Kassis Ola, Katz Neriel, Ravid Sarit, Pillar Giora
Sleep Laboratory, Rambam Health Care Campus, Haifa, Israel.
Isr Med Assoc J. 2013 Aug;15(8):419-23.
Post-lunch dip is a well-known phenomenon that results in a substantial deterioration in function and productivity after lunch.
To assess whether a new herbal-based potentially wake-promoting beverage is effective in counteracting somnolence and reduced post-lunch performance.
Thirty healthy volunteers were studied on three different days at the sleep clinic. On each visit they ate a standard lunch at noontime, followed by a drink of "Wake up," 50 mg caffeine, or a placebo in a cross-over double-blind regimen. At 30 and 120 minutes post-drinking, they underwent a battery of tests to determine the effects of the beverage. These included: a) a subjective assessment of alertness and performance based on a visual analog scale, and b) objective function tests: the immediate word recall test, the digit symbol substitution test (DSST), and hemodynamic measurements. The results of the three visits were compared using one-way analysis of variance, with P < 0.05 considered statistically significant.
In all performance tests, subjective vigilance and effectiveness assessment, both Wake up and caffeine were significantly superior to placebo 30 minutes after lunch. However, at 2 hours after lunch, performance had deteriorated in those who drank the caffeine-containing drink, while Wake up was superior to both caffeine and placebo. Blood pressure and pulse were higher 2 hours after caffeine ingestion, compared to both Wake up and placebo.
These results suggest that a single dose of Wake up is effective in counteracting the somnolence and reduced performance during the post-lunch hours. In the current study it had no adverse hemodynamic consequences.
午餐后嗜睡是一种众所周知的现象,会导致午餐后功能和生产力大幅下降。
评估一种新型的基于草药的、可能促进清醒的饮料是否能有效对抗嗜睡并改善午餐后表现。
30名健康志愿者在睡眠诊所的三个不同日子接受研究。每次就诊时,他们在中午吃一顿标准午餐,然后按照交叉双盲方案饮用“唤醒”饮料、50毫克咖啡因或安慰剂。饮用后30分钟和120分钟,他们接受一系列测试以确定饮料的效果。这些测试包括:a)基于视觉模拟量表的警觉性和表现主观评估,以及b)客观功能测试:即时单词回忆测试、数字符号替换测试(DSST)和血流动力学测量。使用单因素方差分析比较三次就诊的结果,P < 0.05被认为具有统计学意义。
在所有表现测试、主观警觉性和有效性评估中,午餐后30分钟,“唤醒”饮料和咖啡因均显著优于安慰剂。然而,午餐后2小时,饮用含咖啡因饮料的人的表现有所下降,而“唤醒”饮料优于咖啡因和安慰剂。与“唤醒”饮料和安慰剂相比,摄入咖啡因2小时后血压和脉搏更高。
这些结果表明,单剂量的“唤醒”饮料可有效对抗午餐后数小时的嗜睡并改善表现。在当前研究中,它没有不良血流动力学后果。