After writing this week about the link between marriage and better sleep, I heard from several skeptical readers who were the long-suffering bed partners of snorers.

“I’m happily married, but never get a good night’s sleep because of the noise!” wrote Lisa.

“Are you kidding me?” Caroline wrote. “My husband snores louder than a lawnmower, and I kick him harder than Beckham with a soccer ball. We both slept much better when single.”

It’s true that sleeping with a snorer can take a toll on your health. People who sleep next to snorers report high levels of fatigue and sleepiness and may even be at higher risk for hearing loss.

Often, snoring is due to obstructive sleep apnea, which is characterized by episodes of interrupted breathing during sleep, which leads to regular night-time awakenings linked with a number of health problems.

But studies show that the person with sleep apnea isn’t the only one waking up. When the apnea is accompanied by loud snorts and snoring, the bed partner may wake up as often during the night as the person with the actual sleep disorder. One study from the Mayo Clinic in Rochester, Minn., found that spouses of snorers woke up, at least partially, an average of 21 times an hour, nearly as often as the 27 times the snorers were awakened by their sleep apnea episodes.

In a 2005 study from Finland of 37 male snorers and their bed partners, half of the bed partners reported being disturbed by snoring every night or almost every night. One third of the bed partners reported relationship problems as a result of the snoring.

In a 2003 study published in the journal Chest, doctors from the Mayo Clinic in Scottsdale, Ariz., tracked the spouses of 54 patients with sleep apnea. Once the sleep apnea and snoring were treated, the spouses’ quality-of-life scores surged more than those who received the actual treatment. And treating the apnea also improved sleepiness scores among the spouses by 20 percent.

Second-hand snoring also may take a toll on hearing. In a pilot study of just four snorers in Kingston, Ontario, all the patients had slept next to a snorer for at least 15 years. The study showed that the bed partners had significant noise-induced hearing loss in the one ear that was most exposed to the snoring.

Solutions are difficult. One study found that earplugs can be a simple and effective treatment for bed partners of snorers, but for some people, especially parents of young children, earplugs aren’t a practical option. Often, treating sleep apnea can help reduce snoring, and snorers should be evaluated by a sleep specialist. Weight loss can also improve sleep apnea, although many snorers aren’t overweight. Some snorers get relief using dental appliances that open up the airway, or surgical treatments that reduce the size of the soft palate.

To find out if second-hand snoring is taking a meaningful toll on your health, doctors suggest taking a “sleep vacation” from your partner by moving into another room to determine if your sleep, mood and daytime alertness improves. The test may help convince your partner that his or her snoring is more than just an amusing annoyance and a real medical issue that is affecting the health of both you and your relationship.

转自：http://well.blogs.nytimes.com/2009/06/11/sleeping-with-a-snorer/

I am more couch potato than runner. But not long ago, I decided to get myself into shape to run in the New York City Marathon, on Nov. 1, just 152 days from now. (Not that I’m counting.)

To train for my first marathon, I’m using the “run-walk” method, popularized by the distance coach Jeff Galloway, a member of the 1972 Olympic team. When I mentioned this to a colleague who runs, she snickered — a common reaction among purists.

But after interviewing several people who have used the method, I’m convinced that those of us run-walking the marathon will have the last laugh.

Contrary to what you might think, the technique doesn’t mean walking when you’re tired; it means taking brief walk breaks when you’re not.

Depending on one’s fitness level, a walk-break runner might run for a minute and walk for a minute, whether on a 5-mile training run or the 26.2-mile course on race day. A more experienced runner might incorporate a one-minute walk break for every mile of running.

Taking these breaks makes marathon training less grueling and reduces the risk of injury, Mr. Galloway says, because it gives the muscles regular recovery time during a long run. Walk breaks are a way for older, less fit and overweight people to take part in a sport that would otherwise be off limits. But most surprising are the stories from veteran runners who say run-walk training has helped them post faster race times than ever.

One of them is Tim Deegan of Jacksonville, Fla., who had run 25 marathons when his wife, Donna Deegan, a popular local newscaster and cancer survivor, began organizing a marathon to raise money for breast cancer research. When Mr. Galloway volunteered to help with the race, Ms. Deegan asked her husband to take part in run-walk training to show support.

“The only reason I did this is because I love my wife,” said Mr. Deegan, 49. “To say I was a skeptic is to put it very nicely.”

But to his surprise, he began to enjoy running more, and he found that his body recovered more quickly from long runs. His times had been slowing — to about 3 hours 45 minutes, 15 minutes shy of qualifying for the Boston Marathon — but as he ran-walked his way through the Jacksonville Marathon, “I started thinking I might have a chance to qualify for Boston again.”

He did, posting a time of 3:28.

Nadine Rihani of Nashville ran her first marathon at age 61, taking walk breaks. Her running friends urged her to adopt more traditional training, and she was eventually sidelined by back and hip pain. So she resumed run-walk training, and in April, at age 70, she finished first in her age group in the Country Music Marathon, coming in at 6:05.

“My friends who were ‘serious’ runners said, ‘You don’t need to do those walk breaks,’ ” she said. “I found out the hard way I really did.”

Dave Desposato, a 46-year-old financial analyst, began run-walk training several years ago after excessive running resulted in an overuse injury. He finished this year’s Bayshore Marathon in Traverse City, Mich., in 3:31:42, cutting 12 minutes off his previous best.

“I run enough marathons now to see everybody totally collapsing at the end is very, very common,” he said. “You wish you could share your experience with them, but they have to be willing to listen first.”

Another unconventional element of walk-break training is the frequency — typically just three days a week, with two easy runs of 20 to 60 minutes each and a long run on the weekend. The walk breaks allow runners to build up their mileage without subjecting their bodies to the stress of daily running, Mr. Galloway said.

Many runners take their own version of walk breaks without thinking about it, he says: they slow down at water stations or reduce their pace when they tire. Scheduling walk breaks earlier in a run gives the athlete control over the race and a chance to finish stronger.

While I’m planning to use run-walk training to complete my first marathon, I’ve heard from many runners who adhere to a variety of training methods. So later this week, the Well blog will have a new feature: the Run Well marathon training tool, with which you can choose any of several coaches’ training plans and then track your progress.

Besides Mr. Galloway, plans are being offered by the marathoner Greg McMillan, who is renowned for his detailed training plans that help runners reach their time goals; the New York Flyers, the city’s largest running club, which incorporates local road races into its training; and Team for Kids, a New York Road Runners Foundation charity program that trains 5,000 adult runners around the world.

The Run Well series also gives you access to top running experts, advice from elite runners, reviews of running gadgets and regular doses of inspiration to get you race-ready.

So please join me, the coaches and other running enthusiasts every day at the Well blog, nytimes.com/well, during the next five months of training. For me, this is finally the year I’ll run a marathon. I hope it will be your year too.

转自：http://www.nytimes.com/2009/06/02/health/02well.html?ref=nutrition

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