关于夜班对血压和时钟基因表达的影响的初步研究
Barbara Toffoli1, Federica Tonon1, Fabiola Giudici1
1Department of Medical Surgical and Health Sciences, University of Trieste, Cattinara Teaching Hospital, Strada di Fiume 447, 34149 Trieste, Italy.
International journal of molecular sciences
|June 10, 2023
概括
夜班工作会提高血压,扰乱昼夜节律,增加心血管风险. 这项研究将高血压与轮班工人的改变时钟基因表达联系起来.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管生理学心血管生理学
- 时间生物学 时间生物学
背景情况:
- 夜班工作与心血管和脑血管疾病风险增加有关.
- 轮班工作在高血压中的作用被怀疑,但发现是可变的.
- 了解夜班生理影响对于预防策略至关重要.
研究的目的:
- 为了研究白天与夜间班次对内科医生24小时血压的对效应.
- 为了分析一晚休息后的时钟基因表达的变化,与一晚的轮班工作相比.
- 为了确定夜间血压,时钟基因表达和昼夜节律状态之间的关联.
主要方法:
- 涉及内科医生的横截面研究.
- 门诊血压监测 (ABPM) 在24小时和30小时期间,包括白天和夜间班次.
- 禁食血液采样用于休息后和夜班后的时钟基因表达分析.
主要成果:
- 夜班工作显著增加了夜间的缩和腹缩血压和心率.
- 夜间血压和心率的下降在夜班后减少.
- 时钟基因表达在夜班后增加,这与夜间血压升高有直接关联.
结论:
- 夜班引发高血压,不下降的血压模式,以及昼夜节律不整齐.
- 夜班期间的血压变化与时钟基因表达的改变有关.
- 轮班工作通过生理障碍对心血管健康构成重大风险.
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