ALERT-Angina Pectoris; LATER SLEEP TIMES(>22.0)

INTRODUCTION;

SlEEP TIMING AND ANGINA PECTORIS STUDY-BASED timing and angina pectoris

ALERT- sleeping bedtimes (>22:00) SLEEP. OUT of the 474 participants in the study, 41% women 67% were male. The median age of the participants was 64 years. The prevalence of AP in the group was 19.9%. AP assessed using the Framingham Risk Score, – several risk factors, -diabetes, obesity, hypertension, and smoking. Always sellep in fix timing. Participants who slept less than six hours a night increased risk of developing AP by 37%, compared with who slept six hours more per night. The overall risk of developing AP 22.6% higher in people who slept less than 6 hours a night compared with those who slept six to 7 hours, and 24.9% higher who slept between 7 and 8 hours a night compared who slept between 8 and 9 hours a night.

THE FINAL RESULT OF STUDY; ALERT- sleeping bedtimes (>22:00)

1_Middle-aged and older adults who started at a time later than 8pm (bedtime) reported angina symptoms than those who started later (bedtime 8pm vs. 8am). The Lancet What this study :- a) The bedtime may be important predictor of AP in younger adults b) The time of awakening and going to sleep may be important in managing AP in older adults Based on this study.

we recommend. 1-Sleeping only 6-8 hours daily in early childhood may be risk factor for sleep apnea and other sleep disorders in middle-aged adults

2-Caffeine before bedtime is strong risk factor for AP.3- Do not go to bed with an empty stomach.4- Eating before bedtime increases blood glucose and gastric activity before bedtime

2_Sleep timing and angina pectoris are common risk factors for stroke . The relative importance of sleep disorders in early onset CVD . Previous studies- daytime hours were significantly related to CV mortality among both men with a history or current cardiac event as well ASSAGE patients who previously developed the condition . In this prospective study we hypothesized an association between sleeping problems and late night NREM vs DSD; there was no evidence that any differences existed using dichotomous data types based on chronotype rather sex at baseline from prior examination/survey purposes.

A-Association Between Late Bedtime and Diabetes Mellitus: A-Large Community-Based Study;

B-Risk factors for coronary heart disease (CHD).

Whether these conditions contribute to CHDs in people with no previous history of atherosclerosis is uncertain. The association between cigarette smoking [1], alcohol consumption during adolescence, sedentary behaviors. Conducted using both continuous health questionnaires,structured interview format at baseline follow-up time points that included cardiovascular risks stress fractures./hyperlipidemia etc. The generalizability across different populations needs more work.

How sleep timing is related to AP; ALERT sleeping bedtimes (>22:00)

Conclusion;

Approximately 1 in 8 adults suffer from AP, a very common chest pain condition that often goes unnoticed. AP can cause pain when artery constricts, forcing blood from the heart into the coronary arteries to provide oxygenated blood to the heart. Angina is a common symptom with AP. Sleep is important for maintaining heart health. It hypothesized that AP is a side effect of sleep disruption. , It is possible that circadian misalignment due to shift work, jet lag, or other environmental factors could be a risk factor for AP. tThis study Using self-reported sleep diaries, researchers examined the relationship between AP, sleep timing, and night time wake time.

Overall, there was a lower prevalence of AP in adults who reported earlier bedtimes. Sleep onset timing also related to other risk factors for AP, such BMI, sleep apnea, hypertension, smoking, chronic pain, depression, and anxiety. This study showed an association between AP and sleep timing. Mature adults that later sleep timing were younger, healthier, had lower blood pressure, smoked less, were less depressed, and slept more. However, the results were unclear in this sample because they were based on self-reported data. The timing of sleep, and , sleep duration related to AP in older adults .Later bedtimes on weekdays and weekends significantly associated with an increased prevalence of AP. Early bedtimes may help people decrease the risk of AP. ALERT- sleeping bedtimes (>22:00)

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