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男性和女性睡眠受限后能量摄入增加:一刀切的结论?

Increased energy intake following sleep restriction in men and women: A one-size-fits-all conclusion?

作者信息

McNeil Jessica, St-Onge Marie-Pierre

机构信息

Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.

Department of Medicine, College of Physicians and Surgeons, New York Obesity Nutrition Research Center and Institute of Human Nutrition, Columbia University, New York, New York, USA.

出版信息

Obesity (Silver Spring). 2017 Jun;25(6):989-992. doi: 10.1002/oby.21831. Epub 2017 Apr 12.

Abstract

OBJECTIVE

This study assessed the degree of interindividual responses in energy intake (EI) to an imposed sleep restriction versus habitual sleep duration protocol. It also investigated participant (age, sex, ethnicity, and BMI) and study (study site and protocol order) characteristics as potential contributors to the variance in EI responses to sleep restriction between individuals.

METHODS

Data from two randomized crossover trials were combined. All participants (n = 43; age: 31 ± 7 years, BMI: 23 ± 2 kg/m ) were free of medical/sleep conditions, were nonsmokers, reported not performing shift work, and had an average sleep duration of 7 to 9 hours per night. Ad libitum, 24-hour EI was objectively assessed following sleep restriction (3.5-4 hours in bed per night) and habitual sleep (7-9 hours in bed per night) conditions.

RESULTS

Large interindividual variations in EI change (ΔEI) between restricted and habitual sleep conditions were noted (-813 to 1437 kcal/d). Only phase order was associated with ΔEI (β = -568 kcal/d, 95% confidence interval for β = -921 to -215 kcal/d; P = 0.002); participants randomized to the habitual sleep condition first had greater increases in EI when sleep was restricted (P = 0.01).

CONCLUSIONS

Large interindividual variations in ΔEI following sleep restriction were noted, suggesting that not all participants were negatively impacted by the effects of sleep restriction.

摘要

目的

本研究评估了能量摄入(EI)对强制睡眠限制与习惯性睡眠时间方案的个体间反应程度。它还调查了参与者(年龄、性别、种族和体重指数)和研究(研究地点和方案顺序)特征,作为个体对睡眠限制的EI反应差异的潜在影响因素。

方法

合并两项随机交叉试验的数据。所有参与者(n = 43;年龄:31±7岁,体重指数:23±2 kg/m²)无医疗/睡眠问题,不吸烟,报告未从事轮班工作,且每晚平均睡眠时间为7至9小时。在睡眠限制(每晚卧床3.5 - 4小时)和习惯性睡眠(每晚卧床7 - 9小时)条件下,客观评估自由摄入的24小时EI。

结果

注意到在限制睡眠和习惯性睡眠条件之间,EI变化(ΔEI)存在较大个体差异(-813至1437千卡/天)。只有阶段顺序与ΔEI相关(β = -568千卡/天,β的95%置信区间为-921至-215千卡/天;P = 0.002);首先被随机分配到习惯性睡眠条件的参与者在睡眠受限时有更大的EI增加(P = 0.01)。

结论

注意到睡眠限制后ΔEI存在较大个体差异,这表明并非所有参与者都受到睡眠限制影响的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed32/5445008/13951723725b/nihms858425f1.jpg

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