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昼夜节律和睡眠质量随衰老的变化:机制与干预措施

Changes in circadian rhythms and sleep quality with aging: mechanisms and interventions.

作者信息

Myers B L, Badia P

机构信息

Psychology Department, Bowling Green State University, OH 43403, USA.

出版信息

Neurosci Biobehav Rev. 1995 Winter;19(4):553-71. doi: 10.1016/0149-7634(95)00018-6.

DOI:10.1016/0149-7634(95)00018-6
PMID:8684716
Abstract

Literature is reviewed indicating that aging is characterized by changes in circadian rhythms and sleep quality. The most marked change is an attenuation of amplitude. An advance of phase, a shortening of period, and a desynchronization of rhythms are also evident. The mechanisms underlying these changes are unknown. However, age-related changes in the retina, suprachiasmatic nucleus, and pineal gland seem relevant along with behavioral changes such as a reduction in physical activity and exposure to photic stimulation. Changes in circadian rhythms are frequently associated with a reduction in nighttime sleep quality, a decrease in daytime alertness, and an attenuation in cognitive performance; reversing such changes could enhance the quality of life for a large and rapidly increasing percentage of the population. Reversal appears possible by increasing melatonin levels with either appropriately timed exposure to photic stimulation and/or appropriately timed administration of exogenous melatonin. These interventions may increase aspects of genetic expression that have changed with aging. A hypothesis concerning the potential benefits of enhanced circadian amplitude is also offered.

摘要

文献综述表明,衰老的特征是昼夜节律和睡眠质量的变化。最显著的变化是振幅减弱。相位提前、周期缩短和节律不同步也很明显。这些变化背后的机制尚不清楚。然而,视网膜、视交叉上核和松果体中与年龄相关的变化似乎与行为变化有关,如身体活动减少和光刺激暴露减少。昼夜节律的变化通常与夜间睡眠质量下降、白天警觉性降低和认知能力减弱有关;逆转这些变化可以提高很大一部分且迅速增长的人口的生活质量。通过适当时机暴露于光刺激和/或适当时机给予外源性褪黑素增加褪黑素水平,逆转似乎是可能的。这些干预措施可能会增加随衰老而改变的基因表达方面。还提出了一个关于增强昼夜节律振幅潜在益处的假说。

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