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短夜间睡眠会减弱光诱导的人体昼夜节律相位提前。

Short nights attenuate light-induced circadian phase advances in humans.

作者信息

Burgess Helen J, Eastman Charmane I

机构信息

Biological Rhythms Research Laboratory, Rush University Medical Center, 1645 West Jackson Boulevard, Suite 425, Chicago, Illinois 60612, USA.

出版信息

J Clin Endocrinol Metab. 2005 Aug;90(8):4437-40. doi: 10.1210/jc.2005-0536. Epub 2005 May 10.

Abstract

CONTEXT

In humans, sleep duration often determines the night (dark) length experienced, because we close our eyes when we sleep and are exposed to artificial or natural light when we are awake. Although it is recognized that there is an increasing trend in modern society toward shorter sleep time, it is not known how short nights (long photoperiods) affect the human circadian system.

OBJECTIVE

In this study we investigated for the first time the effects of night length on circadian phase shifts to light in humans.

DESIGN AND SETTING

Eight young healthy subjects experienced 2 wk of 6-h sleep episodes in the dark (short nights) and 2 wk of long 9-h sleep episodes (long nights) in counterbalanced order. After each series of nights, they were exposed to four 30-min pulses of morning bright light (approximately 5000 lux) that advanced by 1 h/d for 3 consecutive days while night (dark) length was maintained at 6 or 9 h. Circadian phase was determined from the circadian rhythm of melatonin in dim light before and after the 3-d bright light treatments.

RESULTS

The phase advance in the melatonin rhythm during the short nights was less than half of that observed during the long nights (P < 0.05).

CONCLUSIONS

This result shows for the first time that people who curtail their sleep may unwittingly reduce their circadian responsiveness to morning light. This finding also demonstrates that sleep length can alter human circadian function and has important implications for enhancing the treatment of circadian rhythm sleep disorders.

摘要

背景

在人类中,睡眠时间常常决定了所经历的夜晚(黑暗)时长,因为我们睡觉时会闭上眼睛,而清醒时会暴露在人造光或自然光下。尽管人们认识到现代社会中睡眠时间有缩短的趋势,但尚不清楚短夜(长光照周期)如何影响人类的昼夜节律系统。

目的

在本研究中,我们首次调查了夜晚时长对人类昼夜节律相移至光照的影响。

设计与环境

八名年轻健康受试者以平衡顺序经历了2周每晚6小时的黑暗睡眠(短夜)和2周每晚9小时的长睡眠(长夜)。在每一系列夜晚之后,他们连续3天每天接受4次30分钟的早晨强光脉冲(约5000勒克斯)照射,每次照射使昼夜节律提前1小时,同时将夜晚(黑暗)时长维持在6小时或9小时。通过3天强光照射治疗前后暗光下褪黑素的昼夜节律来确定昼夜节律相位。

结果

短夜期间褪黑素节律的相位提前量不到长夜期间观察到的一半(P<0.05)。

结论

这一结果首次表明,缩短睡眠时间的人可能会无意中降低其昼夜节律对早晨光照的反应性。这一发现还表明,睡眠时长可以改变人类的昼夜节律功能,对改善昼夜节律性睡眠障碍的治疗具有重要意义。

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