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职业消防员的昼夜节律时间组织:通过对 16 个变量的纵向自我评估记录到的非 24.0 小时的tau 移相。

Circadian time organization of professional firemen: desynchronization-tau differing from 24.0 hours-documented by longitudinal self-assessment of 16 variables.

机构信息

Unité de Chronobiologie, Fondation A. de Rothschild, Paris, France.

出版信息

Chronobiol Int. 2013 Oct;30(8):1050-65. doi: 10.3109/07420528.2013.800087. Epub 2013 Aug 14.

Abstract

We investigated the circadian synchronization/desynchronization (by field-study assessment of differences in period, τ, of 16 coexisting and well-documented rhythms) of 30 healthy firemen (FM) exposed to irregular, difficult, and stressful nocturnal work hours who demonstrated excellent clinical tolerance (allochronism). Three groups of FM were studied (A = 12 FM on 24-h duty at the fire station; B = 9 FM on 24-h duty at the emergency call center; C = 9 day-shift administrative FM) of mostly comparable average age, body mass index, career duration, chronotype-morningness/eveningness, and trait of field dependence/independence. The self-assessed 16 circadian rhythms were (i) physiological ones of sleep-wake (sleep log), activity-rest (actography), body temperature (internal transmitter pill probe), right- and left-hand grip strength (hand dynamometer), systolic and diastolic blood pressure (BP) plus heart rate (ambulatory BP monitoring device); (ii) psychological ones (visual analog self-rating scales) of sleepiness, fatigue, fitness for work, and capacity to cope with aggressive social behavior; and (iii) cognitive ones of eye-hand skill and letter cancellation, entailing performance speed (tasks completed/unit time) and accuracy (errors). Data (4-6 time points/24 h; 2 591 480 values in total) were gathered continuously throughout two 8-d spans, one in winter 2010-2011 and one in summer 2011. Each of the resulting 938 unequal-interval time series was analyzed by a special power spectrum analysis to objectively determine the prominent τ. The desynchronization ratio (DR: number of study variables with τ = 24.0 h/number of study variables × 100) served to ascertain the strength/weakness of each rhythm per individual, group, and season. The field study confirmed, independent of group and season, coexistence of rather strong and weak circadian oscillators. Interindividual differences in DR were detected between groups and seasons (χ(2), correlation tests, analysis of variance [ANOVA]). Moreover, in each group, both in winter and summer, a normal distribution was observed in the number of FM with rhythms with τ = 24.0 h, e.g., ranging from 5/16 (large desynchronization) to 16/16 (no desynchronization). Such a normal distribution with intraindividual stability over time (i.e., seasons) is consistent with the hypothesis of an inherited origin of a differential propensity to circadian desynchronization and which is supported by the distribution of τs in winter and summer following the Dian-Circadian Genetic Model, i.e., with τ = 24.0 h, τ = 24.0 h + n(0.8 h), and τ = 24.0 h - n(0.8 h).

摘要

我们研究了 30 名健康消防员(FM)的昼夜同步/失同步(通过对 16 个共存且记录良好的节律的周期 τ 的差异进行现场研究评估),这些消防员暴露于不规则、困难和压力大的夜间工作时间,但表现出出色的临床耐受性(异时性)。研究了三组 FM(A = 12 名在消防站值 24 小时班的 FM;B = 9 名在紧急呼叫中心值 24 小时班的 FM;C = 9 名值白班的行政 FM),他们的平均年龄、体重指数、职业年限、昼夜型-早睡早起/晚睡晚起、以及场依存/独立性的特质等方面都具有可比性。自我评估的 16 个昼夜节律分别为:(i)睡眠-觉醒的生理节律(睡眠日志)、活动-休息的生理节律(活动记录仪)、体温(内部传输丸探针)、右手和左手握力(握力计)、收缩压和舒张压加心率(动态血压监测设备);(ii)睡眠、疲劳、工作能力和应对攻击性社会行为能力的心理节律(视觉模拟自我评定量表);(iii)眼手技能和字母消除的认知节律,涉及速度(完成任务/单位时间)和准确性(错误)。数据(4-6 个时间点/24 小时;总共 2591480 个值)在两个 8 天跨度内连续收集,一个在 2010-2011 年冬季,另一个在 2011 年夏季。每个由此产生的 938 个不等间隔的时间序列都通过特殊的功率谱分析进行分析,以客观地确定主要的 τ。失同步比(DR:τ=24.0 h 的研究变量数/研究变量数×100)用于确定个体、组和季节中每个节律的强弱。现场研究独立于组和季节,证实了相当强和弱的昼夜振荡器的共存。在组间和季节间检测到 DR 的个体间差异(χ(2),相关测试,方差分析 [ANOVA])。此外,在每个组中,无论是在冬季还是夏季,都观察到了具有 τ=24.0 h 的 FM 的节律数量呈正态分布,例如,范围从 5/16(强失同步)到 16/16(无失同步)。这种个体内随时间(即季节)的稳定性的正态分布与昼夜失同步的遗传倾向的假设一致,这一假设得到了冬季和夏季 τ 分布的支持,遵循 Dian-Circadian 遗传模型,即 τ=24.0 h、τ=24.0 h+n(0.8 h)和 τ=24.0 h-n(0.8 h)。

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