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急性睡眠剥夺降低健康男性的能量消耗。

Acute sleep deprivation reduces energy expenditure in healthy men.

机构信息

Department of Neuroendocrinology, University of Lübeck, Lübeck, Germany.

出版信息

Am J Clin Nutr. 2011 Jun;93(6):1229-36. doi: 10.3945/ajcn.110.006460. Epub 2011 Apr 6.

Abstract

BACKGROUND

Epidemiologic evidence indicates that chronic sleep curtailment increases risk of developing obesity, but the mechanisms behind this relation are largely unknown.

OBJECTIVE

We examined the influence of a single night of total sleep deprivation on morning energy expenditures and food intakes in healthy humans.

DESIGN

According to a balanced crossover design, we examined 14 normal-weight male subjects on 2 occasions during a regular 24-h sleep-wake cycle (including 8 h of nocturnal sleep) and a 24-h period of continuous wakefulness. On the morning after regular sleep and total sleep deprivation, resting and postprandial energy expenditures were assessed by indirect calorimetry, and the free-choice food intake from an opulent buffet was tested in the late afternoon at the end of the experiment. Circulating concentrations of ghrelin, leptin, norepinephrine, cortisol, thyreotropin, glucose, and insulin were repeatedly measured over the entire 24-h session.

RESULTS

In comparison with normal sleep, resting and postprandial energy expenditures assessed on the subsequent morning were significantly reduced after sleep deprivation by ≈5% and 20%, respectively (P < 0.05 and P < 0.0001). Nocturnal wakefulness increased morning plasma ghrelin concentrations (P < 0.02) and nocturnal and daytime circulating concentrations of thyreotropin, cortisol, and norepinephrine (P < 0.05) as well as morning postprandial plasma glucose concentrations (P < 0.05). Changes in food intakes were variable, and no differences between wake and sleep conditions were detected.

CONCLUSION

Our findings show that one night of sleep deprivation acutely reduces energy expenditure in healthy men, which suggests that sleep contributes to the acute regulation of daytime energy expenditure in humans.

摘要

背景

流行病学证据表明,慢性睡眠不足会增加肥胖的风险,但这种关系背后的机制在很大程度上尚不清楚。

目的

我们研究了在健康人群中,一夜完全睡眠剥夺对早晨能量消耗和食物摄入的影响。

设计

根据平衡交叉设计,我们在正常的 24 小时睡眠-觉醒周期(包括 8 小时夜间睡眠)和 24 小时连续清醒期间,两次检查了 14 名正常体重的男性受试者。在正常睡眠和完全睡眠剥夺后的早晨,通过间接测热法评估静息和餐后能量消耗,并在实验结束时的傍晚,在丰盛的自助餐中测试自由选择的食物摄入量。在整个 24 小时过程中,反复测量了循环中的 ghrelin、瘦素、去甲肾上腺素、皮质醇、促甲状腺素、葡萄糖和胰岛素的浓度。

结果

与正常睡眠相比,睡眠剥夺后次日早晨的静息和餐后能量消耗分别显著降低了约 5%和 20%(P<0.05 和 P<0.0001)。夜间清醒增加了早晨血浆 ghrelin 浓度(P<0.02)以及夜间和白天的促甲状腺素、皮质醇和去甲肾上腺素的循环浓度(P<0.05)以及早晨餐后血浆葡萄糖浓度(P<0.05)。食物摄入量的变化是可变的,在清醒和睡眠条件之间没有发现差异。

结论

我们的发现表明,一夜睡眠剥夺会急性降低健康男性的能量消耗,这表明睡眠有助于人类白天能量消耗的急性调节。

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