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昼夜节律类型、睡眠时间表以及明暗模式暴露对昼夜节律相位的影响。

The effects of chronotype, sleep schedule and light/dark pattern exposures on circadian phase.

作者信息

Figueiro Mariana G, Plitnick Barbara, Rea Mark S

机构信息

Lighting Research Center, Rensselaer Polytechnic Institute, 21 Union Street, Troy, NY 12180, USA.

Lighting Research Center, Rensselaer Polytechnic Institute, 21 Union Street, Troy, NY 12180, USA.

出版信息

Sleep Med. 2014 Dec;15(12):1554-64. doi: 10.1016/j.sleep.2014.07.009. Epub 2014 Sep 3.

Abstract

BACKGROUND

Chronotype characterizes individual differences in sleep/wake rhythm timing, which can also impact light exposure patterns. The present study investigated whether early and late chronotypes respond differently to controlled advancing and delaying light exposure patterns while on a fixed, advanced sleep/wake schedule.

METHODS

In a mixed design, 23 participants (11 late chronotypes and 12 early chronotypes) completed a 2-week, advanced sleep/wake protocol twice, once with an advancing light exposure pattern and once with a delaying light exposure pattern. In the advancing light exposure pattern, the participants received short-wavelength light in the morning and short-wavelength-restricting orange-tinted glasses in the evening. In the delaying light exposure pattern, participants received short-wavelength-restricting orange-tinted glasses in the morning and short-wavelength light in the evening. Light/dark exposures were measured with the Daysimeter. Salivary dim light melatonin onset (DLMO) was also measured.

RESULTS

Compared to the baseline week, DLMO was significantly delayed after the delaying light intervention and significantly advanced after the advancing light intervention in both groups. There was no significant difference in how the two chronotype groups responded to the light intervention.

CONCLUSIONS

The present results demonstrate that circadian phase changes resulting from light interventions are consistent with those predicted by previously published phase response curves (PRCs) for both early and late chronotypes.

摘要

背景

昼夜节律类型表征了个体在睡眠/觉醒节律时间上的差异,这也会影响光照模式。本研究调查了在固定的提前睡眠/觉醒时间表下,早起型和晚睡型对可控的提前和延迟光照模式的反应是否不同。

方法

采用混合设计,23名参与者(11名晚睡型和12名早起型)两次完成了为期2周的提前睡眠/觉醒方案,一次采用提前光照模式,一次采用延迟光照模式。在提前光照模式中,参与者早晨接受短波长光,晚上佩戴限制短波长的橙色眼镜。在延迟光照模式中,参与者早晨佩戴限制短波长的橙色眼镜,晚上接受短波长光。使用Daysimeter测量光照/黑暗暴露情况。还测量了唾液褪黑素暗光开始分泌时间(DLMO)。

结果

与基线周相比,两组在延迟光照干预后DLMO显著延迟,在提前光照干预后DLMO显著提前。两个昼夜节律类型组对光照干预的反应没有显著差异。

结论

目前的结果表明,光照干预引起的昼夜节律相位变化与先前发表的早起型和晚睡型相位反应曲线(PRC)预测的变化一致。

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