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Analysis of the Improvement Sequence in Insomnia Symptoms and Factors Influencing the Treatment Outcomes of Smartphone-Delivered CBT in Patients with Insomnia Disorder 失眠症患者失眠症状改善顺序及智能手机辅助 CBT 治疗效果影响因素分析
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-13 DOI: 10.2147/nss.s486288
Jia Wei, Mingfen Song, Hong Jing Mao, Ruobing Qi, Lili Yang, You Xu, Pan Yan, Linlin Hu
Background: The effectiveness of medication combined with smartphone-delivered cognitive behavioral therapy for insomnia (CBT-I) has been well verified, but there are few studies on the sequence of remission of insomnia symptoms. This study aims to understand the sequence of symptom improvement and the factors influencing the treatment effectiveness in patients with insomnia.
Methods: Smartphone-delivered CBT, as a form of Online CBT, allows for training through mobile devices at any time and place. We utilized the Good Sleep 365 app to conduct a survey, involving 2820 patients who met the baseline inclusion criteria. These patients were assessed using a general demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI) to evaluate general demographic information and insomnia symptoms, and subsequently underwent CBT training using the Good Sleep 365 app. A total of 1179 patients completed follow-ups at 4 weeks, 8 weeks, 16 weeks, and 24 weeks.
Results: At 4 weeks and 8 weeks, the descending order of the reduction rates of PSQI components (excluding component 6: use of sleeping medication) was: sleep latency, subjective sleep quality, sleep efficiency, sleep disturbance, sleep maintenance, and daytime dysfunction. At 16 weeks and 24 weeks, the descending order was subjective sleep quality, sleep latency, sleep efficiency, daytime dysfunction, sleep maintenance, and sleep disturbance. There were significant differences in the reduction rates of PSQI components (excluding component 6: use of sleeping medication) both at the same follow-up times and at different follow-up times (all P< 0.05). Multivariable logistic regression analysis showed that patients older than 30 years and those with a college degree or above had better treatment outcomes, whereas those with a disease duration of more than three years had worse outcomes.
Conclusion: The sequence of symptom improvement in patients with insomnia changes over time, and age, educational level, and duration of disease are factors influencing treatment outcomes.

背景:药物治疗结合智能手机认知行为疗法治疗失眠(CBT-I)的有效性已得到充分验证,但有关失眠症状缓解顺序的研究却很少。本研究旨在了解失眠患者症状改善的顺序以及影响治疗效果的因素:方法:智能手机提供的 CBT 作为在线 CBT 的一种形式,允许在任何时间和地点通过移动设备进行培训。我们利用 "良好睡眠 365 "应用程序开展了一项调查,共有 2820 名符合基线纳入标准的患者参与了调查。我们使用一般人口统计学问卷和匹兹堡睡眠质量指数(PSQI)对这些患者进行了评估,以了解他们的一般人口统计学信息和失眠症状,随后使用 "好睡眠 365 "应用程序对他们进行了 CBT 培训。共有1179名患者完成了4周、8周、16周和24周的随访:在 4 周和 8 周时,PSQI 各项指标(不包括指标 6:使用安眠药)的下降率从高到低依次为:睡眠潜伏期、主观睡眠质量、睡眠效率、睡眠障碍、睡眠维持和日间功能障碍。在 16 周和 24 周时,降序依次为主观睡眠质量、睡眠潜伏期、睡眠效率、日间功能障碍、睡眠维持和睡眠障碍。在相同的随访时间和不同的随访时间,PSQI 各项指标(不包括第 6 项:使用安眠药)的下降率均存在明显差异(P< 0.05)。多变量逻辑回归分析显示,30 岁以上和大专及以上学历的患者治疗效果较好,而病程超过 3 年的患者治疗效果较差:结论:失眠患者症状改善的顺序会随着时间的推移而改变,年龄、教育程度和病程是影响治疗效果的因素。
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引用次数: 0
Association Between Sleep Characteristics and Likelihood of Prodromal Parkinson’s Disease: A Cross-Sectional Analysis in the HABIT Study 睡眠特征与帕金森病前驱症状可能性之间的关系:HABIT研究的横断面分析
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-11 DOI: 10.2147/nss.s476348
Cheng-Jie Mao, Hao Peng, Sheng Zhuang, Ying-Chun Zhang, Wei-Ye Xie, Jia-Hui Yan, Hui-Hui Liu, Jing Chen, Jun-Yi Liu, Jianan Zhang, Hai Jiang, Yonghong Zhang, Mingzhi Zhang, Chun-Feng Liu
Background: Sleep is critical in health problems including Parkinson’s disease (PD). This study examined the association between sleep characteristics and the likelihood of prodromal PD.
Methods: At baseline examination of the Heart and Brain Investigation in Taicang (HABIT) study, potential PD biomarkers were obtained for 8777 participants aged over 50 years, and the probability of prodromal PD was assessed based on the Chinese expert consensus and Movement Disorder Society (MDS) criteria. General and component sleep characteristics were evaluated by the Pittsburgh Sleep Quality Index (PSQI). Median regression was applied to examine the association between sleep and the probability of prodromal PD, adjusting for age, sex, education level, physical activity, obesity, fast plasma glucose, lipids, and hypertension.
Results: Based on China criteria, a higher level of PSQI score was significantly associated with a higher probability of prodromal PD (β = 0.02, 95% CI: 0.01– 0.03) and a higher risk of having an increased probability of prodromal PD (OR = 1.04, 95% CI: 1.02– 1.05). Compared to participants with good quality sleep, those with poor quality sleep had a 0.07% increased probability of prodromal PD (95% CI: 0.01– 0.13) and a 19% increased risk of having a high prodromal PD probability (95% CI: 1.04– 1.20). Similar associations between sleep quality and the probability of prodromal PD were also observed using the MDS criteria. Subjective sleep quality, sleep latency, habitual sleep efficiency, daytime dysfunction, and use of sleep medications were also associated with the probability of prodromal PD.
Conclusion: Poor sleep quality was associated with a high probability of prodromal PD. Sleep may be helpful for understanding and intervention of prodromal PD.

背景:睡眠对包括帕金森病(PD)在内的健康问题至关重要。本研究探讨了睡眠特征与帕金森病前兆的可能性之间的关系:方法:在太仓心脑调查(HABIT)研究的基线检查中,对8777名50岁以上的参与者进行了潜在的帕金森病生物标记物检测,并根据中国专家共识和运动障碍协会(MDS)标准评估了前驱帕金森病的可能性。通过匹兹堡睡眠质量指数(PSQI)评估了总体和部分睡眠特征。在对年龄、性别、教育水平、体力活动、肥胖、快速血浆葡萄糖、血脂和高血压进行调整后,采用中位回归法研究睡眠与前驱型帕金森病发病概率之间的关系:根据中国标准,PSQI得分越高,前驱型帕金森病的概率越高(β = 0.02,95% CI:0.01- 0.03),前驱型帕金森病概率增加的风险也越高(OR = 1.04,95% CI:1.02- 1.05)。与睡眠质量好的参与者相比,睡眠质量差的参与者患前驱性前列腺增生症的概率增加了0.07%(95% CI:0.01- 0.13),患前驱性前列腺增生症的高概率风险增加了19%(95% CI:1.04- 1.20)。使用 MDS 标准也观察到睡眠质量与前驱型帕金森病概率之间存在类似的关联。主观睡眠质量、睡眠潜伏期、习惯性睡眠效率、日间功能障碍和睡眠药物的使用也与前驱型帕金森病的概率有关:结论:睡眠质量差与前驱型帕金森病的高概率相关。睡眠可能有助于了解和干预前驱型帕金森病。
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引用次数: 0
Sex Differences in the Associations Between Chronic Diseases and Insomnia Symptoms Among Older Adults in India 印度老年人慢性病与失眠症状之间的性别差异
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-10 DOI: 10.2147/nss.s456025
T Muhammad, Milan Das, Arup Jana, Soomi Lee
Background: Sleep problems are a critical issue in the aging population, affecting quality of life, cognitive efficiency, and contributing to adverse health outcomes. The coexistence of multiple diseases is common among older adults, particularly women. This study examines the associations between specific chronic diseases, multimorbidity, and insomnia symptoms among older Indian men and women, with a focus on the interaction of sex in these associations.
Methods: Data were drawn from 31,464 individuals aged 60 and older in the Longitudinal Ageing Study in India, Wave-1 (2017– 18). Insomnia symptoms were assessed using four questions adapted from the Jenkins Sleep Scale (JSS-4), covering difficulty falling asleep, waking up, waking too early, and feeling unrested during the day. Multivariable logistic regression models, stratified by sex, were used to analyze the associations between chronic diseases and insomnia symptoms.
Results: Older women had a higher prevalence of insomnia symptoms than men (44.73% vs 37.15%). Hypertension was associated with higher odds of insomnia in both men (AOR: 1.20) and women (AOR: 1.36). Women with diabetes had lower odds of insomnia (AOR: 0.80), while this association was not significant in men. Neurological or psychiatric disorders, stroke, and bone and joint diseases were linked to higher odds of insomnia in both sexes. Chronic lung disease was associated with insomnia in men (AOR: 1.65), but not in women. Additionally, having three or more chronic diseases significantly increased the odds of insomnia in both men (AOR: 2.43) and women (AOR: 2.01).
Conclusion: Hypertension, bone and joint diseases, lung diseases, stroke, neurological or psychiatric disorders, and multimorbidity are linked to insomnia symptoms in older Indian adults. Disease-specific management and routine insomnia screening are crucial for promoting healthy aging in this vulnerable population.

背景:睡眠问题是老龄人口的一个关键问题,它影响生活质量和认知效率,并导致不良的健康后果。多种疾病并存是老年人,尤其是女性老年人的常见病。本研究探讨了印度老年男性和女性中特定慢性疾病、多病共存和失眠症状之间的关联,重点关注性别在这些关联中的相互作用:数据来自印度老龄化纵向研究第一波(2017-18 年)中的 31,464 名 60 岁及以上的老年人。失眠症状使用改编自詹金斯睡眠量表(JSS-4)的四个问题进行评估,包括入睡困难、醒来困难、过早醒来和白天感觉不安宁。多变量逻辑回归模型按性别分层,用于分析慢性病与失眠症状之间的关联:结果:老年女性的失眠症状发生率高于男性(44.73% 对 37.15%)。高血压与男性(AOR:1.20)和女性(AOR:1.36)较高的失眠几率相关。患有糖尿病的女性失眠几率较低(AOR:0.80),而男性的这一相关性并不显著。神经或精神疾病、中风以及骨关节疾病与男女失眠几率较高有关。慢性肺部疾病与男性失眠有关(AOR:1.65),但与女性失眠无关。此外,患有三种或三种以上慢性疾病会显著增加男性(AOR:2.43)和女性(AOR:2.01)的失眠几率:结论:高血压、骨关节疾病、肺部疾病、中风、神经或精神疾病以及多病与印度老年人的失眠症状有关。针对特定疾病的管理和常规失眠筛查对于促进这一弱势群体的健康老龄化至关重要。
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引用次数: 0
The Relationship Between Big Five Personality Traits and Sleep Patterns: A Systematic Review. 大五人格特质与睡眠模式的关系:系统回顾
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-04 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S467842
João Guerreiro, Laura Schulze, Albert Garcia I Tormo, Amanda J Henwood, Luc Schneider, Elise Krob, Sarah Salvilla, Kelly M Y Chan, Sarah Deedat, Aleksandar Matic

Sleep, an intrinsic aspect of human life, is experienced by individuals differently which may be influenced by personality traits and characteristics. Exploring how these traits influence behaviors and sleep routines could be used to inform more personalized and effective interventions to promote better sleep. Our objective was to summarize the existing literature on the relationship between personality traits and sleep patterns through a systematic review. An abstract and keyword search was conducted in PsycINFO, Cochrane and PubMed, collecting relevant literature, published between January 1980 and June 2024. A total of 1713 records were found, of which 18 studies were analyzed in the descriptive synthesis. Relevant studies covered populations in 11 different countries, Australia, China, Estonia, Finland, Germany, Italy, Japan, Poland, Turkey, the United Kingdom, and the United States, comprising a total of 58,812 subjects. All studies reported an association between a sleep pattern with at least one of the Big Five personality traits (agreeableness, conscientiousness, extraversion, neuroticism, openness to experience). Ten studies found associations between personality and sleep quality, all of which reported a link between neuroticism and sleep quality (effect sizes 0.183-0.40). Five studies found an association between conscientiousness and morningness (effect sizes 0.16-0.35). Other sleep patterns linked to personality traits included sleep duration, nightmare frequency and distress, sleep deficiency, sleep continuity, insomnia severity and sleep problems, sleep hygiene, sleep latency and daytime sleepiness. This novel systematic review confirms that sleep and personality traits are related, suggesting that those traits should be considered when trying to understand or change one's sleep behavior.

睡眠是人类生活的一个固有方面,但每个人对睡眠的体验各不相同,这可能受到个性特征和特点的影响。探索这些性格特征如何影响行为和睡眠习惯,可为促进改善睡眠提供更加个性化和有效的干预措施。我们的目标是通过系统性综述,总结有关人格特质与睡眠模式之间关系的现有文献。我们在 PsycINFO、Cochrane 和 PubMed 上进行了摘要和关键词检索,收集了 1980 年 1 月至 2024 年 6 月间发表的相关文献。共找到 1713 条记录,其中 18 项研究进行了描述性综合分析。相关研究涉及澳大利亚、中国、爱沙尼亚、芬兰、德国、意大利、日本、波兰、土耳其、英国和美国等 11 个不同国家的人群,共计 58812 名受试者。所有研究都报告了睡眠模式与至少一种五大性格特征(合群性、自觉性、外向性、神经质、经验开放性)之间的关联。十项研究发现了性格与睡眠质量之间的联系,所有这些研究都报告了神经质与睡眠质量之间的联系(效应大小为 0.183-0.40)。五项研究发现,自觉性与早睡早起之间存在关联(效应大小为 0.16-0.35)。其他与人格特质相关的睡眠模式包括睡眠时间、噩梦频率和痛苦、睡眠不足、睡眠持续性、失眠严重程度和睡眠问题、睡眠卫生、睡眠潜伏期和白天嗜睡。这篇新颖的系统综述证实了睡眠与人格特质的关系,表明在试图了解或改变一个人的睡眠行为时,应该考虑到这些人格特质。
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引用次数: 0
Modifications in the Composition of the Gut Microbiota in Rats Induced by Chronic Sleep Deprivation: Potential Relation to Mental Disorders. 长期睡眠不足诱发大鼠肠道微生物群组成的改变:与精神疾病的潜在关系。
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-04 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S476691
Li-Ming Zheng, Yan Li

Introduction: Sleep deprivation(SD) has numerous negative effects on mental health. A growing body of research has confirmed the implication of gut microbiota in mental disorders. However, the specific modifications in mammalian gut microbiota following SD exhibit variations across different studies.

Methods: Male specific-pathogen-free Wistar rats were given a modified multiple-platform exposure for 7 days of SD. Fecal samples were obtained from the control and SD groups both at baseline and after 7 days of SD. We utilized 16S rDNA gene sequencing to investigate the gut microbial composition and functional pathways in rats.

Results: Analysis of the microbiota composition revealed a significant change in gut microbial composition after chronic SD, especially at the phylum level. The relative abundances of p_Firmicutes, g_Romboutsia, and g_Enterococcus increased, whereas those of p_Bacteroidetes, p_Verrucomicrobia, p_Fusobacteria, g_Akkermansia, and g_Cetobacterium decreased in animals after chronic SD compared with controls or animals before SD. The ratio of Firmicutes to Bacteroidetes exhibited an increase following SD. The relative abundance of gut microbiota related to the functional pathways of GABAergic and glutamatergic synapses was observed to be diminished in rats following SD compared to pre-SD.

Conclusion: Collectively, these findings suggest that chronic SD causes significant alterations in both the structural composition and functional pathways of the gut microbiome. Further researches are necessary to investigate the chronological and causal connections among SD, the gut microbiota and mental disorders.

简介睡眠不足(SD)对心理健康有许多负面影响。越来越多的研究证实,肠道微生物群与精神疾病有关。然而,在不同的研究中,睡眠剥夺后哺乳动物肠道微生物群的具体变化情况各不相同:方法:对雄性无特定病原体的 Wistar 大鼠进行为期 7 天的改良多平台 SD 暴露。从对照组和 SD 组获取基线和 SD 7 天后的粪便样本。我们利用 16S rDNA 基因测序来研究大鼠的肠道微生物组成和功能途径:结果:微生物群组成分析表明,慢性 SD 后肠道微生物组成发生了显著变化,尤其是在门一级。与对照组或SD前的动物相比,慢性SD后的动物p_Firmicutes、g_Romboutsia和g_Enterococcus的相对丰度增加,而p_Bacteroidetes、p_Verrucomicrobia、p_Fusobacteria、g_Akermansia和g_Cetobacterium的相对丰度下降。固缩后,固缩菌与类杆菌的比例有所增加。观察到与 GABA 能和谷氨酸能突触的功能途径相关的肠道微生物群的相对丰度在 SD 后比 SD 前有所降低:总之,这些研究结果表明,慢性 SD 会导致肠道微生物群的结构组成和功能途径发生显著变化。有必要进一步研究 SD、肠道微生物群和精神疾病之间的时间和因果关系。
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引用次数: 0
The Impact of Light-Dark Cycle Alteration on the Acceleration of Type 1 Diabetes in NOD Mice Model. 改变光-暗周期对加速 NOD 小鼠 1 型糖尿病的影响
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S465917
Amjaad Muhammad Ar Reshaid, Yasser Abdulathim Alshawakir, Mohammed A Almuayrifi, Omar Salem Al-Attas, Ahmed S BaHammam, Reem Abdullah Al Khalifah

Objective: We aimed to evaluate the effect of light-dark cycle alteration and soft drink consumption on the acceleration of type 1 diabetes mellitus (T1DM) development among non-obese diabetic (NOD) mice model.

Methods: We exposed female NOD and C57BL/6 mice from the age of 5 weeks to either adlib soft drink consumption and/or T20 light-dark cycle alteration until the development of diabetes, or the mice reached the age of 30 weeks. Each group consisted of 7-15 mice. We monitored weight, length, blood glucose level, and insulin autoantibody (IAA) levels weekly.

Results: Out of 75 NOD and 22 C57BL/6 mice, 41 NOD mice developed diabetes, and 6 mice died between 7 and 8 weeks of age. The mean time to development of T1DM among NOD control mice was 20 weeks. The time to development of T1DM was accelerated by two weeks in the NOD mice exposed to light-dark cycle alteration, hazard ratio of 2.65,95th CI (0.70, 10.04) p = 0.15). The other groups developed T1DM, similar to the control group.

Conclusion: There was a trend toward earlier development of T1DM among NOD mice exposed to light-dark cycle alteration, but this difference was not statistically significant. Further studies are needed to confirm our findings using larger sample sizes and different animal species.

目的我们的目的是评估光暗周期改变和饮用软饮料对非肥胖糖尿病(NOD)小鼠模型中1型糖尿病(T1DM)加速发展的影响:方法:我们让雌性 NOD 和 C57BL/6 小鼠从 5 周龄开始饮用广告软饮料和/或改变 T20 光暗周期,直到出现糖尿病或小鼠长到 30 周龄。每组 7-15 只小鼠。我们每周监测体重、体长、血糖水平和胰岛素自身抗体(IAA)水平:结果:在75只NOD小鼠和22只C57BL/6小鼠中,41只NOD小鼠罹患糖尿病,6只小鼠在7至8周龄期间死亡。NOD 对照组小鼠发生 T1DM 的平均时间为 20 周。受光暗周期改变影响的 NOD 小鼠发生 T1DM 的时间提前了两周,危险比为 2.65,95th CI (0.70, 10.04) p = 0.15。)结论:光-暗周期改变对NOD小鼠的危害比为2.65,95th CI (0.70, 10.04) p = 0.15:结论:受光暗周期改变影响的 NOD 小鼠有提前出现 T1DM 的趋势,但这种差异在统计学上并不显著。还需要进一步研究,利用更大的样本量和不同的动物物种来证实我们的发现。
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引用次数: 0
Gender Difference of the Association Between Sleep Duration and Myopia Among Children and Adolescents. 儿童和青少年睡眠时间与近视之间的性别差异。
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S476051
Zhaorong Gao, Zhen Guo, Yongbo Song, Xiujing Shi, Yingzuo Zhao, Conghui Liu

Purpose: With girls typically exhibiting higher rates of myopia than boys, however, the mechanisms behind this gender difference remain unclear. This study aims to investigate the gender disparities in the relationship between myopia, sleep duration, physical activity, and BMI.

Patients and methods: A total of 3138 primary and secondary school students were included. Mplus 8.3 was used to perform the multiple mediation analysis.

Results: Sleep duration was indicated to directly affect myopia (β=0.273, 95% CI=0.184-0.356) and through physical activity, BMI, physical activity and BMI three significantly mediation pathways, respectively. In terms of gender, the mediating direct effect of sleep duration on myopia of boys was 66.96%, which is much higher than that of girls' 50.91%. And the mediating indirect effect of sleep duration on myopia through physical activity and BMI are 32.65% and 12.10% respectively among girls, both of which are significantly higher than that of boys.

Conclusion: The study found that there are significant differences in the impact of sleep duration on myopia in children and adolescents of different genders. In this regard, while paying attention to the sleep duration of children and adolescents, special attention should also be paid to the indirect impact of girls' physical activity and BMI on myopia, and targeted measures should be formulated according to children of different genders to effectively protect the eye health of children and adolescents.

目的:女孩的近视率通常高于男孩,但这种性别差异背后的机制仍不清楚。本研究旨在调查近视、睡眠时间、体力活动和体重指数之间的性别差异:研究共纳入了 3138 名中小学生。采用 Mplus 8.3 进行多重中介分析:结果表明:睡眠时间直接影响近视(β=0.273,95% CI=0.184-0.356),并分别通过体力活动、体重指数、体力活动和体重指数三条显著的中介途径。在性别方面,睡眠时间对男生近视的直接中介效应为 66.96%,远高于女生的 50.91%。而睡眠时间通过体育锻炼和体重指数对近视的间接中介效应在女生中分别为 32.65% 和 12.10%,均显著高于男生:研究发现,睡眠时间对不同性别儿童和青少年近视的影响存在显著差异。因此,在关注儿童青少年睡眠时间的同时,还应特别关注女童体力活动和体重指数对近视的间接影响,并根据不同性别的儿童制定有针对性的措施,以有效保护儿童青少年的眼睛健康。
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引用次数: 0
Higher Levels of Morning and Daytime Light Exposure Associated with Positive Sleep Indices in Professional Team Sport Athletes. 较高水平的晨间和白天光照与职业团队运动运动员的积极睡眠指数有关。
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S471017
Shauna Stevenson, Haresh Suppiah, Joshua Ruddy, Sean Murphy, Matthew Driller

Objective: Light exposure techniques have been recommended to combat sleep issues caused by disruption to circadian regularity in the athletic population, although studies are lacking.

Methods: A total of 17 professional male Australian Football athletes (age ± SD: 22 ± 3 years) wore a wrist actigraph to measure sleep parameters, and a wearable light sensor to measure melanopic equivalent daylight illuminance (mEDI, in lux) for 14 days. Participants completed three sleep questionnaires at the end of the data collection period and completed well-being surveys 6 times. The Sleep Regularity Index (SRI) for each player was also calculated from actigraphy data. Light exposure data were organised into three different timeframes: morning (wake time + 2 hours), daytime (end of morning to 6 pm), and evening (2 hours leading up to bedtime) for analysis. Repeated measures correlation was conducted for objective sleep measures and mEDI values per timeframe. Pearson's correlation was conducted on subjective sleep measures and well-being measures against mEDI values per timeframe.

Results: Higher morning light was associated with significantly (p < 0.001) greater total sleep time (r = 0.31). Higher daytime light exposure was associated with higher subjective sleep quality (r = 0.48, p < 0.05). Higher evening light exposure was associated with higher Athlete Sleep Screening Questionnaire (ASSQ) global scores (r = 0.52, p < 0.05). There were no other significant correlations between light exposure and sleep or well-being measures (p > 0.05).

Conclusion: Higher morning and daylight exposure levels were associated with various positive objective and subjective sleep measures in professional team sport athletes, supporting the need for education on optimising light exposure to improve circadian function, sleep, and health.

目的有人建议采用光照技术来解决运动员因昼夜节律紊乱而导致的睡眠问题,但目前还缺乏相关研究:共有 17 名专业澳大利亚足球队的男性运动员(年龄 ± SD:22 ± 3 岁)在 14 天内佩戴了用于测量睡眠参数的腕式活动计和用于测量黑素等效日光照度(mEDI,以勒克斯为单位)的可穿戴光传感器。参与者在数据收集期结束时填写了三份睡眠问卷,并完成了六次幸福感调查。此外,还根据行动记录仪数据计算了每位球员的睡眠规律指数(SRI)。光照数据被分为三个不同的时间段进行分析:早晨(唤醒时间+2 小时)、白天(早晨结束至下午 6 点)和傍晚(睡前 2 小时)。对每个时间段的客观睡眠测量值和 mEDI 值进行了重复测量相关性分析。对主观睡眠测量值和幸福感测量值与每个时间段的 mEDI 值进行了皮尔逊相关性分析:晨光较强与总睡眠时间较长明显相关(p < 0.001)(r = 0.31)。白天光照越强,主观睡眠质量越高(r = 0.48,p < 0.05)。晚间光照越强,运动员睡眠筛查问卷(ASSQ)总分越高(r = 0.52,p < 0.05)。光照与睡眠或幸福指数之间没有其他明显的相关性(p > 0.05):结论:较高的晨间和日光照射水平与专业团队运动运动员的各种客观和主观睡眠测量结果呈正相关,这证明有必要开展优化光照的教育,以改善昼夜节律功能、睡眠和健康。
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引用次数: 0
Causal Relationship Between Micronutrient and Sleep Disorder: A Mendelian Randomization Study. 微量营养素与睡眠障碍之间的因果关系:孟德尔随机研究》。
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-08-26 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S475171
Yingying Jiang, Siqi Ge, Chunyang Wang, Chen Jin, Yumei Zhao, Qingying Liu

Background: Sleep played an important part in human health, and COVID-19 led to a continuous deterioration of sleep. However, the causal relationship between micronutrient and sleep disorder was not yet fully understood.

Methods: In this research, the genetic causal relationship between micronutrient and sleep disorder was analyzed utilizing a two-sample Mendelian randomization (MR). Single nucleotide polymorphisms (SNPs) were used as instrumental variables. The analyses were conducted using the MR-Egger, inverse variance weighted, weighted mode, weighted median, simple mode, Cochran's Q test and leave-one-out.

Results: Our results suggested that 8 genetically predicted micronutrients participated in sleep disorders, including liver iron (L-iron) and iron in sleeping too much, spleen iron (S-iron) in sleeplessness/insomnia, trouble falling or staying asleep, sleep duration (undersleepers) and nonorganic sleeping disorders, iron metabolism disorder (IMD) and vitamin B12 deficiency anaemia (VB12DA) in narcolepsy, urine sodium (uNa) in narcolepsy, sleep apnea syndrome and sleep disorder, vitamin D (VD) in sleep duration (oversleepers), 25-Hydroxyvitamin D (25(OH)D) in trouble falling or staying asleep.

Conclusion: Our study used Mendelian randomization methods at the SNP level to explore the potential causal relationship among L-iron, iron, S-iron, IMD, uNa, 25(OH)D, VD, VB12DA with certain sleep disorder subtypes. Our results uncovered a micronutrient-based strategy for alleviating sleep disorder symptoms.

背景:睡眠对人类健康非常重要,COVID-19导致睡眠持续恶化。然而,微量营养素与睡眠障碍之间的因果关系尚未完全明了:本研究采用双样本孟德尔随机法(MR)分析了微量营养素与睡眠障碍之间的遗传因果关系。单核苷酸多态性(SNPs)被用作工具变量。分析采用了 MR-Egger、逆方差加权、加权模式、加权中位数、简单模式、Cochran's Q 检验和 leave-one-out 等方法:结果:我们的研究结果表明,8种基因预测的微量营养素参与了睡眠障碍,包括肝铁(L-铁)和睡得太多的铁、脾铁(S-铁)与睡眠不足/失眠、入睡或保持睡眠困难、睡眠持续时间(睡眠不足者)和非器质性睡眠障碍有关、铁代谢紊乱(IMD)和维生素 B12 缺乏性贫血(VB12DA)与嗜睡症,尿钠(uNa)与嗜睡症、睡眠呼吸暂停综合征和睡眠障碍,维生素 D(VD)与睡眠时间(睡眠过多者),25-羟维生素 D(25(OH)D)与入睡或保持睡眠困难。结论我们的研究在SNP水平上采用孟德尔随机方法,探讨了左旋铁、铁、S-铁、IMD、uNa、25(OH)D、VD、VB12DA与某些睡眠障碍亚型之间的潜在因果关系。我们的研究结果揭示了一种基于微量营养素的缓解睡眠障碍症状的策略。
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引用次数: 0
BreathFinder: A Method for Non-Invasive Isolation of Respiratory Cycles Utilizing the Thoracic Respiratory Inductance Plethysmography Signal. BreathFinder:利用胸廓呼吸电感搏动图信号对呼吸周期进行非侵入式隔离的方法。
IF 3 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.2147/NSS.S468431
Benedikt Holm, Michal Borsky, Erna S Arnardottir, Marta Serwatko, Jacky Mallett, Anna Sigridur Islind, María Óskarsdóttir

Introduction: The field of automatic respiratory analysis focuses mainly on breath detection on signals such as audio recordings, or nasal flow measurement, which suffer from issues with background noise and other disturbances. Here we introduce a novel algorithm designed to isolate individual respiratory cycles on a thoracic respiratory inductance plethysmography signal using the non-invasive signal of the respiratory inductance plethysmography belts.

Purpose: The algorithm locates breaths using signal processing and statistical methods on the thoracic respiratory inductance plethysmography belt and enables the analysis of sleep data on an individual breath level.

Patients and methods: The algorithm was evaluated against a cohort of 31 participants, both healthy and diagnosed with obstructive sleep apnea. The dataset consisted of 13 female and 18 male participants between the ages of 20 and 69. The algorithm was evaluated on 7.3 hours of hand-annotated data from the cohort, or 8782 individual breaths in total. The algorithm was specifically evaluated on a dataset containing many sleep-disordered breathing events to confirm that it did not suffer in terms of accuracy when detecting breaths in the presence of sleep-disordered breathing. The algorithm was also evaluated across many participants, and we found that its accuracy was consistent across people. Source code for the algorithm was made public via an open-source Python library.

Results: The proposed algorithm achieved an estimated 94% accuracy when detecting breaths in respiratory signals while producing false positives that amount to only 5% of the total number of detections. The accuracy was not affected by the presence of respiratory related events, such as obstructive apneas or snoring.

Conclusion: This work presents an automatic respiratory cycle algorithm suitable for use as an analytical tool for research based on individual breaths in sleep recordings that include respiratory inductance plethysmography.

简介自动呼吸分析领域主要关注录音或鼻流量测量等信号上的呼吸检测,这些信号存在背景噪声和其他干扰问题。在此,我们介绍一种新型算法,该算法旨在利用呼吸电感胸透带的无创信号,在胸腔呼吸电感胸透信号上分离出单个呼吸周期:该算法针对 31 名健康和确诊患有阻塞性睡眠呼吸暂停的参与者进行了评估。数据集包括 13 名女性和 18 名男性参与者,年龄在 20 岁至 69 岁之间。对该算法进行评估的是 7.3 个小时的人工标注数据,即总共 8782 次单独呼吸。该算法特别在包含大量睡眠呼吸障碍事件的数据集上进行了评估,以确认其在检测存在睡眠呼吸障碍的呼吸时准确性不会受到影响。我们还在多名参与者中对该算法进行了评估,发现其准确性在不同人群中保持一致。该算法的源代码通过开源 Python 库公开:在检测呼吸信号中的呼吸时,所提出的算法估计达到了 94% 的准确率,而产生的误报仅占检测总数的 5%。准确率不受呼吸相关事件(如阻塞性呼吸暂停或打鼾)的影响:这项研究提出了一种自动呼吸周期算法,适合用作基于睡眠记录(包括呼吸电感胸透)中单个呼吸的研究分析工具。
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引用次数: 0
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Nature and Science of Sleep
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