Parasympathetic nervous system activity and children's sleep.

Parasympathetic nervous system activity and children's sleep.
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DOI:
10.1111/jsr.12019
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发表时间:
2013-06
影响因子:
4.4
通讯作者:
Bagley EJ
Bagley EJ
中科院分区:
医学3区
文献类型:
--
作者:
El-Sheikh M;Erath SA;Bagley EJ

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我们检查了儿童副交感神经系统活动 (PNS) 的指数,包括基线期间的呼吸性窦性心律失常 (RSAB) 和 RSA 反应性 (RSAR),以应对实验室挑战,更重要的是,RSAB 和 RSAR 之间的相互作用作为儿童睡眠多个参数的预测因子。较低的 RSAR 表示迷走神经退缩增加(基线和任务之间 RSA 减少),较高的 RSAR 表示迷走神经退缩减少或增强(基线和任务之间 RSA 增加)。社区样本的在校儿童(121 名男孩和 103 名女孩)参与了研究[平均年龄 = 10.41 岁;标准差 (SD) = 0.67]。连续7晚通过体动记录仪检查儿童的睡眠参数。研究结果表明,RSAB 和 RSAR 相互作用,可以预测多个睡眠质量参数(活动、入睡后清醒的分钟数和长时间清醒发作)。总体影响模式表明,表现出更多睡眠中断(活动增加、入睡后清醒时间更长以及更频繁的长时间清醒发作)的儿童是那些具有较低 RSAB 和较低 RSAR 的儿童。低 RSAB 和低 RSAR 的结合可能反映了自主神经系统觉醒的增加,从而干扰了睡眠。结果表明,以三七总皂甙基线活动和三七总皂甙反应性之间的相互作用为指标的生理调节个体差异对于更好地了解儿童睡眠质量具有重要意义。
We examined indices of children's parasympathetic nervous system activity (PNS), including respiratory sinus arrhythmia during baseline (RSAB) and RSA reactivity (RSAR), to a laboratory challenge, and importantly the interaction between RSAB and RSAR as predictors of multiple parameters of children's sleep. Lower RSAR denotes increased vagal withdrawal (reductions in RSA between baseline and task) and higher RSAR represents decreased vagal withdrawal or augmentation (increases in RSA between baseline and task). A community sample of school-attending children (121 boys and 103 girls) participated [mean age = 10.41 years; standard deviation (SD) = 0.67]. Children's sleep parameters were examined through actigraphy for 7 consecutive nights. Findings demonstrate that RSAB and RSAR interact to predict multiple sleep quality parameters (activity, minutes awake after sleep onset and long wake episodes). The overall pattern of effects illustrates that children who exhibit more disrupted sleep (increased activity, more minutes awake after sleep onset and more frequent long wake episodes) are those with lower RSAB in conjunction with lower RSAR. This combination of low RSAB and low RSAR probably reflects increased autonomic nervous system arousal, which interferes with sleep. Results illustrate the importance of individual differences in physiological regulation indexed by interactions between PNS baseline activity and PNS reactivity for a better understanding of children's sleep quality.
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