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Stress-related eating in pregnancy? An RCT examining links between prenatal stress and food choices 孕期饮食与压力有关?研究产前压力与食物选择之间关系的 RCT
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-09 DOI: 10.1016/j.psyneuen.2024.107073
H. Lustermans , R. Beijers , V. Vis , E. Aarts , C. de Weerth

Background

Diet quality during pregnancy is important for maternal health and offspring development. However, national dietary recommendations are not always met. A potential barrier for healthy food choices might be the experience of stress. Previous literature in non-pregnant populations suggests a negative effect of acute stress on diet quality. This preregistered study is the first to test whether an acute stressor leads to unhealthy food choices in pregnancy and examine the moderating role of stress, depressive and anxiety complaints in daily life.

Method

Pregnant women (N = 110, 3rd trimester) completed online self-reported surveys measuring stress, depressive and anxiety complaints in daily life. Hereafter, participants were invited for a laboratory visit, in which they were exposed to the Trier Social Stress Test or a control task. After this manipulation, self-reported and actual food choices and food intake were assessed. At the end of the visit, a hair sample was collected. Throughout the visit, visual analogue scales on negative affect were completed and saliva samples were collected.

Results

The stress group experienced significantly more psychological stress than the control group during the experimental manipulation. Main regression analyses showed that the acute laboratory stressor did not cause unhealthy food choices in the third trimester of pregnancy. In fact, the stress group chose fewer unhealthy foods and consumed fewer kilocalories compared to the control group. Additionally, the findings point at a moderating role of depressive and stress complaints in daily life on food choices within the control group: higher scores were related to more unhealthy food choices and more kilocalories consumed.

Discussion

As this was the first study to test the effect of an acute stressor on food choices in pregnant women, more research is needed to obtain a better understanding of stress-related eating in pregnancy. This knowledge may inform future interventions to support pregnant women in improving their diet quality.

背景怀孕期间的饮食质量对母体健康和后代发育非常重要。然而,国家膳食建议并非总能得到满足。压力可能是影响健康饮食选择的一个潜在障碍。以前在非孕期人群中的文献表明,急性压力会对饮食质量产生负面影响。这项预先登记的研究首次检验了急性压力是否会导致孕妇选择不健康的食物,并研究了日常生活中的压力、抑郁和焦虑主诉的调节作用。方法孕妇(N = 110,怀孕三个月)完成在线自我报告调查,测量日常生活中的压力、抑郁和焦虑主诉。之后,参与者应邀参加实验室访问,接受特里尔社会压力测试或对照任务。操作结束后,对参与者的自我报告和实际食物选择以及食物摄入量进行评估。访问结束时,收集受试者的头发样本。在整个访问过程中,完成了有关负面情绪的视觉模拟量表,并采集了唾液样本。主回归分析表明,急性实验室压力并不会导致孕妇在怀孕三个月时选择不健康的食物。事实上,与对照组相比,压力组选择的不健康食物更少,摄入的热量也更低。此外,研究结果表明,日常生活中的抑郁和压力投诉对对照组的食物选择有调节作用:得分越高,选择的不健康食物越多,摄入的热量也越多。 讨论 由于这是第一项测试急性压力对孕妇食物选择影响的研究,因此需要进行更多的研究,以更好地了解孕期与压力有关的饮食。这些知识可为未来支持孕妇改善饮食质量的干预措施提供参考。
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引用次数: 0
Exploring the physiological role of the G protein-coupled estrogen receptor (GPER) and its associations with human diseases 探索 G 蛋白偶联雌激素受体 (GPER) 的生理作用及其与人类疾病的关系
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-09 DOI: 10.1016/j.psyneuen.2024.107070
Magdalena Żabińska, Karolina Wiśniewska, Grzegorz Węgrzyn, Karolina Pierzynowska

Estrogen is a group of hormones that collaborate with the nervous system to impact the overall well-being of all genders. It influences many processes, including those occurring in the central nervous system, affecting learning and memory, and playing roles in neurodegenerative diseases and mental disorders. The hormone’s action is mediated by specific receptors. Significant roles of classical estrogen receptors, ERα and ERβ, in various diseases were known since many years, but after identifying a structurally and locationally distinct receptor, the G protein-coupled estrogen receptor (GPER), its role in human physiology and pathophysiology was investigated. This review compiles GPER-related information, highlighting its impact on homeostasis and diseases, while putting special attention on functions and dysfunctions of this receptor in neurobiology and biobehavioral processes. Understanding the receptor modulation possibilities is essential for therapy, as disruptions in receptors can lead to diseases or disorders, irrespective of correct estrogen levels. We conclude that studies on the GPER receptor have the potential to develop therapies that regulate estrogen and positively impact human health.

雌激素是一组与神经系统合作影响所有性别整体健康的激素。它影响许多过程,包括在中枢神经系统中发生的过程,影响学习和记忆,并在神经退行性疾病和精神障碍中发挥作用。荷尔蒙的作用由特定受体介导。传统的雌激素受体(ERα和ERβ)在各种疾病中的重要作用早在多年前就已为人所知,但在发现了一种结构和位置独特的受体--G蛋白偶联雌激素受体(GPER)后,人们开始研究它在人类生理和病理生理学中的作用。本综述汇编了与 GPER 相关的信息,强调了它对体内平衡和疾病的影响,同时特别关注该受体在神经生物学和生物行为过程中的功能和功能障碍。了解受体调节的可能性对治疗至关重要,因为无论雌激素水平是否正确,受体紊乱都会导致疾病或失调。我们的结论是,对 GPER 受体的研究有可能开发出调节雌激素的疗法,并对人类健康产生积极影响。
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引用次数: 0
Increased plasminogen activator inhibitor-1 (PAI-1) and its associations with metabolic risk in healthy young adults with early life stress 纤溶酶原激活物抑制剂-1(PAI-1)的增加及其与早期生活压力下健康年轻人代谢风险的关系
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.psyneuen.2024.107071
Anastacia Y. Kudinova , Meghan J. Kulak , Teresa E. Daniels , William Lewis-de los Angeles , Suzanne de la Monte , Karen Jennings Mathis , Quincy M. Beck , Laura E. Laumann , Audrey R. Tyrka

Objectives

We aimed to characterize the interplay between early life stress (ELS), metabolic syndrome (MetS), and plasminogen activator inhibitor-1 (PAI-1), a major inhibitor of the fibrinolytic system implicated in cardiometabolic diseases. We also examined the understudied intersection of ELS, physical activity and PAI-1.

Methods

Healthy young adults ages 18–40 (N=200; 68% female) were recruited from the community. Participants with ELS (N=118) experienced childhood maltreatment, and the majority (n=92) also experienced childhood parental loss. Control participants (N=82) had no history of childhood maltreatment or parental loss. Participants had no current cardiometabolic or thrombotic conditions. Fasting plasma samples were assessed for markers of metabolic risk and total PAI-1 using the Bio-Plex Pro Human Diabetes Panel (Bio-Rad Laboratories). A composite metabolic risk z-score (MetS risk) was computed from the mean standardized z-scores of waist-to-height ratio, systolic and diastolic blood pressure, triglycerides, total cholesterol, LDL and HLD cholesterol, fasting plasma glucose, and hemoglobin A1c.

Results

We found that a history of ELS was linked to both higher PAI-1 levels and a higher MetS risk score. ELS was associated with a higher MetS Z-score in adulthood via increased circulating PAI-1 levels (Average Causal Mediation Effect [ACME]= 0.07, p = 0.036). ELS was also linked to increased PAI-1 levels via greater MetS z-scores (ACME = 0.02, p < 0.001). There was a significant interaction effect of ELS and exercise on PAI-1 levels (p = 0.03), such that engaging in higher levels of daily exercise was linked to lower PAI-1 levels in individuals with ELS.

Conclusion

Healthy young adults with ELS have elevated PAI-1 levels and metabolic risk scores. Among individuals with ELS, exercise is linked to lower PAI-1 levels, suggesting a potential direction for early intervention.

目的我们旨在描述早期生活压力(ELS)、代谢综合征(MetS)和纤溶系统的主要抑制剂纤溶酶原激活物抑制剂-1(PAI-1)之间的相互作用。我们还研究了 ELS、体育锻炼和 PAI-1 之间研究不足的交叉点。方法我们从社区招募了 18-40 岁的健康年轻人(200 人;68% 为女性)。患有 ELS 的参与者(人数=118)曾在童年时期遭受过虐待,其中大多数人(人数=92)在童年时期还曾失去过父母。对照组参与者(82 人)没有童年虐待史或失去父母的经历。参与者目前没有心脏代谢或血栓性疾病。使用 Bio-Plex Pro 人类糖尿病面板(Bio-Rad 实验室)对空腹血浆样本进行代谢风险标志物和总 PAI-1 评估。根据腰围身高比、收缩压和舒张压、甘油三酯、总胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇、空腹血浆葡萄糖和血红蛋白 A1c 的平均标准化 z 值计算出综合代谢风险 z 值(MetS 风险)。通过增加循环 PAI-1 水平,ELS 与成年后较高的 MetS Z 评分相关(平均因果中介效应 [ACME]= 0.07,p = 0.036)。ELS 也通过更高的 MetS Z 分数与 PAI-1 水平的增加有关(ACME = 0.02,p < 0.001)。ELS和运动对PAI-1水平有明显的交互影响(p = 0.03),因此在ELS患者中,每天进行较多的运动与较低的PAI-1水平有关。在 ELS 患者中,运动与降低 PAI-1 水平有关,这为早期干预提供了潜在的方向。
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引用次数: 0
Hair steroid before and after COVID-19 in preschoolers: the moderation of family characteristics 学龄前儿童在 COVID-19 前后的头发类固醇:家庭特征的调节作用
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.psyneuen.2024.107072
Éloise Berger , Marie-Pier Larose , France Capuano , Marie-Josée Letarte , Marie-Claude Geoffroy , Sonia Lupien , Mara Brendgen , Michel Boivin , Frank Vitaro , Richard Tremblay , Benoît Masse , Sylvana Côté , Isabelle Ouellet-Morin

Background

Frequent or prolonged exposure to stressors may jeopardize young children’s health. The onset of the COVID-19 pandemic, coupled with disruptions in daily routines and social isolation resulting from public health preventive measures, have raised concerns about its potential impact on children’ experienced stress, particularly for young children and vulnerable families. However, whether the pandemic was accompanied by changes in physiological stress remains unknown as perceived stress is not a good proxy of physiological stress. This study examined if preschoolers showed increasing hair steroid concentrations following the onset of the COVID-19 pandemic and whether family characteristics may have exacerbated or buffered these changes.

Methods

136 preschoolers (2–4 years) provided hair for steroid measurement (cortisol, dehydroepiandrosterone (DHEA), cortisone, cortisol-to-DHEA ratio, cortisol-to-cortisone ratio) in October-November 2019 (T0) and in July-August 2020 (T1). A 2-centimeter hair segment was analyzed, reflecting steroid production over the two months leading up to collection. Family income, conflict resolution and lack of cohesion, as well as parents’ COVID-19 stress were reported by parents. Linear mixed models for repeated measures and Bayes factors were used.

Results

No significant changes were noted from before to after the onset of the COVID-19 pandemic for most hair steroids. However, a moderating role of family conflict resolution was noted. Children living with parents with a better ability to resolve conflicts had lower levels of DHEA compared to those who had more difficulty managing conflicts. Additionally, lower levels of family cohesion and income were linked to some steroids, especially DHEA, suggesting that these factors may relate to children’s physiological stress. Finally, boys had higher DHEA levels than girls.

Conclusion

Our findings suggest that stress biomarkers were comparable from before to during the COVID-19 pandemic. This observation holds true despite the pandemic being perceived by many as a novel, unpredictable, and potentially threatening event. Findings further suggest that family characteristics are associated with hair steroid, especially DHEA, which deserves further investigation.

背景经常或长期面临压力可能会损害幼儿的健康。COVID-19 大流行的爆发,加上公共卫生预防措施导致的日常生活混乱和社会隔离,引起了人们对其对儿童(尤其是幼儿和弱势家庭)所经历的压力的潜在影响的关注。然而,由于感知到的压力并不能很好地代表生理压力,因此大流行是否伴随着生理压力的变化仍是未知数。本研究探讨了在 COVID-19 大流行开始后,学龄前儿童头发中的类固醇浓度是否增加,以及家庭特征是否会加剧或缓冲这些变化。方法 136 名学龄前儿童(2-4 岁)分别于 2019 年 10 月至 11 月(T0)和 2020 年 7 月至 8 月(T1)提供了用于类固醇测量(皮质醇、脱氢表雄酮(DHEA)、可的松、皮质醇与 DHEA 的比率、皮质醇与可的松的比率)的头发。对 2 厘米长的毛发进行分析,以反映采集前两个月的类固醇分泌情况。父母报告了家庭收入、冲突解决和缺乏凝聚力情况,以及父母的 COVID-19 压力。结果 大多数毛发类固醇在 COVID-19 大流行之前和之后没有明显变化。但是,家庭冲突的解决起到了调节作用。与解决冲突能力较强的父母生活在一起的儿童,其 DHEA 水平低于那些较难处理冲突的儿童。此外,较低的家庭凝聚力和收入水平与某些类固醇,尤其是 DHEA 有关,这表明这些因素可能与儿童的生理压力有关。最后,男孩的 DHEA 水平高于女孩。尽管许多人认为大流行是一个新颖、不可预测和具有潜在威胁性的事件,但这一观察结果是正确的。研究结果进一步表明,家庭特征与毛发类固醇(尤其是 DHEA)有关,这值得进一步研究。
{"title":"Hair steroid before and after COVID-19 in preschoolers: the moderation of family characteristics","authors":"Éloise Berger ,&nbsp;Marie-Pier Larose ,&nbsp;France Capuano ,&nbsp;Marie-Josée Letarte ,&nbsp;Marie-Claude Geoffroy ,&nbsp;Sonia Lupien ,&nbsp;Mara Brendgen ,&nbsp;Michel Boivin ,&nbsp;Frank Vitaro ,&nbsp;Richard Tremblay ,&nbsp;Benoît Masse ,&nbsp;Sylvana Côté ,&nbsp;Isabelle Ouellet-Morin","doi":"10.1016/j.psyneuen.2024.107072","DOIUrl":"https://doi.org/10.1016/j.psyneuen.2024.107072","url":null,"abstract":"<div><h3>Background</h3><p>Frequent or prolonged exposure to stressors may jeopardize young children’s health. The onset of the COVID-19 pandemic, coupled with disruptions in daily routines and social isolation resulting from public health preventive measures, have raised concerns about its potential impact on children’ experienced stress, particularly for young children and vulnerable families. However, whether the pandemic was accompanied by changes in physiological stress remains unknown as perceived stress is not a good proxy of physiological stress. This study examined if preschoolers showed increasing hair steroid concentrations following the onset of the COVID-19 pandemic and whether family characteristics may have exacerbated or buffered these changes.</p></div><div><h3>Methods</h3><p>136 preschoolers (2–4 years) provided hair for steroid measurement (cortisol, dehydroepiandrosterone (DHEA), cortisone, cortisol-to-DHEA ratio, cortisol-to-cortisone ratio) in October-November 2019 (T0) and in July-August 2020 (T1). A 2-centimeter hair segment was analyzed, reflecting steroid production over the two months leading up to collection. Family income, conflict resolution and lack of cohesion, as well as parents’ COVID-19 stress were reported by parents. Linear mixed models for repeated measures and Bayes factors were used.</p></div><div><h3>Results</h3><p>No significant changes were noted from before to after the onset of the COVID-19 pandemic for most hair steroids. However, a moderating role of family conflict resolution was noted. Children living with parents with a better ability to resolve conflicts had lower levels of DHEA compared to those who had more difficulty managing conflicts. Additionally, lower levels of family cohesion and income were linked to some steroids, especially DHEA, suggesting that these factors may relate to children’s physiological stress. Finally, boys had higher DHEA levels than girls.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that stress biomarkers were comparable from before to during the COVID-19 pandemic. This observation holds true despite the pandemic being perceived by many as a novel, unpredictable, and potentially threatening event. Findings further suggest that family characteristics are associated with hair steroid, especially DHEA, which deserves further investigation.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001161/pdfft?md5=44a55ae08f92e14222445fce00efd55b&pid=1-s2.0-S0306453024001161-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Mothers in stress: Hair cortisol of mothers living in marginalised Roma communities and the role of socioeconomic disadvantage 压力中的母亲:生活在边缘化罗姆社区的母亲的毛皮质醇和社会经济劣势的作用
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-07 DOI: 10.1016/j.psyneuen.2024.107069
Shoshana Chovan , Daniela Fiľakovská Bobáková , Beáta Hubková , Andrea Madarasová Gecková , Marlou L.A. de Kroon , Sijmen A. Reijneveld

Roma living in marginalised communities are among the most disadvantaged groups in Slovakia. Socioeconomic disadvantage is associated with higher hair cortisol concentrations (HCC), including in parents. The aim of this study is therefore to assess differences in HCC, reflecting the levels of stress, between mothers living in MRCs and from the majority population, to assess the association of socioeconomic disadvantage with HCC, and whether disadvantage mediates the MRC/majority differences in HCC. Participants were mothers of children aged 15–18 months old living in MRCs (N=61) and from the Slovak majority population (N=90). During preventive paediatric visits, visits at community centres and home visits, hair samples and data by questionnaire were collected. HCC differed significantly between mothers living in MRCs and mothers from the majority population, with the mean HCC value being twice as high in mothers living in MRCs (22.98 (95% confidence interval, CI, 15.70–30.30) vs. 11.76 (8.34–15.20), p<0.05). HCC was significantly associated with education, household equipment and household overcrowding, but not with billing, socioeconomic stress and social support. The difference in HCC between mothers living in MRCs and mothers from the majority population was partially mediated by poor house equipment, such as no access to running water, no flushing toilet or no bathroom (the indirect effect of B=7.63 (95% CI: 2.12–13.92)). Practitioners and policymakers should be aware of high stress levels among mothers living in MRCs and aim at enhancing their living and housing conditions.

生活在边缘化社区的罗姆人是斯洛伐克最弱势的群体之一。社会经济地位不利与毛发皮质醇浓度(HCC)较高有关,包括父母的毛发皮质醇浓度。因此,本研究旨在评估生活在罗姆人社区的母亲与来自多数人口的母亲之间反映压力水平的毛发皮质醇浓度的差异,评估社会经济劣势与毛发皮质醇浓度的关联,以及劣势是否会调节罗姆人社区与多数人口之间的毛发皮质醇浓度差异。参与者为居住在多民族社区(61 人)和斯洛伐克多数人口(90 人)中 15-18 个月大儿童的母亲。在儿科预防访问、社区中心访问和家访期间,通过问卷收集了头发样本和数据。生活在社区中心的母亲与来自多数人口的母亲之间的 HCC 值差异很大,生活在社区中心的母亲的 HCC 平均值是来自多数人口的母亲的两倍(22.98(95% 置信区间,CI,15.70-30.30)vs 11.76(8.34-15.20),p<0.05)。HCC 与教育、家庭设备和家庭拥挤程度有明显关系,但与开票、社会经济压力和社会支持没有关系。居住在社区康复中心的母亲与来自多数人口的母亲之间的 HCC 差异,部分是由简陋的家庭设备(如没有自来水、没有冲水马桶或没有浴室)所调节的(间接效应 B=7.63 (95% CI: 2.12-13.92))。从业人员和政策制定者应意识到居住在社区康复中心的母亲压力水平较高,并致力于改善她们的生活和居住条件。
{"title":"Mothers in stress: Hair cortisol of mothers living in marginalised Roma communities and the role of socioeconomic disadvantage","authors":"Shoshana Chovan ,&nbsp;Daniela Fiľakovská Bobáková ,&nbsp;Beáta Hubková ,&nbsp;Andrea Madarasová Gecková ,&nbsp;Marlou L.A. de Kroon ,&nbsp;Sijmen A. Reijneveld","doi":"10.1016/j.psyneuen.2024.107069","DOIUrl":"10.1016/j.psyneuen.2024.107069","url":null,"abstract":"<div><p>Roma living in marginalised communities are among the most disadvantaged groups in Slovakia. Socioeconomic disadvantage is associated with higher hair cortisol concentrations (HCC), including in parents. The aim of this study is therefore to assess differences in HCC, reflecting the levels of stress, between mothers living in MRCs and from the majority population, to assess the association of socioeconomic disadvantage with HCC, and whether disadvantage mediates the MRC/majority differences in HCC. Participants were mothers of children aged 15–18 months old living in MRCs (N=61) and from the Slovak majority population (N=90). During preventive paediatric visits, visits at community centres and home visits, hair samples and data by questionnaire were collected. HCC differed significantly between mothers living in MRCs and mothers from the majority population, with the mean HCC value being twice as high in mothers living in MRCs (22.98 (95% confidence interval, CI, 15.70–30.30) vs. 11.76 (8.34–15.20), p&lt;0.05). HCC was significantly associated with education, household equipment and household overcrowding, but not with billing, socioeconomic stress and social support. The difference in HCC between mothers living in MRCs and mothers from the majority population was partially mediated by poor house equipment, such as no access to running water, no flushing toilet or no bathroom (the indirect effect of B=7.63 (95% CI: 2.12–13.92)). Practitioners and policymakers should be aware of high stress levels among mothers living in MRCs and aim at enhancing their living and housing conditions.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001136/pdfft?md5=e2a8ce5aaf8d4c505bc001b4e80191fe&pid=1-s2.0-S0306453024001136-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Trajectory of ghrelin and PYY around a test meal in males and females with avoidant/restrictive food intake disorder versus healthy controls 回避型/限制型食物摄入障碍男性和女性与健康对照组在测试餐前后的胃泌素和胰泌素的变化轨迹
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-06 DOI: 10.1016/j.psyneuen.2024.107063
Kaitlin N. Rozzell-Voss , Kendra R. Becker , Nassim Tabri , Melissa J. Dreier , Shirley B. Wang , Megan Kuhnle , Julia Gydus , Helen Burton-Murray , Lauren Breithaupt , Franziska Plessow , Debra Franko , Kristine Hauser , Elisa Asanza , Madhusmita Misra , Kamryn T. Eddy , Laura Holsen , Nadia Micali , Jennifer J. Thomas , Elizabeth A. Lawson

Disruptions in appetite-regulating hormones may contribute to the development and/or maintenance of avoidant/restrictive food intake disorder (ARFID). No study has previously assessed fasting levels of orexigenic ghrelin or anorexigenic peptide YY (PYY), nor their trajectory in response to food intake among youth with ARFID across the weight spectrum. We measured fasting and postprandial (30, 60, 120 minutes post-meal) levels of ghrelin and PYY among 127 males and females with full and subthreshold ARFID (n = 95) and healthy controls (HC; n = 32). We used latent growth curve analyses to examine differences in the trajectories of ghrelin and PYY between ARFID and HC. Fasting levels of ghrelin did not differ in ARFID compared to HC. Among ARFID, ghrelin levels declined more gradually than among HC in the first hour post meal (p =.005), but continued to decline between 60 and 120 minutes post meal, whereas HC plateaued (p =.005). Fasting and PYY trajectory did not differ by group. Findings did not change after adjusting for BMI percentile (M(SD)ARFID = 37(35); M(SD)HC = 53(26); p =.006) or calories consumed during the test meal (M(SD)ARFID = 294(118); M(SD)HC = 384 (48); p <.001). These data highlight a distinct trajectory of ghrelin following a test meal in youth with ARFID. Future research should examine ghrelin dysfunction as an etiological or maintenance factor of ARFID.

食欲调节激素的紊乱可能会导致回避性/限制性食物摄入障碍(ARFID)的发生和/或维持。以前没有研究评估过不同体重的 ARFID 青少年空腹促厌胃泌素或促厌肽 YY(PYY)的水平及其对食物摄入的反应轨迹。我们测量了 127 名患有完全和亚阈值 ARFID(95 人)的男性和女性以及健康对照组(32 人)的空腹和餐后(餐后 30、60 和 120 分钟)胃泌素和PYY 水平。我们使用潜伏生长曲线分析法来研究 ARFID 和 HC 之间胃泌素和PYY 的变化轨迹差异。与 HC 相比,ARFID 的空腹胃泌素水平没有差异。在餐后一小时内,ARFID 的胃泌素水平比 HC 下降得更慢(p =.005),但在餐后 60 至 120 分钟内继续下降,而 HC 则趋于平稳(p =.005)。各组的空腹和PYY轨迹没有差异。调整体重指数百分位数(M(SD)ARFID = 37(35);M(SD)HC = 53(26);p =.006)或测试餐期间消耗的卡路里(M(SD)ARFID = 294(118);M(SD)HC = 384(48);p <.001)后,结果没有变化。这些数据突显了患有 ARFID 的青少年在进食测试餐后胃泌素的不同变化轨迹。未来的研究应将胃泌素功能障碍作为 ARFID 的病因或维持因素进行研究。
{"title":"Trajectory of ghrelin and PYY around a test meal in males and females with avoidant/restrictive food intake disorder versus healthy controls","authors":"Kaitlin N. Rozzell-Voss ,&nbsp;Kendra R. Becker ,&nbsp;Nassim Tabri ,&nbsp;Melissa J. Dreier ,&nbsp;Shirley B. Wang ,&nbsp;Megan Kuhnle ,&nbsp;Julia Gydus ,&nbsp;Helen Burton-Murray ,&nbsp;Lauren Breithaupt ,&nbsp;Franziska Plessow ,&nbsp;Debra Franko ,&nbsp;Kristine Hauser ,&nbsp;Elisa Asanza ,&nbsp;Madhusmita Misra ,&nbsp;Kamryn T. Eddy ,&nbsp;Laura Holsen ,&nbsp;Nadia Micali ,&nbsp;Jennifer J. Thomas ,&nbsp;Elizabeth A. Lawson","doi":"10.1016/j.psyneuen.2024.107063","DOIUrl":"10.1016/j.psyneuen.2024.107063","url":null,"abstract":"<div><p>Disruptions in appetite-regulating hormones may contribute to the development and/or maintenance of avoidant/restrictive food intake disorder (ARFID). No study has previously assessed fasting levels of orexigenic ghrelin or anorexigenic peptide YY (PYY), nor their trajectory in response to food intake among youth with ARFID across the weight spectrum. We measured fasting and postprandial (30, 60, 120 minutes post-meal) levels of ghrelin and PYY among 127 males and females with full and subthreshold ARFID (<em>n</em> = 95) and healthy controls (HC; <em>n =</em> 32). We used latent growth curve analyses to examine differences in the trajectories of ghrelin and PYY between ARFID and HC. Fasting levels of ghrelin did not differ in ARFID compared to HC. Among ARFID, ghrelin levels declined more gradually than among HC in the first hour post meal (<em>p =</em>.005), but continued to decline between 60 and 120 minutes post meal, whereas HC plateaued (<em>p =</em>.005). Fasting and PYY trajectory did not differ by group. Findings did not change after adjusting for BMI percentile (M(SD)<sub>ARFID</sub> = 37(35); M(SD)<sub>HC</sub> = 53(26); <em>p =</em>.006) or calories consumed during the test meal (M(SD)<sub>ARFID</sub> = 294(118); M(SD)<sub>HC</sub> = 384 (48); <em>p &lt;</em>.001). These data highlight a distinct trajectory of ghrelin following a test meal in youth with ARFID. Future research should examine ghrelin dysfunction as an etiological or maintenance factor of ARFID.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of oxytocin administration on social and routinized behaviors in autism: A preregistered systematic review and meta-analysis 催产素对自闭症患者社交行为和常规行为的影响:预先登记的系统综述和荟萃分析
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-05-04 DOI: 10.1016/j.psyneuen.2024.107067
Kristin Audunsdottir , Alina M. Sartorius , Heemin Kang , Bernt D. Glaser , Rune Boen , Terje Nærland , Kaat Alaerts , Emilie S.M. Kildal , Lars T. Westlye , Ole A. Andreassen , Daniel S. Quintana

Oxytocin administration has demonstrated considerable promise for providing individualized support for autistic people. However, studies evaluating the effects of oxytocin administration on autistic characteristics have yielded inconsistent results. This systematic review and meta-analysis investigates the effect of oxytocin administration on social and routinized behaviors in autism using recently developed methods to accurately assess the potential impact of effect size dependency and publication bias. Our frequentist meta-analysis yielded a significant summary effect size estimate for the impact of oxytocin administration on social outcomes in autism (d = 0.22, p < 0.001). The summary effect size estimate for routinized behavior outcomes was not statistically significant (d = 0.14, p = 0.22), with a follow up test indicating that the effect size estimate was not either statistically equivalent (Z = −1.06, p = 0.2), assuming a smallest effect size of interest of 0.25. Frequentist and Bayesian assessments for publication bias, as well as results from Robust Bayesian meta-analysis of oxytocin effects on social outcomes in autism, indicated that summary effect sizes might be inflated due to publication bias. Future studies should aim to reduce bias by preregistering analysis plans and to increase precision with larger sample sizes.

在为自闭症患者提供个性化支持方面,催产素的应用已显示出巨大的前景。然而,评估催产素对自闭症特征影响的研究结果并不一致。本系统综述和荟萃分析采用最新开发的方法,准确评估效应大小依赖性和发表偏倚的潜在影响,研究了催产素注射对自闭症患者社交行为和常规行为的影响。我们的频数主义荟萃分析得出了服用催产素对自闭症患者社交行为影响的显著效应规模估计值(d = 0.22,p < 0.001)。假定最小效应大小为 0.25,常规行为结果的效应大小估计值在统计学上不显著(d = 0.14,p = 0.22),后续测试表明效应大小估计值在统计学上也不等同(Z = -1.06,p = 0.2)。对发表偏倚的频数评估和贝叶斯评估,以及对催产素对自闭症患者社交结果影响的稳健贝叶斯荟萃分析结果表明,由于发表偏倚,汇总效应大小可能会被夸大。未来的研究应致力于通过预先登记分析计划来减少偏倚,并通过扩大样本量来提高精确度。
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引用次数: 0
Altered coordination between sleep timing and cortisol profiles in night working female hospital employees 夜间工作的医院女员工睡眠时间与皮质醇特征之间的协调发生变化
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-04-30 DOI: 10.1016/j.psyneuen.2024.107066
Katarzyna Burek , Sylvia Rabstein , Thomas Kantermann , Céline Vetter , Rui Wang-Sattler , Martin Lehnert , Dirk Pallapies , Karl-Heinz Jöckel , Thomas Brüning , Thomas Behrens

Background

Cortisol typically peaks in the morning after waking up and declines throughout the day, reaching its lowest levels during nighttime sleep. Shift work can cause misalignment between cortisol levels and sleep-wake timing. We analyzed this misalignment in female shift workers focusing on the timing and extent of these changes.

Methods

We conducted a cross-sectional study involving 68 shift workers (aged 37 ± 10 years) and 21 non-shift workers (aged 45 ± 10 years) from a hospital. Shift workers were monitored through two day shifts and three night shifts, whereas non-shift workers were monitored during two day shifts. Each participant collected six to eight saliva samples (depending on their shift type) and provided sleep timing information, which was recorded via polysomnography and sleep diaries. Generalized additive mixed models were used to estimate shift-specific differences in cortisol smooth curves. Summary measures calculated for the cortisol smooth curves included cortisol awakening response, peak-to-bed slope, and total output.

Results

Between shift workers and non-shift workers, we observed similar diurnal cortisol profiles with a steep negative diurnal slope during day shifts. In shift workers on night shifts, a flattened U-shaped cortisol profile after the post-awakening maximum was observed, with a peak-to-bed slope close to zero. When comparing night to day shifts in the group of shift workers, mean cortisol levels were lower between 42 and 56 minutes and 1.8–11.9 hours after waking up, and higher between 14.9 and 22 hours after waking up.

Conclusion

Our findings indicate altered cortisol profiles in female hospital employees on night shifts. Specifically, cortisol levels were lower at night when higher levels would typically be necessary for work activities, and higher at bedtime after a night shift, when levels should normally be low.

背景皮质醇通常在早晨起床后达到峰值,然后在一天中逐渐下降,在夜间睡眠时达到最低水平。轮班工作会导致皮质醇水平与睡眠-觉醒时间不一致。我们对女性轮班工人的这种错位进行了分析,重点研究了这些变化的时间和程度。方法我们进行了一项横断面研究,涉及一家医院的 68 名轮班工人(年龄为 37 ± 10 岁)和 21 名非轮班工人(年龄为 45 ± 10 岁)。轮班工人接受了两个白班和三个夜班的监测,而非轮班工人则接受了两个白班的监测。每位受试者收集了 6 至 8 份唾液样本(取决于其轮班类型),并提供了睡眠时间信息,这些信息通过多导睡眠图和睡眠日记记录下来。采用广义加性混合模型来估计皮质醇平滑曲线的轮班特异性差异。结果在轮班工人和非轮班工人之间,我们观察到了相似的皮质醇昼夜曲线,在白班期间,皮质醇昼夜曲线呈陡峭的负斜率。在夜班倒班工人中,我们观察到皮质醇曲线在觉醒后达到最大值后呈扁平的 U 形,峰值到床的斜率接近零。如果将夜班工人组与白班工人组进行比较,皮质醇的平均水平在睡醒后 42 至 56 分钟和 1.8 至 11.9 小时之间较低,而在睡醒后 14.9 至 22 小时之间较高。具体来说,皮质醇水平在夜间较低,而通常情况下工作活动需要较高的皮质醇水平;在夜班后就寝时较高,而通常情况下皮质醇水平应该较低。
{"title":"Altered coordination between sleep timing and cortisol profiles in night working female hospital employees","authors":"Katarzyna Burek ,&nbsp;Sylvia Rabstein ,&nbsp;Thomas Kantermann ,&nbsp;Céline Vetter ,&nbsp;Rui Wang-Sattler ,&nbsp;Martin Lehnert ,&nbsp;Dirk Pallapies ,&nbsp;Karl-Heinz Jöckel ,&nbsp;Thomas Brüning ,&nbsp;Thomas Behrens","doi":"10.1016/j.psyneuen.2024.107066","DOIUrl":"https://doi.org/10.1016/j.psyneuen.2024.107066","url":null,"abstract":"<div><h3>Background</h3><p>Cortisol typically peaks in the morning after waking up and declines throughout the day, reaching its lowest levels during nighttime sleep. Shift work can cause misalignment between cortisol levels and sleep-wake timing. We analyzed this misalignment in female shift workers focusing on the timing and extent of these changes.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study involving 68 shift workers (aged 37 ± 10 years) and 21 non-shift workers (aged 45 ± 10 years) from a hospital. Shift workers were monitored through two day shifts and three night shifts, whereas non-shift workers were monitored during two day shifts. Each participant collected six to eight saliva samples (depending on their shift type) and provided sleep timing information, which was recorded via polysomnography and sleep diaries. Generalized additive mixed models were used to estimate shift-specific differences in cortisol smooth curves. Summary measures calculated for the cortisol smooth curves included cortisol awakening response, peak-to-bed slope, and total output.</p></div><div><h3>Results</h3><p>Between shift workers and non-shift workers, we observed similar diurnal cortisol profiles with a steep negative diurnal slope during day shifts. In shift workers on night shifts, a flattened U-shaped cortisol profile after the post-awakening maximum was observed, with a peak-to-bed slope close to zero. When comparing night to day shifts in the group of shift workers, mean cortisol levels were lower between 42 and 56 minutes and 1.8–11.9 hours after waking up, and higher between 14.9 and 22 hours after waking up.</p></div><div><h3>Conclusion</h3><p>Our findings indicate altered cortisol profiles in female hospital employees on night shifts. Specifically, cortisol levels were lower at night when higher levels would typically be necessary for work activities, and higher at bedtime after a night shift, when levels should normally be low.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001100/pdfft?md5=6bce34a6dadb7402cfe972049de09015&pid=1-s2.0-S0306453024001100-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140879967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Sleep restriction promotes brain oxidative stress and inflammation, and aggravates cognitive impairment in insulin-resistant mice 限制睡眠会促进大脑氧化应激和炎症反应,加重胰岛素抵抗小鼠的认知功能障碍
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-04-29 DOI: 10.1016/j.psyneuen.2024.107065
Xu Zhao , Jiancong Lu , Jingyi Zhang , Ce Liu , Huijun Wang , Yan Wang , Qingfeng Du

Sleep deprivation and insulin resistance (IR) are two risk factors for Alzheimer's disease. As the population of people with IR increases and sleep restriction (SR) due to staying up late becomes the "new normal", it is necessary to investigate the effects and molecular pathogenesis of chronic SR on cognitive function in insulin resistance. In this study, 4-week-old mice were fed a high-fat diet (HFD) for 8 weeks to establish IR model, and then the mice were subjected to SR for 21 days, and related indicators were assessed, including cognitive capacity, apoptosis, oxidative stress, glial cell activation, inflammation, blood-brain barrier (BBB) permeability and adiponectin levels, for exploring the potential regulatory mechanisms. Compared with control group, IR mice showed impaired cognitive capacity, meanwhile, SR not only promoted Bax/Bcl2-induced hippocampal neuronal cell apoptosis and Nrf2/HO1- induced oxidative stress, but also increased microglia activation and inflammatory factor levels and BBB permeability, thus aggravating the cognitive impairment in IR mice. Consequently, changing bad living habits and ensuring sufficient sleep are important intervention strategies to moderate the aggravation of IR-induced cognitive impairment.

睡眠不足和胰岛素抵抗(IR)是阿尔茨海默病的两个风险因素。随着胰岛素抵抗人群的增加,熬夜导致的睡眠限制(SR)成为 "新常态",有必要研究慢性SR对胰岛素抵抗认知功能的影响和分子发病机制。本研究以4周龄小鼠为研究对象,采用高脂饮食(HFD)8周建立IR模型,然后对小鼠进行为期21天的睡眠限制,评估认知能力、细胞凋亡、氧化应激、神经胶质细胞活化、炎症、血脑屏障(BBB)通透性和脂联素水平等相关指标,探讨潜在的调控机制。与对照组相比,红外小鼠的认知能力受损,同时SR不仅促进了Bax/Bcl2诱导的海马神经细胞凋亡和Nrf2/HO1诱导的氧化应激,还增加了小胶质细胞的活化和炎症因子水平以及血脑屏障的通透性,从而加重了红外小鼠的认知障碍。因此,改变不良生活习惯和保证充足的睡眠是缓解红外诱导的认知障碍加重的重要干预策略。
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引用次数: 0
Affect variability and cortisol in context: The moderating roles of mean affect and stress 情境中的情感变异和皮质醇:平均情感和压力的调节作用
IF 3.7 2区 医学 Q1 Medicine Pub Date : 2024-04-29 DOI: 10.1016/j.psyneuen.2024.107064
Brooke N. Jenkins , Logan T. Martin , Hee Youn “Helen” Lee , John F. Hunter , Amanda M. Acevedo , Sarah D. Pressman

Positive and negative affect have been shown to have implications for hormones like cortisol but how moment to moment changes in affect (i.e., affect variability) influence cortisol secretion is less well understood. Additionally, context characteristics such as mean affect and stress may influence the association between affect variability and cortisol output. In the current study, we examined affect, stress, and cortisol data from 113 participants (age range = 25–63, M = 35.63, SD = 11.34; 29 % male; 42 % White/Caucasian, 37 % Asian or Pacific Islander, 13 % Hispanic/Latino, 4 % Black/African American, 1 % Native American, Eskimo, or Aleut, 4 % selected “other” for their race/ethnicity). Participants completed ecological momentary assessments assessing positive and negative affect and stress four times per day for five days and provided saliva samples at each time point. Saliva was assayed for cortisol, and area under the curve with respect to ground was computed. In a three-way interaction, both positive affect mean level and stress moderated the association between positive affect variability and cortisol (b = −1.55, t(100) = −3.29, SE = 0.47, p <.01, β = −4.05). When breaking down this three-way interaction, in the context of low stress and high mean positive affect, variability was positively related to total cortisol output. In contrast, in the context of high stress and high mean positive affect, variability was negatively related to total cortisol output. While greater positive affect variability is generally worse for health-relevant outcomes (as prior research has shown and as we show here at low levels of stress), at high levels of stress, fluctuation in affect may be adaptive. For someone experiencing a high stress week, having fluctuations in positive affect may mean that they are adaptively changing to meet their environmental needs especially when they typically report high mean positive affect levels. There were no associations between negative affect variability and cortisol secretion nor did mean negative affect or stress play a moderating role for negative affect variability. This study provides evidence that positive affect variability’s association with cortisol secretion throughout the day may vary based on stress and mean positive affect levels.

积极和消极情绪已被证明对皮质醇等荷尔蒙有影响,但人们对情绪的瞬间变化(即情绪变异性)如何影响皮质醇分泌还不甚了解。此外,平均情绪和压力等情境特征可能会影响情绪变化与皮质醇分泌之间的关联。在本研究中,我们检查了 113 名参与者(年龄范围 = 25-63,M = 35.63,SD = 11.34;29 % 为男性;42 % 为白人/高加索人,37 % 为亚洲人或太平洋岛民,13 % 为西班牙裔/拉丁美洲人,4 % 为黑人/非洲裔美国人,1 % 为美洲原住民、爱斯基摩人或阿留申人,4 % 的种族/族裔选择了 "其他")的情绪、压力和皮质醇数据。参与者在五天内每天完成四次生态瞬间评估,评估积极和消极情绪以及压力,并在每个时间点提供唾液样本。对唾液进行皮质醇检测,并计算与地面相关的曲线下面积。在三方交互作用中,积极情绪平均水平和压力都调节了积极情绪变异性与皮质醇之间的关联(b = -1.55, t(100) = -3.29, SE = 0.47, p <.01,β=-4.05)。如果细分这种三方交互作用,在低压力和高平均积极情绪的情况下,变异性与皮质醇总输出量呈正相关。相反,在高压力和高平均积极情绪的情况下,变异性与皮质醇总输出量呈负相关。虽然积极情绪变异性越大,通常对健康相关结果越不利(正如之前的研究以及我们在这里对低压力水平的研究所示),但在高压力水平下,情绪波动可能是适应性的。对于一周压力较大的人来说,积极情绪的波动可能意味着他们正在进行适应性改变,以满足环境需求,尤其是当他们通常报告的平均积极情绪水平较高时。消极情绪变异与皮质醇分泌之间没有关联,平均消极情绪或压力对消极情绪变异也没有调节作用。本研究提供的证据表明,积极情绪变异性与皮质醇分泌的全天关联可能会因压力和平均积极情绪水平的不同而不同。
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引用次数: 0
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Psychoneuroendocrinology
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