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<\/source><\/source><\/source><\/picture><\/span>Pinterest’te Payla\u015f<\/span><\/hl-share-overlay><\/span>Yeni bir \u00e7al\u0131\u015fma, d\u00fczensiz uyku d\u00fczenine sahip ki\u015filerde kardiyovask\u00fcler hastal\u0131k riskinin artt\u0131\u011f\u0131n\u0131 buldu. nong2\/Getty Images<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n
\nUyku d\u00fczeni (her g\u00fcn ayn\u0131 saatte uyanmak ve yatmak), kalp krizi ve felci \u00f6ng\u00f6rmede uyku s\u00fcresinden daha \u00f6nemli olabilir.<\/strong><\/li>\nYeni bir \u00e7al\u0131\u015fma, d\u00fczensiz uyku d\u00fczeninin, insanlar yeterince uyusa bile kardiyovask\u00fcler hastal\u0131k riskini art\u0131rd\u0131\u011f\u0131n\u0131 buldu.<\/strong><\/li>\nTam tersine, daha d\u00fczenli uyku kalp krizi ve fel\u00e7lere kar\u015f\u0131 korur.<\/strong><\/li>\n<\/ul>\n<\/div>\n\n
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D\u00fczenli olarak farkl\u0131 saatlerde uyan\u0131r ve yatarsan\u0131z kalp krizi ve fel\u00e7 riskiniz artabilir.<\/p>\n<\/div>\n
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Yeni ara\u015ft\u0131rmalara g\u00f6re Epidemiyoloji ve Toplum Sa\u011fl\u0131\u011f\u0131 Dergisi<\/em>Uyku d\u00fczeni veya ayn\u0131 uyku ve uyanma program\u0131n\u0131 s\u00fcrd\u00fcrme s\u0131kl\u0131\u011f\u0131n\u0131z, \u00f6nemli kardiyovask\u00fcler olaylar\u0131n uyku s\u00fcresinden daha g\u00fc\u00e7l\u00fc bir belirleyicisi gibi g\u00f6r\u00fcn\u00fcyor. <\/em><\/p>\n<\/div>\n\n
Hem uyku s\u00fcresi hem de uyku d\u00fczeninin kalp-damar hastal\u0131klar\u0131 \u00fczerindeki etkilerini inceleyen t\u00fcr\u00fcn\u00fcn ilk \u00e7al\u0131\u015fmas\u0131 olma \u00f6zelli\u011fi ta\u015f\u0131yor. <\/p>\n<\/div>\n
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Yazarlar, d\u00fczensiz uyku d\u00fczenine sahip ki\u015filerde, ya\u015flar\u0131na g\u00f6re \u00f6nerilen uyku saatini alsalar bile kalp krizi, fel\u00e7 ve kalp yetmezli\u011fi riskinin \u00f6nemli \u00f6l\u00e7\u00fcde artt\u0131\u011f\u0131n\u0131 buldu. <\/p>\n<\/div>\n
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Tersine, d\u00fczenli bir uyku ve uyan\u0131kl\u0131k program\u0131na en s\u0131k\u0131 \u015fekilde ba\u011fl\u0131 kalan ki\u015filerde maj\u00f6r kardiyovask\u00fcler olay riskinin daha d\u00fc\u015f\u00fck oldu\u011fu g\u00f6r\u00fcld\u00fc. <\/p>\n<\/div>\n
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\u201cUyku d\u00fczensizlikleri, s\u0131k s\u0131k de\u011fi\u015fen uyku d\u00fczenlerini ifade eder; \u00d6rne\u011fin g\u00fcn\u00fcn farkl\u0131 saatlerinde yat\u0131p uyanmak v\u00fccudu bozabilir ve sa\u011fl\u0131\u011f\u0131 olumsuz etkileyebilir. Do\u011fu Ontario Ara\u015ft\u0131rma Enstit\u00fcs\u00fc \u00c7ocuk Hastanesi k\u0131demli bilim insan\u0131 ve \u00e7al\u0131\u015fman\u0131n ilk yazar\u0131 Jean-Philippe Chaput, “Bu ara\u015ft\u0131rma, halk sa\u011fl\u0131\u011f\u0131 k\u0131lavuzlar\u0131nda ve kardiyovask\u00fcler sa\u011fl\u0131\u011f\u0131 desteklemek i\u00e7in klinik bak\u0131mda uyku d\u00fczenine \u00f6ncelik verilmesinin \u00f6nemini vurgulamaktad\u0131r” dedi. Sa\u011fl\u0131k hatt\u0131.<\/p>\n<\/div>\n
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<\/span><\/p>\n\nD\u00fczensiz uyuyanlar\u0131n kalp-damar hastal\u0131klar\u0131 riski daha y\u00fcksek<\/div>\n<\/h2>\n
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B\u00fcy\u00fck \u00e7al\u0131\u015fma, 40 ila 79 ya\u015flar\u0131 aras\u0131nda, \u00f6nemli kardiyovask\u00fcler olay ge\u00e7mi\u015fi olmayan 72.000’den fazla ki\u015fiyi i\u00e7eriyordu. <\/p>\n<\/div>\n
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T\u00fcm kat\u0131l\u0131mc\u0131lar, Birle\u015fik Krall\u0131k’taki yar\u0131m milyon ki\u015fiden kimli\u011fi belirlenemeyen verileri i\u00e7eren bir biyomedikal veri taban\u0131 olan Birle\u015fik Krall\u0131k Biobank kohortunun bir par\u00e7as\u0131yd\u0131.<\/p>\n<\/div>\n
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Uyku karma\u015f\u0131k oldu\u011fundan ara\u015ft\u0131rmac\u0131lar, \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131n\u0131 etkileyebilecek ya\u015f, cinsiyet, etnik k\u00f6ken, kardiyovask\u00fcler hastal\u0131k ge\u00e7mi\u015fi ve zihinsel sa\u011fl\u0131k gibi \u00e7e\u015fitli fakt\u00f6rleri dikkate almaya \u00e7al\u0131\u015ft\u0131. Ayr\u0131ca ki\u015finin kendi bildirdi\u011fi uyku sorunlar\u0131, ki\u015finin belirli saatlerde (gece vardiyas\u0131) \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmad\u0131\u011f\u0131 ve hatta ekran ba\u015f\u0131nda kalma s\u00fcresi gibi uyku kalitesini etkileyebilecek \u00f6nemli ya\u015fam tarz\u0131 unsurlar\u0131n\u0131 da i\u00e7eriyordu.<\/p>\n<\/div>\n
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\u00c7al\u0131\u015fman\u0131n bir di\u011fer g\u00fc\u00e7l\u00fc yan\u0131 ise ki\u015filerin bildirdi\u011fi uyku verilerine dayanm\u0131yor olmas\u0131d\u0131r. Kat\u0131l\u0131mc\u0131lar yedi g\u00fcn boyunca uykular\u0131n\u0131 kaydetmek i\u00e7in aktivite takip\u00e7ilerini kulland\u0131lar. <\/p>\n<\/div>\n
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Kaydedilen uyku verilerine g\u00f6re kat\u0131l\u0131mc\u0131lar bir Uyku D\u00fczenlili\u011fi \u0130ndeksi (SRI) puan\u0131 ald\u0131; daha d\u00fc\u015f\u00fck de\u011ferler d\u00fczensiz uyku d\u00fczenini g\u00f6sterir. Kohorttaki bireyler ayr\u0131ca SRI puanlar\u0131na g\u00f6re \u00fc\u00e7 gruba ayr\u0131ld\u0131: <\/p>\n<\/div>\n
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\nD\u00fczenli: <\/strong>87,3’\u00fcn \u00fczerinde SRI<\/li>\nOrta derecede d\u00fczensiz: <\/strong>SRI 71,6’dan 87,3’e<\/li>\nD\u00fczensiz:<\/strong> 71,6’dan d\u00fc\u015f\u00fck SRI<\/li>\n<\/ul>\n<\/div>\n\n
\u00c7al\u0131\u015fma, d\u00fczensiz uyuyanlarda maj\u00f6r kardiyovask\u00fcler olay riskinin %26 artt\u0131\u011f\u0131n\u0131, orta derecede d\u00fczensiz uyuyanlarda ise %8’lik \u0131l\u0131ml\u0131 bir art\u0131\u015f g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc buldu.<\/p>\n<\/div>\n
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Ara\u015ft\u0131rmac\u0131lar\u0131n bir sonraki sorusu, yeterli uyku alman\u0131n d\u00fczensiz uyku riskini dengeleyip dengeleyemeyece\u011fiydi. <\/p>\n<\/div>\n
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Ne yaz\u0131k ki, \u00f6nerilen saat say\u0131s\u0131n\u0131n bile d\u00fczensiz uyuyanlar\u0131n riskini azaltmak i\u00e7in yeterli olmad\u0131\u011f\u0131n\u0131, ancak bunun orta derecede d\u00fczensiz uyku grubundakiler \u00fczerinde bir etkisi oldu\u011funu buldular.<\/p>\n<\/div>\n
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Chaput, “Hem yeterli uyku s\u00fcresi hem de d\u00fczenli uyku d\u00fczenleri \u00f6nemli olsa da, sonu\u00e7lar\u0131m\u0131z uyku s\u00fcresi \u00f6nerilerini kar\u015f\u0131laman\u0131n tek ba\u015f\u0131na d\u00fczensiz uyku program\u0131 olan ki\u015filer i\u00e7in artan MACE riskini ortadan kald\u0131rmad\u0131\u011f\u0131n\u0131 g\u00f6steriyor” dedi.<\/p>\n<\/div>\n
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Asl\u0131nda d\u00fczenli uyku d\u00fczeninin kardiyovask\u00fcler sonu\u00e7lara kar\u015f\u0131 koruma sa\u011flad\u0131\u011f\u0131 bulunmu\u015ftur. <\/p>\n<\/div>\n
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Minimum 77,1’lik bir SRI, %15’lik bir risk azalmas\u0131yla ili\u015fkilendirildi; daha d\u00fczenli uykudan daha da b\u00fcy\u00fck bir fayda elde edildi: 80,8’lik bir SRI, %18’lik bir azalmayla sonu\u00e7land\u0131.<\/p>\n<\/div>\n
<\/span><\/div>\n<\/span><\/p>\n\nD\u00fczensiz uyku-uyan\u0131kl\u0131k ritimlerinin tehlikeleri<\/div>\n<\/h2>\n
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Ara\u015ft\u0131rmalar genellikle uyku s\u00fcresine odaklan\u0131rken, uyku d\u00fczenlili\u011fi s\u00fcrekli olarak \u00e7e\u015fitli olumsuz sa\u011fl\u0131k etkileriyle ili\u015fkilendirilmektedir.<\/p>\n<\/div>\n
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2023 y\u0131l\u0131nda yay\u0131nlanan bir \u00e7al\u0131\u015fma Uyumak<\/em> uyku d\u00fczenlili\u011finin, t\u00fcm nedenlere ba\u011fl\u0131 \u00f6l\u00fcm riskinin uyku s\u00fcresinden daha g\u00fc\u00e7l\u00fc bir belirleyicisi oldu\u011funu buldu. Daha y\u00fcksek SRI puan\u0131na sahip kat\u0131l\u0131mc\u0131lar\u0131n t\u00fcm nedenlere ba\u011fl\u0131 \u00f6l\u00fcm riski, en d\u00fc\u015f\u00fck SRI puan\u0131na sahip olanlara g\u00f6re %48’e kadar daha d\u00fc\u015f\u00fckt\u00fc.<\/p>\n<\/div>\n\n
Flinders \u00dcniversitesi T\u0131p ve Halk Sa\u011fl\u0131\u011f\u0131 Fak\u00fcltesi’nde uyku ara\u015ft\u0131rmac\u0131s\u0131 ve do\u00e7ent olan MD Andrew JK Phillips, bu \u00e7al\u0131\u015fman\u0131n k\u0131demli yazar\u0131yd\u0131.<\/p>\n<\/div>\n
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Healthline’a kardiyovask\u00fcler sonu\u00e7lar \u00fczerine yap\u0131lan bu yeni ara\u015ft\u0131rman\u0131n kendi ara\u015ft\u0131rmas\u0131yla tutarl\u0131 oldu\u011funu s\u00f6yledi.<\/p>\n<\/div>\n
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\u201cYaln\u0131zca benim grubumdan de\u011fil, d\u00fcnya \u00e7ap\u0131ndaki bir\u00e7ok ara\u015ft\u0131rma grubundan, d\u00fczensiz uyku d\u00fczenlerinin sa\u011fl\u0131\u011fa zararl\u0131 oldu\u011funa dair artan kan\u0131tlar var. Phillips, “Uyku d\u00fczenlili\u011finin yaln\u0131zca belirli bir sa\u011fl\u0131k alan\u0131n\u0131n g\u00f6stergesi olmad\u0131\u011f\u0131n\u0131, \u00f6l\u00fcmden diyabete ve zihinsel sa\u011fl\u0131\u011fa kadar geni\u015f bir yelpazedeki sa\u011fl\u0131k sonu\u00e7lar\u0131na de\u011findi\u011fini g\u00f6r\u00fcyoruz” dedi.<\/p>\n<\/div>\n
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Phillips ayn\u0131 zamanda bir kitab\u0131n da yazar\u0131d\u0131r. \u00c7al\u0131\u015fma 2017<\/hl-trusted-source> D\u00fczensiz uykunun daha d\u00fc\u015f\u00fck akademik performansla ili\u015fkili oldu\u011fu bulundu. <\/p>\n<\/div>\n\n
“D\u00fczensiz uyku d\u00fczenlerinin v\u00fccudun sirkadiyen (24 saatlik) saat i\u015fleyi\u015fini bozmas\u0131 muhtemeldir. “Bu saatler, h\u00fccresel metabolizma da dahil olmak \u00fczere v\u00fccuttaki her t\u00fcrl\u00fc fizyolojik fonksiyonun zamanlamas\u0131n\u0131 d\u00fczenliyor” dedi.<\/p>\n<\/div>\n
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<\/span><\/p>\n\nD\u00fczenli bir uyku program\u0131 nas\u0131l olu\u015fturulur?<\/div>\n<\/h2>\n
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D\u00fczenli bir uyku program\u0131na ula\u015fmak m\u00fcmk\u00fcnd\u00fcr ancak baz\u0131 ayarlamalar gerektirebilir. <\/p>\n<\/div>\n
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“Bu \u00e7al\u0131\u015fman\u0131n g\u00fczelli\u011fi, sonu\u00e7lar\u0131n\u0131n hemen uygulanabilmesidir. Tutarl\u0131 bir uyku program\u0131n\u0131 s\u00fcrd\u00fcrmenin en iyi yolu, her g\u00fcn ayn\u0131 saatte veya buna yak\u0131n bir saatte uyanmakt\u0131r” dedi Dr. Stanford Medicine’de psikiyatri ve uyku t\u0131bb\u0131 klinik do\u00e7entlerinden Scott Kutscher, HealthLine’a \u015funlar\u0131 s\u00f6yledi:<\/p>\n<\/div>\n
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Kutscher a\u015fa\u011f\u0131dakiler de dahil olmak \u00fczere yararl\u0131 ipu\u00e7lar\u0131 \u00f6nerdi:<\/p>\n<\/div>\n
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\nUyku vakti zamanlay\u0131c\u0131s\u0131n\u0131 ayarlay\u0131n<\/li>\n Bir rahatlama rutini olu\u015fturun (her g\u00fcn yatmadan \u00f6nce ayn\u0131 \u015feyleri yap\u0131n)<\/li>\n Uyku bozuklu\u011funuz olabilece\u011fini d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z bir doktorla konu\u015fun<\/li>\n<\/ul>\n<\/div>\n\n
“Uyku program\u0131n\u0131z \u00e7ok d\u00fczensiz olsa bile – \u00f6rne\u011fin vardiyal\u0131 bir \u00e7al\u0131\u015fansan\u0131z – uyku programlar\u0131n\u0131zda m\u00fcmk\u00fcn oldu\u011funca fazla \u00e7ak\u0131\u015fma yaratmay\u0131 d\u00fc\u015f\u00fcn\u00fcn” diye ekledi.<\/p>\n<\/div>\n
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Tutarl\u0131 bir uyku program\u0131 ayarlaman\u0131n di\u011fer ad\u0131mlar\u0131 \u015funlar\u0131 i\u00e7erir:<\/p>\n<\/div>\n
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\nKafein al\u0131m\u0131n\u0131 s\u0131n\u0131rlamak<\/li>\n Yatma saatine yak\u0131n a\u011f\u0131r yemeklerden ka\u00e7\u0131n\u0131n<\/li>\n Yatmadan \u00f6nce ekran s\u00fcresini s\u0131n\u0131rlay\u0131n<\/li>\n G\u00fcr\u00fclt\u00fcn\u00fcn azalt\u0131lmas\u0131<\/li>\n Yatak odan\u0131z\u0131 karanl\u0131k, sessiz ve serin tutarak \u201cuykuya haz\u0131r\u201d hale getirin<\/li>\n<\/ul>\n<\/div>\n\n
\u201cAma\u00e7, hafta sonlar\u0131 bile her g\u00fcn ayn\u0131 saatte yat\u0131p ayn\u0131 saatte kalkmakt\u0131r. Tutarl\u0131l\u0131kla ilgili sorun ya\u015f\u0131yorsan\u0131z, istikrarl\u0131 bir rutin olu\u015fturana kadar uyku ve uyanma zamanlar\u0131n\u0131z\u0131 k\u00fc\u00e7\u00fck art\u0131\u015flarla kademeli olarak ayarlayarak ba\u015flay\u0131n” dedi Chaput.<\/p>\n<\/div>\n
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