Suppr超能文献

经前期综合征女性与健康对照者在月经周期和睡眠阶段的自主神经调节。

Autonomic regulation across phases of the menstrual cycle and sleep stages in women with premenstrual syndrome and healthy controls.

机构信息

Human Sleep Research Program, SRI International, 333 Ravenswood Avenue, Menlo Park, CA 94025, USA.

出版信息

Psychoneuroendocrinology. 2013 Nov;38(11):2618-27. doi: 10.1016/j.psyneuen.2013.06.005. Epub 2013 Jul 10.

Abstract

To investigate the influence of menstrual cycle phase and the presence of severe premenstrual symptoms on cardiac autonomic control during sleep, we performed heart rate variability (HRV) analysis during stable non-rapid eye movement (NREM) and REM sleep in 12 women with severe premenstrual syndrome and 14 controls in the mid-follicular, mid-luteal, and late-luteal phases of the menstrual cycle. Heart rate was higher, along with lower high frequency (HF) power, reflecting reduced vagal activity, and a higher ratio of low frequency (LF) to high frequency power, reflecting a shift to sympathetic dominance, in REM sleep compared with NREM sleep in both groups of women. Both groups of women had higher heart rate during NREM and REM sleep in the luteal phase recordings compared with the mid-follicular phase. HF power in REM sleep was lowest in the mid-luteal phase, when progesterone was highest, in both groups of women. The mid-luteal phase reduction in HF power was also evident in NREM sleep in control women but not in women with PMS, suggesting some impact of premenstrual syndrome on autonomic responses to the hormone environment of the mid-luteal phase. In addition, mid-luteal phase progesterone levels correlated positively with HF power and negatively with LF/HF ratio in control women in NREM sleep and with the LF/HF ratio during REM sleep in both groups of women. Our findings suggest the involvement of female reproductive steroids in cardiac autonomic control during sleep in women with and without premenstrual syndrome.

摘要

为了研究月经周期阶段和严重经前症状的存在对睡眠中心血管自主控制的影响,我们在 12 名患有严重经前综合征的女性和 14 名对照者的卵泡中期、黄体中期和黄体晚期进行了稳定的非快速眼动(NREM)和快速眼动(REM)睡眠期间的心率变异性(HRV)分析。与 NREM 睡眠相比,两组女性在 REM 睡眠中的心率均较高,同时高频(HF)功率较低,反映出迷走神经活动减少,低频(LF)与高频功率之比较高,反映出交感神经优势的转变。与卵泡中期相比,两组女性在黄体期记录的 NREM 和 REM 睡眠中的心率均较高。两组女性在 REM 睡眠中的 HF 功率在黄体中期最低,此时孕激素水平最高。在对照组女性的 NREM 睡眠中也可以看到黄体中期 HF 功率的降低,但在 PMS 女性中则没有,这表明经前综合征对黄体中期激素环境对自主反应的某些影响。此外,在对照组女性的 NREM 睡眠中,黄体中期孕激素水平与 HF 功率呈正相关,与 LF/HF 比值呈负相关,而在两组女性的 REM 睡眠中,与 LF/HF 比值呈负相关。我们的发现表明,女性生殖类固醇参与了经前综合征和无经前综合征女性的睡眠中心血管自主控制。

相似文献

引用本文的文献

7
Effect of menstrual cycle and menopause on human gastric electrophysiology.月经周期和绝经对人类胃电生理学的影响。
Am J Physiol Gastrointest Liver Physiol. 2024 Jul 1;327(1):G47-G56. doi: 10.1152/ajpgi.00216.2023. Epub 2024 May 7.

本文引用的文献

3
Personality disorders in women with severe premenstrual syndrome.经前期综合征严重的女性中的人格障碍。
Arch Womens Ment Health. 2011 Jun;14(3):257-64. doi: 10.1007/s00737-011-0212-8. Epub 2011 Feb 7.
10
Role of oestrogen in the central regulation of autonomic function.雌激素在自主神经功能中枢调节中的作用。
Clin Exp Pharmacol Physiol. 2007 Sep;34(9):827-32. doi: 10.1111/j.1440-1681.2007.04663.x.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验