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Timing Matters: The Interplay between Early Mealtime, Circadian Rhythms, Gene Expression, Circadian Hormones, and Metabolism-A Narrative Review. 时间问题:早期Mealtime、昼夜节律、基因表达、昼夜节律激素和代谢之间的相互作用——叙事综述。
IF 3.1 Q2 Neuroscience Pub Date : 2023-09-06 DOI: 10.3390/clockssleep5030034
Ahmed S BaHammam, Abdulrouf Pirzada
Achieving synchronization between the central and peripheral body clocks is essential for ensuring optimal metabolic function. Meal timing is an emerging field of research that investigates the influence of eating patterns on our circadian rhythm, metabolism, and overall health. This narrative review examines the relationship between meal timing, circadian rhythm, clock genes, circadian hormones, and metabolic function. It analyzes the existing literature and experimental data to explore the connection between mealtime, circadian rhythms, and metabolic processes. The available evidence highlights the importance of aligning mealtime with the body’s natural rhythms to promote metabolic health and prevent metabolic disorders. Specifically, studies show that consuming meals later in the day is associated with an elevated prevalence of metabolic disorders, while early time-restricted eating, such as having an early breakfast and an earlier dinner, improves levels of glucose in the blood and substrate oxidation. Circadian hormones, including cortisol and melatonin, interact with mealtimes and play vital roles in regulating metabolic processes. Cortisol, aligned with dawn in diurnal mammals, activates energy reserves, stimulates appetite, influences clock gene expression, and synchronizes peripheral clocks. Consuming meals during periods of elevated melatonin levels, specifically during the circadian night, has been correlated with potential implications for glucose tolerance. Understanding the mechanisms of central and peripheral clock synchronization, including genetics, interactions with chronotype, sleep duration, and hormonal changes, provides valuable insights for optimizing dietary strategies and timing. This knowledge contributes to improved overall health and well-being by aligning mealtime with the body’s natural circadian rhythm.
实现中枢和外周生物钟之间的同步对于确保最佳代谢功能至关重要。用餐时间是一个新兴的研究领域,研究饮食模式对我们的昼夜节律、新陈代谢和整体健康的影响。这篇叙述性综述考察了用餐时间、昼夜节律、时钟基因、昼夜节律激素和代谢功能之间的关系。它分析了现有的文献和实验数据,以探索用餐时间、昼夜节律和代谢过程之间的联系。现有证据强调了使用餐时间与身体自然节奏相一致对促进代谢健康和预防代谢紊乱的重要性。具体而言,研究表明,在一天中晚些时候进食与代谢紊乱的患病率升高有关,而早期限制进食,如早点吃早餐和早点吃晚餐,可以提高血液中的葡萄糖水平和底物氧化。包括皮质醇和褪黑激素在内的昼夜节律激素与用餐时间相互作用,在调节代谢过程中发挥重要作用。皮质醇与昼行哺乳动物的黎明相一致,激活能量储备,刺激食欲,影响时钟基因表达,并使外周时钟同步。在褪黑激素水平升高的时期进食,特别是在昼夜节律的夜晚,与葡萄糖耐受性的潜在影响相关。了解中枢和外周时钟同步的机制,包括遗传学、与时间类型的相互作用、睡眠持续时间和激素变化,为优化饮食策略和时间提供了有价值的见解。这些知识通过使用餐时间与身体的自然昼夜节律相一致,有助于改善整体健康和幸福感。
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引用次数: 2
Keep It Simple: Using README Files to Advance Standardization in Chronobiology. 保持简单:使用自述文件推进时间生物学的标准化。
IF 3.1 Q2 Neuroscience Pub Date : 2023-08-30 DOI: 10.3390/clockssleep5030033
Tomasz Zieliński, James J L Hodge, Andrew J Millar

Standardization plays a crucial role in ensuring the reliability, reproducibility, and interoperability of research data in the biomedical sciences. Metadata standards are one foundation for the FAIR (Findable, Accessible, Interoperable, and Reusable) principles of data management. They facilitate data discovery, understanding, and reuse. However, the adoption of metadata standards in biological research lags in practice. Barriers such as complexity, lack of incentives, technical challenges, resource constraints, and resistance to change hinder widespread adoption. In the field of chronobiology, standardization is essential but faces particular challenges due to the longitudinal nature of experimental data, diverse model organisms, and varied measurement techniques. To address these challenges, we propose an approach that emphasizes simplicity and practicality: the development of README templates tailored for particular data types and species. Through this opinion article, our intention is to initiate a dialogue and commence a community-driven standardization process by engaging potential contributors and collaborators.

标准化在确保生物医学研究数据的可靠性、再现性和互操作性方面发挥着至关重要的作用。元数据标准是数据管理FAIR(可查找、可访问、可互操作和可重用)原则的基础之一。它们有助于数据发现、理解和重用。然而,生物学研究中元数据标准的采用在实践中滞后。诸如复杂性、缺乏激励、技术挑战、资源限制和对变革的抵制等障碍阻碍了广泛采用。在时间生物学领域,标准化是必不可少的,但由于实验数据的纵向性质、不同的模式生物和不同的测量技术,标准化面临着特殊的挑战。为了应对这些挑战,我们提出了一种强调简单性和实用性的方法:开发针对特定数据类型和物种的自述模板。通过这篇观点文章,我们的意图是通过吸引潜在的贡献者和合作者来发起对话,并开始社区驱动的标准化过程。
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引用次数: 0
Influence of the Human Field of View on Visual and Non-Visual Quantities in Indoor Environments. 人类视野对室内环境中视觉和非视觉量的影响。
IF 3.1 Q2 Neuroscience Pub Date : 2023-08-29 DOI: 10.3390/clockssleep5030032
Johannes Zauner, Kai Broszio, Karin Bieske

The visual and non-visual effectiveness of light is often determined by measuring the spectrally weighed irradiance on the corneal plane. This is typically achieved using spectral irradiance or illuminance measurements, captured in a hemispheric (2π) geometry with a diffuser. However, the human binocular field of view (FOV) is not a perfect hemisphere, as it is occluded both upward and downward. Previous research on FOV-restricted measurements is limited, leaving the error from using hemispheric measurements for non-visual quantities undefined. In our study, we tackled this issue by designing and 3D printing FOV occlusions as attachments to spectral measurement devices. We took measurements with and without the occlusion in various laboratory (light from different directions) and real-world lighting situations (light typically from above). Our findings reveal a reduction of visual and melanopic values due to the FOV occlusion. These ranged from negligible to more than 60% in realistic scenarios. Interestingly, the reduction was consistent for both visual and melanopic parameters, as the distribution of light in the FOV was generally spectrally homogeneous. An exception occurred in a specific artificial laboratory situation, where the melanopic daylight (D65) efficacy ratio changed by more than a factor of 2 solely because of the FOV occlusion. Additionally, we observed that head orientation had a marked effect on all quantities measured. In conclusion, our results highlight the potential for substantial errors when solely relying on vertical, hemispheric measurements in experiments and non-visual lighting design projects. We encourage the (additional) use of FOV occlusion in eye-level measurements for typical viewing directions, and we are providing open-source 3D-print files to facilitate this practice.

光的视觉和非视觉有效性通常通过测量角膜平面上的光谱加权辐照度来确定。这通常是通过光谱辐照度或照度测量来实现的,这些测量是在带有漫射器的半球(2π)几何形状中捕获的。然而,人类的双眼视野(FOV)并不是一个完美的半球,因为它向上和向下都被遮挡。先前对FOV限制测量的研究是有限的,对于非视觉量使用半球形测量的误差是不确定的。在我们的研究中,我们通过设计和3D打印FOV遮挡作为光谱测量设备的附件来解决这个问题。我们在各种实验室(来自不同方向的光)和真实世界的照明情况(通常来自上方的光)中进行了有遮挡和无遮挡的测量。我们的研究结果显示,由于FOV遮挡,视觉和黑色素值降低。在现实场景中,这一比例从微不足道到超过60%不等。有趣的是,视觉和黑色素参数的减少是一致的,因为FOV中的光分布通常在光谱上是均匀的。一个例外发生在一个特定的人工实验室情况下,其中黑色素性日光(D65)的功效比仅由于FOV遮挡而改变了2倍以上。此外,我们观察到头部方向对所有测量量都有显著影响。总之,我们的结果强调了在实验和非视觉照明设计项目中仅依赖垂直半球测量时可能出现的重大误差。我们鼓励在典型观看方向的眼睛水平测量中(额外)使用FOV遮挡,我们正在提供开源的3D打印文件来促进这种做法。
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引用次数: 0
34th Annual Meeting of the Society for Light Treatment and Biological Rhythms (SLTBR), 30 May-1 June, Lausanne, Switzerland. 第34届光处理与生物节律学会年会,5月30日至6月1日,瑞士洛桑。
IF 3.1 Q2 Neuroscience Pub Date : 2023-08-24 DOI: 10.3390/clockssleep5030031
Christian Cajochen

The Society for Light Treatment and Biological Rhythms (SLTBR) held this year's annual meeting at the Ecole Polytechnique Fédérale (EPFL) in Lausanne, Switzerland from 30 May to 1 June in conjunction with the Day Light Academy (DLA) [...].

光处理与生物节律学会(SLTBR)于5月30日至6月1日在瑞士洛桑理工学院(EPFL)与日光学院(DLA)联合举行了今年的年会[…]。
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引用次数: 0
Social Deprivation and Ethnicity Are Associated with More Problematic Sleep in Middle-Aged and Older Adults. 社会剥夺和种族与中老年睡眠问题有关
IF 3.1 Q2 Neuroscience Pub Date : 2023-08-07 DOI: 10.3390/clockssleep5030030
John A Groeger, Piril Hepsomali

Objectives: We test the hypothesis that the incidence of sleep problems is influenced by socio-demographic variables, particularly social deprivation and ethnicity. Methods: Self-reports of sleep duration and sleep difficulties (waking in the night, sleeping in the day, difficulty waking and snoring), personal wealth (household income, property-owning, etc.), ethnic group, employment, education, as well as post-code-based Townsend Social Deprivation, were extracted from UK Biobank's cohort of c500,000 British-domiciled adults (40-70 years). Analyses contrasted the incidence of different sleep problems and a composite measure of these (the Problematic Sleep Index) across groups. Results: Almost one-third of participants reported sleeping shorter (24.7%), or longer (7.7%) than age-corrected recommended sleep durations. The incidence of shorter or longer sleep increased with social deprivation and varied with ethnicity. Snoring, waking during the night, finding it difficult to get up in the morning and sleeping in the daytime were subject to similar effects. The Problematic Sleep Index showed being younger, male, employed, home-owning, having a higher household income, having a higher level of educational achievement, and time in education were all associated with better sleep, as was living in a more affluent area and being White. Conclusions: Sleep problems in Britain show a social gradient, independently of a range of other demographic and social influences, suggesting that sleep quality differs with and between ethnic groups. These sleep inequalities suggest that the protective and recuperative effects of sleep are disproportionately distributed across society and should encourage us to consider the potential benefits of community-specific sleep interventions.

目的:我们检验了睡眠问题的发生率受社会人口变量影响的假设,特别是社会剥夺和种族。方法:从英国生物银行(UK Biobank)的50万名英国成年(40-70岁)人群中提取自我报告的睡眠时间和睡眠困难(夜间醒来、白天睡眠、醒来困难和打鼾)、个人财富(家庭收入、拥有财产等)、种族、就业、教育以及基于后编码的Townsend社会剥夺。分析对比了不同睡眠问题的发生率,并对这些问题进行了综合衡量(睡眠问题指数)。结果:几乎三分之一的参与者报告睡眠时间比年龄校正后的推荐睡眠时间短(24.7%)或长(7.7%)。睡眠时间较短或较长的发生率随着社交剥夺而增加,并因种族而异。打鼾、夜间醒来、早上起不来以及白天睡觉都会受到类似的影响。睡眠问题指数显示,年轻、男性、有工作、有房、家庭收入高、受教育程度高、受教育时间长都与更好的睡眠有关,生活在更富裕的地区和白人也是如此。结论:英国的睡眠问题显示出一种社会梯度,独立于一系列其他人口统计学和社会影响,这表明不同种族之间的睡眠质量是不同的。这些睡眠不平等表明,睡眠的保护和恢复作用在整个社会中不成比例地分布,应该鼓励我们考虑社区特定睡眠干预的潜在好处。
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引用次数: 0
A Review of Evidence for the Involvement of the Circadian Clock Genes into Malignant Transformation of Thyroid Tissue. 生物钟基因参与甲状腺组织恶性转化的证据综述。
IF 3.1 Q2 Neuroscience Pub Date : 2023-07-13 DOI: 10.3390/clockssleep5030029
Arcady A Putilov, Elena V Budkevich, Roman O Budkevich

(1) Background: In 2013, the results of a pioneer study on abnormalities in the levels and circadian rhythmicity of expression of circadian clock genes in cancerous thyroid nodules was published. In the following years, new findings suggesting the involvement of circadian clockwork dysfunction into malignant transformation of thyroid tissue were gradually accumulating. This systematic review provides an update on existing evidence regarding the association of these genes with thyroid tumorigenesis. (2) Methods: Two bibliographic databases (Scopus and PubMed) were searched for articles from inception to 20 March 2023. The reference lists of previously published (nonsystematic) reviews were also hand-searched for additional relevant studies. (3) Results: Nine studies published between 2013 and 2022 were selected. In total, 9 of 12 tested genes were found to be either up- or downregulated. The list of such genes includes all families of core circadian clock genes that are the key components of three transcriptional-translational feedback loops of the circadian clock mechanism (BMAL1, CLOCK, NPAS2, RORα, REV-ERBα, PERs, CRYs, and DECs). (4) Conclusions: Examination of abnormalities in the levels and circadian rhythmicity of expression of circadian clock genes in thyroid tissue can help to reduce the rate of inadequate differential preoperative diagnosis for thyroid carcinoma.

(1)背景:2013年发表了一项关于甲状腺癌性结节中生物钟基因表达水平异常及昼夜节律性的先驱研究结果。在接下来的几年里,新的发现表明生物钟功能障碍参与甲状腺组织的恶性转化逐渐积累。本系统综述提供了关于这些基因与甲状腺肿瘤发生相关的现有证据的更新。(2)方法:检索Scopus和PubMed两大文献数据库,检索自建站至2023年3月20日的文献。先前发表的(非系统)综述的参考文献列表也被手工检索以寻找其他相关研究。(3)结果:选取2013 - 2022年间发表的9篇研究。总的来说,12个测试基因中有9个被发现是上调或下调的。这些基因包括核心生物钟基因的所有家族,它们是生物钟机制的三个转录-翻译反馈回路(BMAL1、clock、NPAS2、rora、rev - erba、PERs、CRYs和DECs)的关键组成部分。(4)结论:检查甲状腺组织中生物钟基因的表达水平和昼夜节律异常,有助于降低甲状腺癌术前鉴别诊断不充分的发生率。
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引用次数: 0
Better Mental Health and Sleep under Behavioral Restrictions Due to COVID-19 in Japanese University Students: A Cross-Sectional Survey. 日本大学生在COVID-19行为限制下更好的心理健康和睡眠:一项横断面调查。
IF 3.1 Q2 Neuroscience Pub Date : 2023-07-05 DOI: 10.3390/clockssleep5030028
Hideki Shimamoto, Masataka Suwa, Hiroyoshi Adachi, Manabu Adachi, Koh Mizuno

Coronavirus disease (COVID-19) is a global pandemic, which is not only a severe public health issue but also significantly impacts the physical activity, sleep habits, and mental health of university students. Thus, we examined the association between behavioral restrictions due to COVID-19 and sleep patterns and mental health in first-year Japanese university students. Four hundred and twenty-two students (253 males and 169 females; age, 18.7 ± 1.0 years) participated in our questionnaire study. Under the behavioral restrictions due to COVID-19, 193 students (127 males and 66 females) responded to the questionnaire online from home. The participants did not visit the university during the survey period. The data acquired the year before the COVID-19 pandemic (2018 and 2019) were used as control data (126 males and 103 females). The questionnaire consisted of four sections: (1) demographic and lifestyle variables, (2) the Pittsburgh Sleep Quality Index, (3) the Japanese version of the Epworth Sleepiness Scale, and (4) the Patient Health Questionnaire-9. Our data revealed that self-restraint due to COVID-19 was associated with better sleep and mental health. In addition, mental health was independent of sleep, while sleep was related to mental health. These differences were more pronounced in male than in female students. This finding could be due to physical activity at night, part-time work, and long commuting times during the pre-pandemic period.

新型冠状病毒病(COVID-19)是一种全球性流行病,它不仅是一个严重的公共卫生问题,而且对大学生的身体活动、睡眠习惯和心理健康产生了重大影响。因此,我们研究了日本一年级大学生因COVID-19导致的行为限制与睡眠模式和心理健康之间的关系。422名学生(男253名,女169名);年龄(18.7±1.0岁)参加问卷调查。在新冠肺炎疫情的行为限制下,193名学生(男生127名,女生66名)在家在线填写了问卷。在调查期间,参与者没有访问大学。使用2019冠状病毒病大流行前一年(2018年和2019年)获得的数据作为对照数据(126名男性和103名女性)。问卷由四个部分组成:(1)人口统计和生活方式变量,(2)匹兹堡睡眠质量指数,(3)日本版Epworth嗜睡量表,(4)患者健康问卷-9。我们的数据显示,COVID-19导致的自我约束与更好的睡眠和心理健康有关。此外,心理健康与睡眠无关,而睡眠与心理健康相关。这些差异在男学生中比在女学生中更为明显。这一发现可能是由于大流行前期间夜间体力活动、兼职工作和通勤时间长。
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引用次数: 0
Time Spent Outdoors and Associations with Sleep, Optimism, Happiness and Health before and during the COVID-19 Pandemic in Austria. 在奥地利COVID-19大流行之前和期间,户外活动时间与睡眠、乐观、幸福和健康的关系
IF 3.1 Q2 Neuroscience Pub Date : 2023-06-25 DOI: 10.3390/clockssleep5030027
Simon Schamilow, Isabel Santonja, Jakob Weitzer, Susanne Strohmaier, Gerhard Klösch, Stefan Seidel, Eva Schernhammer, Kyriaki Papantoniou

Social restriction measures (SRM) implemented during the COVID-19 pandemic led to a reduction in time spent outdoors (TSO). The aim of this study was to describe TSO and evaluate its association with sleep outcomes, optimism, happiness and health-status before and during SRM. Two online surveys were conducted in 2017 (N = 1004) and 2020, during SRM (N = 1010), in samples representative of the age, sex and region of the Austrian population. Information on the duration of TSO, sleep, optimism, happiness and health-status was collected. Multivariable-adjusted logistic regression models were used to study the association of TSO with chronic insomnia, short sleep, late chronotype, optimism, happiness and self-rated health-status. The mean TSO was 3.6 h (SD: 2.18) in 2017 and 2.6 h (SD: 1.87) during times of SRM. Men and participants who were older, married or in a partnership and lived in a rural area reported longer TSO. Participants who spent less time outdoors were more likely to report short sleep or a late chronotype in both surveys and, in 2020, also chronic insomnia. Less TSO was associated with lower happiness and optimism levels and poor health-status. Our findings suggest that TSO may be a protective factor for sleep, mood and health, particularly during stressful and uncertain times.

在COVID-19大流行期间实施的社会限制措施(SRM)导致户外活动时间(TSO)减少。本研究的目的是描述TSO,并评估其与睡眠结果、乐观、幸福和健康状况在SRM之前和期间的关系。2017年(N = 1004)和2020年SRM期间(N = 1010)进行了两次在线调查,样本代表了奥地利人口的年龄、性别和地区。收集了关于TSO持续时间、睡眠、乐观、快乐和健康状况的信息。采用多变量调整logistic回归模型研究TSO与慢性失眠、短睡眠、晚睡眠型、乐观、快乐和自评健康状况的关系。2017年平均TSO为3.6 h (SD: 2.18), SRM时段平均TSO为2.6 h (SD: 1.87)。年龄较大、已婚或有伴侣且居住在农村地区的男性和参与者报告的TSO更长。在这两项调查中,户外活动时间较少的参与者更有可能报告睡眠不足或睡眠类型较晚,到2020年,慢性失眠症也会出现。较低的TSO与较低的幸福感和乐观水平以及较差的健康状况有关。我们的研究结果表明,TSO可能是睡眠、情绪和健康的保护因素,尤其是在压力大、不确定的时候。
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引用次数: 0
The Timing of the Melatonin Onset and Phase Angle to Sleep Onset in Older Adults after Uncontrolled vs. Controlled Lighting Conditions. 老年人在不受控制与受控制的照明条件下褪黑激素的起始时间和与睡眠起始时间的相位角。
IF 2.1 Q3 CLINICAL NEUROLOGY Pub Date : 2023-06-25 DOI: 10.3390/clockssleep5030026
Arturo Arrona-Palacios, Jung-Hie Lee, Charles A Czeisler, Jeanne F Duffy

The main aim of this study was to explore how melatonin onset timing and phase angle to bedtime in healthy older adults are impacted by prior light exposure. A total of 13 healthy older (ages 56-74) individuals were studied on two successive evenings. Prior to the first evening, the participants were in self-selected lighting conditions for the first 4-6 h of the day and then were in dim light (3 lux) until their scheduled bedtime. On the second day, individuals from Project A remained in the dim lighting conditions throughout the entire day but those in Project B were in more typical indoor lighting (~90 lux) throughout the day. On both evenings, hourly blood samples were collected and assayed for melatonin, and melatonin onset timing and phase angle to sleep onset was determined. Overall, melatonin onset was earlier and the phase angle was larger on Night 1 than on Night 2. In Project A there was no significant difference between melatonin onset on night 1 vs. night 2. However, in Project B melatonin onset was significantly later on Night 2 (in typical indoor lighting) than on Night 1 (in dim lighting). Our results suggest that in older people, uncontrolled bright light early in the day did not impact the timing of dim light melatonin onset (DLMO) when assessed later that same evening. However, in older adults, exposure to ordinary room light during melatonin phase assessment appeared to suppress melatonin, leading to a later observed time of melatonin onset, as has been reported previously for young adults.

本研究的主要目的是探讨健康老年人的褪黑激素起始时间和与睡前的相位角如何受到之前光照的影响。共有 13 名健康的老年人(56-74 岁)在连续两个晚上接受了研究。在第一个晚上之前,参与者在一天中的前 4-6 小时都处于自我选择的照明条件下,然后在昏暗的光线(3 勒克斯)下直到预定的就寝时间。第二天,项目 A 的参与者全天都处于昏暗的照明条件下,但项目 B 的参与者全天都处于更典型的室内照明条件下(约 90 勒克斯)。在这两天的晚上,每小时采集血液样本并进行褪黑激素检测,确定褪黑激素的起始时间和与睡眠起始的相位角。总体而言,与第二晚相比,第一晚的褪黑激素开始时间更早,相位角更大。在项目 A 中,第 1 夜与第 2 夜的褪黑激素起始时间没有明显差异,但在项目 B 中,第 2 夜(典型室内照明)的褪黑激素起始时间明显晚于第 1 夜(昏暗照明)。我们的研究结果表明,对于老年人来说,白天早些时候不受控制的强光不会影响当晚晚些时候评估的暗光褪黑激素开始时间(DLMO)。然而,对于老年人来说,在褪黑激素阶段评估期间暴露在普通室内光线下似乎会抑制褪黑激素,从而导致观察到的褪黑激素开始时间推迟,这与之前有关年轻人的报道一样。
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引用次数: 0
The Burden of Comorbidities in Obstructive Sleep Apnea and the Pathophysiologic Mechanisms and Effects of CPAP. 阻塞性睡眠呼吸暂停合并症的负担及CPAP的病理生理机制和作用。
IF 3.1 Q2 Neuroscience Pub Date : 2023-06-19 DOI: 10.3390/clockssleep5020025
Victoria Sircu, Silvia-Iaroslava Colesnic, Serghei Covantsev, Olga Corlateanu, Anna Sukhotko, Cristian Popovici, Alexandru Corlateanu

Micro-arousals and the repeated desaturation of oxyhemoglobin, which are typical in obstructive sleep apnea syndrome (OSAS), have adverse effects on the health of patients, leading to a wide range of complications such as cardiovascular (arterial hypertension, pulmonary hypertension, chronic heart failure, arrhythmias, myocardial infarction), cerebrovascular (strokes), metabolic (insulin resistance, obesity, diabetes mellitus, metabolic syndrome), gastrointestinal (non-alcoholic liver disease), urinary (chronic renal failure), and neuropsychiatric complications as well as a wide range of malignancies. These, in turn, have multilateral effects on familial, occupational, and social life, as well as increasing the risks of road traffic accidents and accidents at the workplace. Awareness, timely screening, and the prevention of complications play important roles in diagnosing and treating comorbid conditions. This review focuses on comorbidities in OSAS and the effect of Continuous Positive Airway Pressure (CPAP) therapy on their prognoses.

阻塞性睡眠呼吸暂停综合征(OSAS)典型的微觉醒和氧合血红蛋白反复去饱和对患者健康有不良影响,导致广泛的并发症,如心血管(动脉高血压、肺动脉高压、慢性心力衰竭、心律失常、心肌梗死)、脑血管(中风)、代谢(胰岛素抵抗、肥胖、糖尿病、代谢综合征)、胃肠道(非酒精性肝病)、泌尿系统(慢性肾衰竭)和神经精神并发症以及各种恶性肿瘤。这反过来又对家庭、职业和社会生活产生多方面影响,并增加道路交通事故和工作场所事故的风险。认识、及时筛查和预防并发症在诊断和治疗合并症中起着重要作用。本文综述了OSAS的合并症以及持续气道正压通气(CPAP)治疗对其预后的影响。
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引用次数: 1
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Clocks & Sleep
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