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Effects on Sleep Quality of Physical Exercise Programs in Older Adults: A Systematic Review and Meta-Analysis. 体育锻炼对老年人睡眠质量的影响:系统回顾和荟萃分析。
IF 3.1 Q2 Neuroscience Pub Date : 2023-03-23 DOI: 10.3390/clockssleep5020014
Lilian Solis-Navarro, Olga Masot, Rodrigo Torres-Castro, Matías Otto-Yáñez, Carles Fernández-Jané, Mireia Solà-Madurell, Andrea Coda, Erika Cyrus-Barker, Mercè Sitjà-Rabert, Laura Mónica Pérez

Background: Given the beneficial effects of exercise in different populations and the close relationship between healthy ageing and sleep quality, our objective was to determine if physical exercise delivered through a structured program improves sleep quality in older adults.

Methods: Embase, PubMed/MEDLINE, Web of Science, and Cochrane Register of Clinical Trials (CENTRAL) were searched to 15 January 2023. Studies that applied physical exercise programs in older adults were reviewed. Two independent reviewers analysed the studies, extracted the data, and assessed the quality of evidence.

Results: Of the 2599 reports returned by the initial search, 13 articles reporting on 2612 patients were included in the data synthesis. The articles used interventions based on yoga (n = 5), multicomponent exercise (n = 3), walking (n = 2), cycling (n = 1), pilates (n = 1), elastic bands (n = 1), and healthy beat acupunch (n = 1). In the intervention group, we found significant improvement in Pittsburgh sleep quality index of -2.49 points (95% CI -3.84 to -1.14) in comparison to the control group (p = 0.0003) and sleep efficiency measured with objective instruments (MD 1.18%, 95% CI 0.86 to 1.50%, p < 0.0001).

Conclusion: Our results found that physical exercise programs in older adults improve sleep quality and efficiency measured with objective instruments.

背景:鉴于运动对不同人群的有益影响以及健康老龄化与睡眠质量之间的密切关系,我们的目标是确定通过有组织的计划进行体育锻炼是否能改善老年人的睡眠质量。方法:检索Embase、PubMed/MEDLINE、Web of Science和Cochrane Register of Clinical Trials (CENTRAL),截止到2023年1月15日。本文回顾了在老年人中应用体育锻炼项目的研究。两名独立审稿人分析了这些研究,提取了数据,并评估了证据的质量。结果:在初始检索返回的2599篇报告中,13篇报告2612例患者的文章被纳入数据综合。文章使用干预措施基于瑜伽(n = 5),多组分运动(n = 3),步行(n = 2),自行车(n = 1),普拉提(n = 1),松紧带(n = 1),和健康击败acupunch (n = 1)。干预组,我们发现显著改善在匹兹堡睡眠质量指数-2.49点(95% CI -3.84 - -1.14)相比,对照组(p = 0.0003)和睡眠效率与客观测量仪器(MD 1.18%, 95%可信区间0.86到1.50%,p < 0.0001)。结论:我们的研究结果发现,通过客观仪器测量,老年人的体育锻炼项目改善了睡眠质量和效率。
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引用次数: 1
Determinants of Health Inequalities in Iran and Saudi Arabia: A Systematic Review of the Sleep Literature. 伊朗和沙特阿拉伯健康不平等的决定因素:睡眠文献的系统回顾。
IF 3.1 Q2 Neuroscience Pub Date : 2023-03-22 DOI: 10.3390/clockssleep5010013
Comsar Ndiaye, Yosr Ayedi, Faustin Armel Etindele Sosso

Sleep health inequalities represent an increasing public health concern. Among multiple determinants affecting sleep health, there is people's socioeconomic status (SES), and no systematic review on the relationship between SES and sleep health has been previously conducted in Iran and Saudi Arabia. Following the Prisma protocol, ten articles were selected. Findings revealed that the combined number of participants was N = 37,455 participants, including 73.23% of children and adolescents (n = 27,670) and 26.77% of adults (n = 10,026). The smallest sample was N = 715 and the larger was N = 13,486. In all these studies, sleep variables were assessed using self-reported questionnaires. The studies conducted in Iran assessed the risk of obstructive sleep apnea (OSA), while those in Saudi Arabia were interested in sleep duration, nap time, bedtime, rise time and insomnia. The studies performed on adult populations in Iran and Saudi Arabia concluded that there is no significant association between SES determinants and sleep components in adult populations. One study in Iran found a significant association between parent's low SES and children and adolescent insomnia; and one study in Saudi Arabia found a significant association between the father's education and the longer sleep duration of their children. More longitudinal studies are necessary to establish a causal relationship between public health policies and sleep health inequalities. An extension of the investigation to more sleep disturbances is required to cover the entirety of sleep health inequalities in Iran and Saudi Arabia.

睡眠健康方面的不平等日益引起公众对健康的关注。在影响睡眠健康的多个决定因素中,有一个因素是人们的社会经济地位(SES),此前在伊朗和沙特阿拉伯没有对社会经济地位与睡眠健康之间的关系进行系统评价。按照Prisma方案,选择了10篇文章。结果显示,总共有37,455名参与者,其中包括73.23%的儿童和青少年(N = 27,670)和26.77%的成年人(N = 10,026)。最小样本N = 715,较大样本N = 13486。在所有这些研究中,睡眠变量都是通过自我报告的问卷来评估的。在伊朗进行的研究评估了阻塞性睡眠呼吸暂停(OSA)的风险,而沙特阿拉伯的研究则对睡眠时间、午睡时间、就寝时间、起床时间和失眠感兴趣。对伊朗和沙特阿拉伯的成年人进行的研究得出结论,在成年人中,社会经济地位决定因素和睡眠成分之间没有显著的关联。伊朗的一项研究发现,父母的低社会经济地位与儿童和青少年失眠症之间存在显著关联;沙特阿拉伯的一项研究发现,父亲的教育程度与孩子较长的睡眠时间之间存在显著关联。需要更多的纵向研究来确定公共卫生政策与睡眠健康不平等之间的因果关系。需要将调查范围扩大到更多的睡眠障碍,以全面覆盖伊朗和沙特阿拉伯的睡眠健康不平等。
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引用次数: 0
Light as a Modulator of Non-Image-Forming Brain Functions-Positive and Negative Impacts of Increasing Light Availability. 光作为非成像脑功能的调制器——增加光可用性的正面和负面影响。
IF 3.1 Q2 Neuroscience Pub Date : 2023-03-17 DOI: 10.3390/clockssleep5010012
Islay Campbell, Roya Sharifpour, Gilles Vandewalle

Light use is rising steeply, mainly because of the advent of light-emitting diode (LED) devices. LEDs are frequently blue-enriched light sources and may have different impacts on the non-image forming (NIF) system, which is maximally sensitive to blue-wavelength light. Most importantly, the timing of LED device use is widespread, leading to novel light exposure patterns on the NIF system. The goal of this narrative review is to discuss the multiple aspects that we think should be accounted for when attempting to predict how this situation will affect the NIF impact of light on brain functions. We first cover both the image-forming and NIF pathways of the brain. We then detail our current understanding of the impact of light on human cognition, sleep, alertness, and mood. Finally, we discuss questions concerning the adoption of LED lighting and screens, which offer new opportunities to improve well-being, but also raise concerns about increasing light exposure, which may be detrimental to health, particularly in the evening.

光的使用量急剧上升,主要是因为发光二极管(LED)器件的出现。led通常是富含蓝色的光源,可能对非成像(NIF)系统产生不同的影响,该系统对蓝色波长光最敏感。最重要的是,LED器件使用的时间是广泛的,导致NIF系统上新的光暴露模式。这篇叙述性综述的目的是讨论我们认为在试图预测这种情况将如何影响光对大脑功能的NIF影响时应该考虑的多个方面。我们首先介绍大脑的图像形成和NIF通路。然后,我们详细介绍了我们目前对光对人类认知、睡眠、警觉性和情绪的影响的理解。最后,我们讨论了有关采用LED照明和屏幕的问题,这为改善健康提供了新的机会,但也引起了人们对增加光照的担忧,这可能对健康有害,特别是在晚上。
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引用次数: 4
Motus Vita Est: Fruit Flies Need to Be More Active and Sleep Less to Adapt to Either a Longer or Harder Life. 生命动力:果蝇需要更多的活动和更少的睡眠来适应更长或更艰难的生活。
IF 3.1 Q2 Neuroscience Pub Date : 2023-03-03 DOI: 10.3390/clockssleep5010011
Lyudmila P Zakharenko, Dmitrii V Petrovskii, Margarita A Bobrovskikh, Nataly E Gruntenko, Ekaterina Y Yakovleva, Alexander V Markov, Arcady A Putilov

Background: Activity plays a very important role in keeping bodies strong and healthy, slowing senescence, and decreasing morbidity and mortality. Drosophila models of evolution under various selective pressures can be used to examine whether increased activity and decreased sleep duration are associated with the adaptation of this nonhuman species to longer or harder lives.

Methods: For several years, descendants of wild flies were reared in a laboratory without and with selection pressure. To maintain the "salt" and "starch" strains, flies from the wild population (called "control") were reared on two adverse food substrates. The "long-lived" strain was maintained through artificial selection for late reproduction. The 24 h patterns of locomotor activity and sleep in flies from the selected and unselected strains (902 flies in total) were studied in constant darkness for at least, 5 days.

Results: Compared to the control flies, flies from the selected strains demonstrated enhanced locomotor activity and reduced sleep duration. The most profound increase in locomotor activity was observed in flies from the starch (short-lived) strain. Additionally, the selection changed the 24 h patterns of locomotor activity and sleep. For instance, the morning and evening peaks of locomotor activity were advanced and delayed, respectively, in flies from the long-lived strain.

Conclusion: Flies become more active and sleep less in response to various selection pressures. These beneficial changes in trait values might be relevant to trade-offs among fitness-related traits, such as body weight, fecundity, and longevity.

背景:运动在保持身体强壮和健康、延缓衰老、降低发病率和死亡率方面起着非常重要的作用。果蝇在各种选择压力下的进化模型可以用来研究活动的增加和睡眠时间的减少是否与这种非人类物种适应更长或更艰难的生活有关。方法:多年来,在实验室无选择压力和有选择压力的条件下饲养野生蝇的后代。为了维持“盐”和“淀粉”菌株,野生种群(称为“对照”)的苍蝇在两种不利的食物基质上饲养。这种“长寿”的菌株是通过人工选择来维持后期繁殖的。选择和未选择品系(共902只)的果蝇在持续黑暗中进行至少5天的运动活动和睡眠24小时模式研究。结果:与对照蝇相比,来自选定品系的蝇表现出增强的运动活动和减少的睡眠时间。在淀粉(短命)菌株的果蝇中观察到运动活动最显著的增加。此外,选择改变了24小时运动活动和睡眠模式。例如,来自长寿品系的果蝇,早上和晚上的运动活动高峰分别提前和延迟。结论:在不同的选择压力下,果蝇变得更活跃,睡眠更少。性状值的这些有益变化可能与与健康相关的性状(如体重、繁殖力和寿命)之间的权衡有关。
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引用次数: 0
Obituary for Dr. Konstantin Danilenko (19.03.1962-18.01.2023). 康斯坦丁·达尼连科博士(19.03.1962-18.01.2023)的讣告。
IF 3.1 Q2 Neuroscience Pub Date : 2023-03-02 DOI: 10.3390/clockssleep5010010
Arcady A Putilov

Dr [...].

博士[…]。
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引用次数: 0
Creating the Cave: Conducting Circadian Science in Early Childhood. 创造洞穴:在儿童早期进行昼夜节律科学。
IF 3.1 Q2 Neuroscience Pub Date : 2023-02-20 DOI: 10.3390/clockssleep5010009
Lauren E Hartstein, Sachi D Wong, Leen Abbas, Sophia Choubai, Jonah N Wilson, Trace Jablin, Monique K LeBourgeois

In humans, physiological outputs of the body's internal clock (i.e., saliva, serum, and temperature) can be collected to quantify the timing of the circadian system. In-lab assessment of salivary melatonin in a dimly lit environment is a common approach for adolescents and adults; however, the reliable measurement of melatonin onset in toddlers and preschoolers requires a modification of laboratory methods. For > 15 years, we have successfully collected data from ~250 in-home dim light melatonin onset (DLMO) assessments of children aged 2-5 years. Although in-home studies of circadian physiology may introduce a host of challenges and may increase the risk of incomplete data (e.g., accidental light exposure), in-home studies afford more comfort (e.g., less arousal in children) and flexibility for families. Here, we provide effective tools and strategies to assess children's DLMO, a reliable marker of circadian timing, through a rigorous in-home protocol. We first describe our basic approach, including the study protocol, collection of actigraphy data, and strategies for training child participants to complete procedures. Next, we detail how to convert the home into a "cave", or dim-light environment, and present guidelines for timing the salivary data collection. Lastly, we provide helpful tips to increase participants' compliance based upon behavioral and developmental science tenets.

在人类中,可以收集人体内部时钟的生理输出(即唾液、血清和温度)来量化昼夜节律系统的时间。在昏暗的环境中对唾液褪黑素的实验室评估是青少年和成人的常用方法;然而,对幼儿和学龄前儿童褪黑激素的可靠测量需要对实验室方法进行修改。在超过15年的时间里,我们成功地收集了约250例2-5岁儿童在家中昏暗灯光下褪黑激素起效(DLMO)评估的数据。尽管昼夜生理学的家庭研究可能会带来许多挑战,并可能增加数据不完整的风险(例如,意外的光照),但家庭研究提供了更多的舒适(例如,儿童的唤醒较少)和家庭的灵活性。在这里,我们提供了有效的工具和策略来评估儿童DLMO,这是一个可靠的昼夜节律标记,通过严格的家庭协议。我们首先描述了我们的基本方法,包括研究方案、活动记录仪数据的收集和训练儿童参与者完成程序的策略。接下来,我们详细介绍了如何将家庭转变为“洞穴”或昏暗的环境,并提出了唾液数据收集时间的指导方针。最后,根据行为和发展科学的原则,我们提供了一些有用的建议来提高参与者的依从性。
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引用次数: 1
Does Motor Memory Reactivation through Practice and Post-Learning Sleep Modulate Consolidation? 通过练习和学习后睡眠激活运动记忆是否能调节巩固?
IF 3.1 Q2 Neuroscience Pub Date : 2023-02-17 DOI: 10.3390/clockssleep5010008
Whitney Stee, Philippe Peigneux

Retrieving previously stored information makes memory traces labile again and can trigger restabilization in a strengthened or weakened form depending on the reactivation condition. Available evidence for long-term performance changes upon reactivation of motor memories and the effect of post-learning sleep on their consolidation remains scarce, and so does the data on the ways in which subsequent reactivation of motor memories interacts with sleep-related consolidation. Eighty young volunteers learned (Day 1) a 12-element Serial Reaction Time Task (SRTT) before a post-training Regular Sleep (RS) or Sleep Deprivation (SD) night, either followed (Day 2) by morning motor reactivation through a short SRTT testing or no motor activity. Consolidation was assessed after three recovery nights (Day 5). A 2 × 2 ANOVA carried on proportional offline gains did not evidence significant Reactivation (Morning Reactivation/No Morning Reactivation; p = 0.098), post-training Sleep (RS/SD; p = 0.301) or Sleep*Reactivation interaction (p = 0.257) effect. Our results are in line with prior studies suggesting a lack of supplementary performance gains upon reactivation, and other studies that failed to disclose post-learning sleep-related effects on performance improvement. However, lack of overt behavioural effects does not detract from the possibility of sleep- or reconsolidation-related covert neurophysiological changes underlying similar behavioural performance levels.

检索以前存储的信息会使记忆轨迹再次不稳定,并可能根据重新激活条件以增强或减弱的形式触发重新激活。关于运动记忆重新激活后长期表现变化以及学习后睡眠对其巩固的影响的现有证据仍然很少,关于随后运动记忆的重新激活与睡眠相关巩固相互作用的数据也很少。80名年轻志愿者在训练后的常规睡眠(RS)或睡眠剥夺(SD)之夜之前(第1天)学习了一项由12个元素组成的连续反应时间任务(SRTT),然后(第2天)通过短暂的SRTT测试或无运动活动进行晨动再激活。在三个恢复之夜(第5天)后评估合并情况。按比例离线增益进行的2×2 ANOVA没有证明显著的再激活(早晨再激活/没有早晨再激活;p=0.098)、训练后睡眠(RS/SD;p=0.301)或睡眠*再激活交互作用(p=0.257)效应。我们的研究结果与先前的研究一致,先前的研究表明,重新激活后缺乏补充的成绩提升,而其他研究则未能揭示学习后睡眠对成绩提升的相关影响。然而,缺乏明显的行为影响并没有降低类似行为表现水平下与睡眠或再巩固相关的隐蔽神经生理学变化的可能性。
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引用次数: 0
Cavefishes in Chronobiological Research: A Narrative Review. 洞穴鱼的时间生物学研究述评。
IF 3.1 Q2 Neuroscience Pub Date : 2023-02-10 DOI: 10.3390/clockssleep5010007
Vera V Pavlova, Viacheslav V Krylov

Cavefish are vertebrates living in extreme subterranean environments with no light, temperature changes, and limited food. Circadian rhythms in these fish are suppressed in natural habitats. However, they can be found in artificial light-dark cycles and other zeitgebers. The molecular circadian clock has its peculiarities in cavefish. In Astyanax mexicanus, the core clock mechanism is tonically repressed in the caves due to the overactivation of the light input pathway. A lack of functional light input pathway but rather the entrainment of circadian genes' expression by scheduled feeding were revealed in more ancient Phreatichthys andruzzii. Different evolutionarily determined irregularities in the functioning of molecular circadian oscillators can be expected in other cavefish. The unique property of some species is the existence of surface and cave forms. Along with the ease of maintenance and breeding, it made cavefish a promising model for chronobiological studies. At the same time, a divergence of the circadian system between cavefish populations requires the strain of origin to be indicated in further research.

洞穴鱼是一种脊椎动物,生活在极端的地下环境中,没有光线,温度变化,食物有限。这些鱼的昼夜节律在自然栖息地受到抑制。然而,它们可以在人工明暗循环和其他授时细胞中找到。洞穴鱼的分子生物钟有其独特之处。在Astyanax mexicanus中,由于光输入途径的过度激活,核心时钟机制在洞穴中被强直性抑制。在更古老的比目鱼和ruzzii中发现,缺乏功能性的光输入途径,而是通过定时摄食介导了昼夜节律基因的表达。在分子昼夜节律振荡器的功能中,不同的进化决定的不规则性可以预期在其他洞穴鱼类中。某些物种的独特性质是地表和洞穴形式的存在。由于易于维护和繁殖,洞穴鱼成为时间生物学研究的一个有希望的模型。与此同时,洞穴鱼种群之间昼夜节律系统的差异需要在进一步的研究中指出起源菌株。
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引用次数: 1
The Influence of Light and Physical Activity on the Timing and Duration of Sleep: Insights from a Natural Model of Dance Training in Shifts. 光照和体力活动对睡眠时间和持续时间的影响:来自轮班舞蹈训练自然模型的见解。
IF 3.1 Q2 Neuroscience Pub Date : 2023-01-31 DOI: 10.3390/clockssleep5010006
Ignacio Estevan, Natalia Coirolo, Bettina Tassino, Ana Silva

Environmental, social, and behavioral variables influence sleep timing and duration. Using wrist-worn accelerometers, we recorded 31 dancers (age = 22.6 ± 3.5) for 17 days and who trained either in the morning (n = 15) or in the late evening (n = 16). We estimated the dancers' daily sleep pattern: onset, end, and duration. In addition, their minutes of moderate-to-vigorous physical activity (MVPA) and mean light illuminance were also calculated daily and for the morning-shift and late-evening-shift time windows. On training days, the shifts involved differences in sleep timing, alarm-driven waking frequency, and the pattern of light exposure and MVPA duration. Sleep was strongly advanced when dancers trained in the morning and when alarms were used, while morning light had a low influence. Sleep was delayed when dancers were more exposed to light and displayed longer MVPA during the late evening. Sleep duration was strongly reduced on weekends and when alarms were used. A small reduction in sleep duration was also observed when morning illuminance was lower or when late evening MVPA was longer. Training in shifts influenced the timing of environmental and behavioral factors, which added up to shape dancers' sleep timing and duration.

环境、社会和行为变量影响睡眠时间和持续时间。使用腕带加速度计,我们记录了31名舞者(年龄= 22.6±3.5),为期17天,他们在早上(n = 15)或深夜(n = 16)训练。我们估计了舞者每天的睡眠模式:开始、结束和持续时间。此外,还计算了他们每天的中高强度身体活动分钟数(MVPA)和平均照度,并计算了早班和晚班时间窗口。在训练日,这些变化涉及睡眠时间、闹钟驱动的唤醒频率、光照模式和MVPA持续时间的差异。当舞者在早晨训练和使用闹钟时,睡眠会大大提前,而晨光对睡眠的影响较小。当舞者在深夜更多地暴露在光线下并表现出更长的MVPA时,睡眠就会推迟。在周末和使用闹钟时,睡眠时间明显缩短。当早晨照度较低或深夜MVPA较长时,也观察到睡眠时间的小幅减少。轮班训练影响了环境和行为因素的时间,这些因素加起来塑造了舞者的睡眠时间和持续时间。
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引用次数: 3
Acknowledgment to the Reviewers of Clocks & Sleep in 2022. 感谢《时钟与睡眠》杂志2022年的审稿人。
IF 3.1 Q2 Neuroscience Pub Date : 2023-01-28 DOI: 10.3390/clockssleep5010005
Clocks Sleep Editorial Office

High-quality academic publishing is built on rigorous peer review [...].

高质量的学术出版建立在严格的同行评议之上[…]。
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引用次数: 0
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