The long list of sleep-time accouterment is eye-opening and potentially pricey. But missing sleep is costly for an individual's health and wallet. And consider the costs for the greater population — compromised workplace productivity and auto accident risk among them.
While there's no standard definition for insomnia, suggested criteria include taking more than 30 minutes to fall asleep, waking up too early, or sleeping less than 6 1/2 hours a night, according to Ruth Benca, a sleep-disorders doctor at the University of Wisconsin at Madison. Insomnia is twice as likely in women as men and affects some 6 to 10 percent of adult Americans, yet often goes undiagnosed and untreated.
Lack of sleep costs the average U.S. worker 11.3 days each year, or $2,280 in lost productivity, according to a 2008-2009 study published in a September 2011 issue of the scientific journal Sleep, by lead author Harvard Medical School's Ronald Kessler, a psychiatric epidemiologist. For the nation, the total cost is 252.7 days per year and $63.2 billion in lost productivity. The results were computed from a national sampling of 7,428 employees, part of the larger American Insomnia Study. The drug companies can use the information, too, of course; Sanofi generated the study, sponsored in part by Merck & Co.
For individuals (or some insurance companies), the average cost of treating insomnia ranges from about $200 a year for generic sleeping pills up to $1,200 for behavioral therapy, according to study co-author James K. Walsh, executive director and senior scientist at the Sleep Medicine and Research Center at St. Luke's Hospital in Chesterfield, Mo.
Most important room in the house? For some consumers, life's pace and stress justifies their "relaxation" budget. After all, we spend a good chunk of the day in the bedroom, even if our eyes are (hopefully) closed much of the time.
The big-ticket item, of course, is the mattress. Top styles include traditional coil spring, air, latex and memory foam. Consumers vary in their preference for firm, soft or somewhere in between. Adding to what can be a confusing shopping experience, price tags stretch from $300 to $30,000 and beyond.
It's the low end of that range that ignites some criticism from furniture trade groups. They argue that comfort and quality have gone out the window because of extreme promotional pricing.
A survey the group conducted with HGTV showed that more consumers remain interested in queen sleep sets priced at $1,000 and up. Some 47 percent said they are planning to spend $1,000 or more, with 26 percent of the consumers queried, the largest single group, focusing on price points from $1,000 to $1,199.
Sleep experts say expensive mattresses aren't necessarily better but concede that quality will rise with price, to a point. In the $1,000 sweet spot, consumers should weigh several factors, including coil density and moisture risk. For instance, memory foam mattresses may be a better fit for sleepers that move very little; active sleepers risk higher body temperature (and sweat) that could eventually lead to mold in the foam.
Mostly, consumers need to flop on the sample beds and mock sleep for at least 20 minutes. And if that brief test run isn't enough, some retailers will allow purchasers to return mattresses after 30 to 90 days if they're not satisfied. The average mattress should last at least a decade if rotated and flipped every six months or according to manufacturers' instructions.
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Some sleep relief is relatively low-cost. The nonprofit National Sleep Foundation offers these tips:
•Practice a regular bedtime routine with a relaxing soak, reading or listening to soothing music. Create a sleep-conducive environment with blackout curtains, eye shades, ear plugs, white noise or a humidifier.
•Exercise regularly. It aids falling asleep and contributes to sounder sleep. But exercising sporadically or right before going to bed will make falling asleep more difficult. In addition to being more alert, your body temperature rises during exercise and takes as much as six hours to begin to drop. A cooler body temperature is associated with sleep onset.
•Skip caffeine, nicotine and alcohol close to bedtime.
Shopping for sleep