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封锁对居住在印度东北部人群的睡眠、饮食、排便、身体活动及月经周期等生理参数的影响。

The Effect of Lockdown on Physiological Parameters of Sleep, Diet, Bowel Movement, Physical Activity, and Menstrual Cycle of Individuals Residing in Northeast India.

作者信息

Barooah Rituparna, S Shakthinag, Tasneem Zakiyyah, Phurailatpam Jayshree, Baruah Karabi, Das Anupi, Das Kahua, Bordoloi Gitartha, Begum Tazkira, Dhar Ranjana, P Naveen, Chhakchhuak Biakhlupuii, Datta Shib Sekhar, Kumar Kodumuri Praveen, Lyngdoh John A, Rymbui Deisha B, Rymbai Iohborlang

机构信息

Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND.

Physiology, Regional Institute of Medical Sciences (RIMS), Imphal, IND.

出版信息

Cureus. 2025 Apr 3;17(4):e81651. doi: 10.7759/cureus.81651. eCollection 2025 Apr.

Abstract

Background Lockdown is a state of confinement that results in changes to the environmental factors that otherwise help entrain to circadian rhythm, and hence the need arises to understand the changes to various physiological factors during lockdown. Methodology A cross-sectional questionnaire-based study was conducted using snowball sampling, including people residing in Northeast India. A chi-square test was applied for the association between variables. A two-tailed Z test was done to analyze significant changes between two proportions. Result The final sample size was 992, and the mean age was 27.38 ± 10.887 years. A significant delay in bedtime ( = 0.0271), an increase in sleep latency ( = 0.0083), screen time duration ( = 0.0293), daytime sleep ( = 0.0155), and restfulness of sleep ( < 0.00001), as well as a decrease in sleep without awakening ( = 0.0001), were observed during lockdown compared to before the lockdown. In subjects sleeping beyond 1 AM, a significant decrease in restfulness ( = 0.00084) and an increase in sleep latency of more than one hour ( = 0.00528) were observed. An increase in water intake (508, 52%), fruit juice consumption (452, 46.1%), vegetable consumption (516, 52.9%), snacking (515, 52.8%), and body weight (447, 46.3%), along with a decrease in junk food consumption (527, 54.5%), were observed during lockdown. A significant decrease in alcohol consumption was observed during ( = 0.00338) and after ( = 0.03572) the lockdown. Breakfast timing was delayed in 395 individuals (40.5%), with a significant delay noted in those sleeping beyond 1 AM ( = 0.00634). A significant decrease in the frequency of lower stool passage ( = 0.01314) and a reduction in formed stools ( = 0.01016), along with a decrease in morning defecation ( = 0.0001), were observed. A significant decrease in morning defecation was observed in those sleeping beyond 1 AM ( = 0.01208). The changes in restfulness, sleep disturbance, screen time duration, sleep latency, defecation timing, and alcohol consumption observed during lockdown persisted even after the lockdown. Conclusions The most significant changes were seen for sleep. Changes in diet were inclined toward positive health. Sleeping beyond 1 AM, however, predisposed to longer latency of sleep, reduction in restfulness of sleep, and delayed breakfast and defecation time. Some of the changes observed during lockdown persisted even after the relaxation of restrictions.

摘要

背景 封锁是一种限制状态,会导致有助于人体与昼夜节律同步的环境因素发生变化,因此有必要了解封锁期间各种生理因素的变化。

方法 采用雪球抽样法进行了一项基于问卷调查的横断面研究,研究对象包括居住在印度东北部的人群。对变量之间的关联应用卡方检验。进行双尾Z检验以分析两个比例之间的显著变化。

结果 最终样本量为992,平均年龄为27.38 ± 10.887岁。与封锁前相比,封锁期间观察到就寝时间显著延迟(P = 0.0271)、睡眠潜伏期增加(P = 0.0083)、屏幕使用时长增加(P = 0.0293)、日间睡眠增加(P = 0.0155)、睡眠安稳度下降(P < 0.00001),以及无觉醒睡眠减少(P = 0.0001)。在凌晨1点后入睡的受试者中,观察到睡眠安稳度显著下降(P = 0.00084),睡眠潜伏期增加超过1小时(P = 0.00528)。封锁期间观察到饮水量增加(508人,52%)、果汁摄入量增加(452人,46.1%)、蔬菜摄入量增加(516人,52.9%)、零食摄入量增加(515人,52.8%)和体重增加(447人,46.3%),同时垃圾食品摄入量减少(527人,54.5%)。在封锁期间(P = 0.00338)和封锁后(P = 0.03572)观察到酒精消费量显著下降。395人(40.5%)早餐时间延迟,在凌晨1点后入睡的人群中延迟显著(P = 0.00634)。观察到排便频率显著降低(P = 0.01314)、成形粪便减少(P = 0.01016),以及晨起排便减少(P = 0.0001)。在凌晨1点后入睡的人群中晨起排便显著减少(P = 0.01208)。封锁期间观察到的睡眠安稳度、睡眠干扰、屏幕使用时长、睡眠潜伏期、排便时间和酒精消费的变化在封锁结束后仍然存在。

结论 睡眠方面的变化最为显著。饮食变化倾向于有益健康。然而,凌晨1点后入睡易导致睡眠潜伏期延长、睡眠安稳度降低、早餐和排便时间延迟。封锁期间观察到的一些变化在限制措施放松后仍然存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8981/12049090/e8bf00db9fb2/cureus-0017-00000081651-i01.jpg

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