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昼夜节律同步和失调期间的白天强光暴露、新陈代谢以及清醒和睡眠能量消耗的个体差异。

Daytime bright light exposure, metabolism, and individual differences in wake and sleep energy expenditure during circadian entrainment and misalignment.

作者信息

Melanson Edward L, Ritchie Hannah K, Dear Tristan B, Catenacci Victoria, Shea Karen, Connick Elizabeth, Moehlman Thomas M, Stothard Ellen R, Higgins Janine, McHill Andrew W, Wright Kenneth P

机构信息

Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, USA.

Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus, 12801 East 17th Ave, RC1 South RM 7103, MS 8106, 80045 Aurora, CO, USA.

出版信息

Neurobiol Sleep Circadian Rhythms. 2018 Jan;4:49-56. doi: 10.1016/j.nbscr.2017.12.002. Epub 2017 Dec 29.

Abstract

Daytime light exposure has been reported to impact or have no influence on energy metabolism in humans. Further, whether inter-individual differences in wake, sleep, 24 h energy expenditure, and RQ during circadian entrainment and circadian misalignment are stable across repeated 24 h assessments is largely unknown. We present data from two studies: Study 1 of 15 participants (7 females) exposed to three light exposure conditions: continuous typical room ~100 lx warm white light, continuous ~750 lx warm white light, and alternating hourly ~750 lx warm white and blue-enriched white light on three separate days in a randomized order; and Study 2 of 14 participants (8 females) during circadian misalignment induced by a simulated night shift protocol. Participants were healthy, free of medical disorders, medications, and illicit drugs. Participants maintained a consistent 8 h per night sleep schedule for one week as an outpatient prior to the study verified by wrist actigraphy, sleep diaries, and call-ins to a time stamped recorder. Participants consumed an outpatient energy balance research diet for three days prior to the study. The inpatient protocol for both studies consisted of an initial sleep disorder screening night. For study 1, this was followed by three standard days with 16 h scheduled wakefulness and 8 h scheduled nighttime sleep. For Study 2, it was followed by 16 h scheduled wake and 8 h scheduled sleep at habitual bedtime followed by three night shifts with 8 h scheduled daytime sleep. Energy expenditure was measured using whole-room indirect calorimetry. Constant posture bedrest conditions were maintained to control for energy expenditure associated with activity and the baseline energy balance diet was continued with the same exact meals across days to control for thermic effects of food. No significant impact of light exposure was observed on metabolic outcomes in response to daytime light exposure. Inter-individual variability in energy expenditure was systematic and ranged from substantial to almost perfect consistency during both nighttime sleep and circadian misalignment. Findings show robust and stable trait-like individual differences in whole body 24 h, waking, and sleep energy expenditure, 24 h respiratory quotient-an index of a fat and carbohydrate oxidation-during repeated assessments under entrained conditions, and also in 24 h and sleep energy expenditure during repeated days of circadian misalignment.

摘要

据报道,白天的光照会影响人体的能量代谢,也可能没有影响。此外,在昼夜节律同步和昼夜节律失调期间,个体在清醒、睡眠、24小时能量消耗以及呼吸商方面的个体差异在重复的24小时评估中是否稳定,目前还很大程度上未知。我们展示了两项研究的数据:研究1有15名参与者(7名女性),在三天内以随机顺序分别暴露于三种光照条件下:持续的典型房间约100勒克斯暖白光、持续的约750勒克斯暖白光,以及每小时交替的约750勒克斯暖白光和蓝光增强白光;研究2有14名参与者(8名女性),处于模拟夜班方案导致的昼夜节律失调状态。参与者身体健康,无医学疾病、未服用药物且未使用违禁药物。在研究前,参与者作为门诊患者,通过手腕活动记录仪、睡眠日记以及向带时间戳的记录器致电核实,保持每晚8小时的一致睡眠时间表一周。在研究前三天,参与者食用门诊能量平衡研究饮食。两项研究的住院方案均包括一个初始的睡眠障碍筛查夜。对于研究1,随后是三个标准日,安排16小时清醒和8小时夜间睡眠。对于研究2,随后是在习惯就寝时间安排16小时清醒和8小时睡眠,然后是三个夜班,安排8小时白天睡眠。使用全室间接测热法测量能量消耗。保持恒定姿势卧床休息条件,以控制与活动相关的能量消耗,并且在不同日子里持续食用相同的基线能量平衡饮食,以控制食物的热效应。在白天光照暴露的情况下,未观察到光照对代谢结果有显著影响。在夜间睡眠和昼夜节律失调期间,能量消耗的个体间变异性是系统性的,范围从很大到几乎完全一致。研究结果表明,在昼夜节律同步条件下的重复评估中,以及在昼夜节律失调的重复日子里,全身24小时、清醒和睡眠能量消耗、24小时呼吸商(脂肪和碳水化合物氧化的指标)存在强大且稳定的类似特质的个体差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df6/6584605/d9639cb2016f/gr1.jpg

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