Sleep/Wake Research Centre, Massey University, Wellington, New Zealand.
Chronobiol Int. 2012 Jul;29(6):769-79. doi: 10.3109/07420528.2012.686547.
Due to the mixed findings of previous studies, it is still difficult to provide guidance on how to best manage sleep inertia after waking from naps in operational settings. One of the few factors that can be manipulated is the duration of the nap opportunity. The aim of the present study was to investigate the magnitude and time course of sleep inertia after waking from short (20-, 40- or 60-min) naps during simulated night work and extended operations. In addition, the effect of sleep stage on awakening and duration of slow wave sleep (SWS) on sleep inertia was assessed. Two within-subject protocols were conducted in a controlled laboratory setting. Twenty-four healthy young men (Protocol 1: n = 12, mean age = 25.1 yrs; Protocol 2: n = 12, mean age = 23.2 yrs) were provided with nap opportunities of 20-, 40-, and 60-min (and a control condition of no nap) ending at 02:00 h after ∼20 h of wakefulness (Protocol 1 [P1]: simulated night work) or ending at 12:00 h after ∼30 h of wakefulness (Protocol 2 [P2]: simulated extended operations). A 6-min test battery, including the Karolinska Sleepiness Scale (KSS) and the 4-min 2-Back Working Memory Task (WMT), was repeated every 15 min the first hour after waking. Nap sleep was recorded polysomnographically, and in all nap opportunities sleep onset latency was short and sleep efficiency high. Mixed-model analyses of variance (ANOVA) for repeated measures were calculated and included the factors time (time post-nap), nap opportunity (duration of nap provided), order (order in which the four protocols were completed), and the interaction of these terms. Results showed no test x nap opportunity effect (i.e., no effect of sleep inertia) on KSS. However, WMT performance was impaired (slower reaction time, fewer correct responses, and increased omissions) on the first test post-nap, primarily after a 40- or 60-min nap. In P2 only, performance improvement was evident 45 min post-awakening for naps of 40 min or more. In ANOVAs where sleep stage on awakening was included, the test x nap opportunity interaction was significant, but differences were between wake and non-REM Stage 1/Stage 2 or wake and SWS. A further series of ANOVAs showed no effect of the duration of SWS on sleep inertia. The results of this study demonstrate that no more than 15 min is required for performance decrements due to sleep inertia to dissipate after nap opportunities of 60 min or less, but subjective sleepiness is not a reliable indicator of this effect. Under conditions where sleep is short, these findings also suggest that SWS, per se, does not contribute to more severe sleep inertia. When wakefulness is extended and napping occurs at midday (i.e., P2), nap opportunities of 40- and 60-min have the advantage over shorter duration sleep periods, as they result in performance benefits ∼45 min after waking.
由于先前研究的结果存在差异,因此仍然难以就如何在操作环境中从小睡中醒来后最好地管理睡眠惯性提供指导。可以操纵的少数因素之一是小睡机会的持续时间。本研究的目的是调查在模拟夜间工作和延长操作中从短(20-、40-或 60 分钟)小睡中醒来后睡眠惯性的幅度和时间进程。此外,还评估了睡眠阶段对唤醒和慢波睡眠(SWS)持续时间对睡眠惯性的影响。在受控实验室环境中进行了两项受试者内方案。二十四名健康年轻男性(方案 1:n = 12,平均年龄 = 25.1 岁;方案 2:n = 12,平均年龄 = 23.2 岁)有机会小睡 20-、40-和 60 分钟(以及不小睡的对照条件),结束时间为 02:00 点,模拟夜间工作)或在唤醒约 30 小时后结束(方案 2 [P2]:模拟延长操作)。12:00 小时。第一个小时每 15 分钟重复进行 6 分钟的测试电池,包括卡罗林斯卡睡眠量表(KSS)和 4 分钟 2 回工作记忆任务(WMT)。记录多导睡眠图中的小睡睡眠,并在所有小睡机会中,睡眠潜伏期短,睡眠效率高。计算了用于重复测量的混合模型方差(ANOVA)分析,并包括时间(小睡后时间)、小睡机会(提供的小睡持续时间)、顺序(完成四个方案的顺序)和这些术语的交互作用的因素。结果显示,KSS 测试中没有测试 x 小睡机会的影响(即睡眠惯性没有影响)。然而,在第一次小睡后测试中,WMT 表现受损(反应时间较慢,正确反应较少,遗漏更多),主要是在 40 分钟或更长时间的小睡后。仅在 P2 中,在唤醒后 45 分钟,40 分钟或更长时间的小睡可以明显改善表现。在包含唤醒时睡眠阶段的 ANOVA 中,测试 x 小睡机会的交互作用是显著的,但差异在于清醒与非快速眼动阶段 1/2 或清醒与慢波睡眠之间。进一步的一系列 ANOVA 显示,慢波睡眠的持续时间对睡眠惯性没有影响。这项研究的结果表明,在不超过 60 分钟的小睡机会后,由于睡眠惯性导致的表现下降需要不超过 15 分钟才能消散,但主观嗜睡并不是这种影响的可靠指标。在睡眠较短的情况下,这些发现还表明,单独的慢波睡眠本身并不会导致更严重的睡眠惯性。当清醒时间延长并且午睡发生在中午(即 P2)时,40-和 60 分钟的小睡机会比较短的睡眠时间段具有优势,因为它们在唤醒后约 45 分钟就会产生收益。
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