Pranam
Q8-10: SLEEP IS A MUST READ TODAYS  TOI 3 7 22

The time you go to bed may affect your risk for heart disease. In fact,
researchers say, there is a heart health sweet spot for falling asleep:
from 10 to 11 p.m.

An analysis of data from more than 88,000 adults tracked for around six
years revealed a 12 percent greater risk among those who dropped off from
11 to 11:59 p.m. and a 25 percent higher risk of developing cardiovascular
disease among people who fell asleep at midnight or later. Falling asleep
earlier than 10 p.m. was associated with a 24 percent increase in risk,
according to a report published Monday in the European Heart
Journal—Digital Health.

“The body has a 24-hour internal clock, called circadian rhythm, that helps
regulate physical and mental functioning,” neuroscientist David Plans,
co-author of the study and head of research at Huma, a London health tech
company that supports decentralized clinical trials, said in a statement.

“While we cannot conclude causation from our study, the results suggest
that early or late bedtimes may be more likely to disrupt the body clock,
with adverse consequences for cardiovascular health,” said Plans, who is
also a senior lecturer in organizational neuroscience at the University of
Exeter in the U.K. Huma often clears its studies through the ethics
committee at the University of Exeter.

To explore how different bedtimes might affect heart health, Plans and
colleagues at Huma, turned to UK Biobank, a biomedical database. UK Biobank
maintains information about more than 500,000 volunteers ages 37 to 73 who
were recruited from 2006 to 2010 and provided Huma researchers information
about their demographics, lifestyles and health. Their physical health was
also assessed.

The researchers focused on 88,926 adults, average age 61, who wore
accelerometers (devices that record when a person moves) on their wrists
for seven days. With the accelerometer data, the researchers determined the
times of sleep onset and waking.

Lack of sleep increases junk food cravings, study finds

During an average follow-up period of 5.7 years, 3,172 of the volunteers
(3.6 percent) experienced cardiovascular events, such as strokes, heart
attacks or heart failure — incidents were highest among people with sleep
times at midnight or later and lowest among those who fell asleep from 10
to 10:59 p.m.

Even when a number of factors were taken into account — including age,
gender, sleep duration, sleep irregularity, being an early bird or a night
owl, smoking status, body-mass index, diabetes, blood pressure, cholesterol
levels and socioeconomic status — falling asleep regularly at midnight or
later was still linked to the highest increased risk of heart disease.

The increased risk was more pronounced in women who fell asleep later. Men
were at greater heart risk only when they fell asleep earlier in the
evening, before 10 p.m.

The new study “really reinforces what we know from a cardiovascular risk
prevention standpoint — sleep is a risk factor,” said Dr. Francoise Marvel,
an assistant professor and co-director of the Johns Hopkins Digital Health
Lab at Johns Hopkins Medicine in Baltimore. “But there is a huge important
gap to recognize: There is no evidence to suggest at this point that
improving sleep will effectively reduce cardiovascular events, like heart
attack and stroke.”

The study is especially “intriguing” when it comes to the findings about
women, said Dr. Roxana Mehran, an interventional cardiologist and a
professor of medicine, cardiology and population health science and policy
at the Icahn School of Medicine at Mount Sinai in New York.

Cardiovascular disease is the No. 1 cause of death in the U.S., according
to the American Heart Association.

“So we need to figure out anything that is more important or less important
for preventing heart disease in women,” Mehran said.

Still, she said, the findings need to be taken with a grain of salt. The
new research shows an association but doesn't prove that falling asleep
either later or earlier than the hour from 10 to 11 p.m. causes heart
disease. Other factors may be the real culprits, such as stress, anxiety
and depression, she said.

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TOI    DATED 3/7/22

Poor sleep is now officially a risk factor for heart attacks

DATed: Jul 3, 2022, 02:35 IST

MUMBAI: Sleep, or lack of it, is now officially a risk factor for heart
disease.The American Heart Association (AHA), earlier in the week, added
sleep to the existing seven factors - physicalactivity, nicotine exposure,
diet, weight, blood glucose, cholesterol and blood pressure - that evaluate
a person'srisk for heart disease. The new checklist called 'Life's
Essential 8' has been published in AHA's peer-reviewedjournal
'Circulation'. Essentially, it lays down that it's not just habits like
smoking, eating a high-calorie diet, lack ofexercise but even duration of
sleep that dictates heart health.

Mumbai cardiologist Dr Brian Pinto said, "Over the decades, I've noticed
that people who don't sleep for at leastseven hours a day are at a higher
risk of a heart attack." His stock advice to patients is to sleep more than
sevenhours but less than eight hours a day.

Cardiovascular disease is the number one cause of death in most countries,
including India. The Global Burden ofDisease study a few years back
estimated that cardiovascular diseases claimed 272 lives per 1,00,000
populationin India while the global average is 235 per 1,00,000 population.
KR IRS 3722

On Sun, 3 Jul 2022 at 07:33, 'gopala krishnan' via iyer123 <
[email protected]> wrote:

> QUES ANSW MEDICAL  07-2022-3
>
> Dear friends,
>
> These are information compiled as QA by me in 1998’s-2014’s and stored in
> my computer. They are posted by *very  learnt doctors in kidshealth.org
> <http://kidshealth.org> etc. *
>
> *Many improvements have come in medical field.  Hence some information may
> have additions or some times changes.*
>
> *These are for general information, and for  any health  problem one has
> to  consult doctor.*
>
> *BEING COMPILATION THERE MAY BE  ERRORS.*
>
> Sincerely,
>
> *R. Gopalakrishnan, 78, dated 03-07-2022*
> Q1         How Much Weight to Gain  during pregnency?
>
> A1          How much you should gain varies with your weight before
> pregnancy. Underweight women should gain 28 to 40 pounds, normal weight
> women should gain 25 to 35 pounds, and overweight women should gain 15 to
> 25 pounds (if very overweight, even less.)
>
> If you are of normal weight you should gain about 2 to 4 pounds in the
> first trimester and three­quarters to 1 pound per week thereafter.
> Underweight women should gain about one and a quarter pounds per week in
> the second and third trimester and overweight women should gain a half to
> three­quarters of a pound each week during that time.
>
> WHERE THE WEIGHT GAIN GOES-Maternal
> Uterus    2 lbs
>
> Breasts                               1 lb
>
> Blood                                 2.75 lbs
>
> Water                                3.7 lbs
>
> Fat                                      7.4 lbs
>
> Subtotal                             16.85 lbs
>
> Fetal
>
> Fetus                                  7.5 lbs
>
> Placenta                           1.4 lbs
>
> Amniotic fluid                    1.75 lbs
>
> Subtotal                             10.65 lbs
>
> Total                                   27.5 lbs
> Q2         Do Sexual intercourse is to be avoided during last stage of
> pregnancy?
>
> A2          Some physicians suggest that you refrain from intercourse
> during the last 4 weeks of pregnancy. Aside from this possible restriction,
> intercourse is safe unless you are at risk for miscarriage or early labor.
> Women experiencing vaginal bleeding are at risk for miscarriage and should
> avoid intercourse.
>
> Sleep on your side instead of your back after the third month. The weight
> of the enlarged uterus can constrict some of your major blood vessels if
> you lie flat on your back.
>
> Q3         Is there any barrier between semen and blood? Is immunity
> produced against semen?
>
> A3          Yes. Semen is not permitted to join with blood stream. Also
> immunity is produced in the  women’s body .
>
> Q4         What is Chromo therapy?
>
> A4          Chromo therapy is also known as heliotherapy, solar therapy
> or colour therapy means healing with the colour or through the use of  the
> colour
>
> Q5         Do our sense organs have different colours?
>
> A5          Colours of five sense organs, when examined with prism are as
> below:- Eyes - Red, Skin - Violet, Nose tip - Green, Tongue - Orange, Ears
> - Blue
>
> Q6         What is insomania?
>
> A6          Insomnia is the perception or complaint of inadequate or
> poor-quality sleep because of one or more of the following: (1) falling
> asleep (initial insomnia); (2) remaining asleep through the night (middle
> insomnia);(3) waking up too early (terminal insomnia); or (4) un refreshing
> sleep.
>
> All types of insomnia can lead to daytime drowsiness, poor concentration,
> and the inability to feel refreshed and rested in the morning.
>
> Insomnia is not defined by the number of hours of sleep a person gets or
> how long it takes to fall asleep. Individuals vary normally in their need
> for, and their satisfaction with, sleep.
>
> Insomnia may cause problems during the day, such as tiredness, a lack of
> energy, difficulty concentrating, and irritability.
>
> Q7         What is sleep?
>
> A7          Until the 1950s, most people thought of sleep as a passive,
> dormant part of our daily lives. We now know that our brains are very
> active during sleep. Moreover, sleep affects our daily functioning and our
> physical and mental health in many ways that we are just beginning to
> understand.
>
> During sleep, we usually pass through five phases of sleep: stages 1, 2,
> 3, 4, and REM (rapid eye movement) sleep. These stages progress in a cycle
> from stage 1 to REM sleep, then the cycle starts over again with stage 1.
>
> We spend almost 50 percent of our total sleep time in stage 2 sleep,
> about 20 percent in REM sleep, and the remaining 30 percent in the other
> stages.
>
> Infants, by contrast, spend about half of their sleep time in REM sleep.
>
> During stage 1, which is light sleep, we drift in and out of sleep and
> can be awakened easily. Our eyes move very slowly and muscle activity
> slows. People awakened from stage 1 sleep often remember fragmented visual
> ../images.
>
> When we enter stage 2 sleep, our eye movements stop and our brain waves
> (fluctuations of electrical activity that can be measured by electrodes)
> become slower, with occasional bursts of rapid waves called sleep spindles.
>
> In stage 3, extremely slow brain waves called delta waves begin to appear,
> interspersed with smaller, faster waves.
>
>  By stage 4, the brain produces delta waves almost exclusively. It is
> very difficult to wake someone during stages 3 and 4, which together are
> called deep sleep.
>
>  There is no eye movement or muscle activity. People awakened during deep
> sleep do not adjust immediately and often feel groggy and disoriented for
> several minutes after they wake up.
>
> *When we switch into REM sleep, our breathing becomes more rapid,
> irregular, and shallow, our eyes jerk rapidly in various directions, and
> our limb muscles become temporarily paralyzed*.
>
>  Our heart rate increases, our blood pressure rises, and males develop
> penile erections. When people awaken during REM sleep, they often describe
> bizarre and illogical tales - dreams.
>
> The first REM sleep period usually occurs about 70 to 90 minutes after we
> fall asleep.
>
> A complete sleep cycle takes 90 to 110 minutes on average.
>
> The first sleep cycles each night contain relatively short REM periods and
> long periods of deep sleep. As the night progresses, REM sleep periods
> increase in length while deep sleep decreases. By morning, people spend
> nearly all their sleep time in stages 1, 2, and REM.
>
> Q8         Do food influence sleep?
>
> A8          Since sleep and wakefulness are influenced by different
> neurotransmitter signals in the brain, foods and medicines that change
> the balance of these signals affect whether we feel alert or drowsy and
> how well we sleep.
>
> Q9         Do alcohol influence sleep?
>
> A9          Many people who suffer from insomnia try to solve the problem
> with alcohol - the so-called nightcap. While alcohol does help people
> fall into light sleep, it also robs them of REM and the deeper, more
> restorative stages of sleep
>
> Q10              DO anesthesia is a form of  a sleep?
>
> A10        People who are under anesthesia or in a coma are often said to
> be asleep. However, people in these conditions cannot be awakened and do
> not produce the complex, active brain wave patterns seen in normal sleep.
> Instead, their brain waves are very slow and weak, sometimes all but
> undetectable.
>
> --
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> <https://groups.google.com/d/msgid/iyer123/661714797.995746.1656813806339%40mail.yahoo.com?utm_medium=email&utm_source=footer>
> .
>

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