3 Comments
Sep 6Liked by Marco Altini

Hi Marco,

thanks for your insights.

I have a question regarding the „far from stressors“ part. I am an anxious person and, consequently, at times also suffer from sleep problems. In my case, the anxiety manifests itself more in the later part of the night and in the morning.

Currently, I measure in the morning. Should I maybe transition to measuring before going to bed?

I am seldom nervous in the evening , which also manifests itself in my generally not having problems falling asleep. It is staying asleep that is the issue when in an anxious period.

Do you have any experience in this regard?

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author

thank you Martin, I see what you mean here. The difficulty I have with recommending evening measurements is typically due to two aspects:

1) in the evening, we have less control on pre-measurement stressors. Food intake, alcohol intake, simply going for a walk, or psychological stressors (the news, work, family, etc.) might all impact our data. Even just drinking water in the evening will have an effect that can last an hour, artificially increasing HRV. These are some of the reasons why I strongly advise against continuous HRV measurements (https://marcoaltini.substack.com/p/a-quick-note-on-continuous-heart), which would impact also an evening measurement. Is there any way around this? Maybe if your routine is always the same or extremely similar and evenings are rather uneventful, it could be possible. The only recommendation I can give, if your routine is indeed quiet and also food and beverage intake is controlled, is to give it a try and see if you find that the data reflects larger stressors and different situations throughout the year.

2) the second reason that is impacted by this different protocol is the actionability. I would consider the data still useful as a long term stress assessment, but I would not consider it predictive of what you can do the following day, as we are measuring before the restorative effect of sleep, and therefore the data might be more tightly coupled to previous days' stressors, than to the following day 'readiness'. This is the case also for night data, but I would guess the issue is somewhat exacerbated when measuring before sleep.

I hope this helps a bit!

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Sep 6Liked by Marco Altini

Thanks for the detailed and helpful answer. I understand your well argued points.

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