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Timing of intravenous infliximab administration affects inflammatory bowel disease outcomes. 静脉注射英夫利昔单抗的时机影响炎症性肠病的预后。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-15 DOI: 10.1080/07420528.2025.2599354
Zoe Post, Agnieszka Maniak, Anthony DeMeo, Ali Keshavarzian

The exaggerated inflammatory response in inflammatory bowel disease (IBD) is under circadian rhythm control and peaks at night. We therefore hypothesized that intravenous infliximab would be more effective when administered before peak inflammatory response. This retrospective, proof-of-concept study assessed clinical (hospitalization/surgery) and biochemical (CRP, albumin) outcomes in 113 adult IBD patients who received inpatient infliximab, grouped into "late" (18:00 h-00:00 h) and "early" (12:00 h-18:00 h) administration. Demographics and disease characteristics were similar between groups. While the "late" group had only marginally higher 30 d surgery and readmission rates (9.38% versus 7.41% and 9.38% versus 8.64% respectively), the difference was more notable for women (15.38% versus 11.11% and 15.38% versus 8.33% respectively). "Early" had higher 72 h CRP response (83% versus 71%) and significant improvement in 40 d CRP compared to "late" (p = 0.0006). Albumin worsened in "late" versus "early" at 7 d (-17% versus +8%) but improved in both at 30 d (+16% versus +29%) compared to baseline. Therefore, "early" infliximab appears to be associated with 1) lower 30 d surgery/readmission rates, 2) higher 72 h CRP response, 3) improved 40 d CRP trend, and 4) favorable change in albumin at 7 d and 30 d compared to "late," suggesting that administration pre-peak inflammatory response (i.e. before 18:00 h) might enhance inflammatory control with improved outcomes.

炎症性肠病(IBD)的过度炎症反应受昼夜节律控制,并在夜间达到高峰。因此,我们假设在炎症反应高峰之前静脉注射英夫利昔单抗会更有效。这项回顾性的概念验证研究评估了113名接受英夫利昔单抗住院治疗的成年IBD患者的临床(住院/手术)和生化(CRP,白蛋白)结果,分为“晚期”(18:00 -00:00)和“早期”(12:00 -18:00)给药。组间人口统计学和疾病特征相似。虽然“晚期”组的30天手术和再入院率仅略高(分别为9.38%对7.41%和9.38%对8.64%),但女性的差异更为显著(分别为15.38%对11.11%和15.38%对8.33%)。与“晚期”相比,“早期”患者72小时CRP应答率更高(83%对71%),40天CRP应答率显著提高(p = 0.0006)。与基线相比,白蛋白在第7天“晚期”与“早期”恶化(-17%对+8%),但在第30天两者均改善(+16%对+29%)。因此,“早期”英夫利昔单抗似乎与以下因素相关:1)较低的30天手术/再入院率,2)较高的72小时CRP反应,3)改善的40天CRP趋势,以及4)与“晚期”相比,7天和30天白蛋白的有利变化,表明峰值前炎症反应(即18:00 h之前)的给药可能增强炎症控制并改善预后。
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引用次数: 0
The relationship between autistic traits and chronotype in individuals diagnosed with Attention Deficit Hyperactivity Disorder. 注意缺陷多动障碍个体自闭症特征与时型的关系。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-11 DOI: 10.1080/07420528.2025.2600570
Havvanur Eroğlu Doğan, Ümran Gül Ayvalık Baydur, Ümit Işık, Emre Ertürk, Evrim Aktepe

There is a lack of research in the literature regarding the relationship between chronotype and autistic traits. This study aimed to examine the associations between chronotype, psychiatric symptoms, and autistic traits in children and adolescents diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 97 children and adolescents with ADHD, aged between 8 and 17 years, were included in the study. Parents completed the Social Responsiveness Scale, Conners' Parent Rating Scale-Revised: Short Form, and the Childhood Chronotype Questionnaire. Children and adolescents completed the Revised Child Anxiety and Depression Scale - Child Version. No significant differences in chronotype preferences were found between groups with high and low levels of autistic traits. Chronotype was significantly and positively correlated with depressive symptoms, social phobia, separation anxiety, and ADHD subdimensions. In the hierarchical regression analysis, the third model, which included psychiatric symptoms and autistic traits, explained 26.2% of the variance in chronotype preferences. In this model, depressive symptoms and oppositional behaviors related to ADHD significantly predicted chronotype preferences. The current study may contribute to understanding the etiological mechanisms linking chronotype with psychopathology and may help improve the clinical management of children with ADHD.

文献中缺乏关于睡眠类型和自闭症特征之间关系的研究。本研究旨在研究被诊断为注意力缺陷多动障碍(ADHD)的儿童和青少年的睡眠类型、精神症状和自闭症特征之间的关系。共有97名儿童和青少年患有多动症,年龄在8到17岁之间,被纳入研究。家长完成了社会反应量表、康纳斯父母评定量表(修订简表)和儿童时型问卷。儿童和青少年完成了修订儿童焦虑和抑郁量表-儿童版。在高水平和低水平自闭症特征组之间,没有发现明显的睡眠类型偏好差异。时间型与抑郁症状、社交恐惧症、分离焦虑和ADHD子维度呈显著正相关。在层次回归分析中,第三个模型(包括精神症状和自闭症特征)解释了26.2%的睡眠类型偏好差异。在该模型中,与ADHD相关的抑郁症状和对立行为显著预测了时间型偏好。本研究可能有助于理解时间型与精神病理之间的病因机制,并可能有助于改善ADHD儿童的临床管理。
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引用次数: 0
Pterostilbene regulates circadian clock gene expression in high-fat diet-induced obese mice. 紫檀芪调节高脂饮食诱导的肥胖小鼠的生物钟基因表达。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-11 DOI: 10.1080/07420528.2025.2599358
Shengcheng Mao, Xiang Wu, Lang Chen, Yingmin Wang

Pterostilbene (PTE) has emerged as a metabolic regulator with anti-obesity properties. However, the precise mechanism underlying these anti-obesity effects remains unclear. Given that the circadian clock machinery controls various biological processes, including metabolism, it remains unclear whether PTE impedes obesity by influencing the circadian clock. In the current study, an obese mouse model was established using a high-fat diet induction method, and the obese mice were treated with PTE. PTE was found to effectively improve dysregulated blood glucose, insulin, and lipid levels in obese mice. Moreover, PTE treatment mitigated lipid accumulation in the liver and peritesticular fat tissues of obese mice. Notably, qPCR results revealed that the disrupted phasic expression of circadian clock genes in obese mice was efficiently rescued by PTE consumption. These observations suggest that PTE partially inhibits obesity by normalizing the circadian clock. Our findings suggest a possible mechanism for the anti-obesity effect of PTE, highlighting its potential as a therapeutic agent to combat obesity.

紫檀芪(PTE)已成为一种具有抗肥胖特性的代谢调节剂。然而,这些抗肥胖作用的确切机制尚不清楚。鉴于生物钟机制控制着各种生物过程,包括代谢,PTE是否通过影响生物钟来阻碍肥胖尚不清楚。本研究采用高脂饮食诱导法建立肥胖小鼠模型,并对肥胖小鼠进行PTE治疗,发现PTE能有效改善肥胖小鼠的血糖、胰岛素和血脂水平失调。此外,PTE治疗减轻了肥胖小鼠肝脏和睾丸周围脂肪组织的脂质积累。值得注意的是,qPCR结果显示,PTE摄入有效地挽救了肥胖小鼠生物钟基因的相位表达中断。这些观察结果表明,PTE通过使生物钟正常化来部分抑制肥胖。我们的发现提示了PTE抗肥胖作用的可能机制,突出了其作为对抗肥胖的治疗药物的潜力。
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引用次数: 0
Nonparametric characteristics of the rest-activity patterns and its associated factors in patients with chronic stroke. 慢性脑卒中患者静息-活动模式的非参数特征及其相关因素。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-10 DOI: 10.1080/07420528.2025.2600578
Zen Uchiyama, Wataru Onuki, Masachika Kawaguchi, Mayuko Takahashi, Yu Kume

Wearable technology is widely applied to rehabilitative assessment and care for patients with stroke. However, there is little information available on circadian rest-activity rhythm (RAR) parameters estimated from the data of wearable devices. To clarify the characteristics of RAR patterns in chronic stroke and specify factors associated with clinical assessments. Participants were recruited from stroke patients admitted to the convalescent ward of Nakadori Rehabilitation Hospital and elderly community-dwellers living in Akita Prefecture, Japan. The participants were instructed to wear the Actiwatch Spectrum Plus on the wrist of the non-paralyzed upper limb in the patient group or on the wrist of the non-dominant hand in the control group for 7 consecutive days. The nonparametric RAR parameters were calculated using the data from wearable devices, consisting of interdaily stability (IS), intradaily variability (IV), and relative amplitude (RA). The functional independence measure (FIM), clinical dementia rating (CDR), and oral function and nutritional assessment were used to evaluate clinical status in the patient group. Fifty-four participants were included for analysis, divided into the control group (n = 27) and the patient group (n = 27). As a result of binomial regression analysis, patients with chronic stroke were significantly associated with the IS × 100 value (odds ratio [OR] = 0.63; 95% confidence interval [95% CI], 0.42 to 0.95; p = 0.026), the IV × 100 value (OR = 1.04; 95% CI, 1.02 to 1.07; p = 0.001), and the RA × 100 value (OR = 0.88; 95% CI, 0.82 to 0.95; p < 0.001). Additionally, the IV value correlated with oral function and nutrition (r = -0.41, p < 0.05) within the patient group. Our results provide clinical characteristics of nonparametric RAR patterns in inpatients with chronic stroke. In light of the RAR characteristics in chronic stroke, oral function and nutritional status might have a potential impact on therapeutic interventions.

可穿戴技术广泛应用于脑卒中患者的康复评估和护理。然而,关于可穿戴设备数据估计的昼夜休息-活动节律(RAR)参数的信息很少。目的:明确慢性脑卒中RAR模式的特点,并明确与临床评估相关的因素。参与者是从日本秋田县中村康复医院康复病房的中风患者和老年社区居民中招募的。参与者被要求在患者组非瘫痪上肢手腕或对照组非优势手手腕连续7天佩戴Actiwatch Spectrum Plus。使用来自可穿戴设备的数据计算非参数RAR参数,包括日间稳定性(IS)、日内变异性(IV)和相对幅度(RA)。采用功能独立性量表(FIM)、临床痴呆评分(CDR)、口腔功能及营养评价评价患者组的临床状况。纳入54例受试者进行分析,分为对照组(n = 27)和患者组(n = 27)。二项回归分析结果显示,慢性脑卒中患者与IS × 100值(比值比[OR] = 0.63; 95%可信区间[95% CI], 0.42 ~ 0.95; p = 0.026)、IV × 100值(OR = 1.04; 95% CI, 1.02 ~ 1.07; p = 0.001)、RA × 100值(OR = 0.88; 95% CI, 0.82 ~ 0.95; p r = -0.41, p = 0.026)显著相关
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引用次数: 0
Sleep loss costs performance: Physical, cognitive, and psychological impairments after 26 h of sleep deprivation in student athletes. 睡眠不足对成绩的影响:学生运动员26小时睡眠不足后的身体、认知和心理损伤。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-09 DOI: 10.1080/07420528.2025.2600581
Amir Khcharem, Liwa Masmoudi, Zouheir Sahnoun, Sonia Sahli

The objective of the current research was to examine the impact of 26 h of sustained wakefulness on endurance performance, cognitive abilities, and psychological state in young recreational runners. Thirteen male physical education students participated, in a randomized sequence, in two test sessions, following either a regular sleep night or complete sleep deprivation. During each session, participants took part in a 3-km running test on a 400-meter outdoor track. Cognitive assessments, including attention and reaction time tasks, as well as psychological evaluations (Feeling Scale and Hooper), were carried out before and after the run. Results indicated that sleep deprivation significantly increased the time to complete the 3-km run by 4.8% (p < 0.001). In addition, attention and reaction time were reduced by 14% (p < 0.001) and 15.3% (p < 0.05), respectively. Psychological measures also showed notable changes, with a 62.5% decrease in well-being (p < 0.01), a 31.5% increase in sleepiness (p < 0.001), a 16.5% rise in stress (p < 0.01), and a 12.7% increase in pain sensation (p < 0.05). In conclusion, 26 h of continuous wakefulness led to declines in attention, alertness, and psychological state, ultimately resulting in impaired 3-km running performance in young recreational runners.

当前研究的目的是检查26小时持续清醒对年轻休闲跑步者耐力表现、认知能力和心理状态的影响。13名体育专业的男生按随机顺序参加了两次测试,他们要么正常睡眠,要么完全剥夺睡眠。在每个阶段,参与者都要在400米的户外跑道上进行3公里的跑步测试。认知评估,包括注意力和反应时间任务,以及心理评估(感觉量表和Hooper),在跑步前后进行。结果表明,睡眠剥夺显著增加了完成3公里跑步的时间4.8% (p p p p p p p p p)
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引用次数: 0
Light sensitivity and diel activity rhythms in the Angoni vlei rat (Otomys angoniensis) under natural and artificial conditions. 自然和人工条件下安哥拉大鼠的光敏性和昼夜活动节律。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1080/07420528.2025.2570415
Tasha Oosthuizen, Neville Pillay, Maria K Oosthuizen

Artificial light at night (ALAN) can disrupt daily rhythms of wildlife, yet little is known about its effects on African rodents. We investigated the diel activity rhythms of the Angoni vlei rat (Otomys angoniensis), a species with an inconclusive temporal niche. We exposed wild-caught vlei rats to three treatments: (1) standard laboratory light-dark cycle; (2) laboratory light-dark cycle with low-intensity ALAN (2 Lux); and (3) natural ambient light and temperature fluctuations. Activity was recorded via infrared sensors, and the activity rhythm was quantified using Cosinor analysis. Activity was predominantly nocturnal across all treatments. However, rhythm amplitude, MESOR and robustness were nearly three-times higher under natural conditions than in both laboratory treatments. ALAN did not significantly suppress activity, suggesting minimal masking effects (unlike strictly nocturnal animals) and possible flexibility in the temporal niche. In nature, O. angoniensis occupies dense grass habitats, and therefore, its predominantly nocturnal activity in captivity could be due to the lack of adequate cover during experiments. Moreover, the greater activity under natural conditions could be a consequence of brighter daytime light and natural temperature cycles. We suggest that although O. angoniensis displays nocturnal activity in the laboratory, it may be more diurnal in its natural habitat. Our findings demonstrate that the temporal activity of O. angoniensis is shaped by environmental context, with implications for contextualising circadian flexibility in species inhabiting human-altered landscapes.

夜间人造光(ALAN)会扰乱野生动物的日常生活节奏,但人们对它对非洲啮齿动物的影响知之甚少。我们研究了Angoni vlei大鼠(Otomys angoniensis)的昼夜活动节律,这是一个具有不确定的时间生态位的物种。我们将野生捕获的大鼠暴露在三种处理下:(1)标准实验室光-暗循环;(2)实验室光暗循环低强度ALAN (2 Lux);(3)自然环境光和温度波动。通过红外传感器记录活动,并使用余弦分析量化活动节律。在所有治疗中,活动主要发生在夜间。然而,在自然条件下,节律幅度、MESOR和鲁棒性几乎是两种实验室处理的三倍。ALAN没有明显抑制活动,这表明掩蔽作用很小(与严格的夜行动物不同),并且可能具有时间生态位的灵活性。在自然界中,O. angoniensis居住在茂密的草丛中,因此,其主要在夜间活动的圈养可能是由于在实验期间缺乏足够的掩护。此外,在自然条件下更大的活动可能是更明亮的白天光线和自然温度循环的结果。我们认为,尽管弓形虫在实验室表现为夜间活动,但在其自然栖息地可能更倾向于白天活动。我们的研究结果表明,O. angoniensis的时间活动受到环境背景的影响,这对居住在人类改变的景观中的物种的昼夜节律灵活性具有重要意义。
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引用次数: 0
Circadian disruption in astronauts: Causes, molecular mechanisms, and neurocognitive consequences. 宇航员昼夜节律紊乱:原因、分子机制和神经认知后果。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1080/07420528.2025.2569695
Saina Najaf Tomaraei, Mansoor Ahmed, Mohammad Nami

Spaceflight presents a multitude of challenges that disrupt astronauts' circadian rhythms, frequently leading to disturbed sleep and impaired cognitive functioning. This systematic review, conducted in accordance with PRISMA guidelines, synthesizes findings from 65 studies (including 47 included in the quantitative synthesis) to examine the multifactorial causes and consequences of circadian and sleep disturbances in space environments. Environmental stressors such as microgravity, radiation, confined spaces, noise, and altered light-dark cycles are critically evaluated alongside biological mechanisms including metabolic alterations, reduced melatonin secretion, and dysregulation of key circadian clock genes (PER2, BMAL1). These disruptions contribute to sleep disorders such as insomnia, sleep fragmentation, and reduced sleep efficiency. The resulting sleep deficits are shown to negatively impact cognitive domains including attention, decision-making, memory, spatial awareness, and problem-solving. This review further highlights the need for effective, evidence-based countermeasures to mitigate sleep disturbances and preserve cognitive performance during long-duration missions.

太空飞行带来了许多挑战,扰乱了宇航员的昼夜节律,经常导致睡眠紊乱和认知功能受损。这一系统审查是根据国际空间空间研究中心的指导方针进行的,综合了65项研究(包括47项纳入定量综合的研究)的结果,以审查空间环境中昼夜节律和睡眠紊乱的多因素原因和后果。环境压力因素如微重力、辐射、密闭空间、噪音和改变的光暗周期与生物机制一起被严格评估,包括代谢改变、褪黑激素分泌减少和关键生物钟基因(PER2, BMAL1)的失调。这些干扰会导致失眠、睡眠破碎和睡眠效率降低等睡眠障碍。由此导致的睡眠不足会对认知领域产生负面影响,包括注意力、决策、记忆、空间意识和解决问题。这一审查进一步强调需要有效的、基于证据的对策,以减轻长期任务期间的睡眠障碍和保持认知能力。
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引用次数: 0
Effects of time restricted feeding on sleep: A systematic review and meta-analysis. 限时进食对睡眠的影响:一项系统回顾和荟萃分析。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1080/07420528.2025.2577859
Gabriela Sant'Ana Lima, Julia Ribeiro da Silva Vallim, Camila Guazzelli Marques, Ronaldo Vagner Thomatieli-Santos, Haitham Jahrami, Deilys Gonzalez Vazquez, Sergio Tufik, Gabriel Natan Pires, Vânia D'Almeida

Chrononutritional interventions, such as time-restricted feeding (TRF), have been extensively studied with an emphasis on metabolism. However, the evidence regarding the effects of TRF on sleep health remains fragmented and inconclusive. To add to the information in this area and given the potential connections between sleep and metabolic health and the diversity of TRF interventions, a meta-analysis of the effect of TRF on sleep will help to increase the level of evidence available on this topic. This meta-analysis presents the effects of TRF, including a specific type of TRF (Ramadan), on sleep, measured by subjective and objective methods. The review was conducted according to the PRISMA 2020 guidelines and registered in the PROSPERO database (CRD42020181264). The search was conducted in the databases MEDLINE, Scopus, Web of Science, EMBASE, LILACS and Cochrane CENTRAL until March 2024. The article selection process was conducted in two stages: first, the titles and abstracts were screened, and then the full texts were analyzed. The outcomes evaluated were self-reported total sleep time (TST), subjective sleep quality measured by the global score on the Pittsburgh Sleep Quality Index (PSQI), and objective TST measured by polysomnography or actimetry. The final sample included 51 articles from 17 countries, published between 2001 and 2023. The results showed that TRF decreased self-reported TST and impaired subjective sleep quality, as evidenced by an increase in the global score of the PSQI. Ramadan fasting significantly decreased TST and non-Ramadan TRF studies showed an overall increase in TST, suggesting that the timing and structure of dietary interventions play a crucial role in sleep health. Regarding PSQI, Ramadan fasting increased the global score, indicating poor subjective sleep quality. There was no statistically significant difference in the global PSQI score between the TRF and control groups in non-Ramadan fasting studies. Our results suggest that TRF has an effect on self-reported sleep duration and quality that depends on the type and duration of dietary restriction. Further randomized and controlled intervention studies are needed to better understand this relationship.

时间营养干预,如限时喂养(TRF),已经被广泛研究,重点是代谢。然而,关于TRF对睡眠健康的影响的证据仍然是支离破碎和不确定的。为了增加这一领域的信息,并考虑到睡眠与代谢健康之间的潜在联系以及TRF干预措施的多样性,对TRF对睡眠影响的荟萃分析将有助于提高这一主题的现有证据水平。本荟萃分析通过主观和客观的方法来衡量TRF对睡眠的影响,包括特定类型的TRF(斋月)。该审查根据PRISMA 2020指南进行,并在PROSPERO数据库中注册(CRD42020181264)。检索在MEDLINE, Scopus, Web of Science, EMBASE, LILACS和Cochrane CENTRAL数据库中进行,直到2024年3月。文章选择过程分为两个阶段:首先对标题和摘要进行筛选,然后对全文进行分析。评估的结果是自我报告的总睡眠时间(TST),通过匹兹堡睡眠质量指数(PSQI)的总体得分测量的主观睡眠质量,以及通过多导睡眠仪或活动测量法测量的客观睡眠时间。最终的样本包括来自17个国家的51篇文章,发表于2001年至2023年之间。结果显示,TRF降低了自我报告的TST,并损害了主观睡眠质量,PSQI的总体得分增加就是证据。斋月禁食显著降低TST,非斋月TRF研究显示TST总体增加,这表明饮食干预的时间和结构对睡眠健康起着至关重要的作用。在PSQI方面,斋月禁食增加了整体得分,表明主观睡眠质量较差。在非斋月禁食研究中,TRF组和对照组的PSQI评分没有统计学上的显著差异。我们的研究结果表明,TRF对自我报告的睡眠时间和质量有影响,这取决于饮食限制的类型和持续时间。需要进一步的随机和对照干预研究来更好地理解这种关系。
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引用次数: 0
Disruptions of rest-activity pattern in individuals aged 75 or older with coexisting frailty and subjective memory complaints. 75岁及以上同时存在虚弱和主观记忆抱怨的个体的休息-活动模式中断。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1080/07420528.2025.2569687
Sayaka Arai, Yu Kume

Subjective memory complaints (SMCs) are commonly observed among community-dwelling older adults. This study aimed to investigate the association of sleep and circadian rest-activity rhythm (RAR) in elderly individuals with coexisting frailty or pre-frailty alongside SMC. Participants aged 75 y and older were recruited from community settings in Akita Prefecture. Data collection was conducted between April 2023 and August 2025. RAR parameters were derived from wrist-worn Actiwatch Spectrum Plus devices, worn on the non-dominant wrist for 7 to 14 consecutive days. A total of 95 participants were included in the final analysis and categorized into four groups: robust (n = 36), SMC only (n = 28), SMC plus pre-frailty (n = 27), and SMC plus frailty (n = 4). Multiple logistic regression analyses were performed to examine associations between group status and clinical variables. In the final model, adjusted for age, gender, education, grip strength, Trail Making Test version A (TMT-A), and M10/100, the presence of SMC was significantly associated with higher scores on the Geriatric Depression Scale-15 (GDS-15) (odds ratio [OR] = 1.55; 95% confidence interval [CI]: 1.19-2.03; p = 0.001). Similarly, the SMC coexisting pre-frailty status was significantly associated with GDS-15 scores (OR = 1.73; 95% CI: 1.30-2.31; p = 0.0002), and a significant association was also observed with IV × 100 (OR = 1.04; 95% CI: 1.00-1.09; p = 0.044). The co-occurrence of SMC and pre-frailty appears to be associated with elevated depressive symptoms and fragmented RAR patterns in individuals aged 75 y and older. Further research is warranted to clarify the relationship between disrupted RAR and the combined presence of SMC and frailty.

主观记忆抱怨(SMCs)是常见于社区居住的老年人。本研究旨在探讨与SMC共存的衰弱或衰弱前期的老年人睡眠和昼夜作息活动节律(RAR)的关系。年龄在75岁及以上的参与者是从秋田县的社区环境中招募的。数据收集于2023年4月至2025年8月进行。RAR参数来源于腕部佩戴的Actiwatch Spectrum Plus设备,连续7至14天佩戴在非主手腕上。共有95名参与者被纳入最终分析,并分为四组:稳健(n = 36),仅SMC (n = 28), SMC加前期虚弱(n = 27)和SMC加虚弱(n = 4)。采用多元逻辑回归分析来检验群体状态与临床变量之间的关系。在最后的模型中,调整了年龄、性别、教育程度、握力、Trail Making Test version A (TMT-A)和M10/100, SMC的存在与老年抑郁量表15 (GDS-15)的高分显著相关(优势比[OR] = 1.55; 95%可信区间[CI]: 1.19-2.03; p = 0.001)。同样,SMC共存的虚弱前状态与GDS-15评分显著相关(OR = 1.73; 95% CI: 1.30-2.31; p = 0.0002),与IV × 100评分也显著相关(OR = 1.04; 95% CI: 1.00-1.09; p = 0.044)。在75岁及以上的个体中,SMC和前期虚弱的共存似乎与抑郁症状升高和碎片化的RAR模式有关。需要进一步的研究来阐明RAR紊乱与SMC和虚弱之间的关系。
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引用次数: 0
Monochromatic green light enhances the expression of positive-regulating clock proteins and the synthesis of melatonin in both pinealectomized and sham-operated chicks. 单色绿光增强了松果体切除和假手术雏鸡正调节时钟蛋白的表达和褪黑激素的合成。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-14 DOI: 10.1080/07420528.2025.2574856
Jiang Bian, Qiyuan Liu, Xiaojie Niu, Tong Zhang, Jiao Liu, Manluan Sun, Jia Bu, Juanjuan Wen, Tao Meng

Birds have a complex system of interacting central clocks, including SCN, pineal gland and retina. The pineal gland and retina possess the functions of sensing light, generating circadian oscillation, and secreting melatonin, making them crucial components for regulating circadian rhythms in birds. BMAL1 and CLOCK proteins form a heterodimer, playing a central role in regulating melatonin secretion and other downstream genes. However, the effect of monochromatic light on the expression of BMAL1 and CLOCK in the chick retina and melatonin, and whether the effect of monochromatic light on the retinal circadian clock depends on the regulation of the pineal gland have yet to be clarified. The present study raised newly hatched chicks under monochromatic white, red, green, and blue light for 14 days, with LD12:12 photoperiod, while the pinealectomy and sham operation were performed on the fourth day. ELISA, Western blot, immunohistochemistry, and immunofluorescence experiments were performed. The results showed that under different monochromatic lights, pinealectomy did not have any significant effect on the expression levels of BMAL1 and CLOCK proteins in the chick retina, neither altered the presence or absence of circadian rhythms of plasma melatonin, but significantly reduced the plasma melatonin levels. Monochromatic green light promotes the circadian expression of BMAL1 and the daily average expression level of CLOCK, as well as the secretion of melatonin. The BMAL1 and CLOCK proteins are mainly expressed in the photoreceptors of the retina. Therefore, chick retina is a circadian pacemaker that is relatively independent from the pineal gland, and monochromatic green light promotes the synthesis and secretion of melatonin by promoting the expression of the retinal BMAL1 and CLOCK in chicks.

鸟类有一个复杂的相互作用的中央时钟系统,包括SCN、松果体和视网膜。松果体和视网膜具有感知光、产生昼夜节律振荡和分泌褪黑激素的功能,是调节鸟类昼夜节律的重要组成部分。BMAL1和CLOCK蛋白形成异源二聚体,在调节褪黑激素分泌和其他下游基因中发挥核心作用。然而,单色光对小鸡视网膜BMAL1、CLOCK和褪黑激素表达的影响,以及单色光对视网膜生物钟的影响是否依赖于松果体的调节,目前尚不清楚。本研究在单色白、红、绿、蓝光下饲养雏鸡14 d, LD12:12光周期,第4天进行松果体切除和假手术。ELISA、Western blot、免疫组化、免疫荧光实验。结果表明,在不同单色光下,松果体切除术对鸡视网膜BMAL1和CLOCK蛋白的表达水平没有显著影响,血浆褪黑素的昼夜节律存在与否没有改变,但血浆褪黑素水平显著降低。单色绿光促进BMAL1的昼夜表达和CLOCK的日平均表达水平,以及褪黑激素的分泌。BMAL1和CLOCK蛋白主要在视网膜的感光细胞中表达。因此,小鸡视网膜是相对独立于松果体的昼夜节律起搏器,单色绿光通过促进小鸡视网膜BMAL1和CLOCK的表达来促进褪黑激素的合成和分泌。
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Chronobiology International
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