’s the primary symptom. People who have hypersomnia also eat a lot, or at least snack a lot, much more weight gain as opposed to people with insomnia, and more fatigue and a different subtype of depression.” Why aerobic exercise may alleviate hypersomnia: “There’s very good pre-clinical, or animal, data showing that if exercise leads to neurogenesis – that is, brain cells actually regenerate – and there are also reductions in stress hormone and inflammation, in a related publication from this very study we find that those patients who have more inflammation do better with exercise. And if you compare that with other studies, SSRI’s like Prozac actually do less for people who have inflammation. So it’s almost like exercise is an anti-inflammatory treatment. “So what we found is that people who have this higher inflammation, they are really not responding to regular antidepressants. When you give them exercise as a treatment, either on a treadmill or on a bike with moderate intensity, this inflammation goes down and that is how their sleep improves. “Before they were put into the study, they had tried an SSRI. The SSRI had not worked, and they still had significant depressive symptoms. When we put them through the exercise regimen for 12 weeks with this intensity of exercise, the effect of exercise of their depression is very similar to the effect you see with an SSRI.”

For more information:

Study on hypersomnia and aerobic exercise

National Institute of Neurological Disorder and Stroke

Hypersomnia Foundation

Copyright 2015 KERA-FM. To see more, visit http://www.kera.org/.

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Why am I so tired all the time?

You may be too exhausted even to manage your daily affairs. In most cases, there's a reason for the fatigue. It might be allergic rhinitis, anemia, depression, fibromyalgia, chronic kidney disease, liver disease, lung disease (COPD), a bacterial or viral infection, or some other health condition.

webmd.com - Extreme Fatigue and Exhaustion: 10 Possible Causes - WebMD

Do you feel like you're always tired? Are you having trouble staying awake during prime-time sitcoms? Most of us know what it's like to be tired, especially when we have a cold, the flu, or some other viral infection. But when you have a constant lack of energy and ongoing fatigue, it may be time to check with your doctor. What Is Fatigue? Fatigue is a lingering tiredness that is constant and limiting. With fatigue, you have unexplained, persistent, and relapsing exhaustion. It's similar to how you feel when you have the flu or have missed a lot of sleep. If you have chronic fatigue, or systemic exertion intolerance disease (SEID), you may wake in the morning feeling as though you've not slept. Or you may be unable to function at work or be productive at home. You may be too exhausted even to manage your daily affairs. In most cases, there's a reason for the fatigue. It might be allergic rhinitis, anemia, depression, fibromyalgia, chronic kidney disease, liver disease, lung disease (COPD), a bacterial or viral infection, or some other health condition. If that's the case, then the long-term outlook is good. Here are some common causes of fatigue and how they are resolved.

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