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Reversibility stands for the fact that, even if the individual goes to sleep, the sleepiness may not be completely gone after waking up. The problem with the assessment is that patients may only report the consequences of sleepiness: loss of energy, fatigue, weariness, difficulty remembering or concentrating, etc.
Sleep inertia is a physiological state of impaired cognitive and sensory-motor performance that is present immediately after awakening. It persists during the transition of sleep to wakefulness, where an individual will experience feelings of drowsiness, disorientation and a decline in motor dexterity.
Despite its benefits, exercise is a challenge for patients with fibromyalgia, due to the chronic fatigue and pain they experience. [143] They may also feel that those who recommend or deliver exercise interventions do not fully understand the possible negative impact of exercise on fatigue and pain. [144]
Hypersomnia is a pathological state characterized by a lack of alertness during the waking episodes of the day. [3] It is not to be confused with fatigue, which is a normal physiological state. [4] Daytime sleepiness appears most commonly during situations where little interaction is needed. [5]
Waking up earlier in the morning increases the response. [11]Shift work: nurses working on morning shifts with very early awakening (between 4:00–5:30 a.m.) had a greater and prolonged cortisol awakening response than those on the late day shift (between 6:00–9:00 a.m.) or the night shift (between 11:00 a.m.–2:00 p.m.). [12]
Fatigue in a medical context is used to cover experiences of low energy that are not caused by normal life. [2] [3]A 2021 review proposed a definition for fatigue as a starting point for discussion: "A multi-dimensional phenomenon in which the biophysiological, cognitive, motivational and emotional state of the body is affected resulting in significant impairment of the individual's ability to ...
Sleep research conducted in the 1990s showed that such waking up during the night may be a natural sleep pattern, rather than a form of insomnia. [2] If interrupted sleep (called "biphasic sleeping" or " bimodal sleep ") is perceived as normal and not referred to as "insomnia", less distress is caused and a return to sleep usually occurs after ...
A study suggests non-genetic determinants of alertness upon waking up from sleep are: [25] [26] sleep quantity/quality the night before; physical activity the day prior; a carbohydrate-rich breakfast; a lower blood glucose response following breakfast (modifiable as well, for example via choice of food and with berberine [27])