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Circadian rhythm modulation and immune landscape heterogeneity in hypertensive nephropathy: A comprehensive molecular exploration. 高血压肾病的昼夜节律调节和免疫景观异质性:一个全面的分子探索。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-30 DOI: 10.1080/07420528.2025.2577865
Yuanyuan Jiao, Lili Liu, Weifeng Lin, Xuejiao Liu, Jianfang Cai

The objective of this study was to unveil the interplay between circadian rhythms (CR) and hypertensive nephropathy (HTN) by investigating genes, pathways, and molecular functions and the correlation between CR and HTN's immune landscape through bioinformatic approaches. Key genes associated with CR in HTN were screened through an integrated analysis of GEO data, employing consensus clustering and machine learning approaches (Generalized Linear Models (GLM), Random Forest (RF), and Support Vector Machine (SVM)). CIBERSORT, ESTIMATE and ssGSEA algorithm were used to assess the infiltration of immune cells between HTN and control groups and in three distinct CR phenotypes of HTN. Functional analyses including GO and KEGG were conducted to elucidate the underlying mechanisms. The DGIdb website is utilized for predicting potential effective therapeutic drugs targeting CR genes closely linked to HTN. We obtained 45 differentially expressed CR-related genes and these genes are mainly involving signaling pathways such as rhythmic process, circadian rhythm and TGF-beta signaling pathway. Three CR related genes (CCL5, ATF3 and NR4A1) were identified to construct a diagnostic model and have a good performance in diagnosis of HTN and patients with HTN were clustered into three subgroups by consensus clustering according to these genes. Analysis of immune infiltration revealed immune heterogeneity between HTN patients and controls and between the three key CR-related gene clusters of patients with HTN. Furthermore, three CR related genes clusters revealing distinct ESTIMATE Score, Immune Score, Stromal Score heterogeneity with p value < 0.05. Meanwhile, spearman analysis showed CCL5 has a strong correlation different immune cells infiltration, especially NK activated cells (p < 0.001), ATF3 has a correlation with NK resting cells (p = 0.029) and NR4A1 has the most significant correlation with activated T CD4 memory cells infiltration (p = 0.020). The potential therapeutic drug predictions for three CR genes indicate that ATF3 and NR4A1 may harbor potential effective treatment options. Our findings suggest an association between circadian rhythm disruption and altered immune landscape in HTN, highlighting the potential role of CR-related genes in disease heterogeneity. The genes CCL5, ATF3, and NR4A1-which are implicated in circadian regulatory networks - may serve as candidate biomarkers and provide new directions for diagnostic and therapeutic strategies in HTN. Further experimental validation is required to confirm their functional roles and clinical significance .

本研究的目的是通过生物信息学方法研究昼夜节律(CR)与高血压肾病(HTN)的基因、途径和分子功能,以及CR与HTN免疫景观之间的相关性,揭示昼夜节律(CR)与高血压肾病(HTN)之间的相互作用。通过对GEO数据的综合分析,采用共识聚类和机器学习方法(广义线性模型(GLM)、随机森林(RF)和支持向量机(SVM))筛选HTN中与CR相关的关键基因。采用CIBERSORT、ESTIMATE和ssGSEA算法评估HTN与对照组之间以及HTN三种不同CR表型的免疫细胞浸润情况。功能分析包括GO和KEGG来阐明潜在的机制。DGIdb网站用于预测针对与HTN密切相关的CR基因的潜在有效治疗药物。我们获得了45个差异表达的cr相关基因,这些基因主要涉及节律过程、昼夜节律和tgf - β信号通路等信号通路。鉴定出3个CR相关基因(CCL5、ATF3和NR4A1),构建诊断HTN的诊断模型,并根据这些基因进行共识聚类,将HTN患者分为3个亚组。免疫浸润分析显示HTN患者与对照组之间以及HTN患者三个关键cr相关基因簇之间的免疫异质性。此外,3个CR相关基因簇与活化T CD4记忆细胞浸润的相关性显著(p值p = 0.029),其中NR4A1与活化T CD4记忆细胞浸润的相关性最显著(p = 0.020)。三种CR基因的潜在治疗药物预测表明,ATF3和NR4A1可能具有潜在的有效治疗选择。我们的研究结果表明,HTN中昼夜节律中断与免疫景观改变之间存在关联,突出了cr相关基因在疾病异质性中的潜在作用。CCL5、ATF3和nr4a1基因与昼夜节律调节网络有关,可作为HTN的候选生物标志物,为HTN的诊断和治疗策略提供新的方向。其功能作用和临床意义有待进一步的实验验证。
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引用次数: 0
Sex differences in chronotype distribution and their association with insomnia in a nationwide Korean survey. 韩国一项全国性调查显示,睡眠类型分布的性别差异及其与失眠的关系。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-30 DOI: 10.1080/07420528.2025.2579151
Jungyon Yum, Soomi Cho, Woo-Seok Ha, Seungwon Song, Jaewook Jeong, Kyung Min Kim, Wonwoo Lee, Min Kyung Chu

Insomnia, a prevalent sleep disorder, affects 6-10% of the global population and causes significant functional impairments. Chronotype, individual diurnal preferences, influences health outcomes and varies by sex. However, evidence on sex-specific chronotype distribution and its relationship with insomnia in Asian populations remains limited. This study aimed to examine how chronotype is distributed differently between men and women, and to explore its relationship with insomnia symptoms using nationwide population-based data from Korea. We analyzed data from 2,838 participants aged 20-59 years from the baseline assessment phase of the Circannual Change in Headache and Sleep Study. The Morningness-Eveningness Questionnaire was administered to assess chronotype, while insomnia symptoms were estimated using the Insomnia Severity Index. Covariates included sociodemographic factors, depression, employment, smoking and alcohol consumption, body mass index, and average sleep duration. Women reported a higher prevalence of insomnia symptoms than men (14.5% vs. 11.7%, p = 0.027) and were more likely to be evening types (26.4% vs. 20.6%, p < 0.001), whereas men were more likely to be morning types (11.2% vs. 7.0%, p < 0.001). These sex-specific differences in chronotype distribution were consistently observed across individuals in their 30s to 60s. Across chronotype groups, the prevalence of insomnia symptoms was lowest in morning types (4.7%) and highest in evening types (18.4%, p < 0.001). In adjusted analyses, morning type was significantly associated with reduced odds of insomnia (OR = 0.47, 95% CI = 0.22-0.98), whereas evening type was not significantly associated with insomnia risk. Stratified analyses suggested a stronger protective effect of morning type among women, although the chronotype-by-sex interaction term did not reach statistical significance. This nationwide Korean study found that women tended to be evening type, whereas men were more frequently morning type. Morning type was also linked to a lower risk of insomnia symptoms in the overall population, with the association being more pronounced in women. Together, these findings confirm sex-specific differences in chronotype distribution in Korea and demonstrate the independent protective effect of morning type against insomnia.

失眠是一种普遍的睡眠障碍,影响到全球6-10%的人口,并导致严重的功能障碍。生物钟,即个人的昼夜偏好,会影响健康结果,并因性别而异。然而,亚洲人群中特定性别的睡眠类型分布及其与失眠的关系的证据仍然有限。本研究旨在通过韩国全国范围内的人口数据来研究睡眠类型在男性和女性之间的分布差异,并探讨其与失眠症状的关系。我们分析了2,838名年龄在20-59岁之间的参与者的数据,这些数据来自头痛和睡眠研究的周期性变化基线评估阶段。研究人员使用早晚性问卷来评估睡眠类型,同时使用失眠严重程度指数来评估失眠症状。协变量包括社会人口学因素、抑郁、就业、吸烟和饮酒、体重指数和平均睡眠时间。女性报告的失眠症患病率高于男性(14.5%比11.7%,p = 0.027),更有可能是夜猫子(26.4%比20.6%,p p p
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引用次数: 0
Mediating effects of self-control and sleep quality on the association between social jetlag and mental health in adolescents. 自我控制和睡眠质量在青少年社会时差与心理健康关系中的中介作用。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-30 DOI: 10.1080/07420528.2025.2579149
Yiting Liu, Tao Huang, Zhizhong Li, Haoran Cui, Xiumin Dou

Anxiety and depressive symptoms are prevalent among adolescents. Social jetlag has been recognized as a potential risk factor for mental health issues. However, the mechanisms underlying social jetlag and mental health remain unclear. This study aims to investigate the associations of social jetlag with anxiety and depressive symptoms in adolescents. The mediating effects of sleep quality and self-control on these associations were also examined. A cross-sectional study was conducted. In total, 633 adolescents completed an online survey. Social jetlag, sleep quality, self-control, anxiety, and depressive symptoms were assessed using the Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index, Dual-Mode of Self-Control Scale, Self-rating Anxiety Scale, and Center for Epidemiological Studies Depression Scale, respectively. Multiple linear regression and mediation analyses were performed. The results show that female adolescents experienced higher levels of social jetlag, poorer sleep quality, lower self-control, more severe anxiety and depressive symptoms than male adolescents. Social jetlag was a significant predictor of sleep quality, self-control, anxiety, and depressive symptoms. Notably, sleep quality and self-control had a chain-mediating effect on the associations of social jetlag with anxiety and depressive symptoms in Chinese adolescents. These findings provide evidence for the development of targeted interventions to improve the mental health of adolescents. Reducing social jetlag and improving sleep quality and self-control may be relevant for mitigating anxiety and depressive symptoms.

焦虑和抑郁症状在青少年中很普遍。社会时差已被认为是心理健康问题的潜在风险因素。然而,社会时差和心理健康的潜在机制尚不清楚。本研究旨在探讨社交时差与青少年焦虑和抑郁症状的关系。研究还考察了睡眠质量和自我控制在这些关联中的中介作用。进行了横断面研究。共有633名青少年完成了在线调查。分别采用慕尼黑时间型问卷、匹兹堡睡眠质量指数、自我控制双模式量表、焦虑自评量表和流行病学研究中心抑郁量表对社会时差、睡眠质量、自我控制、焦虑和抑郁症状进行评估。进行多元线性回归和中介分析。结果表明,与男性青少年相比,女性青少年经历了更高水平的社交时差、更差的睡眠质量、更低的自我控制、更严重的焦虑和抑郁症状。社交时差是睡眠质量、自我控制、焦虑和抑郁症状的重要预测指标。值得注意的是,睡眠质量和自我控制在中国青少年社交时差与焦虑和抑郁症状的关联中具有连锁中介作用。这些发现为制定有针对性的干预措施以改善青少年的心理健康提供了证据。减少社交时差、改善睡眠质量和自我控制可能与减轻焦虑和抑郁症状有关。
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引用次数: 0
Predictors of psychomotor vigilance improvement after a 6-day recovery period in firefighters. 消防员6天恢复期后精神运动警觉性改善的预测因素。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-10 DOI: 10.1080/07420528.2025.2581804
Patricia L Haynes, Logan N McGoldrick-Ruth, Ryan Marmis, Monica R Kelly

This study investigated predictors of psychomotor vigilance recovery across a six-day inter-tour rest period separating two consecutive duty tours in a sample of career firefighters. Thirty-five firefighters [M age: 38 yrs (SD = 9.2 yrs)] took psychomotor vigilance task (PVT) tests at the beginning of a six-day recovery period and after beginning their next tour; each tour consisted of five, non-consecutive, 24-hour shifts. During the recovery period, subjects wore a wrist-worn actigraph (Actiwatch-2) and completed a sleep diary. Mixed analysis of covariance was employed to test whether change in psychomotor vigilance occurred as a function of time and recovery sleep. Results  indicated that firefighters with longer sleep periods during recovery had relatively stable psychomotor vigilance at both testing time points. In contrast, firefighters with shorter recovery sleep periods had worse psychomotor vigilance at the end of the tour, followed by substantial improvement after the recovery interval. Significant improvements in number of lapses, mean reciprocal reaction time, median reaction time, fastest 10% reaction times, and slowest 10% reaction times were observed across both groups. These findings underscore the restorative impact of off-duty recovery sleep on attentional performance in firefighters.

本研究以职业消防队员为研究对象,通过为期6天的巡逻间歇期,对精神运动警觉性恢复进行预测。35名消防员[年龄38岁(SD = 9.2岁)]在为期6天的恢复期开始和开始下一次巡逻后接受了精神运动警觉性任务(PVT)测试;每次巡查由五个非连续的24小时轮班组成。在恢复期间,受试者佩戴腕带活动记录仪(Actiwatch-2)并完成睡眠日记。采用混合协方差分析来检验精神运动警觉性的改变是否作为时间和恢复性睡眠的函数发生。结果表明,恢复期睡眠时间较长的消防员在两个测试时间点的精神运动警觉性相对稳定。相比之下,恢复性睡眠时间较短的消防员在任务结束时精神运动警觉性较差,随后在恢复性睡眠间隔后显著改善。两组的失误次数、平均反应时间、中位反应时间、最快10%反应时间和最慢10%反应时间均有显著改善。这些发现强调了下班恢复性睡眠对消防员注意力表现的恢复性影响。
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引用次数: 0
Chronotype and physical activity: An objective one-week assessment of young adults in a controlled home setting. 睡眠类型和身体活动:在受控的家庭环境中对年轻人进行为期一周的客观评估。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-03 DOI: 10.1080/07420528.2025.2579143
Todd McElroy, David L Dickinson, Stephen Vale

The relationship between chronotype and physical activity (PA) is of significant interest due to the well-established connection between PA and numerous health issues, including obesity. While previous research has yielded mixed results, most studies suggest that an individual's PA level is influenced by their chronotype, with morning types generally exhibiting higher PA levels. In the current investigation, we conducted a secondary analysis of actigraphy data, focusing exclusively on the wellrested sleep week collected in the parent protocol. Research-grade actigraphy devices were used to record PA, sampling data every 30 s. We report PA levels for all 7 d and across all waking hours. Contrary to previous findings, our results show no significant differences in average PA levels among intermediate, morning, and evening chronotypes. Given the critical role of PA in overall health and its link to obesity, identifying potential chronotype-related risks should inform decision-making processes, health policies, and practices. Our findings highlight the need for further research to better understand the relationship between chronotype and PA, particularly in the context of controlled sleep schedules and in specific age groups.

由于体力活动与许多健康问题(包括肥胖)之间建立了良好的联系,因此时间类型与体力活动(PA)之间的关系引起了人们的极大兴趣。虽然之前的研究得出了不同的结果,但大多数研究表明,一个人的PA水平受到他们的睡眠类型的影响,早起的人通常表现出更高的PA水平。在目前的调查中,我们对活动记录仪数据进行了二次分析,只关注父母协议中收集的休息良好的睡眠周。使用研究级活动记录仪记录PA,每30 s采样一次数据。我们报告了7天内所有醒着的时间内的PA水平。与之前的研究结果相反,我们的研究结果显示,在中间、早晨和晚上的睡眠类型中,平均PA水平没有显著差异。鉴于PA在整体健康中的关键作用及其与肥胖的联系,确定潜在的与时间类型相关的风险应为决策过程、卫生政策和实践提供信息。我们的发现强调了进一步研究的必要性,以更好地理解睡眠类型和PA之间的关系,特别是在控制睡眠时间表和特定年龄组的背景下。
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引用次数: 0
Chronotolerance of ifosfamide in mice: Evidence for a circadian rhythm. 小鼠异环磷酰胺的时间耐受性:昼夜节律的证据。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-10 DOI: 10.1080/07420528.2025.2581095
Mylene Malek Chennoufi, Naceur A Boughattas

Ifosfamide (IFO), developed in the 1970 s as a cyclophosphamide analog, is a cytotoxic alkylating agent of the oxazaphosphorine family. Despite its efficacy in sarcomas and germ-cell tumors, its clinical use remains limited by toxicities, particularly encephalopathy, for which no preventive or curative strategy exists. While cyclophosphamide has been extensively investigated in chronotherapy, IFO chronotolerance remains underexplored. This study aimed to determine circadian variation in IFO toxicity in mice. A total of 180 male Swiss Albino mice (8-10 weeks, ≈25 g) were synchronized for 3 weeks to a 12:12 light - dark cycle and housed in two separate rooms with inverted schedules to allow exploration of six circadian dosing times (1, 5, 9, 13, 17, and 21 HALO; Hours After Light Onset). LD50 was determined by regression analysis of mortality rates at increasing doses (400-750 mg/kg). Survival, survival time, body weight, and rectal temperature were assessed following a single intraperitoneal LD50 dose (520 mg/kg). The estimated LD50 was 520 mg/kg (95% CI: 495-545; χ2=14.8, df=1, p < 0.001; R2=0.92). Circadian variation in survival was highly significant (p < 0.0001). The highest tolerance occurred at 13 HALO (72% survival, mean survival 12.2 d, minimal weight loss and hypothermia), whereas the lowest tolerance was observed at 9 HALO (22% survival, mean survival 7.6 d, maximal weight loss and hypothermia). A secondary peak of tolerance was detected at 1 HALO (64% survival). Rectal temperature rhythms confirmed proper circadian entrainment at baseline, but IFO administration induced marked desynchronization at toxic dosing times. IFO toxicity follows a bimodal circadian pattern, with a major tolerance peak at 13 HALO and a secondary peak at 1 HALO. Translational extrapolation suggests that 13 HALO in mice corresponds to early morning (≈06:00h) in humans, indicating that morning administration may represent the safest therapeutic window for IFO.

异环磷酰胺(IFO)是20世纪70年代作为环磷酰胺类似物开发的一种细胞毒性烷基化剂,属于恶氮磷家族。尽管它对肉瘤和生殖细胞肿瘤有效,但其临床应用仍然受到毒性的限制,特别是脑病,目前尚无预防或治疗策略。虽然环磷酰胺在时间疗法中的应用已被广泛研究,但IFO的时间耐受性仍未得到充分探讨。本研究旨在确定小鼠IFO毒性的昼夜变化。共有180只雄性瑞士白化病小鼠(8-10周,≈25 g)在3周内被同步到12:12的光-暗循环中,并被安置在两个不同的房间,按照颠倒的时间表,允许探索6个昼夜节律给药时间(1,5,9,13,17和21 HALO;光照后小时)。LD50是通过增加剂量(400-750 mg/kg)时死亡率的回归分析确定的。在单次腹腔注射LD50剂量(520 mg/kg)后,评估存活、生存时间、体重和直肠温度。估计LD50为520 mg/kg (95% CI: 495-545; χ2=14.8, df=1, p 2=0.92)。生存率的昼夜变化非常显著(p
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引用次数: 0
Circadian phenotype influence on neuromuscular performance in male volleyball players. 生理表型对男子排球运动员神经肌肉表现的影响。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-29 DOI: 10.1080/07420528.2025.2606270
Julio Martín-López, Alejandro Muñoz, Juan Jesús Montalvo-Alonso, Iñaki Quintana-Milla, Sandra Sánchez-Jorge, Manuel Conejero, Álvaro López-Samanes, Alberto Pérez-López

Circadian phenotype (i.e. chronotype) may affect athletic performance across different times of day, but its role in team sports is underexplored. The aim of this study was to assess the impact of chronotype on neuromuscular performance in male volleyball players. Forty-six male volleyball players (age: 26.8 ± 7.9 years) completed the Morningness-Eveningness Questionnaire and were classified as morning-type (n = 12), intermediate-type (n = 15) or evening-type (n = 19). Then, in a randomized and cross-over design, participants completed a neuromuscular test battery comprising vertical jumps (squat jump, countermovement jump, spike jump), spike tests (standing and jump spike), agility (modified T-test), isometric handgrip strength, and dynamic balance; performed in the morning (8:00-10:00 AM) and the evening (18:00-20:00). No significant circadian phenotype by time-of-day interaction was found (p = 0.133-0.743, ηp2 = 0.09-0.14). However, time-of-day effect was found in squat jump, countermovement jump, spike jump, standing spike test, and non-dominant handgrip strength (p = 0.001-0.046, ηp2 = 0.09-0.41), observing an evening improvement in performance ranging from 1.8% to 3.0% (p = 0.001-0.035, d = 0.47-1.16). circadian phenotype had limited impact on neuromuscular performance while diurnal variation enhanced evening performance with a significant role in vertical jump ability and spike velocity among male volleyball players.

昼夜节律表型(即时间型)可能会影响一天中不同时间的运动表现,但其在团队运动中的作用尚未得到充分探讨。本研究的目的是评估时间类型对男子排球运动员神经肌肉表现的影响。46名男子排球运动员(年龄:26.8±7.9岁)填写了“早-晚”问卷,分为“早型”(n = 12)、“中型”(n = 15)和“晚型”(n = 19)。然后,在随机交叉设计中,参与者完成了一系列神经肌肉测试,包括垂直跳跃(深蹲跳、反动作跳、扣球跳)、扣球测试(站立和跳扣球)、敏捷性(修正t检验)、等距握力和动态平衡;上午(8:00-10:00)和晚上(18:00-20:00)演出。无明显的昼夜节律表型(p = 0.133 ~ 0.743, ηp2 = 0.09 ~ 0.14)。然而,在深蹲跳、反动作跳、扣球跳、立球跳和非优势握力测试中发现了时间效应(p = 0.001-0.046, ηp2 = 0.09-0.41),观察到晚上的表现改善幅度为1.8% - 3.0% (p = 0.001-0.035, d = 0.47-1.16)。昼夜表型对男子排球运动员的神经肌肉表现影响有限,而昼夜变化对男子排球运动员的夜间表现有显著的促进作用,在垂直跳跃能力和扣球速度方面有显著的作用。
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引用次数: 0
The association between chronotype and metabolic syndrome in middle-aged Japanese civil servants: A longitudinal study from Aichi Workers' Cohort. 日本中年公务员时型与代谢综合征的关系:来自爱知工人队列的纵向研究
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-29 DOI: 10.1080/07420528.2025.2606278
Baruck Tegegn Endale, Zean Song, Midori Takada, Shalini Enon Perera Paththamesthrige, Masaaki Matsunaga, Tsuyoshi Kitajima, Atsuhiko Ota, Koji Tamakoshi, Hiroshi Yatsuya

Chronotype, which reflects an individual's preference for activity and sleep timing, has been associated with various chronic conditions, particularly the evening chronotype. Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that collectively increase the risk of developing type 2 diabetes mellitus and cardiovascular diseases. Previous studies on chronotype and MetS have been inconsistent, and none has explored the longitudinal association between MetS and its components. Therefore, this study investigated these associations in middle-aged Japanese civil servants. We analyzed 2231 non-rotating, non-night shift workers (aged 29-69, 71.6% male) from the Aichi Workers' Cohort Study who participated in surveys in 2018 (baseline) and 2022 and were free of MetS at baseline. Participants were classified into morning, evening, or intermediate chronotypes using the shortened Morningness - Eveningness Questionnaire. MetS was defined according to the harmonized criteria for Japanese, based on waist circumference (≥85 cm for men and ≥90 cm for women), triglycerides, HDL cholesterol, blood pressure, and blood sugar levels. Over 4 y, 232 participants (10.4%) developed MetS, with a cumulative incidence rate of 9.9% in morning, 17.6% in evening, and 9.5% in intermediate types. Logistic regression analysis adjusted for sex, age, educational background, occupation, leisure-time physical activity, alcohol intake, sleep duration, smoking status, snoring, night-time awakening, sleep medication use, working hours, breakfast eating habit, and medication use for diabetes, hypertension, and dislipdemia, revealed that the evening type individuals had a significantly higher risk of MetS (OR: 2.30, 95% CI: 1.48-3.57) compared to intermediate types. In conclusion, evening chronotype was independently associated with a higher risk of developing MetS in middle-aged Japanese civil servants.

睡眠类型反映了一个人对活动和睡眠时间的偏好,它与各种慢性疾病有关,尤其是晚上的睡眠类型。代谢综合征(MetS)是一组代谢异常,它们共同增加了发生2型糖尿病和心血管疾病的风险。以往关于睡眠类型和代谢当量的研究并不一致,也没有研究探讨代谢当量及其组成成分之间的纵向关联。因此,本研究在日本中年公务员中调查了这些关联。我们分析了来自爱知工人队列研究的2231名非轮班、非夜班工人(29-69岁,男性71.6%),他们参加了2018年(基线)和2022年的调查,基线时没有MetS。研究人员使用缩短的“早-晚”问卷,将参与者分为早晨型、晚上型和中间型。MetS是根据日本统一标准定义的,基于腰围(男性≥85 cm,女性≥90 cm)、甘油三酯、高密度脂蛋白胆固醇、血压和血糖水平。在4年多的时间里,232名参与者(10.4%)发生了MetS,累积发病率为上午9.9%,晚上17.6%,中间类型9.5%。经性别、年龄、教育背景、职业、业余时间体力活动、酒精摄入量、睡眠时间、吸烟状况、打鼾、夜间觉醒、睡眠药物使用、工作时间、早餐饮食习惯、糖尿病、高血压和双脂血症药物使用等因素调整后的Logistic回归分析显示,与中间类型的个体相比,夜行型个体发生MetS的风险显著更高(OR: 2.30, 95% CI: 1.48-3.57)。综上所述,夜间睡眠类型与日本中年公务员患met的较高风险独立相关。
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引用次数: 0
Impact of irregular sleep patterns on mental health and sleep quality assessed by home-based EEG monitoring. 通过家庭脑电图监测评估不规律睡眠模式对心理健康和睡眠质量的影响。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-29 DOI: 10.1080/07420528.2025.2606288
Seiko Miyata, Keita Kawai, Kunihiro Iwamoto, Hiroshige Fujishiro, Norio Ozaki, Masashi Ikeda

In Japan, irregular sleep patterns due to modern work styles have been linked to poor mental health. Prior studies relied mostly on subjective reports, limiting accuracy. We examined associations between daily sleep variability and depressive symptoms to explore how these factors are related in real-world occupational settings. The study involved 32 adults without physical or psychiatric disorders, insomnia, or shift-duty history who followed a Monday-to-Friday work schedule. Sleep was monitored at home for one week by a wearable electroencephalograph, and sleep indices were calculated. Questionnaires (Pittsburgh Sleep Quality Index [PSQI] and Beck Depression Inventory-II [BDI] were used to assess sleep and mental health. Bedtime, wake-up time, and time in bed were all delayed or extended before holidays. On holidays, light sleep duration increased significantly, and sleep latency was significantly prolonged. Greater bedtime variability was significantly associated with BDI. Median sleep time and rapid eye movement sleep duration were related to PSQI. Sleep disturbances were associated with variability in median sleep time, sleep efficiency, and mean light sleep. Absolute social jetlag related to PSQI and daytime dysfunction. These findings suggest that regular sleep patterns are crucial in occupational settings.

在日本,现代工作方式导致的不规律的睡眠模式与心理健康状况不佳有关。先前的研究主要依赖于主观报告,限制了准确性。我们研究了日常睡眠变异性和抑郁症状之间的关系,以探索这些因素在现实世界的职业环境中是如何相关的。这项研究涉及32名没有身体或精神疾病、失眠或轮班史的成年人,他们遵循周一至周五的工作时间表。通过穿戴式脑电图仪在家中监测睡眠一周,并计算睡眠指数。采用匹兹堡睡眠质量指数(PSQI)和贝克抑郁量表(BDI)进行睡眠和心理健康评估。假期前,就寝时间、起床时间和卧床时间都被推迟或延长了。节假日时,轻度睡眠时间明显增加,睡眠潜伏期明显延长。更大的就寝时间变化与BDI显著相关。中位睡眠时间和快速眼动睡眠时间与PSQI相关。睡眠障碍与中位睡眠时间、睡眠效率和平均浅睡眠相关。绝对社会时差与PSQI和日间功能障碍有关。这些发现表明,在职业环境中,规律的睡眠模式至关重要。
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引用次数: 0
A pattern-based approach to assessing sleep-corrected social jet lag. 一种基于模式的方法来评估睡眠纠正的社交时差。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-26 DOI: 10.1080/07420528.2025.2600572
Rika Terashima, Yosuke Inoue

Social jet lag (SJL), i.e. the misalignment between internal biological clocks and social schedules, can negatively impact health. Traditional SJL, defined as the difference in mid-sleep time between workdays and free days, may overestimate misalignment, especially in individuals who extend sleep on free days to offset workday sleep deficits. To refine this measurement, Jankowski proposed sleep-corrected social jet lag (SJLsc), which accounts for variations in sleep duration between workdays and free days. Building on this work, we propose a practical extension of the SJLsc framework that applies a unified rule across seven sleep patterns. Utilizing data from the 2017-2020 National Health and Nutrition Examination Survey (NHANES), we illustrated a step-by-step method for calculating SJLsc. We found that 3.2% of participants were classified into different SJLsc categories (0-< 1.0 h, 1.0-< 2.0 h, and ≥2.0 h) depending on whether Jankowski's method or our approach was used. Continuous SJLsc values from both methods showed high concordance (Spearman's ρ = 0.94). Our approach offers a simple and transparent rule that can be applied consistently across diverse sleep patterns.

社会时差(Social jet lag, SJL),即内部生物钟与社会作息不一致,会对健康产生负面影响。传统的SJL被定义为工作日和休息日之间的睡眠时间差异,这可能高估了偏差,尤其是那些在休息日延长睡眠时间以抵消工作日睡眠不足的人。为了完善这一测量方法,扬科夫斯基提出了睡眠校正社会时差(SJLsc),它解释了工作日和休息日之间睡眠时间的变化。在这项工作的基础上,我们提出了SJLsc框架的实际扩展,该框架在七种睡眠模式中应用统一的规则。利用2017-2020年全国健康与营养调查(NHANES)的数据,我们说明了一种逐步计算SJLsc的方法。我们发现3.2%的参与者被划分为不同的SJLsc类别(0-
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引用次数: 0
期刊
Chronobiology International
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