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SIRT3-dependent enhancement of apelinergic signaling mediates the cardioprotective effects of late-life high-intensity interval training. 老年高强度间歇训练的心脏保护作用介导了依赖sirt3的apelinergic信号的增强。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-27 DOI: 10.1016/j.jphyss.2026.100061
Qiaowei Li, Yanmei Song, Qin Liu, Zhong Lin, Wenwen Lin, Feng Huang, Pengli Zhu

Background: Deficiency in apelinergic signaling (APJ/Apelin) has been shown to accelerate cardiac aging. Given our observation that high-intensity interval training (HIIT) upregulates APJ and Apelin in aged mouse hearts, this study aimed to investigate whether apelinergic signaling mediates the cardioprotective effects of exercise.

Methods: Naturally aged (20-month-old) C57BL/6 mice were subjected to an 8-week HIIT regimen. To elucidate the role of APJ in HIIT-induced cardiac adaptions, mice were randomly assigned to one of three groups: HIIT with cardiomyocyte-specific APJ knockdown via adeno-associated virus, HIIT with an empty vector, and a sedentary control group. Senescent cardiomyocytes were employed to assess the impact of Apelin-13 and SIRT3 modulation on mitochondrial function. Additionally, a pharmacological study was conducted in aged mice using the APJ agonist AMG986, with or without the SIRT3 inhibitor 3TYP, to evaluate its therapeutic potential.

Results: In aged mice, HIIT elevated myocardial APJ expression, resulting in improved cardiac function, reduced fibrosis and senescence, and preserved mitochondrial structure. Disruption of APJ/Apelin signaling pathway blunted these benefits, particularly impairing mitochondrial biogenesis, motility, mitophagy, and energy metabolism. In vitro, SIRT3 deficiency abolished Apelin-13-induced enhancements in mitochondrial membrane potential, respiratory capacity and morphology. In vivo, pharmacological activation of APJ reproduced key anti-aging cardiac effects, which were negated by SIRT3 inhibition.

Conclusions: These findings suggested that HIIT exerted cardioprotective effects, at least in part, by enhancing apelinergic signaling and potentially modulating mitochondrial function through a SIRT3-dependent pathway. Targeting this pathway may provide potential therapeutic avenues for age-related cardiac dysfunction.

研究背景:APJ/Apelin缺乏可加速心脏老化。鉴于我们观察到高强度间歇训练(HIIT)上调老年小鼠心脏中的APJ和Apelin,本研究旨在探讨APJ能信号是否介导运动的心脏保护作用。方法:自然衰老(20月龄)C57BL/6小鼠进行8周HIIT治疗。为了阐明APJ在HIIT诱导的心脏适应中的作用,将小鼠随机分为三组:通过腺相关病毒敲低心肌细胞特异性APJ的HIIT组、空载体HIIT组和久坐对照组。利用衰老心肌细胞评估Apelin-13和SIRT3调节对线粒体功能的影响。此外,在老年小鼠中使用APJ激动剂AMG986进行了药理学研究,以评估其治疗潜力,无论是否使用SIRT3抑制剂3TYP。结果:在老年小鼠中,HIIT提高心肌APJ表达,改善心功能,减少纤维化和衰老,并保留线粒体结构。APJ/Apelin信号通路的破坏削弱了这些益处,特别是损害线粒体的生物发生、运动、线粒体自噬和能量代谢。在体外,SIRT3缺乏可消除apelin -13诱导的线粒体膜电位、呼吸能力和形态的增强。在体内,APJ的药理激活再现了关键的抗衰老心脏作用,而这些作用被SIRT3抑制所否定。结论:这些发现表明,HIIT至少在一定程度上是通过增强乙酰胆碱能信号传导和通过sirt3依赖途径调节线粒体功能来发挥心脏保护作用的。针对这一途径可能为老年性心功能障碍提供潜在的治疗途径。
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引用次数: 0
Circadian feeding promotion by Ninjin'yoeito counteracts frailty in aged mice. 忍者益藤促进昼夜节律摄食可抵消老年小鼠的虚弱。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-27 DOI: 10.1016/j.jphyss.2026.100062
Lei Wang, Yermek Rakhat, Masanori Nakata, Katsuya Dezaki, Hitoshi Kuwata, Boyang Zhang, Wanxin Han, Seiya Banno, Chikara Abe, Noboru Ogiso, Takashi Sakurai, Shin Tsunekawa, Daisuke Yabe, Yusaku Iwasaki, Yutaka Seino, Toshihiko Yada

Frailty in aging is a major health challenge, requiring solution. Older people with frailty often exhibit malnutrition and dysregulated feeding. Feeding behavior displays circadian rhythm, while aging and frailty involve rhythm disorders, suggesting possible role of circadian feeding in frailty and treatment. Herbal medicine, Ninjin'yoeito (NYT), reportedly ameliorates frail symptoms. The present study explored impacts of NYT on circadian feeding and psychological/physical functions in aged mice. Here, we report that oral NYT independent of administration timing increases food intake specifically in 18:00-20:00, the pre-active phase, in aged and young mice, an effect mimicked by Chenpi and hesperidin. NYT altered appetite-regulating hormones and neuropeptides in pre-active phase. Repeated NYT administration restored anti-anxiety behavior, memory, and grip strength that declined in aged mice. These effects were blocked by food deprivation and pair-fed to control selectively in 18:00-20:00. These results reveal pre-active phase feeding promotion as a novel avenue to intervene aging-related frailty.

老年虚弱是一个重大的健康挑战,需要解决。体弱多病的老年人往往表现为营养不良和饮食失调。摄食行为具有昼夜节律,而衰老和虚弱涉及节律紊乱,提示昼夜节律摄食可能在虚弱和治疗中发挥作用。据报道,草药“忍者”(NYT)可以改善虚弱的症状。本研究探讨了NYT对老年小鼠昼夜节律摄食和心理/生理功能的影响。在这里,我们报告了口服NYT独立于给药时间增加食物摄入量,特别是在18:00-20:00,在老年和年轻小鼠的前活性阶段,Chenpi和橙皮苷模拟的效果。NYT改变食欲调节激素和神经肽的前活性期。重复给药NYT恢复抗焦虑行为,记忆力和握力在老年小鼠中下降。在18:00-20:00期间,通过剥夺食物和选择性配对喂养来抑制这些影响。这些结果揭示了前活动期喂养促进作为一种新的途径,干预衰老相关的虚弱。
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引用次数: 0
Hypoxic blackout in dynamic apnea: A case report. 动态呼吸暂停中的缺氧昏迷1例。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-26 DOI: 10.1016/j.jphyss.2026.100060
Eric Mulder, Isak Löfquist, Felix Schagatay, Arne Sieber, Erika Schagatay

Blackout (BO) in breath-hold diving is attributed to cerebral hypoxia, yet direct observations are rare. We continuously recorded arterial oxygen saturation (SpO₂) and heart rate (HR) in 11 trained freedivers (5 females) performing two dynamic apneas (75 m, 100 m) using a waterproof forehead oximeter. One diver experienced BO at the end of a 100 m dive (SpO₂ 51 %), recovering within 5 s. Group SpO₂ fell from 98 ± 1 % to 77 ± 9 % (75 m) and 68 ± 9 % (100 m; range 51-83 %), while mean HR declined from 83 ± 12 to 43 ± 8 and 40 ± 4bpm, respectively. No arrhythmias were detected. Within-diver SpO₂ nadirs were consistent between distances (r = 0.93), whereas HR nadirs were not (r = 0.40). This case confirms BO can occur at SpO₂ values around 50 %, even in the absence of arrhythmia. The BO diver consistently showed the lowest SpO₂, indicating profound hypoxemia as the most likely contributing factor. Findings support individualized risk screening based on early desaturation patterns in submaximal dives.

屏气潜水中的昏厥(BO)可归因于脑缺氧,但直接观察很少。我们连续记录了11名训练有素的自由潜水员(5名女性)在进行两次动态呼吸(75 m, 100 m)时的动脉氧饱和度(SpO₂)和心率(HR)。一名潜水员在100 米(SpO₂51 %)潜水结束时出现BO,在5 秒内恢复。集团热点₂降至98 ± 1 % 77 ± 9 %(75 )和68 ± 9 %(100 ;范围51 - 83 %),同时意味着人力资源从83下降 ± 12至43 ± 8 - 40 ±4 bpm,分别。未发现心律失常。潜水员内部的SpO₂最低点在不同距离之间是一致的(r = 0.93),而HR最低点则不一致(r = 0.40)。该病例证实,即使在没有心律失常的情况下,spo2值约为50% %时也可能发生BO。BO潜水员的SpO₂浓度一直处于最低水平,可能是严重的低氧血症。研究结果支持基于亚最大潜水早期去饱和模式的个体化风险筛查。
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引用次数: 0
Effects of local skeletal muscle cooling prior to acute exercise and endurance training on mitochondrial adaptation in mice. 急性运动和耐力训练前局部骨骼肌冷却对小鼠线粒体适应的影响。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-23 DOI: 10.1016/j.jphyss.2026.100059
Ryotaro Kano, Tatsuya Kusano, Taichi Ando, Reo Takeda, Ryui Natsuyama, Ryo Takagi, David C Poole, Yutaka Kano, Daisuke Hoshino

While post-exercise cooling is known to enhance skeletal muscle adaptations, the effects of pre-exercise cooling remain unclear. This study investigated whether local muscle cooling immediately before exercise augments training-induced mitochondrial biogenesis in male C57BL/6 mice. Pre-exercise cooling involved 6 cycles of 6 min at 13°C followed by 4 min at 35°C on one hindlimb for 60 min before treadmill running. Acutely, this pre-cooling protocol increased exercise-induced PGC-1α mRNA expression by ∼13 % (p < 0.05) compared to exercise alone; this effect was abolished when cooling and exercise were separated by 3 h. Chronically, over 4 weeks, combined pre-cooling and exercise training significantly enhanced mitochondrial enzyme activities: citrate synthase (both main effects) and β-hydroxyacyl-CoA dehydrogenase (+23.9 % compared with exercise alone). However, mitochondrial structural protein levels remained unchanged. These results indicate that pre-exercise cooling promotes mitochondrial enzymatic adaptations in skeletal muscle, potentially offering a practical strategy to optimize the outcomes of endurance training.

虽然已知运动后冷却可以增强骨骼肌的适应性,但运动前冷却的效果尚不清楚。本研究探讨了运动前立即局部肌肉冷却是否能增强雄性C57BL/6小鼠训练诱导的线粒体生物发生。运动前冷却包括6个循环,在13°C下6 分钟,然后在35°C下4 分钟,在跑步机跑步前60 分钟。急性地,这种预冷方案使运动诱导的PGC-1α mRNA表达增加了~ 13 % (p
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引用次数: 0
Modulation of the association between blood glucose homeostasis and social hierarchy among co-housed mice by diet and amygdala activities. 饮食和杏仁核活动对同住小鼠血糖稳态和社会等级关系的调节。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-20 DOI: 10.1016/j.jphyss.2026.100058
Rikako Ukichi, Yukari Takahashi, Momoyo Ibukuro, Yae K Sugimura, Keiichiro Matoba, Rimei Nishimura, Fusao Kato

Recent clinical studies suggest that individual psychosocial traits play a significant role in the onset and progression of diabetes. To examine whether glucose homeostasis depends on the social rank of individual mice, we analyzed the effects of dietary fat content on the hierarchy formed among co-housed mice and evaluated how perturbing rank by inhibiting amygdala neuronal activity influences glucose regulation. Social rank among four co-housed mice was assessed using the tube test. Switching to a high-fat diet altered blood glucose homeostasis, particularly by affecting rapid responses, and disrupted the established hierarchy, with the degree of disruption varying according to each mouse's rank. In contrast, chemogenetic inhibition of neuronal activities in the basolateral amygdala and surrounding area in the lowest-ranking mice modified both glucose homeostasis and its association with social rank. These findings provide mechanistic insight into the interaction between glucose regulation and psychosocial status.

最近的临床研究表明,个体的社会心理特征在糖尿病的发生和发展中起着重要作用。为了研究葡萄糖稳态是否依赖于个体小鼠的社会等级,我们分析了饮食脂肪含量对同住小鼠之间形成的等级的影响,并评估了通过抑制杏仁核神经元活动扰乱等级如何影响葡萄糖调节。用试管试验评估了4只同住小鼠的社会等级。切换到高脂肪饮食改变了血糖稳态,特别是通过影响快速反应,并破坏了既定的等级制度,破坏程度根据每只老鼠的等级而不同。相反,在最低等级的小鼠中,对杏仁核基底外侧和周围区域神经元活动的化学发生抑制改变了葡萄糖稳态及其与社会等级的关系。这些发现为葡萄糖调节和社会心理状态之间的相互作用提供了机制上的见解。
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引用次数: 0
EP4 stimulation promotes cell adhesion and migration via IL-6 signaling in oral squamous cell carcinoma. EP4刺激通过IL-6信号传导促进口腔鳞状细胞癌细胞粘附和迁移。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 DOI: 10.1016/j.jphyss.2026.100057
Wakana Fukae, Soichiro Ishikawa, Yu Iida, Akane Nagasako, Michiko Endo, Chihiro Hayashi, Kagemichi Nagao, Sneri Oguri, Takayuki Fujita, Utako Yokoyama, Kenji Mitsudo, Yoshihiro Ishikawa, Masanari Umemura

Oral squamous cell carcinoma cell (OSCC) comprises malignant neoplasms arising within the oral cavity. Early-stage detection is associated with favorable prognosis, whereas progression to advanced stages with lymph node metastasis significantly worsens outcomes. We previously reported that the prostaglandin E₂ (PGE₂) receptor EP4 regulates OSCC migration. RNA sequencing reanalysis suggested that EP4 stimulation is strongly associated with cell migration and adhesion, with interleukin-6 (IL-6) emerging as a central mediator of these processes. In OSCC cells, ONO-AE1-437 (EP4 agonist) increased IL-6 mRNA expression and protein secretion. EP4-overexpressing cells showed increased IL-6 expression without stimulation, further enhanced by ONO-AE1-437 or PGE₂. xCELLigence demonstrated that PGE₂ promoted cell adhesion, which was suppressed by ONO-AE3-208 (EP4 antagonist) and Tocilizumab (IL-6 inhibitor). Scratch and transwell assays revealed enhanced migration under PGE₂ and ONO-AE1-437, blocked by IL-6 inhibition. These results suggest that EP4 promotes cell adhesion and migration through IL-6 in OSCC cells. (147 words).

口腔鳞状细胞癌(OSCC)包括发生在口腔内的恶性肿瘤。早期发现与良好的预后相关,而进展到晚期伴有淋巴结转移会显著恶化预后。我们之前报道过前列腺素e2 (pge2)受体EP4调节OSCC的迁移。RNA测序再分析表明,EP4刺激与细胞迁移和粘附密切相关,而白细胞介素-6 (IL-6)是这些过程的中心介质。在OSCC细胞中,ONO-AE1-437 (EP4激动剂)增加IL-6 mRNA表达和蛋白分泌。过表达ep4的细胞在没有刺激的情况下IL-6表达增加,ONO-AE1-437或pge2进一步增强IL-6表达。xCELLigence证实pge2促进细胞粘附,而这种作用被ONO-AE3-208 (EP4拮抗剂)和Tocilizumab (IL-6抑制剂)抑制。划痕和transwell实验显示pge2和ONO-AE1-437的迁移增强,被IL-6抑制阻断。这些结果表明,EP4通过IL-6促进OSCC细胞的粘附和迁移。(147字)。
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引用次数: 0
The intake of monosodium aspartate attenuates aggression induced by post-weaning social isolation in an ADHD rat model. 在ADHD大鼠模型中,摄入天冬氨酸钠可减轻断奶后社会隔离引起的攻击行为。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-09 DOI: 10.1016/j.jphyss.2026.100056
Yu Nishimura, Dewi Mustika, Shinya Ueno, Shiori Tominaga, Mariko Shindo, Naoki Tajiri, Cha-Gyun Jung, Hideki Hida

We investigated whether monosodium aspartate (MSA), an umami compound structurally analogous to monosodium glutamate (MSG), influences aggressive behavior in a rat model of attention-deficit/hyperactivity disorder. Spontaneously hypertensive rats (SHR/Izm) were subjected to post-weaning social isolation and assessed using the resident-intruder paradigm. MSA ingestion significantly reduced aggression, particularly the frequency and duration of attacks, while the open field test showed no differences in anxiety-like behavior. c-Fos immunohistochemistry revealed increased neuronal activation in the intermediate nucleus of the solitary tract (iNTS) and decreased activation in the central amygdala (CeA) following MSA ingestion. This effect, along with the reduction in aggression, was abolished by vagotomy, suggesting gut-brain involvement. These findings indicate that MSA, like MSG, can reduce aggression via the gut-brain axis, implicating the vagus nerve, iNTS and CeA as key mediators. This highlights that the modulation of aggression by ingested amino acids is a broader effect acting through shared mechanisms.

我们研究了一种结构类似于味精(MSG)的鲜味化合物天冬氨酸钠(MSA)是否会影响注意缺陷/多动障碍大鼠模型的攻击行为。对自发性高血压大鼠(SHR/Izm)进行断奶后社会隔离,并采用居民-入侵者范式进行评估。摄入MSA显著减少了攻击行为,特别是攻击的频率和持续时间,而开放场地测试显示焦虑样行为没有差异。c-Fos免疫组化显示,摄取MSA后,孤立束中间核(iNTS)的神经元激活增加,中央杏仁核(CeA)的神经元激活减少。这种影响,连同攻击性的减少,被迷走神经切开术消除了,这表明肠-脑参与其中。这些发现表明,MSA和味精一样,可以通过肠脑轴减少攻击行为,其中迷走神经、iNTS和CeA是关键的介质。这突出表明,通过摄入氨基酸对攻击的调节是一种更广泛的效应,通过共享机制起作用。
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引用次数: 0
The coiled-coil domain of myosin-11 as a potential biomarker to detect patients with atherosclerotic cardiovascular disease risk. 肌球蛋白-11的卷曲结构域作为检测动脉粥样硬化性心血管疾病风险的潜在生物标志物。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-09 DOI: 10.1016/j.jphyss.2026.100055
Lisa Takahashi, Hirofumi Tomiyama, Hiroki Kobori, Yuko Hidaka, Shunichiro Orihara, Keiji Uchida, Kazuhiro Satomi, Masataka Taguri, Taishiro Chikamori, Utako Yokoyama

Atherosclerosis leads to severe clinical complications, and biomarkers for asymptomatic atherosclerosis are desired. Plasma levels of myosin-11 have been reported to increase in patients with symptomatic atherosclerosis. To investigate the association between circulating myosin-11 levels and atherosclerotic cardiovascular disease (ASCVD) risk in patients without symptomatic atherosclerosis, this study recruited 161 participants: 80 patients with ASCVD risk, 50 patients with ischemic heart disease (IHD), and 31 control participants (Controls). We developed an ELISA that consists of rat monoclonal antibodies specific for the coiled-coil domain of myosin-11. Myosin-11 levels were highest in the IHD group, followed by the ASCVD risk group. The area under the receiver-operating characteristic curve of myosin-11 was 0.980 for IHD versus Controls and 0.874 for ASCVD risk versus Controls. The association between myosin-11 levels and hypertension remained significant after multivariate logistic regression analysis. Myosin-11 levels may be a biomarker for stratification of asymptomatic individuals with ASCVD risk.

动脉粥样硬化导致严重的临床并发症,需要无症状动脉粥样硬化的生物标志物。有报道称,有症状的动脉粥样硬化患者血浆肌球蛋白-11水平升高。为了研究无症状动脉粥样硬化患者循环肌球蛋白-11水平与动脉粥样硬化性心血管疾病(ASCVD)风险之间的关系,本研究招募了161名参与者:80名ASCVD风险患者,50名缺血性心脏病(IHD)患者和31名对照参与者(对照组)。我们开发了一种由大鼠单克隆抗体特异性肌球蛋白-11的线圈结构域组成的ELISA。肌球蛋白-11水平在IHD组最高,其次是ASCVD风险组。IHD组肌球蛋白-11受体-工作特征曲线下面积为0.980,ASCVD组肌球蛋白-11受体工作特征曲线下面积为0.874。多因素logistic回归分析后,肌球蛋白-11水平与高血压的相关性仍然显著。肌球蛋白-11水平可能是无症状个体ASCVD风险分层的生物标志物。
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引用次数: 0
Interaction between respiration and central motor control in autonomic cardiac regulation. 自主心脏调节中呼吸与中枢运动控制的相互作用。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.jphyss.2025.100054
Pauline Doussineau, Antoine Mariani, Laurent Reale, Chantal Verkindt, Florian Chouchou

Adaptations in cardiac autonomic regulation induced by physical training are central to the health benefits of exercise. We investigated the interaction between central motor command, breathing rate, and expiration timing during an isolated joint movement. Fifteen volunteers (30.9 ± 7.2 years; 8 women) performed twelve 3-min leg extension tasks in a seated position under three randomized conditions: movement type (active vs. passive), breathing pattern (spontaneous, 12 or 6 cycles/min), and expiration timing (during extension vs. return). RR intervals and their variability were analyzed. Voluntary motor control reduced indices of autonomic and parasympathetic regulation (p < 0.05), whereas slow-paced breathing enhanced them. However, motor control exerted a dominant influence over cardiac autonomic regulation (p < 0.001), regardless of breathing rate. Expiration during the return phase was associated with greater parasympathetic activity (p < 0.05). These results highlight the central role of motor command in autonomic modulation and suggest that emphasizing expiration during recovery may help preserve parasympathetic regulation.

体育训练引起的心脏自主调节的适应是运动对健康益处的核心。我们研究了在孤立的关节运动中中枢运动指令、呼吸频率和呼气时间之间的相互作用。15名志愿者(30.9 ± 7.2岁;8名女性)在三种随机条件下以坐姿完成12项3分钟的腿部伸展任务:运动类型(主动与被动)、呼吸模式(自发、12或6次/分钟)和呼气时间(伸展与恢复)。分析RR区间及其变异性。自主运动控制降低自主神经和副交感神经调节指数(p
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引用次数: 0
Task-related attentional processes are distinctly modulated by respiration and RR interval variability. 任务相关的注意过程明显受到呼吸和RR间隔变异性的调节。
IF 3.2 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-22 DOI: 10.1016/j.jphyss.2025.100053
Nozomu H Nakamura, Kohzoh Yoshino, Masaki Fukunaga

Changes in reaction times (RTs) during attentional processing may be associated with the state of breathing. Although breathing and cardiac activity interact, the functional importance of the cardiorespiratory system for modulating attentional processing remains unclear. To determine the involvement of respiration and RR interval (RRI) variability in successful task performance, thirty-six healthy participants performed a short-term memory task. For RTs limited to correct responses, increases were observed under two conditions: i) when inspiratory onset (or exhalation-to-inhalation transition) occurred and ii) when RRI velocity increased during retrieval. Importantly, multilevel model analysis revealed that the timing of inspiratory onset and the increase in RRI velocity were temporally mismatched, suggesting that at least two independent mechanisms may prolong RT. These findings contribute to a better understanding of how respiration and RRI variability may be functionally differentiated and how each could be linked to attentional processes that influence performance.

注意处理过程中反应时间(RTs)的变化可能与呼吸状态有关。尽管呼吸和心脏活动相互作用,但心肺系统在调节注意力处理方面的功能重要性尚不清楚。为了确定呼吸和RR间隔(RRI)可变性在成功完成任务中的作用,36名健康参与者执行了一项短期记忆任务。对于仅限于正确反应的RTs,在两种情况下观察到增加:i)当吸气开始(或呼气到吸气过渡)发生时,ii)当回收过程中RRI速度增加时。重要的是,多水平模型分析显示,吸气开始的时间和RRI速度的增加在时间上是不匹配的,这表明至少有两种独立的机制可能会延长rt。这些发现有助于更好地理解呼吸和RRI可变性是如何在功能上区分的,以及它们如何与影响表现的注意过程联系起来。
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引用次数: 0
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