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部分睡眠限制及随后摄入咖啡因对神经血管耦合的影响。

The effects of partial sleep restriction and subsequent caffeine ingestion on neurovascular coupling.

机构信息

Exeter Head Impacts, Brain Injury and Trauma (ExHIBIT) Research Group, Department of Public Health and Sport Sciences, University of Exeter, Exeter, UK.

出版信息

J Sleep Res. 2024 Oct;33(5):e14145. doi: 10.1111/jsr.14145. Epub 2024 Jan 16.

Abstract

Habitual poor sleep is associated with cerebrovascular disease. Acute sleep deprivation alters the ability to match brain blood flow to metabolism (neurovascular coupling [NVC]) but it is not known how partial sleep restriction affects NVC. When rested, caffeine disrupts NVC, but its effects in the sleep-restricted state are unknown. The purpose of this study was therefore to investigate the effects of partial sleep restriction and subsequent caffeine ingestion on NVC. A total of 17 adults (mean [standard deviation] age 27 [5] years, nine females) completed three separate overnight conditions with morning supplementation: habitual sleep plus placebo (Norm_Pl), habitual sleep plus caffeine (Norm_Caf), and partial (50% habitual sleep) restriction plus caffeine (PSR_Caf). NVC responses were quantified as blood velocity through the posterior (PCAv) and middle (MCAv) cerebral arteries using transcranial Doppler ultrasound during a visual search task and cognitive function tests, respectively. NVC was assessed the evening before and twice the morning after each sleep condition-before and 1-h after caffeine ingestion. NVC responses as a percentage increase in PCAv and MCAv from resting baseline were not different at any timepoint, across all conditions (p > 0.053). MCAv at baseline, and PCAv at baseline, peak, and total area under the curve were lower 1-h after caffeine in both Norm_Caf and PSR_Caf as compared to Norm_Pl (p < 0.05), with no difference between Norm_Caf and PSR_Caf (p > 0.14). In conclusion, NVC was unaltered after 50% sleep loss, and caffeine did not modify the magnitude of the response in the rested or sleep-deprived state. Future research should explore how habitual poor sleep affects cerebrovascular function.

摘要

习惯性睡眠不佳与脑血管疾病有关。急性睡眠剥夺会改变大脑血液流动与代谢相匹配的能力(神经血管耦合[NVC]),但目前尚不清楚部分睡眠限制如何影响 NVC。休息时,咖啡因会破坏 NVC,但在睡眠受限状态下的影响尚不清楚。因此,本研究旨在探讨部分睡眠限制和随后摄入咖啡因对 NVC 的影响。共有 17 名成年人(平均[标准差]年龄 27[5]岁,9 名女性)在三个单独的夜间条件下完成了包含清晨补充剂的实验:习惯性睡眠加安慰剂(Norm_Pl)、习惯性睡眠加咖啡因(Norm_Caf)和部分(50%习惯性睡眠)限制加咖啡因(PSR_Caf)。使用经颅多普勒超声在视觉搜索任务中分别量化大脑后(PCAv)和中(MCAv)动脉的血流速度,作为 NVC 反应。在每个睡眠条件前一晚和清晨两次评估 NVC-在咖啡因摄入前和摄入后 1 小时。在任何时间点,在所有条件下,NVC 反应(PCAv 和 MCAv 从休息基线的百分比增加)均无差异(p>0.053)。与 Norm_Pl 相比,在 Norm_Caf 和 PSR_Caf 中,咖啡因摄入后 1 小时,基线 MCAv 和基线、峰值和总曲线下面积的 PCAv 较低(p<0.05),但 Norm_Caf 和 PSR_Caf 之间无差异(p>0.14)。总之,50%的睡眠损失后 NVC 没有改变,而咖啡因在休息或睡眠剥夺状态下都没有改变反应的幅度。未来的研究应该探讨习惯性睡眠不佳如何影响脑血管功能。

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