Wang Z, Wang L, Zhang L, Liu Q, Xue Z, Cornélissen G, Halberg F
Biomedical Engineering Department, West China University of Medical Sciences, Chengdu.
Chronobiologia. 1992 Jul-Dec;19(3-4):111-20.
Every 4 hours for 24 hours, 14 clinically healthy young individuals (6 women and 8 men), 26 +/- 4 years of age, measured systolic (S) and diastolic (D) blood pressure (BP) by sphygmomanometer and heart rate by ECG and did impedance cardiography under usual living conditions. Stroke volume (SV), cardiac output (CO) and total peripheral resistance (TPR) were calculated. Time series of SBP, DBP, HR, SV, CO and TPR were analyzed by single and population-mean cosinor. A circadian cardiovascular rhythm is demonstrated by rejection of the zero amplitude assumption in the population-mean cosinor test for SBP, DBP, HR, SV, CO and TPR (P < 0.01). TPR peaks around 0400 (-61 degrees from local midnight), in antiphase with all other variables, their acrophase occurring around 1600 (-240 degrees). A circadian rhythm of statistical significance or of borderline statistical significance is found for all variables except TPR in women. Circadian rhythm characteristics were otherwise mostly similar in men and women with a statistically significant gender difference found by parameter tests only for the MESOR and amplitude of SBP.
在正常生活条件下,14名年龄为26±4岁的临床健康年轻人(6名女性和8名男性),每隔4小时测量一次,共测量24小时,用血压计测量收缩压(S)和舒张压(D),用心电图测量心率,并进行阻抗心动图检查。计算每搏输出量(SV)、心输出量(CO)和总外周阻力(TPR)。通过单因素和群体均值余弦分析对收缩压、舒张压、心率、每搏输出量、心输出量和总外周阻力的时间序列进行分析。在群体均值余弦检验中,通过拒绝收缩压、舒张压、心率、每搏输出量、心输出量和总外周阻力的零振幅假设,证明了昼夜心血管节律(P<0.01)。总外周阻力在0400左右达到峰值(相对于当地午夜为-61°),与所有其他变量呈反相,它们的峰相位出现在1600左右(-240°)。在女性中,除总外周阻力外,所有变量均发现具有统计学意义或临界统计学意义的昼夜节律。男性和女性的昼夜节律特征在其他方面大多相似,仅通过参数检验发现收缩压的中值和振幅存在统计学显著的性别差异。