在患有慢性阻塞性肺病的个体中 Sarcopenia 和睡眠
Daniele Dala Pola1, Thaiuana Maia1, Elis Moraes1
1Laboratory of Research in Respiratory Physiotherapy, Departament of Physioterapy, Universidade Estadual de Londrina - Av, Robert Koch, 60 - Vila Operária, Londrina, Paraná, 86038-350, Brasil.
Sleep & breathing = Schlaf & Atmung
|September 17, 2024
概括
患有慢性阻塞性肺病 (COPD) 的人群中的石膏与客观测量的睡眠质量较差有关,包括睡眠时间和效率的减少. 主观睡眠质量感知没有显著差异,尽管与握手强度有一定的关联.
科学领域:
- 肺部医学 肺部医学
- 睡眠科学 睡眠科学
- 老年学是一门学科.
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种与全身影响相关的渐进性肺病.
- 随着年龄的增长,骨肌肉质量和功能的丧失,即萨尔科佩尼亚,在COPD患者中越来越多地被认可.
- 睡眠障碍在COPD中很常见,可能会加剧疾病的进展并影响生活质量.
研究的目的:
- 研究被诊断患有COPD的个体中肉类和睡眠参数之间的关系.
- 为了比较COPD患者的客观和主观睡眠评估,有和没有sarcopenia.
主要方法:
- 一项涉及29名COPD患者的横截面研究.
- 通过螺旋测量评估肺功能.
- 使用Actiwatch的客观睡眠监测和使用匹兹堡睡眠质量指数 (PSQI) 的主观睡眠质量评估.
- 使用手握强度动力计评估了萨科佩尼亚.
主要成果:
- 与没有sarcopenia的人相比,患有sarcopenia的人的睡眠时间显著缩短,睡眠效率降低,睡眠开始后的清醒时间增加.
- 睡眠碎片化在sarcopenia组中更为明显,以更频繁和更短的睡眠/清醒阻断为标志.
- 两组之间没有发现PSQI得分的显著差异,但手握强度与特定的PSQI成分有负面关联.
结论:
- 慢性慢性肺炎患者的肉症与客观上较差的睡眠结果有关,包括睡眠时间和效率的减少.
- 虽然主观睡眠质量感知 (PSQI) 没有显著差异,但手握强度与主观睡眠参数有一定的相关性.
- 这些发现凸显了COPD肌肉健康和睡眠之间的复杂相互作用,这表明客观的睡眠测量对萨尔科佩尼亚的影响更敏感.
相关概念视频
01:21Sleep Apnea
131
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
131
01:24Sleep-Wake Cycles
1.2K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.2K
01:13Insufficient Sleep and Sleep Deprivation
136
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
136
01:24Substance Use Disorders Affecting Sleep
162
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
162
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.7K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.7K
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K