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习惯性失眠且经常摄入咖啡因的人群,戒除咖啡因对睡眠的影响。

The effect of caffeine abstinence on sleep among habitual caffeine users with poor sleep.

机构信息

Department of Psychology, North Dakota State University, Fargo, North Dakota.

Center for Biobehavioral Research, Sanford Research, Fargo, North Dakota.

出版信息

J Sleep Res. 2021 Feb;30(1):e13048. doi: 10.1111/jsr.13048. Epub 2020 May 6.

Abstract

Caffeine is the most widely used psychoactive substance in the world and is known to disrupt healthy sleep. However, very few studies have directly tested the effect of caffeine abstinence on sleep, and these have yielded inconsistent findings. The purpose of the present study was to examine changes in sleep following caffeine abstinence and examine the extent to which characteristics of habitual caffeine use moderated this change. Participants included 66 healthy, young adults with habitual caffeine use and poor sleep. During the 2-week baseline, sleep was assessed using wrist actigraphy and daily caffeine use was assessed with bedtime diaries. Eligible participants then completed 1 week of caffeine abstinence, during which sleep was measured with wrist actigraphy. Multilevel models found no significant differences between either mean levels or growth trajectories of total sleep time or sleep efficiency between baseline and caffeine abstinence. Mean levels of sleep onset latency also did not differ between baseline and caffeine abstinence. A small but significant quadratic effect was observed, such that sleep onset latency decreased during the first few days of caffeine abstinence, then increased to levels above baseline. Characteristics of caffeine use did not moderate changes in sleep between baseline and caffeine abstinence. These data suggest that abstaining from caffeine may not result in long-term sleep improvement for habitual caffeine users, which contradicts the common sleep health recommendation. The present findings encourage more rigorous investigation of the effectiveness of caffeine restriction on sleep.

摘要

咖啡因是世界上使用最广泛的精神活性物质,已知会扰乱健康的睡眠。然而,很少有研究直接测试咖啡因戒断对睡眠的影响,而且这些研究的结果并不一致。本研究的目的是检查咖啡因戒断后睡眠的变化,并研究习惯性咖啡因使用的特征在多大程度上调节了这种变化。参与者包括 66 名有习惯性咖啡因使用和睡眠不良的健康年轻成年人。在为期两周的基线期内,使用腕动仪评估睡眠,使用睡前日记评估每日咖啡因使用情况。符合条件的参与者随后完成了一周的咖啡因戒断,在此期间使用腕动仪测量睡眠。多层次模型发现,在总睡眠时间或睡眠效率的平均水平或增长轨迹方面,基线期和咖啡因戒断期之间没有显著差异。睡眠潜伏期的平均水平在基线期和咖啡因戒断期之间也没有差异。观察到一个小但显著的二次效应,即咖啡因戒断的前几天睡眠潜伏期下降,然后增加到高于基线的水平。咖啡因使用的特征不能调节基线期和咖啡因戒断期之间睡眠的变化。这些数据表明,对于习惯性咖啡因使用者来说,戒除咖啡因可能不会导致长期的睡眠改善,这与常见的睡眠健康建议相矛盾。本研究结果鼓励更严格地研究限制咖啡因对睡眠的有效性。

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