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昼夜不停工作:人的内源性昼夜节律对于最佳神经行为功能而言本质上是否依赖于任务?

Working around the Clock: Is a Person's Endogenous Circadian Timing for Optimal Neurobehavioral Functioning Inherently Task-Dependent?

作者信息

Muck Rachael A, Hudson Amanda N, Honn Kimberly A, Gaddameedhi Shobhan, Van Dongen Hans P A

机构信息

Sleep and Performance Research Center, Washington State University, Spokane, WA 99202, USA.

Department of Translational Medicine and Physiology, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA.

出版信息

Clocks Sleep. 2022 Feb 11;4(1):23-36. doi: 10.3390/clockssleep4010005.

Abstract

Neurobehavioral task performance is modulated by the circadian and homeostatic processes of sleep/wake regulation. Biomathematical modeling of the temporal dynamics of these processes and their interaction allows for prospective prediction of performance impairment in shift-workers and provides a basis for fatigue risk management in 24/7 operations. It has been reported, however, that the impact of the circadian rhythm-and in particular its timing-is inherently task-dependent, which would have profound implications for our understanding of the temporal dynamics of neurobehavioral functioning and the accuracy of biomathematical model predictions. We investigated this issue in a laboratory study designed to unambiguously dissociate the influences of the circadian and homeostatic processes on neurobehavioral performance, as measured during a constant routine protocol preceded by three days on either a simulated night shift or a simulated day shift schedule. Neurobehavioral functions were measured every 2 h using three functionally distinct assays: a digit symbol substitution test, a psychomotor vigilance test, and the Karolinska Sleepiness Scale. After dissociating the circadian and homeostatic influences and accounting for inter-individual variability, peak circadian performance occurred in the late biological afternoon (in the "wake maintenance zone") for all three neurobehavioral assays. Our results are incongruent with the idea of inherent task-dependent differences in the endogenous circadian impact on performance. Rather, our results suggest that neurobehavioral functions are under top-down circadian control, consistent with the way they are accounted for in extant biomathematical models.

摘要

神经行为任务表现受睡眠/觉醒调节的昼夜节律和稳态过程调节。对这些过程的时间动态及其相互作用进行生物数学建模,能够前瞻性地预测轮班工作者的表现受损情况,并为全天候运营中的疲劳风险管理提供依据。然而,据报道,昼夜节律的影响——尤其是其时间安排——本质上取决于任务,这将对我们理解神经行为功能的时间动态以及生物数学模型预测的准确性产生深远影响。我们在一项实验室研究中调查了这个问题,该研究旨在明确区分昼夜节律和稳态过程对神经行为表现的影响,这些影响是在一个持续常规方案期间测量的,该方案之前受试者按模拟夜班或模拟日班时间表进行了三天的安排。使用三种功能不同的测试每2小时测量一次神经行为功能:数字符号替换测试、心理运动警觉性测试和卡罗林斯卡嗜睡量表。在区分了昼夜节律和稳态影响并考虑个体间差异后,对于所有三种神经行为测试,昼夜节律表现峰值出现在生物下午晚些时候(在“觉醒维持区”)。我们的结果与内源性昼夜节律对表现的影响存在固有任务依赖性差异的观点不一致。相反,我们的结果表明神经行为功能受自上而下的昼夜节律控制,这与它们在现有生物数学模型中的解释方式一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39f5/8883919/4d2b0859590e/clockssleep-04-00005-g001.jpg

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