WHOM TO BLAME FOR KIDNEY STONES ?

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Kidney Stones  which are no longer a rare disease  affects about 12% of the world population. Among all the predisposing factors lack of physical activity constitutes 42.79%. In India STONE BELT,occupies Maharashtra,Gujarat,Punjab,Haryana,Delhi and Rajasthan. How inactivity linked to kidney stones? Limited activity or lack of activity cause bones to release more calcium i.e. increased bone resorption. About 80% of stones are calcium based, predominantly either calcium oxalate (70%) or calcium phosphate (10%). Those with BMI ≥ 30 kg / m2 have 30% higher risk among men, but there is nearly a two-fold higher risk among women compared to those with a BMI of 21 – 23 kg / m2.  BUT  PHYSICAL  THERAPY  CAN  HELP!!!! Source- Sorenson et al 2014  J ournal of the American Society of Nephrology ,  25 (2), 362-369 . 30 minute walk 3-times per week. Women could get the maximum benefit by performing 10 metabol...
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INDIA IS SLEEPING LESS

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Indians are least active and second-most sleep deprived, says FitBit study!!!!!!!

 SLEEP is one of the most important refueling process of our body essential for life and optimal health.After working hard throughout the day, the body needs good sleep to rejuvenate itself for the next day.In the current edition of the Journal of Human Hypertension,  Lin et al. add importantly to the body literature relating the presence of sleep disorders to risk of CV disease, in this case, specifically, risk of incident hypertension.

 Sleep statistics

 According to the recent statistics presented at an international conference organized by the South East Asian Academy of Sleep Medicine (SEAASM) and Getwell Hospital in Nagpur, the average sleeping hours per day has decreased globally. What's worse is that with an average of 6.55 sleeping hours, India stands second to last on the list. With an of average 7.16 sleeping hours per day, UK tops the list, followed by Australia (7.15) and New Zealand (7.15 hours). Most of us know the importance of eight hours of sleep for our body and mind, but how many of us manage to sleep for that long every night?Unfortunately, the less sleep you get, the greater your risk of developing high blood pressure."Blood pressure is one of the best predictors of cardiovascular health," said lead study author Caroline Doyle, a graduate student in the UA Department of Psychology. "There is a lot of literature out there that shows sleep has some kind of impact on mortality and on cardiovascular disease, which is the No. 1 killer of people in the country.

 In the Sleep Heart Health Study, subjects sleeping ≤ 5 h/night had a higher frequency of prevalent hypertension, after adjusting for multiple confounders.

 THE INTERCONNECTION B/W SLEEPLESS NIGHTS AND HIGH BLOOD PRESSURE

  • Activation of the hypothalmic-pituitary-adrenal axis and the sympathetic nervous system as seen in insomnia may predispose to hypertension development.
  • In part, sleep deprivations effects on the mental and emotional state shed light onto the forces at work. Without enough sleep, the brain becomes more sensitive to negative thoughts and feelings, which causes an increase in stress hormones like cortisol that naturally cause a rise in blood pressure.
  • If you suffer from sleep apnea, having hypertension can be an added headache. Sleep apnea is caused, most commonly, by the back of the throat relaxing and restricting airflow into the body. Those suffering from sleep apnea are more at risk of having high blood pressure.When suffering from hypertension and sleep apnea together, oxygen flowing through the body is greatly reduced. Sleep apnea can increase blood pressure by reducing oxygen that you are intaking. The higher your blood pressure climbs, the more at risk you are for serious health problems like congestive heart failure and stroke.Snoring, a symptom of obstructive sleep apnea (OSA) is identified as an independent risk factor for hypertension.


CALCULATE SLEEP QUALITY AND SLEEP QUANTITY

Sleep quality is achieved by sustained rest, with sufficient time spent in each of the four sleep stages—Stages 1-3 and REM sleep—to maintain physical and mental health and function.Lets say you spent a total of 7 hours, or 420 minutes, in bed last night.It took you 25 minutes to fall asleep.You spent another 25 minutes awake throughout the night, a result of three separate periods of wakefulness.

Heres how to calculate your sleep efficiency for this night:

Total sleep time: 420 minutes

· Minus time to fall asleep: 25 minutes

· Minus total time spent awake: 25 minutes

· Actual time spent sleeping: 370 minutes (6 hours, 10 minutes)

Divide 370 minutes by 420 minutes = 88%. This number represents your sleep efficiency for that night.

In sleep science, we consider 85% or higher a healthy sleep efficiency and a reasonable goal. Ninety percent is considered a very good sleep efficiency. 


OR 

Pittsburgh sleep quality index self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval.  It gives a combined Pittsburgh sleep quality index (PSQI) score that ranges from 0 to 21, and a higher score is indicative of poorer sleep quality. Scores ≤5 were associated with good sleep quality and score >5 were considered as poor sleep quality.


SLEEP QUANTITY


HOW TO MANAGE IT ?

ü Start by treating your body well and making sleep a priority to help fight the risk of hypertension. Using breathable, cotton sheets will also give you an oxygen boost and increased blood flow to help keep you healthy as you sleep. This will allow your body to relax at night and focus solely on the act of sleeping.

ü For those with chronic sleep troubles, cognitive behavioral therapy for insomnia, or CBTI, which focuses on making behavioral changes to improve sleep health. CBTI is slowly gaining traction in the medical field and is recommended by both the American College of Physicians and the American Academy of Sleep Medicine as the first line of treatment for insomnia.

ü Rule out medical causes for your sleep problems. A sleep disturbance may be a symptom of a physical or mental health issue, or a side-effect of certain medications.

ü Increasing the amount of exercise or doing more activities that challenge cognition may also improve slow-wave sleep, says Redline. “Walking is a great way to improve the amount of slow-wave sleep and is a very cheap way to do it, too,” Ramos adds.

ü Stick to a regular sleep schedule. Support your biological clock by going to bed and getting up at the same time every day, including weekends.

ü Be smart about what you eat and drink. Caffeine, alcohol, and sugary foods can all disrupt your sleep, as can eating heavy meals or drinking lots of fluids too close to bedtime.

ü Get help with stress management. If the stress of managing work, family, or school is keeping you awake at night, learning how to handle stress in a productive way can help you sleep better at night.

ü Improve your sleep environment. Keep your bedroom dark, quiet, and cool, and reserve your bed for just sleeping and sex.

ü Develop a relaxing bedtime routine. Avoid screens, work, and stressful conversations late at night. Instead, wind down and calm your mind by taking a warm bath, reading by a dim light, or practicing a relaxation technique to prepare for sleep.

 


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Comments

  1. PriyaJuly 31, 2020 at 10:11 AM

    Sleep is so important.realizing through your article Dr tanya

    ReplyDelete

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