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Hypoxic-induced resting ventilatory and circulatory responses under multistep hypoxia is related to decline in peak aerobic capacity in hypoxia. 缺氧诱导的多步缺氧静息通气和循环反应与缺氧时峰值有氧能力下降有关。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-10-24 DOI: 10.1186/s40101-022-00310-3
Masahiro Horiuchi, Shohei Dobashi, Masataka Kiuchi, Yoshiyuki Fukuoka, Katsuhiro Koyama

Background: Several factors have been shown to contribute to hypoxic-induced declined in aerobic capacity. In the present study, we investigated the effects of resting hypoxic ventilatory and cardiac responses (HVR and HCR) on hypoxic-induced declines in peak oxygen uptake ([Formula: see text]O2peak).

Methods: Peak oxygen uptakes was measured in normobaric normoxia (room air) and hypoxia (14.1% O2) for 10 young healthy men. The resting HVR and HCR were evaluated at multiple steps of hypoxia (1 h at each of 21, 18, 15 and 12% O2). Arterial desaturation (ΔSaO2) was calculate by the difference between SaO2 at normoxia-at each level of hypoxia (%). HVR was calculate by differences in pulmonary ventilation between normoxia and each level of hypoxia against ΔSaO2 (L min-1 %-1 kg-1). Similarly, HCR was calculated by differences in heart rate between normoxia and each level of hypoxia against ΔSaO2 (beats min-1 %-1).

Results: [Formula: see text]O2peak significantly decreased in hypoxia by 21% on average (P < 0.001). HVR was not associated with changes in [Formula: see text]O2peak. ΔSaO2 from normoxia to 18% or 15% O2 and HCR between normoxia and 12% O2 were associated with changes in [Formula: see text]O2peak (P < 0.05, respectively). The most optimal model using multiple linear regression analysis found that ΔHCR at 12% O2 and ΔSaO2 at 15% O2 were explanatory variables (adjusted R2 = 0.580, P = 0.02).

Conclusion: These results suggest that arterial desaturation at moderate hypoxia and heart rate responses at severe hypoxia may account for hypoxic-induced declines in peak aerobic capacity, but ventilatory responses may be unrelated.

背景:几个因素已被证明有助于缺氧引起的有氧能力下降。在本研究中,我们研究了静息低氧通气和心脏反应(HVR和HCR)对缺氧引起的峰值摄氧量下降的影响([公式:见文]O2peak)。方法:测定10名健康青年在常压常氧(室内空气)和低氧(14.1% O2)条件下的峰值摄氧量。静息HVR和HCR在多个缺氧阶段(21,18,15和12% O2各1 h)进行评估。动脉去饱和度(ΔSaO2)通过正常氧合下各低氧水平下SaO2的差值(%)计算。HVR通过正常氧合和各低氧水平肺通气与ΔSaO2 (L min-1 %-1 kg-1)的差异来计算。同样,HCR是通过正常氧合和各低氧水平与ΔSaO2(心跳min-1 %-1)之间的心率差异来计算的。结果:[公式:见文]缺氧时o2峰值平均降低21% (P < 0.001)。HVR与[公式:见正文]O2peak的变化无关。ΔSaO2从常氧状态到18%或15% O2,以及常氧状态到12% O2的HCR变化与[公式:见文]O2峰值变化相关(P均< 0.05)。多元线性回归分析最优模型发现,12% O2时ΔHCR和15% O2时ΔSaO2为解释变量(调整后R2 = 0.580, P = 0.02)。结论:这些结果表明,中度缺氧时的动脉去饱和和重度缺氧时的心率反应可能是缺氧引起的峰值有氧能力下降的原因,但通气反应可能无关。
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引用次数: 0
Autonomic thermoregulatory responses and subjective thermal perceptions upon the initiation of thermal behavior among resting humans in hot and humid environment. 在炎热潮湿的环境中休息的人类热行为开始时的自主热调节反应和主观热知觉。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-10-10 DOI: 10.1186/s40101-022-00308-x
Keneth B Sedilla, Takafumi Maeda

Background: While thermoregulatory behavior is critical for maintaining homeostasis, our knowledge of behavioral thermoeffectors in humid heat is limited compared to the control of autonomic thermoeffectors. The predictions that the frequency and duration of intensified humid heat events are expected to increase in the coming years underline this shortcoming. Therefore, this study aims to elucidate the activation of autonomic thermoregulatory responses and subjective thermal perceptions upon deciding to initiate thermal behavior in a hot and humid environment.

Methods: Ten young male adults participated in an experimental trial where local cooling was permitted at any time during the behavioral assessment during passive exposure to humid heat. The air temperature and relative humidity were kept at 33[Formula: see text]C and 80[Formula: see text], respectively. Skin temperatures, core body temperature (T[Formula: see text]), and skin blood flow (forearm, upper arm, and upper back) were obtained 120 s preceding thermal behavior. Local sweat rate (forearm and upper arm) and subjective thermal perceptions (neck and whole-body) upon thermal behavior initiation were also recorded.

Results: Mean skin temperature ([Formula: see text]) and T[Formula: see text] increased prior to thermal behavior initiation (p [Formula: see text] 0.002; p [Formula: see text] 0.001). An increase in mean body temperature ([Formula: see text]) was also observed (p < 0.001). However, the initiation of thermal behavior is not preceded by an increase in skin blood flow (p [Formula: see text] 0.154) and local sweat rate (p [Formula: see text] 0.169). An increase in thermal discomfort and skin wetness perception was observed (p [Formula: see text] 0.048; p [Formula: see text] 0.048), while thermal sensation did not differ from the baseline (p [Formula: see text] 0.357).

Conclusion: These findings suggest that when given the opportunity to behaviorally thermoregulate in a hot and humid environment, changes in skin blood flow and sweat rate are not required for thermal behavior to be initiated in resting humans. Moreover, an increase in [Formula: see text] and T[Formula: see text], which appears to cause an increase in thermal discomfort, precedes thermal behavior. In addition, an increase in [Formula: see text] leading up to thermal behavior initiation was observed, suggesting that changes in [Formula: see text] rather than [Formula: see text] and T[Formula: see text] alone mediate thermal behavior in humid heat. Collectively, the results of this study appear to support the hypothesis that the temporal recruitment of autonomic thermoeffectors follows an orderly manner based on their physiological cost.

背景:虽然温度调节行为对维持体内平衡至关重要,但与自主热效器的控制相比,我们对湿热环境下行为热效器的了解有限。预计在未来几年中,强化湿热事件的频率和持续时间将增加,这突显了这一缺点。因此,本研究旨在阐明在湿热环境中决定启动热行为时自主热调节反应和主观热感知的激活。方法:10名年轻男性成年人参加了一项实验试验,在被动暴露于湿热的行为评估期间,允许随时进行局部冷却。空气温度和相对湿度分别保持在33℃[公式:见文]和80℃[公式:见文]。在热行为发生前120 s获得皮肤温度、核心体温(T[公式:见文本])和皮肤血流量(前臂、上臂和上背部)。还记录了热行为开始时的局部出汗率(前臂和上臂)和主观热感觉(颈部和全身)。结果:平均皮肤温度([公式:见文])和T[公式:见文]在热行为开始前升高(p[公式:见文]0.002;p[公式:见文本]0.001)。平均体温升高([公式:见正文])也被观察到(p < 0.001)。然而,在热行为开始之前,皮肤血流量(p[公式:见文]0.154)和局部出汗率(p[公式:见文]0.169)并没有增加。观察到热不适和皮肤湿润感的增加(p[公式:见文本]0.048;p[公式:见文本]0.048),而热感觉与基线没有差异(p[公式:见文本]0.357)。结论:这些发现表明,当有机会在炎热潮湿的环境中进行体温调节时,皮肤血流量和出汗率的变化并不需要在休息时启动热行为。此外,在热行为发生之前,[公式:见文]和T[公式:见文]的增加似乎会导致热不适感的增加。此外,观察到[公式:见文]的增加导致热行为开始,这表明[公式:见文]的变化而不是[公式:见文]和T[公式:见文]单独调节湿热中的热行为。总的来说,本研究的结果似乎支持了一个假设,即自主热效应器的时间招募遵循基于其生理成本的有序方式。
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引用次数: 1
Pre-cooling with ingesting a high-carbohydrate ice slurry on thermoregulatory responses and subcutaneous interstitial fluid glucose during heat exposure. 在热暴露期间,摄入高碳水化合物冰浆预冷却对体温调节反应和皮下间质液葡萄糖的影响。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-10-10 DOI: 10.1186/s40101-022-00309-w
Takashi Naito, Tatsuya Saito, Akihisa Morito, Satoshi Yamada, Masatsugu Shimomasuda, Mariko Nakamura

The purpose of this study was to compare the effects of ingesting ice slurries with two different carbohydrate contents on body temperatures and the subcutaneous interstitial fluid glucose level during heat exposure. Seven physically active men underwent one of three interventions: the ingestion of 7.5 g/kg of a control beverage (CON: 26°C), a normal-carbohydrate ice slurry (NCIS: -1°C), or a high-carbohydrate ice slurry (HCIS: -5°C). The participants were monitored for a 120-min period that included 10 min of rest, 25 min of exposure to the experimental cooling intervention (during which the beverage was ingested), and 85 min of seated rest in a climate chamber (36°C, 50% relative humidity). The rectal temperature in the HCIS and NCIS trials was lower than that in the CON trial from 40 to 75 min. The infrared tympanic temperature was also lower in the HCIS and NCIS trials than in the CON trial from 20 to 50 min, whereas the deep thigh or mean skin temperatures were not significantly different among the three groups. From 90 to 120 min, the subcutaneous interstitial fluid glucose level in the NCIS trial was lower than that at 65 min; however, reductions were not seen in the HCIS and CON trials. These findings suggest that both HCIS ingestion and conventional NCIS ingestion were effective cooling strategies for reducing thermal strain, while HCIS ingestion may also enable a higher subcutaneous interstitial fluid glucose level to be maintained, ensuring an adequate supply of required muscle substrates.

本研究的目的是比较摄入两种不同碳水化合物含量的冰浆对热暴露时体温和皮下间质液葡萄糖水平的影响。七名身体活跃的男性接受了三种干预措施中的一种:摄入7.5 g/kg的对照饮料(对照:26°C),正常碳水化合物冰浆(NCIS: -1°C)或高碳水化合物冰浆(HCIS: -5°C)。研究人员对参与者进行了120分钟的监测,其中包括10分钟的休息,25分钟的实验冷却干预(在此期间摄入饮料),以及85分钟在气候室(36°C, 50%相对湿度)中坐着休息。在40 - 75分钟内,HCIS和NCIS试验的直肠温度低于CON试验。在20 - 50分钟内,HCIS和NCIS试验的红外线耳膜温度也低于CON试验,而三组之间的大腿深温或平均皮肤温度无显著差异。NCIS试验中,90 ~ 120 min皮下间质液葡萄糖水平低于65 min;然而,在HCIS和CON试验中未见减少。这些发现表明,摄入HCIS和常规NCIS都是减少热应变的有效冷却策略,同时摄入HCIS还可以维持较高的皮下间质液葡萄糖水平,确保所需肌肉底物的充足供应。
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引用次数: 0
Biocultural intersections: stressors, adaptability, allostasis, frailty, and aging. 生物文化交叉点:压力源、适应性、适应性、脆弱性和衰老。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-09-24 DOI: 10.1186/s40101-022-00307-y
Douglas Crews
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引用次数: 1
Effects of short-term repeated sprint training in hypoxia or with blood flow restriction on response to exercise. 低氧或血流受限条件下短期重复短跑训练对运动反应的影响。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-09-03 DOI: 10.1186/s40101-022-00304-1
Margaux Giovanna, Robert Solsona, Anthony M J Sanchez, Fabio Borrani

This study compared the effects of a brief repeated sprint training (RST) intervention performed with bilateral blood flow restriction (BFR) conditions in normoxia or conducted at high levels of hypoxia on response to exercise. Thirty-nine endurance-trained athletes completed six repeated sprints cycling sessions spread over 2 weeks consisting of four sets of five sprints (10-s maximal sprints with 20-s active recovery). Athletes were assigned to one of the four groups and subjected to a bilateral partial blood flow restriction (45% of arterial occlusion pressure) of the lower limbs during exercise (BFRG), during the recovery (BFRrG), exercised in a hypoxic room simulating hypoxia at FiO2 ≈ 13% (HG) or were not subjected to additional stress (CG). Peak aerobic power during an incremental test, exercise duration, maximal accumulated oxygen deficit and accumulated oxygen uptake (VO2) during a supramaximal constant-intensity test were improved thanks to RST (p < 0.05). No significant differences were observed between the groups (p > 0.05). No further effect was found on other variables including time-trial performance and parameters of the force-velocity relationship (p > 0.05). Thus, peak aerobic power, exercise duration, maximal accumulated oxygen deficit, and VO2 were improved during a supramaximal constant-intensity exercise after six RST sessions. However, combined hypoxic stress or partial BFR did not further increase peak aerobic power.

本研究比较了短时间重复短跑训练(RST)干预与双侧血流限制(BFR)条件下在常氧或高氧条件下对运动反应的影响。39名耐力训练的运动员在两周内完成了六次重复的冲刺自行车训练,包括四组五次冲刺(10秒最大冲刺和20秒主动恢复)。运动员被分配到四组中的一组,在运动(BFRG)和恢复(BFRrG)期间进行双侧部分血流限制(动脉闭塞压的45%),在缺氧室内模拟缺氧,FiO2≈13% (HG)或不进行额外应激(CG)。RST改善了增量试验中的峰值有氧能力、运动持续时间、最大累积氧亏和超最大恒强度试验中的累积摄氧量(VO2) (p < 0.05)。各组间差异无统计学意义(p > 0.05)。其他变量包括计时赛成绩和力-速度关系参数没有进一步的影响(p > 0.05)。因此,在6次RST训练后的超最大恒强度训练中,峰值有氧能力、运动持续时间、最大累积氧赤字和VO2都得到了改善。然而,联合缺氧应激或部分BFR并没有进一步提高峰值有氧能力。
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引用次数: 4
Intake of L-serine before bedtime prevents the delay of the circadian phase in real life. 睡前摄入l -丝氨酸可以防止现实生活中昼夜节律阶段的延迟。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-08-26 DOI: 10.1186/s40101-022-00306-z
Michihiro Ohashi, Sang-Il Lee, Taisuke Eto, Nobuo Uotsu, Chie Tarumizu, Sayuri Matsuoka, Shinobu Yasuo, Shigekazu Higuchi

Background: It has been shown in laboratory experiments using human subjects that ingestion of the non-essential amino acid L-serine before bedtime enhances the advance of circadian phase induced by light exposure the next morning. In the present study, we tested the effect of ingestion of L-serine before bedtime on circadian phase in real life and whether its effect depends on the initial circadian phase.

Methods: The subjects were 33 healthy male and female university students and they were divided into an L-serine group (n = 16) and a placebo group (n = 17). This study was conducted in a double-blind manner in autumn and winter. After a baseline period for 1 week, the subjects took 3.0 g of L-serine or a placebo 30 min before bedtime for 2 weeks. Saliva was collected twice a week at home every hour under a dim light condition from 20:00 to 1 h after habitual bedtime. Dim light melatonin onset (DLMO) was used as an index of phase of the circadian rhythm.

Results: DLMO after intervention was significantly delayed compared to the baseline DLMO in the placebo group (p = 0.02) but not in the L-serine group. There was a significant difference in the amount of changes in DLMO between the two groups (p = 0.04). There were no significant changes in sleeping habits after intervention in the two groups. There were significant positive correlations between advance of DLMO and DLMO before intervention in the L-serine group (r = 0.53, p < 0.05) and the placebo group (r = 0.69, p < 0.01). There was no significant difference in the slopes of regression lines between the two groups (p = 0.71), but the intercept in the L-serine group was significantly higher than that in the placebo group (p < 0.01). The levels of light exposure were not significantly different between the two groups.

Conclusions: Our findings suggest that intake of L-serine before bedtime for multiple days might attenuate the circadian phase delay in the real world and that this effect does not depend on the initial circadian phase.

Trial registration: This study is registered with University Hospital Medical Information Network in Japan (UMIN000024435. Registered on October 17, 2016).

背景:实验室研究表明,睡前摄入非必需氨基酸l -丝氨酸可以促进第二天早晨光照引起的昼夜节律阶段的提前。在本研究中,我们在现实生活中测试了睡前摄入l -丝氨酸对昼夜节律期的影响,以及其影响是否取决于初始昼夜节律期。方法:选取健康男女大学生33例,分为l -丝氨酸组(n = 16)和安慰剂组(n = 17)。本研究以双盲方式在秋季和冬季进行。基线期1周后,受试者在睡前30分钟服用3.0 g l -丝氨酸或安慰剂,持续2周。从20:00至习惯性就寝后1 h,每周2次在家中昏暗灯光下每小时采集一次唾液。暗光褪黑激素起效(DLMO)被用作昼夜节律阶段的指标。结果:干预后DLMO与安慰剂组的基线DLMO相比显著延迟(p = 0.02),而l -丝氨酸组则没有。两组患者DLMO变化量差异有统计学意义(p = 0.04)。干预后两组患者的睡眠习惯没有明显变化。l -丝氨酸组患者DLMO进展与干预前DLMO进展有显著正相关(r = 0.53, p < 0.05),安慰剂组患者DLMO进展与干预前DLMO进展有显著正相关(r = 0.69, p < 0.01)。两组间的回归线斜率差异无统计学意义(p = 0.71),但l -丝氨酸组的截距显著高于安慰剂组(p < 0.01)。光照水平在两组之间没有显著差异。结论:我们的研究结果表明,睡前多天摄入l -丝氨酸可能会减轻现实世界中昼夜节律阶段的延迟,而且这种效果并不取决于最初的昼夜节律阶段。试验注册:本研究已在日本大学医院医疗信息网注册(UMIN000024435)。注册于2016年10月17日)。
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引用次数: 3
Genome-wide DNA methylation status of Mongolians exhibits signs of cellular stress response related to their nomadic lifestyle. 蒙古人基因组DNA甲基化状态显示出与其游牧生活方式相关的细胞应激反应的迹象。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-08-19 DOI: 10.1186/s40101-022-00305-0
Yuta Inaba, Sadahiko Iwamoto, Kazuhiro Nakayama

Background: Epigenetics is crucial for connecting environmental stresses with physiological responses in humans. Mongolia, where nomadic livestock pastoralism has been the primal livelihood, has a higher prevalence of various chronic diseases than the surrounding East Asian regions, which are more suitable for crop farming. The genes related to dietary stress and pathogenesis of related disorders may have varying epigenetic statuses among the human populations with diverse dietary cultures. Hence, to understand such epigenetic differences, we conducted a comparative analysis of genome-wide DNA methylation of Mongolians and crop-farming East Asians.

Methods: Genome-wide DNA methylation status of peripheral blood cells (PBCs) from 23 Mongolian adults and 24 Thai adults was determined using the Infinium Human Methylation 450K arrays and analyzed in combination with previously published 450K data of 20 Japanese and 8 Chinese adults. CpG sites/regions differentially methylated between Mongolians and crop-farming East Asians were detected using a linear model adjusted for sex, age, ethnicity, and immune cell heterogeneity on RnBeads software.

Results: Of the quality-controlled 389,454 autosomal CpG sites, 223 CpG sites were significantly differentially methylated among Mongolians and the four crop farming East Asian populations (false discovery rate < 0.05). Analyses focused on gene promoter regions revealed that PM20D1 (peptidase M20 domain containing 1), which is involved in mitochondrial uncoupling and various processes, including cellular protection from reactive oxygen species (ROS) and thermogenesis, was the top differentially methylated gene. Moreover, gene ontology enrichment analysis revealed that biological processes related to ROS metabolism were overrepresented among the top 1% differentially methylated genes. The promoter regions of these genes were generally hypermethylated in Mongolians, suggesting that the metabolic pathway detoxifying ROS might be globally suppressed in Mongolians, resulting in the high susceptibility of this population to various chronic diseases.

Conclusions: This study showed a significantly diverse DNA methylation status among Mongolians and crop-farming East Asians. Further, we found an association between the differentially methylated genes and various metabolic and neurodegenerative diseases. Knowledge of the epigenetic regulators might help in proper understanding, treatment, and control of such disorders, and physiological adaptation in the future.

背景:表观遗传学是将环境应激与人类生理反应联系起来的关键。以游牧牲畜为主要生计的蒙古,其各种慢性病的发病率高于周边东亚地区,而东亚地区更适合种植农作物。在不同饮食文化的人群中,与饮食应激和相关疾病发病机制相关的基因可能具有不同的表观遗传状态。因此,为了理解这种表观遗传差异,我们对蒙古人和种植作物的东亚人的全基因组DNA甲基化进行了比较分析。方法:使用Infinium Human methylation 450K阵列对23名蒙古成年人和24名泰国成年人的外周血细胞(PBCs)进行全基因组DNA甲基化状态检测,并结合之前发表的20名日本成年人和8名中国成年人的450K数据进行分析。在RnBeads软件上使用线性模型对性别、年龄、种族和免疫细胞异质性进行调整,检测蒙古人和东亚人之间CpG位点/区域甲基化差异。结果:在质量控制的389,454个常染色体CpG位点中,223个CpG位点在蒙古人和4个种植作物的东亚人群中甲基化显著差异(错误发现率< 0.05)。对基因启动子区域的分析表明,PM20D1(肽酶M20结构域含1)是最高的差异甲基化基因,它参与线粒体解偶联和各种过程,包括细胞对活性氧(ROS)的保护和产热作用。此外,基因本体富集分析显示,在前1%的差异甲基化基因中,与ROS代谢相关的生物过程被过度代表。这些基因的启动子区域在蒙古人中普遍高甲基化,这表明蒙古人解毒ROS的代谢途径可能被全局抑制,导致该人群对各种慢性疾病的高易感性。结论:该研究表明,蒙古人和东亚人的DNA甲基化状态存在显著差异。此外,我们发现差异甲基化基因与各种代谢和神经退行性疾病之间存在关联。了解表观遗传调节因子可能有助于正确理解、治疗和控制这些疾病,以及未来的生理适应。
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引用次数: 0
Validity of an algorithm for determining sleep/wake states using FS-760 in school-aged children. 在学龄儿童中使用FS-760确定睡眠/觉醒状态的算法的有效性。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-08-18 DOI: 10.1186/s40101-022-00303-2
Minori Enomoto, Shingo Kitamura, Kyoko Nakazaki

Background: Actigraphy is a method used for determining sleep (S)/wakefulness (W) by actigraph, a device equipped with a built-in accelerometer and an algorithm validated for each device. The S/W determination algorithm for the waist-worn actigraph FS-760 has been formulated for adults. However, the algorithm for children has not been established. The purpose of this study was to formulate an algorithm for discriminating S/W in school-aged children using FS-760 and to evaluate its validity. We further tested the generalizability of existing algorithm for adults by applying it to the children's activity data and then examined factors associated with adult algorithm agreement rates by multiple regression analysis using combined adult and children data.

Methods: Sixty-five, healthy, school-aged children (aged 6 to 15 years) were recruited and randomly assigned to two groups: A (n = 33) and B (n = 32). They underwent 8-h polysomnography (PSG) and wore FS-760 simultaneously to obtain activity data. To determine the central epoch of the sleep/wake states (𝑥), a five-order linear discriminant analysis was conducted using the activity intensity of group A for five epochs (𝑥-2, 𝑥-1, 𝑥, 𝑥+1, 𝑥+2; 10 min) and evaluate its accuracy with the activity of group B. To reveal the factors associated with adult algorithm agreement rate, we integrated the activity, age, sleep efficiency of 15 adults (aged 20 to 39 years) and those of 65 children for multiple regression analysis.

Results: The mean agreement rate of the developed algorithm was 91.0%, with a mean sensitivity (true sleep detection rate) of 93.0% and a mean specificity (true wakefulness detection rate) of 63.9%. The agreement rate of the adult algorithm applied to children's activity was significantly lower (81.8%) than that of the children algorithm. Multiple regression analysis showed that the agreement rates calculated by the adult algorithm were significantly related to mean activity of the 𝑥 epoch in NREM and REM sleep as well as age and sleep efficiency.

Conclusions: The S/W states in school-aged children can be reliably assessed using the developed algorithm for waist-worn actigraph FS-760. Since the accuracy of the adult algorithms decreased when applied it to children which have different activity levels during sleep, the establishment and validation of population-specific S/W algorithms should be required.

背景:活动记录仪是一种通过活动记录仪来确定睡眠(S)/清醒(W)的方法,活动记录仪是一种配备内置加速度计的设备,每个设备都有一个经过验证的算法。为成人制定了腰戴式活动仪FS-760的信噪比测定算法。然而,针对儿童的算法尚未建立。本研究的目的是建立一种基于FS-760的学龄儿童S/W判别算法,并评估其有效性。通过将现有算法应用于儿童活动数据,我们进一步测试了现有算法对成人的可泛化性,然后使用成人和儿童数据进行多元回归分析,检验了与成人算法一致性相关的因素。方法:招募65名6 ~ 15岁健康学龄儿童,随机分为A组(n = 33)和B组(n = 32)。他们接受8小时多导睡眠描记仪(PSG)并同时佩戴FS-760以获取活动数据。确定中央时代睡眠/唤醒状态(𝑥)five-order线性判别分析进行使用的活动强度组五世(𝑥-2、𝑥-1𝑥,𝑥+ 1,𝑥+ 2;为了揭示成人算法一致性的相关因素,我们综合了15名成人(20 ~ 39岁)和65名儿童的活动、年龄、睡眠效率进行多元回归分析。结果:该算法的平均符合率为91.0%,平均灵敏度(真实睡眠检出率)为93.0%,平均特异性(真实清醒检出率)为63.9%。成人算法对儿童活动的符合率(81.8%)明显低于儿童算法。多元回归分析表明,成人算法计算的一致性与非快速眼动期和快速眼动期的平均活动、年龄和睡眠效率显著相关。结论:使用开发的腰戴式活动记录仪FS-760算法可以可靠地评估学龄儿童的S/W状态。由于将成人算法应用于睡眠期间活动水平不同的儿童时,其准确性会下降,因此需要建立和验证针对人群的S/W算法。
{"title":"Validity of an algorithm for determining sleep/wake states using FS-760 in school-aged children.","authors":"Minori Enomoto,&nbsp;Shingo Kitamura,&nbsp;Kyoko Nakazaki","doi":"10.1186/s40101-022-00303-2","DOIUrl":"https://doi.org/10.1186/s40101-022-00303-2","url":null,"abstract":"<p><strong>Background: </strong>Actigraphy is a method used for determining sleep (S)/wakefulness (W) by actigraph, a device equipped with a built-in accelerometer and an algorithm validated for each device. The S/W determination algorithm for the waist-worn actigraph FS-760 has been formulated for adults. However, the algorithm for children has not been established. The purpose of this study was to formulate an algorithm for discriminating S/W in school-aged children using FS-760 and to evaluate its validity. We further tested the generalizability of existing algorithm for adults by applying it to the children's activity data and then examined factors associated with adult algorithm agreement rates by multiple regression analysis using combined adult and children data.</p><p><strong>Methods: </strong>Sixty-five, healthy, school-aged children (aged 6 to 15 years) were recruited and randomly assigned to two groups: A (n = 33) and B (n = 32). They underwent 8-h polysomnography (PSG) and wore FS-760 simultaneously to obtain activity data. To determine the central epoch of the sleep/wake states (𝑥), a five-order linear discriminant analysis was conducted using the activity intensity of group A for five epochs (𝑥<sub>-2</sub>, 𝑥<sub>-1</sub>, 𝑥, 𝑥<sub>+1</sub>, 𝑥<sub>+2</sub>; 10 min) and evaluate its accuracy with the activity of group B. To reveal the factors associated with adult algorithm agreement rate, we integrated the activity, age, sleep efficiency of 15 adults (aged 20 to 39 years) and those of 65 children for multiple regression analysis.</p><p><strong>Results: </strong>The mean agreement rate of the developed algorithm was 91.0%, with a mean sensitivity (true sleep detection rate) of 93.0% and a mean specificity (true wakefulness detection rate) of 63.9%. The agreement rate of the adult algorithm applied to children's activity was significantly lower (81.8%) than that of the children algorithm. Multiple regression analysis showed that the agreement rates calculated by the adult algorithm were significantly related to mean activity of the 𝑥 epoch in NREM and REM sleep as well as age and sleep efficiency.</p><p><strong>Conclusions: </strong>The S/W states in school-aged children can be reliably assessed using the developed algorithm for waist-worn actigraph FS-760. Since the accuracy of the adult algorithms decreased when applied it to children which have different activity levels during sleep, the establishment and validation of population-specific S/W algorithms should be required.</p>","PeriodicalId":16768,"journal":{"name":"Journal of Physiological Anthropology","volume":" ","pages":"29"},"PeriodicalIF":3.1,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40621779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining total energy expenditure in 3-6-year-old Japanese pre-school children using the doubly labeled water method. 用双标签水法测定3-6岁日本学龄前儿童的总能量消耗。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-08-05 DOI: 10.1186/s40101-022-00301-4
Keisuke Teramoto, Kodo Otoki, Erina Muramatsu, Chika Oya, Yui Kataoka, Shoji Igawa

The doubly labeled water (DLW, 2H218O) method for calculating the total production of CO2 over several days is currently considered to be the most accurate technique for the measurement of total energy expenditure (TEE), and the results obtained using this method have been used to review energy requirements. Presently, there is limited data available on TEE in Japanese children. The objective of this study was to assess the TEE in pre-school Japanese children using the DLW method. We used a cross-sectional population of 140 children (69 boys and 71 girls) aged 3-6 years. TEE was measured using the DLW method over 8 days under free-living conditions. The average weights (kg) of the boys and girls were 15.6 ± 2.5 and 15.0 ± 2.1 for the 3-4 years old and 19.8 ± 3.8 and 19.6 ± 2.7 for the 5-6 years old, respectively. The corresponding TEE (kcal/day) was 1260.9 ± 357.8 and 1265.2 ± 408.0, and 1682.3 ± 489.0 and 1693.1 ± 473.3, respectively, showing a significant difference with respect to age. Furthermore, TEE per body weight (kcal/kg/day) was 83.2 ± 29.2 and 84.9 ± 26.6, and 85.4 ± 23.2 and 86.7 ± 22.6, respectively. However, when TEE was adjusted for body weight or fat-free mass, there were no age or sex differences. We conclude that in Japanese children, TEE in those aged 3-4 years was similar to the current Ministry of Health recommendations. However, TEE in children aged 5-6 years was slightly higher than the recommendations. Based on these findings, the present results obtained from a large number of participants will provide valuable reference data for Japanese children.

双标记水(DLW, 2H218O)法用于计算几天内二氧化碳的总产量,目前被认为是测量总能量消耗(TEE)的最准确的技术,使用该方法获得的结果已用于审查能量需求。目前,关于日本儿童TEE的数据有限。本研究的目的是使用DLW方法评估日本学龄前儿童的TEE。我们使用了140名3-6岁儿童(69名男孩和71名女孩)的横断面人群。在自由生活条件下,使用DLW法测量TEE超过8天。男孩和女孩的平均体重(kg) 3 ~ 4岁分别为15.6±2.5和15.0±2.1,5 ~ 6岁分别为19.8±3.8和19.6±2.7。相应的TEE (kcal/day)分别为1260.9±357.8和1265.2±408.0,1682.3±489.0和1693.1±473.3,年龄差异有统计学意义。每体重TEE (kcal/kg/day)分别为83.2±29.2和84.9±26.6,85.4±23.2和86.7±22.6。然而,当TEE根据体重或无脂质量进行调整时,没有年龄或性别差异。我们的结论是,在日本儿童中,3-4岁的TEE与目前卫生部的建议相似。然而,5-6岁儿童的TEE略高于推荐值。基于这些发现,目前从大量参与者中获得的结果将为日本儿童提供有价值的参考数据。
{"title":"Determining total energy expenditure in 3-6-year-old Japanese pre-school children using the doubly labeled water method.","authors":"Keisuke Teramoto,&nbsp;Kodo Otoki,&nbsp;Erina Muramatsu,&nbsp;Chika Oya,&nbsp;Yui Kataoka,&nbsp;Shoji Igawa","doi":"10.1186/s40101-022-00301-4","DOIUrl":"https://doi.org/10.1186/s40101-022-00301-4","url":null,"abstract":"<p><p>The doubly labeled water (DLW, <sup>2</sup>H<sub>2</sub><sup>18</sup>O) method for calculating the total production of CO<sub>2</sub> over several days is currently considered to be the most accurate technique for the measurement of total energy expenditure (TEE), and the results obtained using this method have been used to review energy requirements. Presently, there is limited data available on TEE in Japanese children. The objective of this study was to assess the TEE in pre-school Japanese children using the DLW method. We used a cross-sectional population of 140 children (69 boys and 71 girls) aged 3-6 years. TEE was measured using the DLW method over 8 days under free-living conditions. The average weights (kg) of the boys and girls were 15.6 ± 2.5 and 15.0 ± 2.1 for the 3-4 years old and 19.8 ± 3.8 and 19.6 ± 2.7 for the 5-6 years old, respectively. The corresponding TEE (kcal/day) was 1260.9 ± 357.8 and 1265.2 ± 408.0, and 1682.3 ± 489.0 and 1693.1 ± 473.3, respectively, showing a significant difference with respect to age. Furthermore, TEE per body weight (kcal/kg/day) was 83.2 ± 29.2 and 84.9 ± 26.6, and 85.4 ± 23.2 and 86.7 ± 22.6, respectively. However, when TEE was adjusted for body weight or fat-free mass, there were no age or sex differences. We conclude that in Japanese children, TEE in those aged 3-4 years was similar to the current Ministry of Health recommendations. However, TEE in children aged 5-6 years was slightly higher than the recommendations. Based on these findings, the present results obtained from a large number of participants will provide valuable reference data for Japanese children.</p>","PeriodicalId":16768,"journal":{"name":"Journal of Physiological Anthropology","volume":" ","pages":"28"},"PeriodicalIF":3.1,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40587758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How humans adapt to hot climates learned from the recent research on tropical indigenes. 从最近对热带土著的研究中了解到人类如何适应炎热气候。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-07-14 DOI: 10.1186/s40101-022-00302-3
Yutaka Tochihara, Hitoshi Wakabayashi, Joo-Young Lee, Titis Wijayanto, Nobuko Hashiguchi, Mohamed Saat

This review mainly aimed to introduce the findings of research projects comparing the responses of tropical and temperate indigenes to heat. From a questionnaire survey on thermal sensation and comfort of Indonesians and Japanese, we found that the thermal descriptor "cool" in tropical indigenes connotes a thermally comfortable feeling, suggesting that linguistic heat acclimatization exists on a cognitive level. Ten male students born and raised in Malaysia were invited to Fukuoka, Japan, and compared their responses with 10 Japanese male students with matched physical fitness and morphological characteristics. Cutaneous thermal sensitivity: The sensitivities were measured at 28 °C. The forehead warm sensitivity was significantly blunted in Malaysians. The less sensitivity to the warmth of tropical indigenes is advantageous in respect to withstanding heat stress with less discomfort and a greater ability to work in hot climates. Passive heat stress: Thermoregulatory responses, especially sweating, were investigated, during the lower leg hot bathing (42 °C for 60 min). The rectal temperature at rest was higher in Malaysians and increased smaller during immersion. There was no significant difference in the total amount of sweating between the two groups, while the local sweating on the forehead and thighs was lesser in Malaysians, suggesting distribution of sweating was different from Japanese. Exercise: Malaysian showed a significantly smaller increase in their rectal temperature during 55% maximal exercise for 60 min in heat (32 °C 70% relative humidity), even with a similar sweating and skin blood flow response in Japanese. The better heat tolerance in Malaysians could be explained by the greater convective heat transfer from the body core to the skin due to the greater core-to-skin temperature gradient. In addition, when they were hydrated, Malaysian participants showed better body fluid regulation with smaller reduction in plasma volume at the end of the exercise compared to the non-hydrated condition, whereas Japanese showed no difference between hydration conditions. We further investigated the de-acclimatization of heat adaptation by longitudinal observation on the heat tolerance of international students who had moved from tropical areas to Fukuoka for several years.

本文主要介绍了比较热带和温带土著人对热响应的研究成果。通过对印度尼西亚人和日本人的热感觉和舒适问卷调查,我们发现热带土著的热描述词“凉爽”意味着一种热舒适的感觉,这表明语言热适应存在于认知层面。10名在马来西亚出生和长大的男学生被邀请到日本福冈,并将他们的反应与10名身体素质和形态特征相匹配的日本男学生进行比较。皮肤热敏性:在28°C时测量敏感性。马来西亚人对额头温度的敏感度明显减弱。热带土著人对温暖的不太敏感,这在抵御热应激方面是有利的,不适较少,在炎热气候下工作的能力更强。被动热应激:在小腿热浴(42°C 60分钟)期间,研究了体温调节反应,特别是出汗。马来西亚人静息时直肠温度较高,浸泡时升高较小。两组人的出汗总量没有显著差异,而马来西亚人的额头和大腿局部出汗较少,这表明出汗的分布与日本人不同。运动:马来西亚人在高温条件下(32°C 70%相对湿度)进行60分钟的55%最大运动时,直肠温度的升高幅度明显较小,即使日本人也有类似的出汗和皮肤血流量反应。马来西亚人更好的耐热性可以解释为由于更大的核心到皮肤的温度梯度,从身体核心到皮肤的对流热传递更大。此外,与不补水的情况相比,马来西亚参与者在补水后表现出更好的体液调节能力,运动结束时血浆量减少较少,而日本参与者在补水情况下没有表现出差异。通过对从热带地区移居福冈多年的国际学生的耐热性进行纵向观察,进一步研究了热适应的脱驯化。
{"title":"How humans adapt to hot climates learned from the recent research on tropical indigenes.","authors":"Yutaka Tochihara,&nbsp;Hitoshi Wakabayashi,&nbsp;Joo-Young Lee,&nbsp;Titis Wijayanto,&nbsp;Nobuko Hashiguchi,&nbsp;Mohamed Saat","doi":"10.1186/s40101-022-00302-3","DOIUrl":"https://doi.org/10.1186/s40101-022-00302-3","url":null,"abstract":"<p><p>This review mainly aimed to introduce the findings of research projects comparing the responses of tropical and temperate indigenes to heat. From a questionnaire survey on thermal sensation and comfort of Indonesians and Japanese, we found that the thermal descriptor \"cool\" in tropical indigenes connotes a thermally comfortable feeling, suggesting that linguistic heat acclimatization exists on a cognitive level. Ten male students born and raised in Malaysia were invited to Fukuoka, Japan, and compared their responses with 10 Japanese male students with matched physical fitness and morphological characteristics. Cutaneous thermal sensitivity: The sensitivities were measured at 28 °C. The forehead warm sensitivity was significantly blunted in Malaysians. The less sensitivity to the warmth of tropical indigenes is advantageous in respect to withstanding heat stress with less discomfort and a greater ability to work in hot climates. Passive heat stress: Thermoregulatory responses, especially sweating, were investigated, during the lower leg hot bathing (42 °C for 60 min). The rectal temperature at rest was higher in Malaysians and increased smaller during immersion. There was no significant difference in the total amount of sweating between the two groups, while the local sweating on the forehead and thighs was lesser in Malaysians, suggesting distribution of sweating was different from Japanese. Exercise: Malaysian showed a significantly smaller increase in their rectal temperature during 55% maximal exercise for 60 min in heat (32 °C 70% relative humidity), even with a similar sweating and skin blood flow response in Japanese. The better heat tolerance in Malaysians could be explained by the greater convective heat transfer from the body core to the skin due to the greater core-to-skin temperature gradient. In addition, when they were hydrated, Malaysian participants showed better body fluid regulation with smaller reduction in plasma volume at the end of the exercise compared to the non-hydrated condition, whereas Japanese showed no difference between hydration conditions. We further investigated the de-acclimatization of heat adaptation by longitudinal observation on the heat tolerance of international students who had moved from tropical areas to Fukuoka for several years.</p>","PeriodicalId":16768,"journal":{"name":"Journal of Physiological Anthropology","volume":" ","pages":"27"},"PeriodicalIF":3.1,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40604452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
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Journal of Physiological Anthropology
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