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白 亚, 孙 晓, 文 巧, 吴 江, 邹 剑, 王 海. [Effects of Extreme Environments on Human Sleep]. SICHUAN DA XUE XUE BAO. YI XUE BAN = JOURNAL OF SICHUAN UNIVERSITY. MEDICAL SCIENCE EDITION 2024; 55:1034-1043. [PMID: 39170010 PMCID: PMC11334294 DOI: 10.12182/20240760402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Indexed: 08/23/2024]
Abstract
Recently, with the rapid growth of the global population and the exhaustion of resources, exploration activities in extreme environments such as the polar regions, the outer space, the deep sea, the deep underground and highlands are becoming increasingly more frequent. This in-depth exploration of the external environment and the consequent dramatic changes in lifestyles impact on sleep, a basic life activity of humans, in ways that cannot be overlooked. the basic life activity of human beings. Sleep, a basic life activity and the result of the evolution of organisms to adapt to their environment, is closely associated with sleep homeostasis and endogenous rhythms. However, external environmental changes and lifestyle shifts in extreme environments have had a significant impact on the patterns and the quality of sleep in humans. Furthermore, this impact can lead to many physiological and psychological problems, posing a great threat to human health. In this review, we delved into the specific effects of different extreme natural environments and enclosed environments on sleep, elaborating on how these environments alter the patterns and the quality of sleep in humans. In addition, we summarized the changes in human sleep under extreme environments to help gain a better understanding of the mechanisms by which these specific environments impact human sleep. It is expected that this review will provide a solid theoretical foundation for optimizing long-term survival strategies in extreme environments and help humans adapt to and overcome the challenges posed by extreme environments more effectively.
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Affiliation(s)
- 亚宁 白
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - 晓茹 孙
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
- 四川大学深地医学中心 (成都 610041)Deep Under Ground Medical Center, Sichuan University, Chengdu 610041, China
| | - 巧 文
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
- 四川大学深地医学中心 (成都 610041)Deep Under Ground Medical Center, Sichuan University, Chengdu 610041, China
| | - 江 吴
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
- 四川大学深地医学中心 (成都 610041)Deep Under Ground Medical Center, Sichuan University, Chengdu 610041, China
| | - 剑 邹
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
- 四川大学深地医学中心 (成都 610041)Deep Under Ground Medical Center, Sichuan University, Chengdu 610041, China
| | - 海洋 王
- 四川大学华西医院 耳鼻咽喉头颈外科 (成都 610041)Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
- 四川大学深地医学中心 (成都 610041)Deep Under Ground Medical Center, Sichuan University, Chengdu 610041, China
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Buguet AGC. From pole to pole, life-long research of sleep in extreme environments. SLEEP ADVANCES : A JOURNAL OF THE SLEEP RESEARCH SOCIETY 2024; 5:zpae025. [PMID: 38737795 PMCID: PMC11085838 DOI: 10.1093/sleepadvances/zpae025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 03/25/2024] [Indexed: 05/14/2024]
Abstract
In November 1965, Michel Jouvet accepted me into his laboratory in Lyon as a medical student at a time when sleep research was an adventure. After 4 years of investigations in cats, I obtained my medical doctorate. Being a military physician, I was posted to Antarctica for wintering over and was initiated by Jean Rivolier into the psychology of small isolated human groups. I recorded 180 polysomnographic (PSG) nights in eight of my companions. This was my first contribution to research on human sleep under extreme environments and conditions. I then entered René Hénane's military thermophysiology laboratory, where I analyzed thermal exchanges during human sleep in the heat. Back to the cold, I spent 2 years in Canada and analyzed sleep during the Arctic winter under the direction of Manny W. Radomski, who headed the Defense and Civil Institute of Environmental Medicine and judged my PhD dissertation along with my first two mentors. Throughout my career, I worked in collaboration with Manny Radomski under the auspices of the Franco-Canadian Accord for Defence Research. We studied sleep and exercise, sleep deprivation, and recovery with and without chemical help. He also gave me support during several investigations in Africa. There, I studied normal sleep under various tropical climates (warm and dry in Niger, warm and humid in Côte d'Ivoire and Congo, temperate mid-mountain in Angola). I determined that human African trypanosomiasis, the ravaging sleeping sickness or tsetse disease, is not a hypersomnia, but a disorder of circadian rhythms, notably in the sleep-wake cycle.
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Affiliation(s)
- Alain G C Buguet
- Invited Scientist (ret), Malaria Research Unit, UMR 5246 CNRS, Claude-Bernard Lyon-1 University, Villeurbanne, France
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Yuan M, Wang F, Sun T, Bian X, Zhang Y, Guo C, Yu L, Yao Z. Vitamin B 6 alleviates chronic sleep deprivation-induced hippocampal ferroptosis through CBS/GSH/GPX4 pathway. Biomed Pharmacother 2024; 174:116547. [PMID: 38599059 DOI: 10.1016/j.biopha.2024.116547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 03/19/2024] [Accepted: 04/04/2024] [Indexed: 04/12/2024] Open
Abstract
Several studies have found that sleep deprivation (SD) can lead to neuronal ferroptosis and affect hippocampal function. However, there are currently no effective interventions. Vitamin B6 is a co-factor for key enzymes in the transsulfuration pathway which is critical for maintaining cell growth in the presence of cysteine deprivation. The results showed that SD inhibited cystine-glutamate antiporter light chain subunit xCT protein expression and caused cysteine deficiency, which reduced the synthesis of the glutathione (GSH) to trigger neuronal ferroptosis. Nissl staining further revealed significant neuronal loss and shrinkage in the CA1 and CA3 regions of the hippocampus in SD mice. Typical ferroptotic indicators characterized by lipid peroxidation and iron accumulation were showed in the hippocampus after sleep deprivation. As expected, vitamin B6 could alleviate hippocampal ferroptosis by upregulating the expression of cystathionine beta-synthase (CBS) in the transsulfuration pathway, thereby replenishing the intracellular deficient GSH and restoring the expression of GPX4. Similar anti-ferroptotic effects of vitamin B6 were demonstrated in HT-22 cells treated with ferroptosis activator erastin. Furthermore, vitamin B6 had no inhibitory effect on erastin-induced ferroptosis in CBS-knockout HT22 cells. Our findings suggested chronic sleep deprivation caused hippocampal ferroptosis by disrupting the cyst(e)ine/GSH/GPX4 axis. Vitamin B6 alleviated sleep deprivation-induced ferroptosis by enhancing CBS expression in the transsulfuration pathway.
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Affiliation(s)
- Man Yuan
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China
| | - Feng Wang
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China
| | - Tieqiang Sun
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China
| | - Xiangyu Bian
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China
| | - Yuxian Zhang
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China
| | - Changjiang Guo
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China.
| | - Lixia Yu
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China.
| | - Zhanxin Yao
- Tianjin Institute of Environmental and Operational Medicine, Tianjin 300050, China.
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Buguet A, Reis J, Radomski MW. Sleep and global warming: How will we sleep when the Earth is hotter? J Neurol Sci 2023; 454:120859. [PMID: 37922827 DOI: 10.1016/j.jns.2023.120859] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 06/20/2023] [Accepted: 10/27/2023] [Indexed: 11/07/2023]
Abstract
Societal concern about climate change and global warming has grown worldwide along with the concomitant awareness that health will be impacted deeply. Among living beings, humans have quite large capacities for adaptation to varied temperature conditions. Despite their tropical origin, they live under all Earth climates, such as polar, temperate, altitude, arid, and tropical climates, using a wide range of behavioral and physiological adaptive responses. We address the adaptive abilities of human sleep-wake regulation and its interplay with thermoregulation under different natural climates. Sleep represents one-third of our living time and is also a major determinant of morbidity and mortality; shortening sleep duration increases mortality and multimorbidity. In addition, major advances in sleep neurology have occurred in the last decades. Some have been extensively reviewed, notably comparative sleep physiology among animals, allowing one to hypothesize about the functions of the different sleep states, as well as their relation to cognitive neuroscience or body biorhythms. However, the question of the sleep adaptive capacity of humans to global warming has barely been addressed. We examine "normal" sleep and thermoregulation in young adults residing in temperate conditions. We then review the sleep and thermoregulatory reactions under various climatic conditions, demonstrating the role of sleep changes as potent adaptive responses to living under natural hot climatic conditions. As a result, we show that humans are well-equipped to adapt to severe climates.
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Affiliation(s)
- Alain Buguet
- Malaria Research Unit, UMR 5246 CNRS, Claude-Bernard Lyon-1 University, 69622 Villeurbanne, France.
| | - Jacques Reis
- University of Strasbourg, 67000 Strasbourg, France; Association RISE, 3 rue du Loir, 67205 Oberhausbergen, France
| | - Manny W Radomski
- Professor Emeritus at the University of Toronto, Apt n° 2501, 2010 Islington Avenue, Toronto, ON, M9P3S8, Canada
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Fraigne JJ, Luppi PH, Mahoney CE, De Luca R, Shiromani PJ, Weber F, Adamantidis A, Peever J. Dopamine neurons in the ventral tegmental area modulate rapid eye movement sleep. Sleep 2023; 46:zsad024. [PMID: 36775897 DOI: 10.1093/sleep/zsad024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 01/13/2023] [Indexed: 02/14/2023] Open
Affiliation(s)
- Jimmy J Fraigne
- Department of Cell and Systems Biology, University of Toronto, Toronto, Canada
| | - Pierre H Luppi
- Centre de Recherche en Neurosciences de Lyon (CRNL), INSERM, and Université Claude Bernard Lyon 1, Lyon, France
| | - Carrie E Mahoney
- Department of Neurology, Beth Israel Deaconess Medical Center and Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA
| | - Roberto De Luca
- Department of Neurology, Beth Israel Deaconess Medical Center and Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA
| | - Priyattam J Shiromani
- Laboratory of Sleep Medicine and Chronobiology, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA
| | - Franz Weber
- Department of Neuroscience, Perelman School of Medicine, Chronobiology and Sleep Institute, University of Pennsylvania, Philadelphia, PA, USA
| | - Antoine Adamantidis
- Departments of Neurology and Biomedical Research, Centre for Experimental Neurology, Inselspital University Hospital Bern, University of Bern, Bern, Switzerland
| | - John Peever
- Department of Cell and Systems Biology, University of Toronto, Toronto, Canada
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Zamboni G, Perez E, Amici R. Obituary: Pier Luigi Parmeggiani (1928-2022). The quest for the physiological meaning of REM sleep. J Sleep Res 2023; 32:e13769. [PMID: 36302087 DOI: 10.1111/jsr.13769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 10/10/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Giovanni Zamboni
- Department Biomedical and Neuromotor Sciences-Physiology, Alma Mater Studiorum-University of Bologna, Bologna, Italy
| | - Emanuele Perez
- Department Biomedical and Neuromotor Sciences-Physiology, Alma Mater Studiorum-University of Bologna, Bologna, Italy
| | - Roberto Amici
- Department Biomedical and Neuromotor Sciences-Physiology, Alma Mater Studiorum-University of Bologna, Bologna, Italy
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Altena E, Baglioni C, Sanz-Arigita E, Cajochen C, Riemann D. How to deal with sleep problems during heatwaves: practical recommendations from the European Insomnia Network. J Sleep Res 2023; 32:e13704. [PMID: 36073025 DOI: 10.1111/jsr.13704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 07/26/2022] [Indexed: 11/29/2022]
Abstract
Heatwaves are occurring more frequently and are known to affect particularly night-time temperatures. We review here literature on how night-time ambient temperature changes affect body temperature and sleep quality. We then discuss how these temperature effects impact particularly vulnerable populations such as older adults, children, pregnant women, and those with psychiatric conditions. Several ways of dealing with sleep problems in the context of heatwaves are then suggested, adapted from elements of cognitive behavioural therapy for insomnia, with more specific advice for vulnerable populations. By better dealing with sleep problems during heatwaves, general health effects of heatwaves may be more limited. However, given the sparse literature, many links addressed in this review on sleep problems affected by temperature changes should be the focus of future research.
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Affiliation(s)
- Ellemarije Altena
- UMR 5287, Institut de Neurosciences Intégratives et Cognitives d'Aquitaine, Neuroimagerie et Cognition Humain, CNRS, Université de Bordeaux, Bordeaux, France
| | - Chiara Baglioni
- Department of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center, University of Freiburg, University of Freiburg, Freiburg, Germany.,Department of Human Sciences, University of Rome 'G. Marconi', Telematic, Rome, Italy
| | - Ernesto Sanz-Arigita
- UMR 5287, Institut de Neurosciences Intégratives et Cognitives d'Aquitaine, Neuroimagerie et Cognition Humain, CNRS, Université de Bordeaux, Bordeaux, France
| | - Christian Cajochen
- Centre for Chronobiology, Psychiatric University Clinic, Basel, Switzerland
| | - Dieter Riemann
- Department of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center, University of Freiburg, University of Freiburg, Freiburg, Germany
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Castelli L, Galasso L, Mulè A, Ciorciari A, Fornasini F, Montaruli A, Roveda E, Esposito F. Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review. Front Physiol 2022; 13:964232. [PMID: 36035468 PMCID: PMC9399348 DOI: 10.3389/fphys.2022.964232] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 07/11/2022] [Indexed: 12/04/2022] Open
Abstract
Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web of Science, and Cochrane Library databases. The current review followed PRISMA reporting guidelines and involves twenty-one articles grouped into four sections based on the characteristics of the balneotherapy protocol: 1.a Balneotherapy-thermal water immersion alone (five studies); 1.b Balneotherapy-thermal water immersion with other spa treatments (six studies); 2.a Balneotherapy and physical exercise-balneotherapy and out-of-the-pool physical exercise (eight studies); 2.b Balneotherapy and physical exercise-balneotherapy and in-pool physical exercise (three studies). Apart from healthy or sub-healthy subjects, patients recruited in the studies were affected by fibromyalgia, ankylosing spondylitis, osteoarthritis, musculoskeletal pain, subacute supraspinatus tendinopathy, and mental disorders. Duration, number of sessions, and study protocols are very different from each other. Only one study objectively evaluated sleep, whereas the others used subjective sleep assessment methods. Eight studies considered sleep as a primary outcome and ten as secondary. Sixteen out of twenty-one studies described improvements in self-perceived sleep quality. Thus, balneotherapy associated with other spa treatments and physical exercise seems to be effective in improving self-perceived sleep quality. However, the miscellany of treatments makes it difficult to discern the isolated effects of balneotherapy and physical exercise. Future studies should consider using an objective sleep assessment method and describing the pathways and physiological mechanisms that could provoke sleep changes during balneotherapy treatments.
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Affiliation(s)
- Lucia Castelli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Letizia Galasso
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Antonino Mulè
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Andrea Ciorciari
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | | | - Angela Montaruli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Eliana Roveda
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
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McCabe SM, Abbiss CR, Libert JP, Bach V. Functional links between thermoregulation and sleep in children with neurodevelopmental and chronic health conditions. Front Psychiatry 2022; 13:866951. [PMID: 36451768 PMCID: PMC9703054 DOI: 10.3389/fpsyt.2022.866951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 10/24/2022] [Indexed: 11/16/2022] Open
Abstract
The bi-directional relationship between sleep and wake is recognized as important for all children. It is particularly consequential for children who have neurodevelopmental disorders (NDDs) or health conditions which challenge their sleep and biological rhythms, and their ability to maintain rhythms of participation in everyday activities. There are many studies which report the diverse reasons for disruption to sleep in these populations. Predominantly, there is focus on respiratory, pharmaceutical, and behavioral approaches to management. There is, however, little exploration and explanation of the important effects of body thermoregulation on children's sleep-wake patterns, and associated behaviors. Circadian patterns of sleep-wake are dependent on patterns of body temperature change, large enough to induce sleep preparedness but remaining within a range to avoid sleep disturbances when active thermoregulatory responses against heat or cold are elicited (to maintain thermoneutrality). Additionally, the subjective notion of thermal comfort (which coincides with the objective concept of thermoneutrality) is of interest as part of general comfort and associated behavioral responses for sleep onset and maintenance. Children's thermoregulation and thermal comfort are affected by diverse biological functions, as well as their participation in everyday activities, within their everyday environments. Hence, the aforementioned populations are additionally vulnerable to disruption of their thermoregulatory system and their capacity for balance of sleep and wakefulness. The purpose of this paper is to present hitherto overlooked information, for consideration by researchers and clinicians toward determining assessment and intervention approaches to support children's thermoregulation functions and promote their subjective thermal comfort, for improved regulation of their sleep and wake functions.
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Affiliation(s)
- Susan M McCabe
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
| | - Chris R Abbiss
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
| | | | - Véronique Bach
- PeriTox UMR_I 01, University of Picardie Jules Verne, Amiens, France
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Žunkovič B, Schmidt M. Sleep: The great adaptive diversity. Curr Biol 2021; 31:R1527-R1530. [PMID: 34875243 DOI: 10.1016/j.cub.2021.10.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
A new study shows that bird pupillary responses during sleep are opposite to those seen in mammals, findings that expand our understanding of the great adaptive diversity of sleep and the expression of its components across species.
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Affiliation(s)
- Breda Žunkovič
- Clinical Institute for Clinical Neurophysiology, University Medical Center Ljubljana, Ljubljana, Slovenia
| | - Markus Schmidt
- Department of Neurology, Center for Experimental Neurology, Bern University Hospital (Inselspital) and University, Bern, Switzerland; Ohio Sleep Medicine Institute, 4975 Bradenton Avenue, Dublin, OH 43017, USA.
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Kuula L, Pesonen AK. Heart Rate Variability and Firstbeat Method for Detecting Sleep Stages in Healthy Young Adults: Feasibility Study. JMIR Mhealth Uhealth 2021; 9:e24704. [PMID: 33533726 PMCID: PMC7889416 DOI: 10.2196/24704] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 12/07/2020] [Accepted: 12/23/2020] [Indexed: 12/24/2022] Open
Abstract
Background Polysomnography (PSG) is considered the only reliable way to distinguish between different sleep stages. Wearable devices provide objective markers of sleep; however, these devices often rely only on accelerometer data, which do not enable reliable sleep stage detection. The alteration between sleep stages correlates with changes in physiological measures such as heart rate variability (HRV). Utilizing HRV measures may thus increase accuracy in wearable algorithms. Objective We examined the validity of the Firstbeat sleep analysis method, which is based on HRV and accelerometer measurements. The Firstbeat method was compared against PSG in a sample of healthy adults. Our aim was to evaluate how well Firstbeat distinguishes sleep stages, and which stages are most accurately detected with this method. Methods Twenty healthy adults (mean age 24.5 years, SD 3.5, range 20-37 years; 50% women) wore a Firstbeat Bodyguard 2 measurement device and a Geneactiv actigraph, along with taking ambulatory SomnoMedics PSG measurements for two consecutive nights, resulting in 40 nights of sleep comparisons. We compared the measures of sleep onset, wake, combined stage 1 and stage 2 (light sleep), stage 3 (slow wave sleep), and rapid eye movement (REM) sleep between Firstbeat and PSG. We calculated the sensitivity, specificity, and accuracy from the 30-second epoch-by-epoch data. Results In detecting wake, Firstbeat yielded good specificity (0.77), and excellent sensitivity (0.95) and accuracy (0.93) against PSG. Light sleep was detected with 0.69 specificity, 0.67 sensitivity, and 0.69 accuracy. Slow wave sleep was detected with 0.91 specificity, 0.72 sensitivity, and 0.87 accuracy. REM sleep was detected with 0.92 specificity, 0.60 sensitivity, and 0.84 accuracy. There were two measures that differed significantly between Firstbeat and PSG: Firstbeat underestimated REM sleep (mean 18 minutes, P=.03) and overestimated wake time (mean 14 minutes, P<.001). Conclusions This study supports utilizing HRV alongside an accelerometer as a means for distinguishing sleep from wake and for identifying sleep stages. The Firstbeat method was able to detect light sleep and slow wave sleep with no statistically significant difference to PSG. Firstbeat underestimated REM sleep and overestimated wake time. This study suggests that Firstbeat is a feasible method with sufficient validity to measure nocturnal sleep stage variation.
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Affiliation(s)
- Liisa Kuula
- SleepWell Research Program, University of Helsinki, Helsinki, Finland
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Zhang S, Osumi H, Uchizawa A, Hamada H, Park I, Suzuki Y, Tanaka Y, Ishihara A, Yajima K, Seol J, Satoh M, Omi N, Tokuyama K. Changes in sleeping energy metabolism and thermoregulation during menstrual cycle. Physiol Rep 2021; 8:e14353. [PMID: 31981319 PMCID: PMC6981303 DOI: 10.14814/phy2.14353] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 12/26/2019] [Accepted: 12/26/2019] [Indexed: 11/24/2022] Open
Abstract
Women with ovulatory menstrual cycles show an increase in body temperature in the luteal phase, compared with follicular phase, particularly during the night. Several, albeit not all, studies reported higher energy expenditure in the luteal phase compared with follicular phase. Q10 of biological reactions lies between 2.0 and 3.0, predicting a 7‐12% increase in energy expenditure when body temperature rises by 1°C. In this study, temperature dependence of energy expenditure was assessed by comparing changes in sleeping energy expenditure and thermoregulation with menstrual cycle in 9 young females. Energy expenditure was measured using a metabolic chamber, in which sleep was recorded polysomnographically, and core body temperature and skin temperature were continuously monitored. Distal‐to‐proximal skin temperature gradient was assessed as an index of heat dissipation. In the luteal phase, a significant increase in average core body temperature (+0.27°C) and energy expenditure (+6.9%) were observed. Heat dissipation was suppressed during the first 2 hr of sleep in the luteal phase, compared with follicular phase. Rise in basal body temperature in the luteal phase was accompanied by increased energy expenditure and suppressed heat dissipation. The 6.9% increase in metabolic rate would require a Q10 of 12.4 to be attributable solely to temperature (+0.27°C), suggesting that energy expenditure in the luteal phase is enhanced through the mechanism, dependent and independent of luteal‐phase rise in body temperature presumably reflects other effects of the sex hormones.
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Affiliation(s)
- Simeng Zhang
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
| | - Haruka Osumi
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Akiko Uchizawa
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Haruka Hamada
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Insung Park
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
| | - Yoko Suzuki
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
| | - Yoshiaki Tanaka
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Asuka Ishihara
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
| | - Katsuhiko Yajima
- Department of Pharmaceutical Sciences, Faculty of Pharmacy and Pharmaceutical Sciences, Josai University, Sakado, Japan
| | - Jaehoon Seol
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Makoto Satoh
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
| | - Naomi Omi
- Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
| | - Kumpei Tokuyama
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan
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Dubos C, Delanaud S, Brenac W, Chahin Yassin F, Carpentier M, Tourneux P. The newborn infant's thermal environment in the delivery room when skin-to-skin care has to be interrupted. J Matern Fetal Neonatal Med 2020; 35:3707-3713. [PMID: 33106055 DOI: 10.1080/14767058.2020.1838479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Newborns are prone to hypothermia immediately following birth. Hypothermia is associated with increased morbidity and mortality rates. We sought to assess the thermal environment and metabolic costs associated with exposure to various situations in the delivery room when skin-to-skin care (SSC) has to be curtailed. METHODS Environmental variables (air temperature: T a; relative humidity: RH; radiative temperature: T r; and air convection velocity) were recorded during sequences reproducing SSC, in the maternity unit's various rooms ("passive environments") and in incubators ("active environments"). Analytical calorimetry was then used to calculate the body heat loss (BHL) from these data. RESULTS The analysis of 1280 measurements of T a, RH, T r, and air convection velocity in SSC, passive and active environments revealed that (i) the thermohygrometric environment during SSC was optimal (T a: 32.7 ± 3.2 °C; RH: 50.9 ± 5.6%), (ii) BHL rose when SSC had to be interrupted, and (iii) the use of a radiant incubator prevented hypothermia and reduced dry BHL but not humid BHL (9.4 ± 1.5 kcal/kg/h; p < .001), relative to SSC (5.8 ± 2.0 kcal/kg/h; p < .001). CONCLUSION The newborn infant's thermohygrometric environment is optimal during SSC in the delivery room. When SSC was interrupted, Ta and RH always decreased, and BHL increased in all passive environments.
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Affiliation(s)
- Céline Dubos
- Pediatric Intensive Care Unit, CHU Amiens-Picardie, Amiens, France.,PériTox Laboratory UMR_I 01, UFR de Médecine, Jules Verne University of Picardie, Amiens, France
| | - Stéphane Delanaud
- PériTox Laboratory UMR_I 01, UFR de Médecine, Jules Verne University of Picardie, Amiens, France.,Health Engineering Institute (2IS), Jules Verne University of Picardie, Amiens, France
| | - William Brenac
- Gynecology-Obstetrics Unit, CHU Amiens-Picardie, Amiens, France
| | - Fatima Chahin Yassin
- PériTox Laboratory UMR_I 01, UFR de Médecine, Jules Verne University of Picardie, Amiens, France
| | | | - Pierre Tourneux
- Pediatric Intensive Care Unit, CHU Amiens-Picardie, Amiens, France.,PériTox Laboratory UMR_I 01, UFR de Médecine, Jules Verne University of Picardie, Amiens, France
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14
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Automating sleep stage classification using wireless, wearable sensors. NPJ Digit Med 2019; 2:131. [PMID: 31886412 PMCID: PMC6925191 DOI: 10.1038/s41746-019-0210-1] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Accepted: 12/03/2019] [Indexed: 12/28/2022] Open
Abstract
Polysomnography (PSG) is the current gold standard in high-resolution sleep monitoring; however, this method is obtrusive, expensive, and time-consuming. Conversely, commercially available wrist monitors such as ActiWatch can monitor sleep for multiple days and at low cost, but often overestimate sleep and cannot differentiate between sleep stages, such as rapid eye movement (REM) and non-REM. Wireless wearable sensors are a promising alternative for their portability and access to high-resolution data for customizable analytics. We present a multimodal sensor system measuring hand acceleration, electrocardiography, and distal skin temperature that outperforms the ActiWatch, detecting wake and sleep with a recall of 74.4% and 90.0%, respectively, as well as wake, non-REM, and REM with recall of 73.3%, 59.0%, and 56.0%, respectively. This approach will enable clinicians and researchers to more easily, accurately, and inexpensively assess long-term sleep patterns, diagnose sleep disorders, and monitor risk factors for disease in both laboratory and home settings.
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15
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Hill CM, Bucks RS, Cellini N, Motamedi S, Carroll A, Heathcote K, Webster R, Simpson D. Cardiac autonomic activity during sleep in high-altitude resident children compared with lowland residents. Sleep 2019; 41:5096697. [PMID: 30219885 DOI: 10.1093/sleep/zsy181] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Indexed: 12/19/2022] Open
Abstract
Study Objectives We aimed to characterize heart-rate variability (HRV) during sleep in Andean children native to high altitude (HA) compared with age, gender, and genetic ancestry-similar low-altitude (LA) children. We hypothesized that the hypoxic burden of sleep at HA could induce variation in HRV. As children have otherwise healthy cardiovascular systems, such alterations could provide early markers of later cardiovascular disease. Methods Twenty-six LA (14F) and 18 HA (8F) children underwent a single night of attended polysomnography. Sleep parameters and HRV indices were measured. Linear mixed models were used to assess HRV differences across sleep stage and altitude group. Results All children showed marked fluctuations in HRV parameters across sleep stages, with higher vagal activity during nonrapid eye movement sleep and greater variability of the heart rate during rapid eye movement (REM). Moreover, HA children showed higher very low-frequency HRV in REM sleep and, after adjusting for heart rate, higher low-to-high frequency ratio in REM sleep compared with children living at lower altitude. Conclusions We confirmed previous findings of a stage-dependent modulation of HRV in Andean children living at both HA and LA. Moreover, we showed subtle alteration of HRV in sleep in HA children, with intriguing differences in the very low-frequency domain during REM sleep. Whether these differences are the results of an adaptation to high-altitude living, or an indirect effect of differences in oxyhemoglobin saturation remains unclear, and further research is required to address these questions.
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Affiliation(s)
- Catherine Mary Hill
- Division of Clinical Experimental Sciences, Faculty of Medicine, University of Southampton, UK.,Southampton Children's Hospital Department of Sleep Medicine, Southampton, UK.,School of Psychological Science, University of Western Australia, Perth, Australia
| | - Romola Starr Bucks
- School of Psychological Science, University of Western Australia, Perth, Australia
| | - Nicola Cellini
- Department of General Psychology, University of Padova, Veneto, Italy
| | - Shayan Motamedi
- Department of Mechanical Engineering, University of Southampton, UK
| | | | - Kate Heathcote
- Department of Otolaryngology, Poole General Hospital, UK
| | - Rebecca Webster
- Laboratory for Cancer Medicine, Harry Perkins Institute of Medical Research and University of Western Australia Centre for Medical Research, Perth, Australia
| | - David Simpson
- Institute of Sound and Vibration Research, University of Southampton, UK
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16
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Effects of Changing Air Temperature at Different Sleep Stages on the Subjective Evaluation of Sleep Quality. SUSTAINABILITY 2019. [DOI: 10.3390/su11051417] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
The thermal environment in bedrooms is important for high-quality sleep. Studies confirm that, even during sleep, the human body remains sensitive to the ambient air temperature. This study assesses how changing indoor air temperatures at different sleep stages affects the subjective evaluation of sleep quality. We compare reports from two identical sleeping environments with different thermal control systems: an IoT-based control system that adjusts the indoor air temperature according to the sleep stage and a fixed control system that maintains a constant temperature throughout the night. Ten subjects participated in the experiments and completed a questionnaire about their sleep quality. Our results show that, overall, the subjects experienced better sleep in the room with the IoT-based control system than in the one with a fixed thermal control. The mean differences in sleep satisfaction levels between the two sleeping environments were generally statistically significant in favor of the room with the IoT-based thermal control. Our results thus illustrate the suitability of using the IoT to control the air conditioning in bedrooms to provide improved sleep quality.
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17
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Models and Indicators to Assess Thermal Sensation Under Steady-state and Transient Conditions. ENERGIES 2019. [DOI: 10.3390/en12050841] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The assessment of thermal sensation is the first stage of many studies aimed at addressing thermal comfort and at establishing the related criteria used in indoor and outdoor environments. The study of thermal sensation requires suitable modelling of the human body, taking into account the factors that affect the physiological and psychological reactions that occur under different environmental conditions. These aspects are becoming more and more relevant in the present context in which thermal sensation and thermal comfort are represented as objectives or constraints in a wider range of problems referring to the living environment. This paper first considers the models of the human body used in steady-state and transient conditions. Starting from the conceptual formulations of the heat balance equations, this paper follows the evolution occurred during the years to refine the models. This evolution is also marked by the availability of increasingly higher computational capability that enabled the researchers developing transient models with a growing level of detail and accuracy, and by the validation of the models through experimental studies that exploit advanced technologies. The paper then provides an overview of the indicators used to characterise the local and overall thermal sensation, indicating the relations with local and overall thermal comfort.
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18
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Troynikov O, Watson CG, Nawaz N. Sleep environments and sleep physiology: A review. J Therm Biol 2018; 78:192-203. [PMID: 30509635 DOI: 10.1016/j.jtherbio.2018.09.012] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 09/16/2018] [Accepted: 09/16/2018] [Indexed: 01/13/2023]
Abstract
Sleep loss impairs task performance and post-physical activity recovery, cognitive performance and mood, heightens fatigue and decreases vigour; poor sleep quality impairs decision-making, the speed and accuracy of task performance, and post-exercise recovery. Sleep time and quality are affected by age, psychological and physiological conditions, culture and environmental factors. Skin temperature, rapid temperature change and sweating during sleep can significantly reduce sleep quality. Hence, the thermal properties of bedding and sleepwear, both in steady-state and transient ambient temperature conditions, are logically important factors. Research to date on sleeping thermal microclimates and their effect on sleep quality is scarce. This present review covers the fundamental elements of human sleep, highlighting physically active people, such as athletes, and the influence of sleepwear and bedding on sleep thermal microclimates, as well as the research methods that have been and could be used in this field. This review identifies opportunity for future research direction and approaches to understanding thermal environments that may support better human sleep.
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Affiliation(s)
- Olga Troynikov
- School of Fashion and Textiles, RMIT University, 25 Dawson Street, Brunswick, Victoria 3056, Australia.
| | - Christopher G Watson
- School of Fashion and Textiles, RMIT University, 25 Dawson Street, Brunswick, Victoria 3056, Australia.
| | - Nazia Nawaz
- School of Fashion and Textiles, RMIT University, 25 Dawson Street, Brunswick, Victoria 3056, Australia.
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19
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Baddock SA, Tipene-Leach D, Williams SM, Tangiora A, Jones R, Mącznik AK, Taylor BJ. Physiological stability in an indigenous sleep device: a randomised controlled trial. Arch Dis Child 2018; 103:377-382. [PMID: 29030386 DOI: 10.1136/archdischild-2017-313512] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/15/2017] [Accepted: 09/16/2017] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To compare overnight oxygen saturation, heart rate and the thermal environment of infants sleeping in an indigenous sleep device (wahakura) or bassinet to identify potential risks and benefits. DESIGN Randomised controlled trial. SETTING Family homes in low socio-economic areas in New Zealand. PATIENTS 200 mainly Māori mothers and their infants. INTERVENTIONS Participants received a wahakura or bassinet from birth. MAIN OUTCOME MEASURES Overnight oximetry, heart rate and temperature at 1 month. RESULTS Intention-to-treat analysis for 83 bassinet and 84 wahakura infants showed no significant differences between groups for the mean time oxygen saturation (SpO2) was less than 94% (0.54 min, 95% CI -1.36 to 2.45) or less than 90% (0.22 min, 95% CI -0.56 to 1.00), the mean number of SpO2 dips per hour >5% (-0.19, 95% CI -3.07 to 2.69) or >10% (-0.41, 95% CI -1.63 to 0.81), mean heart rate (1.99 beats/min, 95% CI -1.02 to 4.99), or time shin temperature >36°C (risk ratio (RR): 0.63, 95% CI 0.13 to 2.99) or <34°C (RR: 0.89, 95% CI 0.61 to 1.30). A per-protocol analysis of 45 bassinet and 26 wahakura infants and an as-used analysis of 104 infants in a bassinet and 48 in a wahakura found no significant differences between groups for all outcome measures. CONCLUSIONS This indigenous sleep device is at least as safe as the currently recommended bassinet, which supports its use as a sleep environment that offers an alternative way of bed-sharing. TRIAL REGISTRATION NUMBER Australian New Zealand Clinical Trials Registry: ACTRN12610000993099.
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Affiliation(s)
- Sally A Baddock
- School of Midwifery, Otago Polytechnic, Dunedin, New Zealand.,Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand
| | - David Tipene-Leach
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand.,Faculty of Education, Humanities and Health Science, Eastern Institute of Technology, Hawke's Bay, New Zealand
| | - Sheila M Williams
- Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, New Zealand
| | - Angeline Tangiora
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand
| | - Raymond Jones
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand
| | | | - Barry J Taylor
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand.,Department of the Dean, Dunedin School of Medicine, University of Otago, New Zealand
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20
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Abstract
Sleep in mammals is accompanied by a decrease in core body temperature (CBT). The circadian clock in the hypothalamic suprachiasmatic nucleus regulates daily rhythms in both CBT and arousal states, and these rhythms are normally coupled. Reductions in metabolic heat production resulting from behavioral quiescence and reduced muscle tone along with changes in autonomic nervous system activity and thermoeffector activity contribute to the sleep-related fall in CBT. Reductions in sympathetic tone to the peripheral vasculature resulting in heat loss through the skin are reflected in a sleep-related increase in distal skin temperature that is a prominent feature of sleep onset in humans. Within a sleep episode, patterns of autonomic nervous system and thermoeffector activity and the ability to defend against heat and cold exposure differ during nonrapid eye movement (NREM) and rapid eye movement sleep. Anatomic and functional integration of the control of arousal states and thermoregulation occur in the preoptic/anterior hypothalamus. Subsets or warm-sensing neurons in the preoptic/anterior hypothalamus implicated in CBT regulation are spontaneously activated during sleep onset and NREM sleep compared to waking and may underlie sleep-related changes in autonomic nervous system and thermoeffector activity.
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Affiliation(s)
- Ronald Szymusiak
- Research Service, VA Greater Los Angeles Healthcare System and Department of Medicine and Neurobiology, David Geffen School of Medicine, University of California, Los Angeles, CA, United States.
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21
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Stuber E, Dingemanse N, Mueller J. Temperature affects frequency but not rhythmicity of nocturnal awakenings in free-living great tits, Parus major. Anim Behav 2017. [DOI: 10.1016/j.anbehav.2017.03.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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22
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IJzerman H, Heine ECE, Nagel SK, Pronk TM. Modernizing Relationship Therapy through Social Thermoregulation Theory: Evidence, Hypotheses, and Explorations. Front Psychol 2017; 8:635. [PMID: 28507525 PMCID: PMC5410611 DOI: 10.3389/fpsyg.2017.00635] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Accepted: 04/10/2017] [Indexed: 01/25/2023] Open
Abstract
In the present article the authors propose to modernize relationship therapy by integrating novel sensor and actuator technologies that can help optimize people's thermoregulation, especially as they pertain to social contexts. Specifically, they propose to integrate Social Thermoregulation Theory (IJzerman et al., 2015a; IJzerman and Hogerzeil, 2017) into Emotionally Focused Therapy by first doing exploratory research during couples' therapy, followed by Randomized Clinical Trials (RCTs). The authors thus suggest crafting a Social Thermoregulation Therapy (STT) as enhancement to existing relationship therapies. The authors outline what is known and not known in terms of social thermoregulatory mechanisms, what kind of data collection and analyses are necessary to better understand social thermoregulatory mechanisms to craft interventions, and stress the need to conduct RCTs prior to implementation. They further warn against too hastily applying these theoretical perspectives. The article concludes by outlining why STT is the way forward in improving relationship functioning.
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Affiliation(s)
- Hans IJzerman
- Department of Psychology, University of Virginia, CharlottesvilleVA, USA
| | - Emma C. E. Heine
- Department of Clinical Psychology, Vrije Universiteit AmsterdamAmsterdam, Netherlands
| | - Saskia K. Nagel
- Department of Philosophy, University of TwenteEnschede, Netherlands
| | - Tila M. Pronk
- Department of Social and Organisational Psychology, Tilburg UniversityTilburg, Netherlands
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23
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Sleep patterns in villagers and urban African volunteers in a humid tropical climate: Influence of accessibility to electric light? J Neurol Sci 2017; 376:44-48. [DOI: 10.1016/j.jns.2017.02.064] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 02/24/2017] [Accepted: 02/28/2017] [Indexed: 01/18/2023]
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24
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Barcat L, Decima P, Bodin E, Delanaud S, Stephan-Blanchard E, Leke A, Libert JP, Tourneux P, Bach V. Distal skin vasodilation promotes rapid sleep onset in preterm neonates. J Sleep Res 2017; 26:572-577. [PMID: 28303621 DOI: 10.1111/jsr.12514] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 01/25/2017] [Indexed: 11/30/2022]
Abstract
Although sleep is of paramount importance for preterm neonates, care of the latter in a neonatal intensive care unit does not favour sleep. Given that several studies in adults have described a 'vegetative preparedness to sleep' (in which distal skin vasodilation before lights-out promotes rapid sleep onset), we looked at whether or not this process operates in preterm neonates. Sleep propensity was assessed in terms of the duration of a spontaneous episode of wakefulness (W). Skin temperatures at six body sites (the abdomen, pectoral region, eye, hand, thigh and foot) were measured (using infrared thermography) during nocturnal polysomnography in 29 9-day-old preterm neonates (postmenstrual age: 209 ± 9 days). We then determined whether the duration of the W episode depended upon the local skin temperatures measured at the start, during and end of the episode. The W episode was shorter when distal skin temperatures (thigh, hand and foot) and the pectoral temperature were higher at the end of the episode (i.e. at sleep onset). The relationship with the duration of the W episode was not significant for temperatures measured at the start of the W episode. We observed gradual distal vasodilation at the pectoral region, the thigh, hand and foot (i.e. affecting most of the body's skin surface) during W episodes. Our results constitute initial evidence to show that distal vasodilation may have a key role in facilitating sleep onset in very preterm neonates.
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Affiliation(s)
- Lucile Barcat
- PériTox, Jules Verne University of Picardy, Amiens, France.,Médecine Néonatale et Réanimation Pédiatrique, Pôle Femme Couple Enfant, Amiens, France
| | - Pauline Decima
- PériTox, Jules Verne University of Picardy, Amiens, France
| | - Emilie Bodin
- PériTox, Jules Verne University of Picardy, Amiens, France.,Neurologie Pédiatrique, Pôle Femme Couple Enfant, Amiens, France
| | | | | | - Andre Leke
- PériTox, Jules Verne University of Picardy, Amiens, France.,Médecine Néonatale et Réanimation Pédiatrique, Pôle Femme Couple Enfant, Amiens, France
| | | | - Pierre Tourneux
- PériTox, Jules Verne University of Picardy, Amiens, France.,Médecine Néonatale et Réanimation Pédiatrique, Pôle Femme Couple Enfant, Amiens, France
| | - Veronique Bach
- PériTox, Jules Verne University of Picardy, Amiens, France
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25
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Lee WV, Shaman J. Heat-coping strategies and bedroom thermal satisfaction in New York City. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 574:1217-1231. [PMID: 27666472 PMCID: PMC5099111 DOI: 10.1016/j.scitotenv.2016.07.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 06/30/2016] [Accepted: 07/01/2016] [Indexed: 06/06/2023]
Abstract
There has been little research into the thermal condition of the sleeping environment. Even less well documented and understood is how the sleeping thermal environment is affected by occupant behaviors such as the use of air-conditioning (AC) and electric fans, or window operations. In this paper we present results from a questionnaire survey administered to assess summertime bedroom thermal satisfaction and heat-coping strategies among New York City (NYC) residents. Specifically, we investigated current AC usage in bedrooms and examined alternate cooling strategies, cooling appliance usage patterns, and the motivations that drove these patterns during the 2015 summer. Among survey respondents (n=706), AC was the preferred heat-coping strategy, and for 30% of respondents was the only strategy used. Electric fan use and window opening were deemed ineffective for cooling by many respondents. Indeed, less than a quarter of all respondents ever opened windows to alleviate heat in their bedrooms. In general, people utilized strategies that modify the environment more than the individual person. Unsurprisingly, the frequency and overall use of AC were significantly associated with greater bedroom thermal satisfaction; however, setting AC to a lower temperature provided no additional benefit. In contrast, more frequent use of electric fans was associated with lower thermal satisfaction. In addition, 14.7% of all respondents did not have AC in their sleeping environment and 5.8% were without any AC at home. Despite the high penetration of AC ownership, usage cost was still a major concern for most. This work contributes to a better understanding of bedtime heat-coping strategies, cooling appliance usage patterns, and associated thermal satisfaction in NYC. The findings of this study suggest resident AC usage patterns may not be optimized for thermal satisfaction. Potential alternative cooling approaches could be explored to better balance maximizing thermal comfort while reducing energy consumption and environmental impact.
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Affiliation(s)
- W Victoria Lee
- The Earth Institute, Columbia University, Hogan Hall, 2910 Broadway, Level A, New York, NY 10025, United States; Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street 11th Floor, New York, NY 10032, United States.
| | - Jeffrey Shaman
- The Earth Institute, Columbia University, Hogan Hall, 2910 Broadway, Level A, New York, NY 10025, United States; Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street 11th Floor, New York, NY 10032, United States.
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26
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Mascetti GG. Unihemispheric sleep and asymmetrical sleep: behavioral, neurophysiological, and functional perspectives. Nat Sci Sleep 2016; 8:221-38. [PMID: 27471418 PMCID: PMC4948738 DOI: 10.2147/nss.s71970] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Sleep is a behavior characterized by a typical body posture, both eyes' closure, raised sensory threshold, distinctive electrographic signs, and a marked decrease of motor activity. In addition, sleep is a periodically necessary behavior and therefore, in the majority of animals, it involves the whole brain and body. However, certain marine mammals and species of birds show a different sleep behavior, in which one cerebral hemisphere sleeps while the other is awake. In dolphins, eared seals, and manatees, unihemispheric sleep allows them to have the benefits of sleep, breathing, thermoregulation, and vigilance. In birds, antipredation vigilance is the main function of unihemispheric sleep, but in domestic chicks, it is also associated with brain lateralization or dominance in the control of behavior. Compared to bihemispheric sleep, unihemispheric sleep would mean a reduction of the time spent sleeping and of the associated recovery processes. However, the behavior and health of aquatic mammals and birds does not seem at all impaired by the reduction of sleep. The neural mechanisms of unihemispheric sleep are unknown, but assuming that the neural structures involved in sleep in cetaceans, seals, and birds are similar to those of terrestrial mammals, it is suggested that they involve the interaction of structures of the hypothalamus, basal forebrain, and brain stem. The neural mechanisms promoting wakefulness dominate one side of the brain, while those promoting sleep predominates the other side. For cetaceans, unihemispheric sleep is the only way to sleep, while in seals and birds, unihemispheric sleep events are intermingled with bihemispheric and rapid eye movement sleep events. Electroencephalogram hemispheric asymmetries are also reported during bihemispheric sleep, at awakening, and at sleep onset, as well as being associated with a use-dependent process (local sleep).
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27
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Courts C, Grabmüller M, Madea B. Functional single-nucleotide variant of HSPD1 in sudden infant death syndrome. Pediatr Res 2013; 74:380-3. [PMID: 23823174 DOI: 10.1038/pr.2013.112] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2012] [Accepted: 02/19/2013] [Indexed: 11/09/2022]
Abstract
BACKGROUND An insufficient stress response due to a genetically impaired heat shock protein (Hsp) could play a role in the pathogenesis in a subgroup of sudden infant death syndrome (SIDS) cases. Herein, we are the first to investigate whether a functionally impairing and thus pathogenic variant of the gene for Hsp60, encoded by HSPD1 (rs72466451), is correlated with the occurrence of SIDS. METHODS In a case-control study of a series of 133 cases of SIDS and 192 gender-matched German Caucasian control cases, the occurrence and distribution of the HSPD1 single-nucleotide variant (SNV) was analyzed using SNV genotyping by minisequencing. RESULTS The results show significantly increased frequency of the pathogenic variant of the HSPD1 SNV in a subgroup (4.5%) of SIDS cases. CONCLUSION The results suggest that the pathogenic variant of rs72466451 may play a role in a subgroup of SIDS cases with impaired Hsp60-mediated stress response.
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Affiliation(s)
- Cornelius Courts
- Department of Forensic Genetics, Institute of Legal Medicine, University of Bonn, Bonn, Germany
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28
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Ostojić Z, Ilić T, Vesković S, Andjus P. GABAB receptors as a common target for hypothermia and spike and wave seizures: Intersecting mechanisms of thermoregulation and absence epilepsy. Neuroscience 2013; 238:39-58. [DOI: 10.1016/j.neuroscience.2013.01.072] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2012] [Revised: 01/29/2013] [Accepted: 01/29/2013] [Indexed: 02/01/2023]
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Abstract
Sleep can be defined as a complex reversible state characterized by behavioral quiescence, diminished responsiveness to external stimuli, and a stereotypical species-specific posture. Both components of sleep, non-rapid eye movement and rapid eye movement, are generated and maintained by central nervous system networks that use specific neurotransmitters located in specific areas of the brain. Widespread changes in physiologic processes occur during sleep, and these changes may influence the presentation and severity of specific medical disorders.
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Affiliation(s)
- John Harrington
- Division of Sleep Medicine, National Jewish Health, Denver, CO 80206, USA.
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30
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Bach V, Telliez F, Chardon K, Tourneux P, Cardot V, Libert JP. Thermoregulation in wakefulness and sleep in humans. HANDBOOK OF CLINICAL NEUROLOGY 2011; 98:215-227. [PMID: 21056189 DOI: 10.1016/b978-0-444-52006-7.00014-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Veronique Bach
- Laboratory DMAG-INERIS, Faculty of Medicine, University of Picardy Jules Verne, Amiens, France.
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ARNARDOTTIR ERNASIF, THORLEIFSDOTTIR BJORG, SVANBORG EVA, OLAFSSON ISLEIFUR, GISLASON THORARINN. Sleep-related sweating in obstructive sleep apnoea: association with sleep stages and blood pressure. J Sleep Res 2010; 19:122-30. [DOI: 10.1111/j.1365-2869.2009.00743.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Stern G, Beel J, Suki B, Silverman M, Westaway J, Cernelc M, Baldwin D, Frey U. Long-range correlations in rectal temperature fluctuations of healthy infants during maturation. PLoS One 2009; 4:e6431. [PMID: 19641615 PMCID: PMC2713399 DOI: 10.1371/journal.pone.0006431] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2009] [Accepted: 05/22/2009] [Indexed: 11/20/2022] Open
Abstract
Background Control of breathing, heart rate, and body temperature are interdependent in infants, where instabilities in thermoregulation can contribute to apneas or even life-threatening events. Identifying abnormalities in thermoregulation is particularly important in the first 6 months of life, where autonomic regulation undergoes critical development. Fluctuations in body temperature have been shown to be sensitive to maturational stage as well as system failure in critically ill patients. We thus aimed to investigate the existence of fractal-like long-range correlations, indicative of temperature control, in night time rectal temperature (Trec) patterns in maturing infants. Methodology/Principal Findings We measured Trec fluctuations in infants every 4 weeks from 4 to 20 weeks of age and before and after immunization. Long-range correlations in the temperature series were quantified by the correlation exponent, α using detrended fluctuation analysis. The effects of maturation, room temperature, and immunization on the strength of correlation were investigated. We found that Trec fluctuations exhibit fractal long-range correlations with a mean (SD) α of 1.51 (0.11), indicating that Trec is regulated in a highly correlated and hence deterministic manner. A significant increase in α with age from 1.42 (0.07) at 4 weeks to 1.58 (0.04) at 20 weeks reflects a change in long-range correlation behavior with maturation towards a smoother and more deterministic temperature regulation, potentially due to the decrease in surface area to body weight ratio in the maturing infant. α was not associated with mean room temperature or influenced by immunization Conclusions This study shows that the quantification of long-range correlations using α derived from detrended fluctuation analysis is an observer-independent tool which can distinguish developmental stages of night time Trec pattern in young infants, reflective of maturation of the autonomic system. Detrended fluctuation analysis may prove useful for characterizing thermoregulation in premature and other infants at risk for life-threatening events.
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Affiliation(s)
- Georgette Stern
- Division of Respiratory Medicine, Department of Pediatrics, Inselspital and University of Bern, Bern, Switzerland.
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Stéphan-Blanchard E, Telliez F, Léké A, Djeddi D, Bach V, Libert JP, Chardon K. The influence of in utero exposure to smoking on sleep patterns in preterm neonates. Sleep 2009; 31:1683-9. [PMID: 19090324 DOI: 10.1093/sleep/31.12.1683] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND In utero exposure to smoking is known to adversely affect brain regions involved in behavioral state organization and could therefore interact with the neurophysiological development of neonates. STUDY OBJECTIVES The present study investigated the effects of prenatal smoking exposure on sleep patterns in the preterm neonate. DESIGN Overnight sleep patterns were polysomnographically assessed at thermoneutrality. Sleep continuity and structure were scored for the respective frequencies, durations and percentages of active, quiet, and indeterminate sleep and wakefulness after sleep onset. The number and duration of body movements were also analyzed. SETTING The neonatal intensive care unit at Amiens University Medical Center (France). PARTICIPANTS Healthy preterm neonates (postconceptional age: 33.9 +/- 6.0 weeks) were enrolled according to whether their mothers had not smoked at all during pregnancy (control group, n=19), smoked less during pregnancy (low-smoking group, Slow, n=10), or smoked more (heavy-smoking group, Sheavy n=10) than 10 cigarettes per day throughout pregnancy. MEASUREMENTS AND RESULTS Neonates born to heavy-smoking mothers had a significantly lower mean birth weight than controls (-21%) and displayed disrupted sleep structure and continuity: they slept less overall (with a higher proportion of active sleep and a lower proportion of quiet sleep) and had more wakefulness after sleep onset. Compared with controls, neonates from both smoking groups displayed more body movements and, as a result, more disturbed sleep. CONCLUSIONS High prenatal smoking exposure modifies sleep patterns in preterm neonates by disrupting sleep organization and increasing nocturnal body movements. These findings raise the question of the repercussions of these sleep disturbances (at what is a critical stage in brain development) on the child's physiological and neurobehavioral outcomes.
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Tourula M, Isola A, Hassi J. Children sleeping outdoors in winter: parents' experiences of a culturally bound childcare practice. Int J Circumpolar Health 2008; 67:269-78. [PMID: 18767347 DOI: 10.3402/ijch.v67i2-3.18284] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES The purpose of this study was to describe parents' opinions about their children sleeping outdoors during the Finnish winter and the prevalence of this practice in the city of Oulu. STUDY DESIGN A cross-sectional study using a questionnaire. METHODS Data were collected using a questionnaire compiled for the purpose of giving us a window into this childcare practice in northern Finland. The questionnaire was distributed to the parents of children under 2 years of age using the services of child welfare clinics in Oulu (n = 116). The study was mainly quantitative and partly qualitative. RESULTS Allowing children to sleep outdoors in the winter was considered a common practice and was taken for granted. It usually began when the child was 2 weeks old, and was carried out once a day. Children took longer naps outdoors compared with naps taken indoors. Outdoor temperatures ranged between -27 and +5 degrees C. Parents' experiences were mainly positive and most parents had not faced potentially dangerous situations. However, parents reported that the children's fingers felt cold in 3% of the children sleeping in 0 degree C temperatures and in 25% sleeping in -15 degrees C temperatures. Almost half of the children had sweaty necks at 0 degree C, but the most frequent symptoms were red cheeks and cold nose tips. CONCLUSIONS In addition to this cross-sectional study and the parents' subjective and mainly positive experiences, objective measurements and an extensive study about parents' experiences are needed before guidelines for allowing children to sleep outdoors in the winter can be updated.
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Affiliation(s)
- Marjo Tourula
- Finnish Post-Graduate School in Nursing Science, Institute of Health Sciences, University of Oulu, Oulu, Finland.
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Tourneux P, Léké A, Kongolo G, Cardot V, Dégrugilliers L, Chardon K, Storme L, Krim G, Libert JP, Bach V. Relationship between functional residual capacity and oxygen desaturation during short central apneic events during sleep in "late preterm" infants. Pediatr Res 2008; 64:171-6. [PMID: 18414144 DOI: 10.1203/pdr.0b013e318179951d] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Apneic episodes are frequent in the preterm neonate and particularly in active sleep (AS), when functional residual capacity (FRC) can be decreased. Furthermore, FRC may be inversely correlated with the speed of blood-O(2)-desaturation. We evaluated the potential involvement of FRC in the mechanisms responsible for blood-O(2)-desaturation during short central apneic events (>3 s) in "late-preterm" infants and analyzed the specific influence of sleep state. Apneic events were scored in 29 neonates (postmenstrual age: 36.1 +/- 1.2 wk) during AS and quiet sleep (QS). FRC was measured during well-established periods of regular breathing. Apneas with blood-O(2)-desaturation (drop in SpO(2) >5% from the baseline, lowest SpO(2) during apnea: 91.4 +/- 1.8%) were more frequent in AS than in QS, whereas no difference was seen for apneas without desaturation. The magnitude of the FRC did not depend on the sleep state. In AS only, there was a negative relationship between FRC and the proportion of apneas with desaturation. Even in late preterm infants who do not experience long-lasting apnea, blood-O(2)-desaturation during short apneic events is related (in AS but not QS) to a low baseline FRC. Sleep stage differences argue for a major role of AS-related mechanisms in the occurrence of these apneas.
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Affiliation(s)
- Pierre Tourneux
- PériTox (EA 3901-INERIS), University of Picardy, Amiens, France.
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Tourneux P, Cardot V, Museux N, Chardon K, Léké A, Telliez F, Libert JP, Bach V. Influence of thermal drive on central sleep apnea in the preterm neonate. Sleep 2008; 31:549-56. [PMID: 18457243 DOI: 10.1093/sleep/31.4.549] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The incidence of apnea in neonates depends on a number of factors, including sleep state and thermoregulation. OBJECTIVE To assess the role of thermal drive (body heat loss [BHL]) in the mechanisms underlying short episodes of central apnea during active and quiet sleep in neonates. MATERIAL AND METHOD Twenty-two neonates (postconceptional age: 36.3 +/- 0.9 weeks) were exposed at thermoneutral (incubator temperature: 32.5 degrees C), warm (34.2 degrees C), and cool (30.4 degrees C) conditions during 3 consecutive morning naps. Oxygen consumption (VO2), skin and rectal temperatures, and central apnea were scored during active sleep and quiet sleep. The thermal drive was expressed as BHL calculated using indirect partitional calorimetry. RESULTS As expected, apnea occurred more frequently in active sleep than in quiet sleep (P < 0.001). The frequency of apnea in active sleep was higher in the warm condition (P < 0.05). In contrast, apnea episodes were less frequent (P < 0.05) and shorter (P < 0.05) for cool exposure, during which VO2 and rectal temperature increased. The frequency (P < 0.001, r2 = 0.31), mean (P < 0.05, r2 = 0.06), and maximum (P < 0.001, r2 = 0.19) durations of apnea were correlated with the BHL: the greater the BHL (body cooling), the less frequent and the shorter the apnea episodes. In contrast, no relationship between apnea and mean skin or rectal temperature was observed. CONCLUSION Apneic events were more closely related to BHL than to body temperatures. In cool exposure, the decreases in the duration and frequency of apneic episodes suggest that these events depend on the metabolic drive (which is proportional to energy expenditure).
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Affiliation(s)
- Pierre Tourneux
- PériTox (EA 3901-UM INERIS), Faculty of Medicine, Jules Verne University of Picardy, Amiens, France.
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Buguet A. Sleep under extreme environments: Effects of heat and cold exposure, altitude, hyperbaric pressure and microgravity in space. J Neurol Sci 2007; 262:145-52. [PMID: 17706676 DOI: 10.1016/j.jns.2007.06.040] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Human sleep is sensitive to the individual's environment. The present review examines current knowledge of human sleep patterns under different environments: heat exposure, cold exposure, altitude, high pressure and microgravity in space. Heat exposure has two effects. In people living in temperate conditions, moderate heat loads (hot bath, sauna) prior to sleep provoke a delayed reaction across time (diachronic reaction) whereby slow-wave sleep (SWS) augments in the following night (neurogenic adaptive pathway). Melanoids and Caucasians living in the Sahel dry tropical climate experience diachronic increases in SWS throughout seasonal acclimatization. Such increases are greater during the hot season, being further enhanced after daytime exercise. On the contrary, when subjects are acutely exposed to heat, diachronic decreases in total sleep time and SWS occur, being often accompanied by synchronic (concomitant) diminution in REM sleep. Stress hormones increase. Nocturnal cold exposure provokes a synchronic decrease in REM sleep along with an activation of stress hormones (synchronic somatic reaction). SWS remains undisturbed as it still occurs at the beginning of the night before nocturnal body cooling. Altitude and high pressure are deleterious to sleep, especially in non-acclimatized individuals. In their controlled environment, astronauts can sleep well in microgravity. Exercise-induced sleep changes help to understand environmental effects on sleep: well-tolerated environmental strains may improve sleep through a neurogenic adaptive pathway; when this "central" adaptive pathway is overloaded or bypassed, diachronic and synchronic sleep disruptions occur.
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Affiliation(s)
- Alain Buguet
- Radicaux libres, substrats énergétiques et physiopathologie cérébrale (EA4170), Université Claude-Bernard Lyon 1, 8 Avenue Rockefeller, 69373, Lyon Cedex 08, France.
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Atkinson G, Davenne D. Relationships between sleep, physical activity and human health. Physiol Behav 2007; 90:229-35. [PMID: 17067643 PMCID: PMC2782301 DOI: 10.1016/j.physbeh.2006.09.015] [Citation(s) in RCA: 129] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2006] [Accepted: 09/04/2006] [Indexed: 01/04/2023]
Abstract
Although sleep and exercise may seem to be mediated by completely different physiological mechanisms, there is growing evidence for clinically important relationships between these two behaviors. It is known that passive body heating facilitates the nocturnal sleep of healthy elderly people with insomnia. This finding supports the hypothesis that changes in body temperature trigger somnogenic brain areas to initiate sleep. Nevertheless, little is known about how the core and distal thermoregulatory responses to exercise fit into this hypothesis. Such knowledge could also help in reducing sleep problems associated with nocturnal shiftwork. It is difficult to incorporate physical activity into a shiftworker's lifestyle, since it is already disrupted in terms of family commitments and eating habits. A multi-research strategy is needed to identify what the optimal amounts and timing of physical activity are for reducing shiftwork-related sleep problems. The relationships between sleep, exercise and diet are also important, given the recently reported associations between short sleep length and obesity. The cardiovascular safety of exercise timing should also be considered, since recent data suggest that the reactivity of blood pressure to a change in general physical activity is highest during the morning. This time is associated with an increased risk in general of a sudden cardiac event, but more research work is needed to separate the influences of light, posture and exercise per se on the haemodynamic responses to sleep and physical activity following sleep taken at night and during the day as a nap.
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Affiliation(s)
- Greg Atkinson
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Henry Cotton Campus, Webster Street, Liverpool L3 2ET, UK.
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Abstract
The function of REM sleep dreaming is still unknown. We situate our approach to understanding dream phenomenology and dream function within that part of evolutionary theory known as Costly Signaling Theory (CST). We contend that many of the signals produced by the dreaming brain can be and should be construed as “costly signals”—emotions or mental simulations that produce daytime behavioral dispositions that are costly to the dreamer. For example, often the dreamer will appear in the dream as handicapped in some way (i.e., no clothes, no ID, no money, is under attack, being chased etc.). The dreamer, during waking life, is then influenced by the carry-over effect of the unpleasant dream content. The informational and affective content of the dream creates a mental set in the dreamer that operates during the daytime to facilitate the signaling of a “handicapped” Self. The subtle signaling effect might be via display of the intense emotions or physical demeanor that had first appeared in the dream. When the dreamer shares his dream with others the dream has a more direct impact on waking life and social interactions. In effect, the dreamer uses his or her dreams to adopt a self-handicapping strategy when dealing with significant others. The increased use of costly signals (the self-handicapping strategy) during the daytime then facilitates some vital communicative goal of the dreamer.
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Affiliation(s)
- Patrick McNamara
- Department of Neurology (127), Boston University School of Medicine, Boston, MA, and VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130
| | - Reka Szent-Imrey
- Károli Gáspár University, Psychological Institute, 324. Bécsi Street, H-1037, Hungary
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Silvani A, Asti V, Berteotti C, Ferrari V, Franzini C, Lenzi P, Wild J, Grant DA, Walker AM, Zoccoli G. Sleep-dependent changes in cerebral oxygen consumption in newborn lambs. J Sleep Res 2006; 15:206-11. [PMID: 16704576 DOI: 10.1111/j.1365-2869.2006.00521.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
During rapid-eye-movement (REM) sleep in adult subjects, the cerebral metabolic rate of oxygen consumption (CMRO(2)) is as high as that during wakefulness. We investigated whether CMRO(2) during active sleep is already at the waking level in newborn life, to support the role of active sleep as a state of endogenous brain activation during early postnatal development. Newborn lambs, 2-5 days old (n = 6), were instrumented with electrodes for sleep-state scoring, catheters for blood sample withdrawal and pressure monitoring, and a transit-time ultrasonic blood-flow probe around the superior sagittal sinus. At the age of 19 +/- 3 days, blood samples were obtained simultaneously from the carotid artery and the superior sagittal sinus during uninterrupted epochs of wakefulness, quiet sleep, and active sleep. The arteriovenous difference in blood oxygen concentration was multiplied by cerebral blood flow to determine CMRO(2). CMRO(2) during active sleep (47 +/- 5 micromol min(-1)) was similar to the value in wakefulness (44 +/- 6 micromol min(-1)) and significantly higher than in quiet sleep (39 +/- 5 micromol min(-1), P < 0.05). These data show that active sleep provides newborn lambs with brain activity at a level similar to that in wakefulness in terms of cerebral oxygen metabolism. The high CMRO(2) during active sleep supports its functional role during early postnatal development, when time spent in active sleep is at a lifetime maximum, albeit constituting a metabolic challenge for newborns, because of the impairment of systemic and cerebral vascular regulation in this sleep state.
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Affiliation(s)
- Alessandro Silvani
- Department of Human and General Physiology, University of Bologna, Bologna, Italy
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Telliez F, Chardon K, Leke A, Cardot V, Tourneux P, Bach V. Thermal acclimation of neonates to prolonged cool exposure as regards sleep stages. J Sleep Res 2004; 13:337-43. [PMID: 15560768 DOI: 10.1111/j.1365-2869.2004.00416.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The thermal responses of neonates during a cool acclimation period were studied with regard to sleep stages. Sleep stages, body temperatures and metabolic rate (VO2) were studied for seven neonates nursed in incubators and exposed to a cool temperature (thermoneutrality minus 2 degrees C) for 75 h. Each recording session lasted 3 h in the morning: firstly under thermoneutral baseline conditions, then during the first and last 3-h periods of the cool acclimation and finally during the last 3 h of a 24-h recovery period. Sleep structure was modified during the initial hours of cool exposure: the percentage of active sleep increased (AS: +13%, P = 0.028) at the expense of quiet sleep (QS: -11%, P = 0.043). This alteration in sleep structure persisted at the end of the acclimation period. Metabolic heat production only increased in the later period of cool acclimation. Throughout the cool exposure, VO2 increased more (P = 0.040) in QS (+33%) than in AS (+20%) so that by the end of the cool period, VO2 levels were similar in both sleep stages. During cool acclimation, the maintenance of homeothermy is related not only to a change in sleep organization but also to modifications in the thermoregulatory processes in both sleep stages. Considering the importance of AS/QS patterns in the neurobehavioral development of neonates, the present results could have clinical implications for the thermal management of neonates.
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Affiliation(s)
- Frédéric Telliez
- Laboratoire d'Environnement Toxique Périnatal et Adaptations Physiologiques et Comportementales (EA 2088 INERIS-UPJV), Faculté de Médecine, Université de Picardie Jules Verne, AMIENS, France.
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Fouks JD, Besnard S, Signac L, Meurice JC, Neau JP, Paquereau J. Do Robots Need to Sleep? Neurophysiol Clin 2004; 34:59-70. [PMID: 15130552 DOI: 10.1016/j.neucli.2004.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2003] [Accepted: 01/06/2004] [Indexed: 11/24/2022] Open
Abstract
The present paper exposes algorithmic results providing a vision about sleep functions which complements biological theory and experiments. Derived from the algorithmic theory of information, the theory of adaptation aims at quantifying how an inherited or acquired piece of knowledge helps individuals to survive. It gives a scale of complexity for survival problems and proves that some of them can only be solved by a dynamical management of memory associating continuous learning and forgetting methods. In this paper we explain how a virtual robot "Picota" has been designed to simulate the behavior of a living hen. In order to survive in its synthetical environment, our robot must recognize good seeds from bad ones, and should take rest during night periods. Within this frame, and facing the rapid evolution of to-be-recognized forms, the best way to equilibrate the energetic needs of the robot and ensure survival is to use the nightly rest to reorganize the pieces of data acquired during the daily learning, and to trash the less useful ones. Thanks to this time sharing, the same circuits can be used for both daily learning and nightly forgetting and thus costs are lower; however, this also forces the system to "paralyse" the virtual robot, and therefore the night algorithm is reminiscent of paradoxical (REM) sleep. The algorithm of the robot takes advantage of the alternation between wakefulness or activity and the rest period. This diagram quite accurately recalls the REM period. In the future, the convergence between the neurophysiology of sleep and the theory of complexity may give us a new line of research in order to elucidate sleep functions.
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Affiliation(s)
- J D Fouks
- Equipe SAR : Sommeil: Attention et Respiration, Pôle Biologie Santé 40, avenue du Recteur Pineau, 86022 Poitiers, France.
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