Reynolds Alexandria M, Seymour Zachary R, Iftikhar Imran H, Burnette M Michele, Vendemia Jennifer M C, Youngstedt Shawn D
Department of Psychology, University of South Carolina, Columbia, SC, United States.
Walter Reed National Military Medical Center, Bethesda, MD, United States.
Sleep Sci. 2024 Jun 13;17(4):e357-e369. doi: 10.1055/s-0044-1782525. eCollection 2024 Dec.
To determine the feasibility for middle-aged and older adults to extend their time in bed by 2 h per night for 3 consecutive weeks. Other aims were to examine the effects of sleep extension on mood, cognitive performance, and cardiovascular health. Ten healthy middle-aged to older adults (9 women; = 65.20 ± 4.78 years) who reported regularly sleeping 6 to 8 h per night participated in a randomized controlled cross-over study: 3 weeks of both habitual sleep and extended sleep (1-week recovery between treatments). Participants were asked to spend 2 additional hours in bed per night during sleep extension. Cognitive (e.g., errors, response time), psychological (e.g., depression, anxiety, mood), and physiological measures (e.g., inflammation, glucose, triglycerides, blood pressure) were assessed. Compared with habitual sleep, time in bed increased 81.63 ± 33.11 min and total sleep time increased 66.33 ± 28.64 min during sleep extension; these variables did not significantly change during baseline or the habitual sleep treatment. No significant treatment differences were found in the cognitive, psychological, or physiological measures. Neither significant positive nor negative effects of sleep extension were found for any of the variables. In terms of feasibility, it was difficult for the participants to extend their time in bed and, subsequently, attain more sleep by the targeted amount. Sleep extension by a greater degree or longer period of times might be more likely to elicit positive or negative effects.
确定中年及老年成年人连续3周每晚在床上的时间延长2小时的可行性。其他目的是研究延长睡眠时间对情绪、认知表现和心血管健康的影响。10名每晚通常睡6至8小时的健康中年及老年成年人(9名女性;平均年龄=65.20±4.78岁)参与了一项随机对照交叉研究:进行3周的习惯睡眠和延长睡眠(两种治疗之间有1周的恢复期)。在延长睡眠期间,要求参与者每晚在床上多待2小时。评估了认知(如错误、反应时间)、心理(如抑郁、焦虑、情绪)和生理指标(如炎症、血糖、甘油三酯、血压)。与习惯睡眠相比,延长睡眠期间在床上的时间增加了81.63±33.11分钟,总睡眠时间增加了66.33±28.64分钟;这些变量在基线期或习惯睡眠治疗期间没有显著变化。在认知、心理或生理指标方面未发现显著的治疗差异。对于任何变量,均未发现延长睡眠有显著的积极或消极影响。在可行性方面,参与者很难延长在床上的时间,从而达到目标增加的睡眠时间。更大程度或更长时间的延长睡眠可能更有可能产生积极或消极影响。