Swaminathan Krithika, Klerman Elizabeth B, Phillips Andrew J K
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
J Biol Rhythms. 2017 Apr;32(2):165-176. doi: 10.1177/0748730417699310. Epub 2017 Apr 2.
Within the human population, there is large interindividual variability in the timing of sleep and circadian rhythms. This variability has been attributed to individual differences in sleep physiology, circadian physiology, and/or light exposure. Recent experimental evidence suggests that the latter is necessary to evoke large interindividual differences in sleep and circadian timing. We used a validated model of human sleep and circadian physiology to test the hypothesis that intrinsic differences in sleep and circadian timing are amplified by self-selected use of artificial light sources. We tested the model under 2 conditions motivated by an experimental study (Wright et al., 2013): (1) a "natural" light cycle, and (2) a "realistic" light cycle that included attenuation of light due to living indoors when natural light levels are high and use of electric light when natural light levels are low. Within these conditions, we determined the relationship between intrinsic circadian period (within the range of 23.7-24.6 h) and timing of sleep onset, sleep offset, and circadian rhythms. In addition, we simulated a work week, with fixed wake time for 5 days and free sleep times on weekends. Under both conditions, a longer intrinsic period resulted in later sleep and circadian timing. Compared to the natural condition, the realistic condition evoked more than double the variation in sleep timing across the physiological range of intrinsic circadian periods. Model predictions closely matched data from the experimental study. We found that if the intrinsic circadian period was long (>24.2 h) under the realistic condition, there was significant mismatch in sleep timing between weekdays and weekends, which is known as social jetlag. These findings indicate that individual tendencies to have very delayed schedules can be greatly amplified by self-selected modifications to the natural light/dark cycle. This has important implications for therapeutic treatment of advanced or delayed sleep phase disorders.
在人类群体中,睡眠和昼夜节律的时间安排存在很大的个体差异。这种差异归因于睡眠生理学、昼夜生理节律和/或光照暴露方面的个体差异。最近的实验证据表明,后者对于引发睡眠和昼夜节律时间安排上的巨大个体差异是必要的。我们使用经过验证的人类睡眠和昼夜生理节律模型来检验这一假设,即睡眠和昼夜节律时间安排的内在差异会因自主选择使用人工光源而被放大。我们在一项实验研究(Wright等人,2013年)所激发的两种条件下对该模型进行了测试:(1)“自然”光照周期,以及(2)“现实”光照周期,其中包括在自然光水平较高时因居住在室内导致的光线衰减,以及在自然光水平较低时使用电灯。在这些条件下,我们确定了内在昼夜周期(在23.7 - 24.6小时范围内)与入睡时间、睡眠结束时间和昼夜节律之间的关系。此外,我们模拟了一个工作周,工作日有固定的起床时间,周末有自由的睡眠时间。在两种条件下,较长的内在周期都会导致更晚的睡眠和昼夜节律时间。与自然条件相比,现实条件在内在昼夜周期的生理范围内引发的睡眠时间变化增加了一倍多。模型预测与实验研究的数据紧密匹配。我们发现,如果在现实条件下内在昼夜周期较长(>24.2小时),工作日和周末的睡眠时间会出现明显不匹配,这就是所谓的社会时差。这些发现表明,个体倾向于非常延迟的日程安排会因对自然明暗周期的自主选择调整而被极大地放大。这对晚期或延迟睡眠相位障碍的治疗具有重要意义。