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Still feeling tired after a good night's sleep? Persistent fatigue can signal an underlying sleep disorder, such as obstructive sleep apnea. The KishHealth System Sleep Disorder Centers in DeKalb and Sandwich offer diagnostic sleep studies for adults and children age three and older. To schedule an appointment, call 815.277.3979. KISHPROGRAMS.ORG FATIGUE THAT BECOMES severe or is accompanied by mood changes, however, could signal seasonal affective disorder (SAD), a form of depression. SAD often strikes during late fall and winter months and commonly affects younger adults who live in northern states. According to the National Institutes of Health, symptoms of SAD include fatigue, insomnia, weight gain, loss of motivation or interest in activities, irritability, and feelings of sadness, hopelessness, and anxiety. "Seasonal affective disorder often occurs because it's cold and dark and people feel like spending more sedentary time at home," says Christine Valentine, nurse practitioner at the KishHealth System Center for Family Health in Malta. "People also tend to increase their carbohydrate intake during the winter, which can lead to weight gain and affect self-esteem." To prevent SAD symptoms, Valentine recommends making time for daily exercise to boost energy levels. Avoiding caffeinated beverages at dinner and keeping a regular sleep schedule can also help improve insomnia. If you feel depressed or if your fatigue is severe enough to interfere with your daily routine, speak with your doctor about light therapy, a treatment for SAD that typically involves sitting next to a bright light box for 30 minutes daily. Pilates Pay for 7 weeks and receive the 8th week free. $35/Once a Week; $70/Twice a Week - Registration Required KISHHEALTH SYSTEM PHYSICAL THERAPY CENTER - 815.748.8900 Tues. & Thurs. Jan. 6 - Feb. 26, 6 - 7 pm Runner's Gait Analysis $30/Person - Registration Required KISHHEALTH SYSTEM PHYSICAL THERAPY CENTER - 815.748.8900 Call to schedule an appointment. PEOPLE OFTEN FEEL MORE TIRED THAN USUAL WHEN THE WEATHER IS COLD AND THE NIGHTS ARE LONG. Winter Blues Beating KishHealth System Physical Therapy Centers in Sycamore and Sandwich offer a variety of exercise classes, including Gentle Yoga and Pilates. Visit kishprograms.org for details and to register. / W I N T E R 1 5 9