Pub Date : 2025-11-11DOI: 10.1186/s40101-025-00412-8
Yusuke Nakayama
Study objectives: Nonrestorative sleep (NRS) has been identified as a potential risk factor for physical and mental well-being in adults, but limited research exists for children and adolescents. This study aimed to clarify the factors associated with NRS in Japanese junior high school students.
Methods: The participants were 529 Japanese junior high school students in grades 7 through 9. Participants were asked to respond to Google Forms, and responses were obtained from 392 students. Sleep habits, history of coronavirus disease (COVID-19), physical symptoms, social isolation, and the presence of the symptoms of restless legs syndrome (RLS) were identified. NRS, insomnia symptoms, and depressive symptoms were evaluated using the Restorative Sleep Questionnaire (RSQ), Athens Insomnia Scale (AIS), and Patient Health Questionnaire (PHQ)-9, respectively. The cut-off value for NRS determination by the RSQ score was the mean of the scores that maximized the sensitivity and specificity sum for detecting participants with AIS and PHQ-9 scores of ≥ 6 and ≥ 5, respectively. NRS-associated sleep parameters and those associated with depressive symptoms were evaluated using binominal logistic regression analysis. Multinomial logistic regression (MLR) analysis was used to confirm the reproducibility of the binomial logistic regression analysis results with lower RSQ scores.
Results: The NRS group comprised 40.1% of participants and exhibited a higher prevalence of physical and depressive symptoms compared to those with restorative sleep. Logistic regression analysis, adjusted for sex, grade, and COVID-19 history, revealed the following odds ratios (95% confidence interval) for NRS: average total sleep time < 7 h 2.44 (1.16-4.33), AIS ≥ 6 2.74 (1.51-4.95), evening chronotype 2.58 (1.49-4.47), and RLS symptoms 2.21 (1.21-4.03). The same results were obtained using MLR as those obtained via binomial logistic regression analysis. Logistic regression analysis for depressive symptoms revealed that NRS displayed the highest odds ratio (95% CI) of 3.16 (1.90-5.27) among the sleep-related variables.
Conclusions: These findings suggest that NRS in Japanese junior high school students is associated with physical and mental health issues. Intervention and longitudinal studies are warranted to address NRS-associated sleep-wake problems in this age group.
{"title":"Nonrestorative sleep is associated with somatic and depressive symptoms in Japanese junior high school students.","authors":"Yusuke Nakayama","doi":"10.1186/s40101-025-00412-8","DOIUrl":"10.1186/s40101-025-00412-8","url":null,"abstract":"<p><strong>Study objectives: </strong>Nonrestorative sleep (NRS) has been identified as a potential risk factor for physical and mental well-being in adults, but limited research exists for children and adolescents. This study aimed to clarify the factors associated with NRS in Japanese junior high school students.</p><p><strong>Methods: </strong>The participants were 529 Japanese junior high school students in grades 7 through 9. Participants were asked to respond to Google Forms, and responses were obtained from 392 students. Sleep habits, history of coronavirus disease (COVID-19), physical symptoms, social isolation, and the presence of the symptoms of restless legs syndrome (RLS) were identified. NRS, insomnia symptoms, and depressive symptoms were evaluated using the Restorative Sleep Questionnaire (RSQ), Athens Insomnia Scale (AIS), and Patient Health Questionnaire (PHQ)-9, respectively. The cut-off value for NRS determination by the RSQ score was the mean of the scores that maximized the sensitivity and specificity sum for detecting participants with AIS and PHQ-9 scores of ≥ 6 and ≥ 5, respectively. NRS-associated sleep parameters and those associated with depressive symptoms were evaluated using binominal logistic regression analysis. Multinomial logistic regression (MLR) analysis was used to confirm the reproducibility of the binomial logistic regression analysis results with lower RSQ scores.</p><p><strong>Results: </strong>The NRS group comprised 40.1% of participants and exhibited a higher prevalence of physical and depressive symptoms compared to those with restorative sleep. Logistic regression analysis, adjusted for sex, grade, and COVID-19 history, revealed the following odds ratios (95% confidence interval) for NRS: average total sleep time < 7 h 2.44 (1.16-4.33), AIS ≥ 6 2.74 (1.51-4.95), evening chronotype 2.58 (1.49-4.47), and RLS symptoms 2.21 (1.21-4.03). The same results were obtained using MLR as those obtained via binomial logistic regression analysis. Logistic regression analysis for depressive symptoms revealed that NRS displayed the highest odds ratio (95% CI) of 3.16 (1.90-5.27) among the sleep-related variables.</p><p><strong>Conclusions: </strong>These findings suggest that NRS in Japanese junior high school students is associated with physical and mental health issues. Intervention and longitudinal studies are warranted to address NRS-associated sleep-wake problems in this age group.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"30"},"PeriodicalIF":2.1,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12607099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Omentin-1 (also known as intelectin-1) is a novel adipokine associated with metabolic diseases. However, its physiological role in body composition remains incompletely understood. Therefore, this study aimed to investigate the association between the circulating omentin-1 levels and whole-body and regional body composition parameters measured using dual-energy X-ray absorptiometry (DXA).
Methods: A population-based cross-sectional survey was conducted among school-aged children in Hamamatsu, Japan. Serum adipokine levels were measured using enzyme-linked immunosorbent assay, and associations between omentin-1 levels and DXA-based parameters were evaluated by multiple regression analysis after adjusting for potential confounding factors.
Results: The final study included 392 participants (192 boys, 200 girls, 75.2% of the source population; mean age 11.2 ± 0.3 years). Serum omentin-1 levels showed a significantly inverse association with nearly all DXA-based fat mass parameters. Inverse correlations were observed with fat-free soft tissue mass and serum leptin levels, whereas positive correlations were noted with adiponectin levels. The mean values for various body fat parameters, fat-free soft tissue mass, body mass index, and waist circumference were significantly decreased across tertiles of serum omentin-1 levels from lowest to the highest after adjusting for potential confounders.
Conclusion: Our results demonstrate that Japanese school-aged children with higher fat mass tended to have lower serum omentin-1 levels. These findings provide crucial insights into the link between omentin-1 levels and body composition, which may contribute to early health interventions for metabolic improvement.
{"title":"Association between serum omentin-1 concentrations and body composition measured by dual-energy X-ray absorptiometry in Japanese elementary school-aged children.","authors":"Yuki Murakami, Yuki Fujita, Kumiko Ohara, Harunobu Nakamura, Masayuki Iki, Katsuyasu Kouda","doi":"10.1186/s40101-025-00406-6","DOIUrl":"10.1186/s40101-025-00406-6","url":null,"abstract":"<p><strong>Background: </strong>Omentin-1 (also known as intelectin-1) is a novel adipokine associated with metabolic diseases. However, its physiological role in body composition remains incompletely understood. Therefore, this study aimed to investigate the association between the circulating omentin-1 levels and whole-body and regional body composition parameters measured using dual-energy X-ray absorptiometry (DXA).</p><p><strong>Methods: </strong>A population-based cross-sectional survey was conducted among school-aged children in Hamamatsu, Japan. Serum adipokine levels were measured using enzyme-linked immunosorbent assay, and associations between omentin-1 levels and DXA-based parameters were evaluated by multiple regression analysis after adjusting for potential confounding factors.</p><p><strong>Results: </strong>The final study included 392 participants (192 boys, 200 girls, 75.2% of the source population; mean age 11.2 ± 0.3 years). Serum omentin-1 levels showed a significantly inverse association with nearly all DXA-based fat mass parameters. Inverse correlations were observed with fat-free soft tissue mass and serum leptin levels, whereas positive correlations were noted with adiponectin levels. The mean values for various body fat parameters, fat-free soft tissue mass, body mass index, and waist circumference were significantly decreased across tertiles of serum omentin-1 levels from lowest to the highest after adjusting for potential confounders.</p><p><strong>Conclusion: </strong>Our results demonstrate that Japanese school-aged children with higher fat mass tended to have lower serum omentin-1 levels. These findings provide crucial insights into the link between omentin-1 levels and body composition, which may contribute to early health interventions for metabolic improvement.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"29"},"PeriodicalIF":2.1,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-07DOI: 10.1186/s40101-025-00411-9
Yadi Zhang, Fan Jiang, Zhenyao Song, Jintao Lian, Licun Han
Background: The thermos-physiological characteristics of medical personnel wearing protective clothing during prolonged activities under low oxygen pressure (LOP) and normal oxygen pressure (NOP) are crucial.
Methods: The average age of the 24 participants was 22.13 ± 1.849 years, with an average height of 168.58 ± 6.268 cm, an average weight of 61.62 ± 8.128 kg, and an average BMI of 21.59 ± 1.761 kg/m2. Participants were first exposed to an LOP environment. The 6-h experiment involved a three-phase cycle (sitting, walking, and cardiopulmonary resuscitation (CPR)) repeated every hour. After a 2-week washout period, 24 participants were exposed to a NOP environment and repeated the aforementioned experimental procedure. Logistic regression and Cox analysis were used to assess the relationship between different oxygen pressures and human indicators. Restricted cubic spline (RCS) analysis was employed to examine the temporal changes in physiological indicators, and the Kaplan-Meier (K-M) method was used to plot survival curves.
Results: Each observation time point identified 120 min as the optimal protection time, with the greatest intergroup differences observed for both continuous (5/8 variables) and categorical (8/12 variables) parameters at this time point. Stepwise Regression analyses combining logistic and Cox regression identified six significant variables (P < 0.05): temperature, SpO₂, pulse pressure, thermal sensation vote (TSV), sultriness, and rating of perceived exertion (RPE). K-M analysis revealed significantly higher probabilities of adverse outcomes in the LOP group compared to the NOP group: SpO₂ abnormalities (HR = 1.439, 95% CI: 1.026-2.017; log-rank P = 0.022), High TSV scores (HR = 2.463 [1.537-3.946]; P < 0.001), High sultriness scores (HR = 1.603 [1.260-2.040]; P < 0.001). RCS analysis of LOP group data showed significant temporal effects: RPE exhibited a nonlinear upward trend (overall P < 0.001; nonlinear P = 0.002), reaching an inflection point at 200 min. SpO₂ demonstrated linear decline (P = 0.002/0.143; inflection point = 200 min). Pulse pressure showed covariate-dependent effects: nonsignificant before adjustment (P = 0.430) but significant after adjustment (P = 0.008/0.891; inflection point = 200 min).
Conclusions: Our research shows that 120 ~ 200 min is an optimal working time that does not affect the work efficiency of medical personnel.
{"title":"Changes in physiological parameters and thermal comfort when wearing protective clothing in long-range aeromedical evacuation: a prospective, non-blinded, two-stage crossover self-controlled study.","authors":"Yadi Zhang, Fan Jiang, Zhenyao Song, Jintao Lian, Licun Han","doi":"10.1186/s40101-025-00411-9","DOIUrl":"10.1186/s40101-025-00411-9","url":null,"abstract":"<p><strong>Background: </strong>The thermos-physiological characteristics of medical personnel wearing protective clothing during prolonged activities under low oxygen pressure (LOP) and normal oxygen pressure (NOP) are crucial.</p><p><strong>Methods: </strong>The average age of the 24 participants was 22.13 ± 1.849 years, with an average height of 168.58 ± 6.268 cm, an average weight of 61.62 ± 8.128 kg, and an average BMI of 21.59 ± 1.761 kg/m<sup>2</sup>. Participants were first exposed to an LOP environment. The 6-h experiment involved a three-phase cycle (sitting, walking, and cardiopulmonary resuscitation (CPR)) repeated every hour. After a 2-week washout period, 24 participants were exposed to a NOP environment and repeated the aforementioned experimental procedure. Logistic regression and Cox analysis were used to assess the relationship between different oxygen pressures and human indicators. Restricted cubic spline (RCS) analysis was employed to examine the temporal changes in physiological indicators, and the Kaplan-Meier (K-M) method was used to plot survival curves.</p><p><strong>Results: </strong>Each observation time point identified 120 min as the optimal protection time, with the greatest intergroup differences observed for both continuous (5/8 variables) and categorical (8/12 variables) parameters at this time point. Stepwise Regression analyses combining logistic and Cox regression identified six significant variables (P < 0.05): temperature, SpO₂, pulse pressure, thermal sensation vote (TSV), sultriness, and rating of perceived exertion (RPE). K-M analysis revealed significantly higher probabilities of adverse outcomes in the LOP group compared to the NOP group: SpO₂ abnormalities (HR = 1.439, 95% CI: 1.026-2.017; log-rank P = 0.022), High TSV scores (HR = 2.463 [1.537-3.946]; P < 0.001), High sultriness scores (HR = 1.603 [1.260-2.040]; P < 0.001). RCS analysis of LOP group data showed significant temporal effects: RPE exhibited a nonlinear upward trend (overall P < 0.001; nonlinear P = 0.002), reaching an inflection point at 200 min. SpO₂ demonstrated linear decline (P = 0.002/0.143; inflection point = 200 min). Pulse pressure showed covariate-dependent effects: nonsignificant before adjustment (P = 0.430) but significant after adjustment (P = 0.008/0.891; inflection point = 200 min).</p><p><strong>Conclusions: </strong>Our research shows that 120 ~ 200 min is an optimal working time that does not affect the work efficiency of medical personnel.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"28"},"PeriodicalIF":2.1,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cold constitution refers to a phenomenon in which individuals have a higher sensitivity to cold and feel colder than others. This research aimed to examine the associations of morphological characteristics, personal factors, thermal perceptions, and local skin temperature (tsk) with cold constitution by conducting a field experiment. It also explored differences in these aspects between individuals with and without cold constitution, in a thermoneutral office environment during summer and winter, and in 89 and 75 sedentary workers, respectively. A questionnaire survey was conducted to classify the cold constitution (CC) and non-cold constitution (NC) groups. The results indicated that females and individuals with lower body mass index (BMI) were more likely to have cold constitution. The CC group exhibited a significantly lower metabolic rate (M) in both seasons, lower thermal sensation votes, warmer thermal preference, and a greater predicted percentage of dissatisfied in summer (p < 0.01). No significant differences were observed in clothing insulation between the groups; however, winter clothing was significantly higher compared to summer for both groups (p < 0.01). Furthermore, the CC group exhibited significantly lower local skin temperatures at distal body parts (p < 0.01). Significant correlations were observed for gender, BMI, M, thermal sensations, and distal tsk with cold constitution. Adjusting the effects of gender and BMI, most correlations with cold constitution weakened. However, thermal sensation remained significant in summer, while no correlation was observed with tsk. These findings emphasize the significant associations of morphological characteristics, personal factors, and thermal perceptions with cold constitution and show the importance of assessing the thermal environment.
{"title":"Association of thermal perceptions, metabolic rate, clothing, and local skin temperature in people with cold constitution in air-conditioned office environments.","authors":"Biplob Kanti Biswas, Koichi Ishii, Yu Watanabe, Jiating Li, Yumiko Tan, Ayano Dempoya, So Takeuchi, Sang-Il Lee, Takuji Iwamura, Shingo Konoshita, Hitoshi Wakabayashi","doi":"10.1186/s40101-025-00407-5","DOIUrl":"10.1186/s40101-025-00407-5","url":null,"abstract":"<p><p>Cold constitution refers to a phenomenon in which individuals have a higher sensitivity to cold and feel colder than others. This research aimed to examine the associations of morphological characteristics, personal factors, thermal perceptions, and local skin temperature (t<sub>sk</sub>) with cold constitution by conducting a field experiment. It also explored differences in these aspects between individuals with and without cold constitution, in a thermoneutral office environment during summer and winter, and in 89 and 75 sedentary workers, respectively. A questionnaire survey was conducted to classify the cold constitution (CC) and non-cold constitution (NC) groups. The results indicated that females and individuals with lower body mass index (BMI) were more likely to have cold constitution. The CC group exhibited a significantly lower metabolic rate (M) in both seasons, lower thermal sensation votes, warmer thermal preference, and a greater predicted percentage of dissatisfied in summer (p < 0.01). No significant differences were observed in clothing insulation between the groups; however, winter clothing was significantly higher compared to summer for both groups (p < 0.01). Furthermore, the CC group exhibited significantly lower local skin temperatures at distal body parts (p < 0.01). Significant correlations were observed for gender, BMI, M, thermal sensations, and distal t<sub>sk</sub> with cold constitution. Adjusting the effects of gender and BMI, most correlations with cold constitution weakened. However, thermal sensation remained significant in summer, while no correlation was observed with t<sub>sk</sub>. These findings emphasize the significant associations of morphological characteristics, personal factors, and thermal perceptions with cold constitution and show the importance of assessing the thermal environment.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"27"},"PeriodicalIF":2.1,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-31DOI: 10.1186/s40101-025-00408-4
Jun Yan Ng, Xuan Min Gail Yan Ng, Qi Yi Ambrose Wong, Fook Tim Chew
Background: Nutrition is a modifiable factor in skin ageing, but its effects remain inconsistently quantified. This meta-analysis assessed human studies from the Web of Science on dietary intake and skin ageing, using pooled standardised mean differences (pSMD). Interventions included carotenoids, collagen, lipids and fatty acids, polyphenols, prebiotics and probiotics, and vitamins. We included full-text English articles and excluded non-human, disease-focused, topical or in vitro studies. Publication bias was assessed using Egger's test and funnel plots. Results are shown as forest plots.
Main body: Sixty-one studies were meta-analysed. Collagen reduces wrinkles (pSMD = - 0.94 [- 1.39, - 0.49], p = 4.82 × 10-5). Lipids and fatty acids (pSMD = - 0.62 [- 0.92, - 0.31], p = 7.89 × 10-5) and polyphenols (pSMD = - 0.48 [- 0.74, - 0.21], p = 3.96 × 10-4) also reduce wrinkles without significant publication bias. Several interventions improve skin hydration, including collagen (pSMD = 0.66 [0.29, 1.04], p = 5.99 × 10-4), lipids and fatty acids (pSMD = 0.54 [0.28, 0.80], p = 4.36 × 10-5), polyphenols (pSMD = 0.59 [0.37, 0.80], p = 6.43 × 10-8), and prebiotics and probiotics (pSMD = 0.71 [0.25, 1.16], p = 2.64 × 10-3). Specific interventions target distinct ageing phenotypes. Carotenoids most effectively reduce redness (pSMD = - 0.53 [- 1.02, - 0.04], p = 3.39 × 10-2), and collagen reduces pigment spots (pSMD = - 0.16 [- 0.31, - 0.003], p = 4.56 × 10-2). Lipids and fatty acids improve elasticity (pSMD = 0.49 [0.14, 0.83], p = 5.45 × 10-3), while polyphenols strengthen barrier integrity (trans-epidermal water loss pSMD = - 0.50 [- 0.79, - 0.22], p = 6.39 × 10-4).
Conclusion: Dietary components target specific skin ageing phenotypes. Carotenoids, collagen, lipids and fatty acids, and polyphenols are particularly effective for redness, pigment spots, elasticity, and barrier integrity, respectively. Lipids, fatty acids, and polyphenols show broad benefits across multiple phenotypes. Shared mechanisms may contribute to overlapping effects. Evidence gaps remain, especially regarding carotenoids and vitamins. Future studies could explore combinatorial dietary interventions. This research is primarily supported by a Singapore National Medical Research Council grant.
{"title":"Dietary interventions in skin ageing: a systematic review and meta-analysis.","authors":"Jun Yan Ng, Xuan Min Gail Yan Ng, Qi Yi Ambrose Wong, Fook Tim Chew","doi":"10.1186/s40101-025-00408-4","DOIUrl":"10.1186/s40101-025-00408-4","url":null,"abstract":"<p><strong>Background: </strong>Nutrition is a modifiable factor in skin ageing, but its effects remain inconsistently quantified. This meta-analysis assessed human studies from the Web of Science on dietary intake and skin ageing, using pooled standardised mean differences (pSMD). Interventions included carotenoids, collagen, lipids and fatty acids, polyphenols, prebiotics and probiotics, and vitamins. We included full-text English articles and excluded non-human, disease-focused, topical or in vitro studies. Publication bias was assessed using Egger's test and funnel plots. Results are shown as forest plots.</p><p><strong>Main body: </strong>Sixty-one studies were meta-analysed. Collagen reduces wrinkles (pSMD = - 0.94 [- 1.39, - 0.49], p = 4.82 × 10<sup>-5</sup>). Lipids and fatty acids (pSMD = - 0.62 [- 0.92, - 0.31], p = 7.89 × 10<sup>-5</sup>) and polyphenols (pSMD = - 0.48 [- 0.74, - 0.21], p = 3.96 × 10<sup>-4</sup>) also reduce wrinkles without significant publication bias. Several interventions improve skin hydration, including collagen (pSMD = 0.66 [0.29, 1.04], p = 5.99 × 10<sup>-4</sup>), lipids and fatty acids (pSMD = 0.54 [0.28, 0.80], p = 4.36 × 10<sup>-5</sup>), polyphenols (pSMD = 0.59 [0.37, 0.80], p = 6.43 × 10<sup>-8</sup>), and prebiotics and probiotics (pSMD = 0.71 [0.25, 1.16], p = 2.64 × 10<sup>-3</sup>). Specific interventions target distinct ageing phenotypes. Carotenoids most effectively reduce redness (pSMD = - 0.53 [- 1.02, - 0.04], p = 3.39 × 10<sup>-2</sup>), and collagen reduces pigment spots (pSMD = - 0.16 [- 0.31, - 0.003], p = 4.56 × 10<sup>-2</sup>). Lipids and fatty acids improve elasticity (pSMD = 0.49 [0.14, 0.83], p = 5.45 × 10<sup>-3</sup>), while polyphenols strengthen barrier integrity (trans-epidermal water loss pSMD = - 0.50 [- 0.79, - 0.22], p = 6.39 × 10<sup>-4</sup>).</p><p><strong>Conclusion: </strong>Dietary components target specific skin ageing phenotypes. Carotenoids, collagen, lipids and fatty acids, and polyphenols are particularly effective for redness, pigment spots, elasticity, and barrier integrity, respectively. Lipids, fatty acids, and polyphenols show broad benefits across multiple phenotypes. Shared mechanisms may contribute to overlapping effects. Evidence gaps remain, especially regarding carotenoids and vitamins. Future studies could explore combinatorial dietary interventions. This research is primarily supported by a Singapore National Medical Research Council grant.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"26"},"PeriodicalIF":2.1,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12577306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-06DOI: 10.1186/s40101-025-00405-7
Sienna R Craig, Anna Di Rienzo, Frank L Powell, Kingman P Strohl, Cynthia M Beall
The recent Journal of Physiological Anthropology article on polycythemia among Tibetan highlanders (Arima et al., J Physiol Anthropol 43:25, 2024) piqued our interest because we collected similar data in the same Nepali village in Upper Mustang two years later with notably different results (Cho et al., Evol Med Public Health 2017:82-96, 2017; Ye et al., Proc Natl Acad Sci U S A 121:e2403309121, 2024). Arima et al report high prevalences of chronic disease and conclude that Tsarang villagers have poor health. Here, we describe our relevant findings to show that authors' definitions and other research design elements can yield different population health implications. Our study sampled ethnic Tibetan Upper Mustang women 39 Years and older in 2012 who had been married or pregnant and were lifelong residents of this village at 3500m. At our 2019 follow-up study, the women were 46 Years and older. Fifty-five of the 64 eligible Tsarang residents (85%) participated in 2019 study designed to examine the influences of genes and physiology on reproductive success. Arima et al. sampled all Tsarang residents 18 or older in 2017, therefore, our studies include many of the same women in their mid-40s and older. Arima et al reported that 12% of the sample were polycythemic, whereas we found none; they reported 26% obesity whereas we found none; they showed 17% of the sample had hypertension, whereas we found 27%. Factors that may account for the differences in estimates of chronic disease prevalence in Tsarang include age differences in the samples, a wider age range in the currently reported sample, undefined cut-off values for disease categories, while we applied and reported chronic diseases using standard definitions. Because our study did not replicate the findings of Arima et al., we caution against concluding that women in Tsarang have alarming rates of obesity, polycythemia, and hypoxia. Our studies agree that high blood pressure is a public health problem among women in Tsarang. Future use of clear definitions of disease categories will help establish a common understanding of a population's health.
, J Physiol Anthropol 43:25, 2024)引起了我们的兴趣,因为我们在两年后在Upper Mustang的同一个尼泊尔村庄收集了类似的数据,结果明显不同(Cho et al., Evol Med Public Health 2017:82-96, 2017; Ye et al., Proc Natl Acad Sci U, 121:e2403309121, 2024)。Arima等人报告了慢性疾病的高患病率,并得出结论认为,Tsarang村民的健康状况不佳。在这里,我们描述了我们的相关发现,以表明作者的定义和其他研究设计元素可以产生不同的人群健康影响。在我们2019年的随访研究中,这些女性的年龄在46岁及以上。64名符合条件的察朗居民中有55人(85%)参加了2019年的研究,该研究旨在研究基因和生理对生殖成功的影响。Arima等人在2017年对所有18岁及以上的查朗居民进行了抽样,因此,我们的研究包括了许多40多岁及以上的女性。Arima等人报道12%的样本是红细胞增多,而我们没有发现;他们报告了26%的肥胖,而我们没有发现;他们显示17%的样本有高血压,而我们发现27%。可能导致察朗慢性病患病率估计值差异的因素包括样本的年龄差异、目前报告的样本的年龄范围更大、疾病类别的未定义截止值,而我们使用标准定义应用和报告慢性病。由于我们的研究没有重复Arima等人的研究结果,因此我们要谨慎,不要得出结论说察朗妇女的肥胖、红细胞增多症和缺氧的发生率令人担忧。我们的研究一致认为,高血压是察朗妇女的一个公共卫生问题。今后使用疾病类别的明确定义将有助于建立对人口健康的共同理解。
{"title":"Two studies of Tsarang village, Upper Mustang Nepal with different results.","authors":"Sienna R Craig, Anna Di Rienzo, Frank L Powell, Kingman P Strohl, Cynthia M Beall","doi":"10.1186/s40101-025-00405-7","DOIUrl":"10.1186/s40101-025-00405-7","url":null,"abstract":"<p><p>The recent Journal of Physiological Anthropology article on polycythemia among Tibetan highlanders (Arima et al., J Physiol Anthropol 43:25, 2024) piqued our interest because we collected similar data in the same Nepali village in Upper Mustang two years later with notably different results (Cho et al., Evol Med Public Health 2017:82-96, 2017; Ye et al., Proc Natl Acad Sci U S A 121:e2403309121, 2024). Arima et al report high prevalences of chronic disease and conclude that Tsarang villagers have poor health. Here, we describe our relevant findings to show that authors' definitions and other research design elements can yield different population health implications. Our study sampled ethnic Tibetan Upper Mustang women 39 Years and older in 2012 who had been married or pregnant and were lifelong residents of this village at 3500m. At our 2019 follow-up study, the women were 46 Years and older. Fifty-five of the 64 eligible Tsarang residents (85%) participated in 2019 study designed to examine the influences of genes and physiology on reproductive success. Arima et al. sampled all Tsarang residents 18 or older in 2017, therefore, our studies include many of the same women in their mid-40s and older. Arima et al reported that 12% of the sample were polycythemic, whereas we found none; they reported 26% obesity whereas we found none; they showed 17% of the sample had hypertension, whereas we found 27%. Factors that may account for the differences in estimates of chronic disease prevalence in Tsarang include age differences in the samples, a wider age range in the currently reported sample, undefined cut-off values for disease categories, while we applied and reported chronic diseases using standard definitions. Because our study did not replicate the findings of Arima et al., we caution against concluding that women in Tsarang have alarming rates of obesity, polycythemia, and hypoxia. Our studies agree that high blood pressure is a public health problem among women in Tsarang. Future use of clear definitions of disease categories will help establish a common understanding of a population's health.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"25"},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Cold-induced vasodilation (CIVD) reduces the risk of local cold injuries. There are obvious differences in CIVD characteristics among different ethnic groups. This study aimed to compare cold tolerance manifested through CIVD responses in indigenous Tibetans and Han residents in Tibet.
Methods: A total of 12 Tibetans and 10 Han individuals (residence duration at high altitude > 5 years) from high altitudes were recruited in the study. The CIVD test was performed by immersing the participants' middle finger of the non-dominant hand in cold water (0 ℃) for 30 min followed by recovery for 10 min at a temperature of 25 ± 1 ℃. During the CIVD tests, the participants provided perceptual responses for the immersed hand every 5 min. The participants completed their baseline questionnaires and physiological assessments before the start of the CIVD test, and they completed their hematological tests the following morning.
Results: Compared with Hans at high altitude, Tibetans had higher minimum temperature (Tmin), maximum temperature (Tmax), and Resistance Index for Frostbite (RIF) scores (p < 0.05), and warmer perceptual responses (p < 0.05). We found that red blood cell (RBC) count, hemoglobin (HGB) and hematocrit (HCT) were positively correlated with onset time (Δtonset), peak time (Δtpeak), frequency of CIVD waves (CIVDwaves), and negatively correlated with Tmin, Tmax, mean finger temperature (Tmean) in the general population (p < 0.05), whereas these correlations were not observed in the Tibetan and Han populations (p > 0.05). However, the basophil percentage (BAS%), neutrophil percentage (NEU%) and γ-glutamyl transpeptidase (GGT) levels (p < 0.05) correlated with the RIF score in Han population.
Conclusion: Compared with Hans at high altitude, indigenous Tibetans demonstrated superior local cold resistance phenotypes in vasomotor regulation, evidenced by their distinct CIVD and perceptual responses. Hematological and biochemical parameters, erythrocytosis is a critical determinant of local cold tolerance at high altitude in the general population. BAS%, NEU%, and GGT are related to local cold tolerance in Han residents.
{"title":"Characteristics of cold-induced vasodilation among Tibetans and Han Chinese at high altitudes.","authors":"Hong-Chen Xie, Qi Cui, Shen-Wei Xie, Wen-Jun Jiang, Xiang-Qiong Meng, Ming-Hai Zheng, Xiao-Yong Huang, Xiao-Ling Tan","doi":"10.1186/s40101-025-00404-8","DOIUrl":"10.1186/s40101-025-00404-8","url":null,"abstract":"<p><strong>Background: </strong>Cold-induced vasodilation (CIVD) reduces the risk of local cold injuries. There are obvious differences in CIVD characteristics among different ethnic groups. This study aimed to compare cold tolerance manifested through CIVD responses in indigenous Tibetans and Han residents in Tibet.</p><p><strong>Methods: </strong>A total of 12 Tibetans and 10 Han individuals (residence duration at high altitude > 5 years) from high altitudes were recruited in the study. The CIVD test was performed by immersing the participants' middle finger of the non-dominant hand in cold water (0 ℃) for 30 min followed by recovery for 10 min at a temperature of 25 ± 1 ℃. During the CIVD tests, the participants provided perceptual responses for the immersed hand every 5 min. The participants completed their baseline questionnaires and physiological assessments before the start of the CIVD test, and they completed their hematological tests the following morning.</p><p><strong>Results: </strong>Compared with Hans at high altitude, Tibetans had higher minimum temperature (T<sub>min</sub>), maximum temperature (T<sub>max</sub>), and Resistance Index for Frostbite (RIF) scores (p < 0.05), and warmer perceptual responses (p < 0.05). We found that red blood cell (RBC) count, hemoglobin (HGB) and hematocrit (HCT) were positively correlated with onset time (Δt<sub>onset</sub>), peak time (Δt<sub>peak</sub>), frequency of CIVD waves (CIVD<sub>waves</sub>), and negatively correlated with T<sub>min</sub>, T<sub>max</sub>, mean finger temperature (T<sub>mean</sub>) in the general population (p < 0.05), whereas these correlations were not observed in the Tibetan and Han populations (p > 0.05). However, the basophil percentage (BAS%), neutrophil percentage (NEU%) and γ-glutamyl transpeptidase (GGT) levels (p < 0.05) correlated with the RIF score in Han population.</p><p><strong>Conclusion: </strong>Compared with Hans at high altitude, indigenous Tibetans demonstrated superior local cold resistance phenotypes in vasomotor regulation, evidenced by their distinct CIVD and perceptual responses. Hematological and biochemical parameters, erythrocytosis is a critical determinant of local cold tolerance at high altitude in the general population. BAS%, NEU%, and GGT are related to local cold tolerance in Han residents.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"24"},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-30DOI: 10.1186/s40101-025-00401-x
Takashi Yamashita, Yulong Ren, Yuta Kosuge, Eisuke Ochi
Purpose: There are no previous reports investigating the effects of different set numbers in low-intensity resistance exercise with slow movement and tonic force generation (LST) on muscle fatigue using surface electromyography (sEMG). This study aimed to examine muscle fatigue induced by one set and three sets of LST and to compare the impact of set differences on muscle activity by comparing LST with traditional high-intensity resistance exercise (TRAD).
Methods: Twenty-three healthy male students participated in this study. After 1RM testing in each leg was completed, participants were randomly assigned to either a group performing one set of exercises (n = 10) or a group performing three sets (n = 13). Each participant performed the LST protocol (50% 1RM) and the TRAD protocol (80% 1RM) with single leg extension until failure. The LST protocol consisted of a 3-s concentric, a 1-s isometric, and a 3-s eccentric phase. In contrast, the TRAD protocol consisted of a 1-s concentric, a 1-s eccentric, and a 1-s rest phase. For the three-set group, a 2-min rest interval was provided between sets. The outcome measures included maximal isometric knee extension torque (MVC) before and after exercise, root mean square (RMS), and mean power frequency (MPF) values recorded during the exercises.
Results: No significant differences in MVC were observed between the type of exercise or the number of sets. Similarly, no significant differences in the RMS during the exercise were observed across exercise types or number of sets. On the other hand, with the significant interaction of MPF (p = 0.001, ηp2 = 0.399), there was a significant difference in three sets of LST compared to one set of LST (p = 0.012, d = 1.16) and three sets of TRAD (p < 0.001, d = 0.93).
Conclusion: Our findings suggest that performing three sets of LST induces significant muscle fatigue. Therefore, we speculate that performing three sets of LST may lead to the accumulation of metabolic stress and thereby cause muscle fatigue.
{"title":"Three sets of low-intensity resistance exercises with slow movement and tonic force generation cause more muscular fatigue.","authors":"Takashi Yamashita, Yulong Ren, Yuta Kosuge, Eisuke Ochi","doi":"10.1186/s40101-025-00401-x","DOIUrl":"10.1186/s40101-025-00401-x","url":null,"abstract":"<p><strong>Purpose: </strong>There are no previous reports investigating the effects of different set numbers in low-intensity resistance exercise with slow movement and tonic force generation (LST) on muscle fatigue using surface electromyography (sEMG). This study aimed to examine muscle fatigue induced by one set and three sets of LST and to compare the impact of set differences on muscle activity by comparing LST with traditional high-intensity resistance exercise (TRAD).</p><p><strong>Methods: </strong>Twenty-three healthy male students participated in this study. After 1RM testing in each leg was completed, participants were randomly assigned to either a group performing one set of exercises (n = 10) or a group performing three sets (n = 13). Each participant performed the LST protocol (50% 1RM) and the TRAD protocol (80% 1RM) with single leg extension until failure. The LST protocol consisted of a 3-s concentric, a 1-s isometric, and a 3-s eccentric phase. In contrast, the TRAD protocol consisted of a 1-s concentric, a 1-s eccentric, and a 1-s rest phase. For the three-set group, a 2-min rest interval was provided between sets. The outcome measures included maximal isometric knee extension torque (MVC) before and after exercise, root mean square (RMS), and mean power frequency (MPF) values recorded during the exercises.</p><p><strong>Results: </strong>No significant differences in MVC were observed between the type of exercise or the number of sets. Similarly, no significant differences in the RMS during the exercise were observed across exercise types or number of sets. On the other hand, with the significant interaction of MPF (p = 0.001, η<sub>p</sub><sup>2</sup> = 0.399), there was a significant difference in three sets of LST compared to one set of LST (p = 0.012, d = 1.16) and three sets of TRAD (p < 0.001, d = 0.93).</p><p><strong>Conclusion: </strong>Our findings suggest that performing three sets of LST induces significant muscle fatigue. Therefore, we speculate that performing three sets of LST may lead to the accumulation of metabolic stress and thereby cause muscle fatigue.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"23"},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-17DOI: 10.1186/s40101-025-00400-y
Zepeng Hu, Wenjing Guo, Hao Wu
Introduction: This study aimed to explore the effects of a single mild-dose, acute hyperbaric oxygen (HBO) intervention (1.3 ATA, 100% oxygen, 60 min) on aerobic endurance, cardiac function, pulmonary function, and autonomic nervous system balance in healthy young men.
Methods: Using a randomized crossover design, 14 participants received both the HBO intervention and the control condition (seated rest). For each condition, heart rate variability (HRV), cardiac function, and pulmonary function were assessed before and after the intervention, while aerobic endurance indicators-such as peak oxygen uptake (VO₂peak) and time to exhaustion (TTE)-were measured once following each condition.
Results: HBO significantly decreased resting heart rate (from 63.64 ± 7.75 to 58.79 ± 7.29 bpm, Δ = -7.23%, p = 0.009), with a significant main effect of time (F(1,13) = 7.657, p = 0.016, η2ₚ = 0.371) and a significant time × condition interaction effect (F(1,13) = 4.51, p = 0.048, η²ₚ = 0.268). Root mean square of successive differences (RMSSD) increased from 44.50 [24.50, 59.75] to 54.00 [35.50, 67.50] (Z = 2.261, p = 0.024, r = - 0.604), and standard deviation of successive differences (SDSD) increased from 55.50 [31.75, 76.50] to 71.00 [55.75, 87.75] (Z = 2.701, p = 0.007, r = - 0.722). Both parameters also demonstrated significant differences in condition comparisons (RMSSD: Z = - 2.826, p = 0.005, r = - 0.755; SDSD: Z = - 2.796, p = 0.005, r = - 0.747). No significant changes were observed in aerobic endurance, pulmonary function, or other cardiac function parameters.
Conclusion: A single mild-dose, acute HBO intervention can significantly improve resting heart rate and enhance short-term HRV parameters, suggesting a beneficial effect on parasympathetic activity. However, it does not directly enhance aerobic endurance, and long-term interventions or combined training may be needed to realize its potential benefits.
简介:本研究旨在探讨单次轻剂量急性高压氧(HBO)干预(1.3 ATA, 100%氧气,60分钟)对健康青年男性有氧耐力、心功能、肺功能和自主神经系统平衡的影响。方法:采用随机交叉设计,14例患者同时接受HBO干预和对照组(坐式休息)。对于每种情况,在干预前后评估心率变异性(HRV),心功能和肺功能,而有氧耐力指标-如峰值摄氧量(vo2峰值)和耗竭时间(TTE)-在每种情况下测量一次。结果:HBO显著降低静息心率(从63.64±7.75 bpm降至58.79±7.29 bpm, Δ = -7.23%, p = 0.009),其中时间为主效应显著(F(1,13) = 7.657, p = 0.016, η2ₚ= 0.371),时间-条件交互效应显著(F(1,13) = 4.51, p = 0.048, η²ₚ= 0.268)。连续差异均方根(RMSSD)从44.50[24.50,59.75]增加到54.00 [35.50,67.50](Z = 2.261, p = 0.024, r = - 0.604),连续差异标准差(SDSD)从55.50[31.75,76.50]增加到71.00 [55.75,87.75](Z = 2.701, p = 0.007, r = - 0.722)。两个参数在条件比较中也存在显著差异(RMSSD: Z = - 2.826, p = 0.005, r = - 0.755;SDSD: Z = - 2.796, p = 0.005, r = - 0.747)。有氧耐力、肺功能或其他心功能参数未见明显变化。结论:单次小剂量急性HBO干预可显著提高静息心率,提高短期HRV参数,提示对副交感神经活动有益。然而,它并不能直接提高有氧耐力,可能需要长期干预或联合训练来实现其潜在的好处。
{"title":"A study on the effect of acute hyperbaric oxygen intervention on aerobic endurance.","authors":"Zepeng Hu, Wenjing Guo, Hao Wu","doi":"10.1186/s40101-025-00400-y","DOIUrl":"10.1186/s40101-025-00400-y","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to explore the effects of a single mild-dose, acute hyperbaric oxygen (HBO) intervention (1.3 ATA, 100% oxygen, 60 min) on aerobic endurance, cardiac function, pulmonary function, and autonomic nervous system balance in healthy young men.</p><p><strong>Methods: </strong>Using a randomized crossover design, 14 participants received both the HBO intervention and the control condition (seated rest). For each condition, heart rate variability (HRV), cardiac function, and pulmonary function were assessed before and after the intervention, while aerobic endurance indicators-such as peak oxygen uptake (VO₂peak) and time to exhaustion (TTE)-were measured once following each condition.</p><p><strong>Results: </strong>HBO significantly decreased resting heart rate (from 63.64 ± 7.75 to 58.79 ± 7.29 bpm, Δ = -7.23%, p = 0.009), with a significant main effect of time (F(1,13) = 7.657, p = 0.016, η<sup>2</sup>ₚ = 0.371) and a significant time × condition interaction effect (F(1,13) = 4.51, p = 0.048, η²ₚ = 0.268). Root mean square of successive differences (RMSSD) increased from 44.50 [24.50, 59.75] to 54.00 [35.50, 67.50] (Z = 2.261, p = 0.024, r = - 0.604), and standard deviation of successive differences (SDSD) increased from 55.50 [31.75, 76.50] to 71.00 [55.75, 87.75] (Z = 2.701, p = 0.007, r = - 0.722). Both parameters also demonstrated significant differences in condition comparisons (RMSSD: Z = - 2.826, p = 0.005, r = - 0.755; SDSD: Z = - 2.796, p = 0.005, r = - 0.747). No significant changes were observed in aerobic endurance, pulmonary function, or other cardiac function parameters.</p><p><strong>Conclusion: </strong>A single mild-dose, acute HBO intervention can significantly improve resting heart rate and enhance short-term HRV parameters, suggesting a beneficial effect on parasympathetic activity. However, it does not directly enhance aerobic endurance, and long-term interventions or combined training may be needed to realize its potential benefits.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"22"},"PeriodicalIF":3.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Excessive fatigue, sleep deprivation, and poor intershift recovery after night shifts are associated with an increased risk of traffic accidents and maladaptive chronic fatigue. However, little is known about whether taking a nap or break immediately after a night shift improves fatigue recovery and sleep among nurses. This study aimed to examine the effects of taking a 30-min nap or break immediately after a 16-h night shift on fatigue recovery and sleep episodes among nurses.
Methods: A quasi-experimental crossover study was conducted with 62 nurses who worked 16-h night shifts. Nurses were randomly assigned to two condition sequences (AB or BA): (A) intervention (the nurses took a 30-min nap or break in a nap environment control system after a night shift) and (B) control (the nurses went home as usual after a night shift). Fatigue was measured immediately after the night shift, after taking a nap or break, and after getting up from nighttime sleep on the day after the night shift. Sleep episodes were assessed using a wearable device. Outcomes were compared between the two conditions.
Results: In the intervention condition, fatigue immediately after the night shift was significantly reduced by taking a nap or break, with a large effect size. Recovery from "local pain or dullness," one of the symptoms of work-related fatigue, was significantly higher in the intervention than control condition. Compared to the control condition, the intervention condition significantly delayed the timing of the first sleep episode, whereas no significant differences were observed in the main sleep parameters.
Conclusions: Taking a nap or break immediately after the night shift could be a countermeasure to address fatigue/sleep-related problems among nurses. For nursing managers, encouraging nurses to take a nap or break immediately after the night shift could be a viable option in comprehensive fatigue risk management. Therefore, appropriate napping environments should be installed in clinical settings.
Trial registration: UMIN000038444 (date of registration: 30 Oct 2019).
{"title":"Effects of taking a nap or break immediately after night shift on nurses' fatigue recovery and sleep episodes: a quasi-experimental study.","authors":"Issei Konya, Inaho Shishido, Kazuhiro Watanabe, Masayuki Ikebuchi, Toshiyasu Tanaka, Hisao Kataoka, Rika Yano","doi":"10.1186/s40101-025-00399-2","DOIUrl":"10.1186/s40101-025-00399-2","url":null,"abstract":"<p><strong>Background: </strong>Excessive fatigue, sleep deprivation, and poor intershift recovery after night shifts are associated with an increased risk of traffic accidents and maladaptive chronic fatigue. However, little is known about whether taking a nap or break immediately after a night shift improves fatigue recovery and sleep among nurses. This study aimed to examine the effects of taking a 30-min nap or break immediately after a 16-h night shift on fatigue recovery and sleep episodes among nurses.</p><p><strong>Methods: </strong>A quasi-experimental crossover study was conducted with 62 nurses who worked 16-h night shifts. Nurses were randomly assigned to two condition sequences (AB or BA): (A) intervention (the nurses took a 30-min nap or break in a nap environment control system after a night shift) and (B) control (the nurses went home as usual after a night shift). Fatigue was measured immediately after the night shift, after taking a nap or break, and after getting up from nighttime sleep on the day after the night shift. Sleep episodes were assessed using a wearable device. Outcomes were compared between the two conditions.</p><p><strong>Results: </strong>In the intervention condition, fatigue immediately after the night shift was significantly reduced by taking a nap or break, with a large effect size. Recovery from \"local pain or dullness,\" one of the symptoms of work-related fatigue, was significantly higher in the intervention than control condition. Compared to the control condition, the intervention condition significantly delayed the timing of the first sleep episode, whereas no significant differences were observed in the main sleep parameters.</p><p><strong>Conclusions: </strong>Taking a nap or break immediately after the night shift could be a countermeasure to address fatigue/sleep-related problems among nurses. For nursing managers, encouraging nurses to take a nap or break immediately after the night shift could be a viable option in comprehensive fatigue risk management. Therefore, appropriate napping environments should be installed in clinical settings.</p><p><strong>Trial registration: </strong>UMIN000038444 (date of registration: 30 Oct 2019).</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"21"},"PeriodicalIF":3.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}