在慢性阻塞性肺病患者中,昼夜节律和睡眠-清醒行为的认知相关性
Babita Pande1, Meenakshi Sinha1, Ramanjan Sinha1
1Department of Physiology, All India Institute of Medical Sciences (AIIMS), Raipur, India.
Chronobiology international
|October 4, 2024
概括
慢性阻塞性肺病 (COPD) 患者表现出昼夜节律受损和睡眠不良,导致显著的认知障碍. 解决这些问题可能有助于改善COPD的认知功能.
科学领域:
- 时间生物学 时间生物学
- 肺部病理学 肺部病理学
- 神经科学是一个神经科学.
背景情况:
- 慢性阻塞性肺病 (COPD) 与减少体力活动,睡眠问题和认知能力下降有关.
- 生物节律和睡眠障碍对COPD患者认知能力的客观测量和影响尚未得到充分证实.
研究的目的:
- 客观地测量稳定的COPD患者的昼夜休息活动节奏和睡眠行为.
- 研究这些昼夜和睡眠参数与认知功能之间的关系.
主要方法:
- 在65名男性COPD患者和50名对照组中,使用动图监测休息活动和环境照明3-7天.
- 用蒙特利尔认知评估 (MoCA),时间估计任务和反应时间测量来评估认知功能.
主要成果:
- 与对照组相比,COPD患者表现出明显的昼夜节律中断 (较低的 mesor,幅度,自相关性).
- 在COPD患者中观察到睡眠质量差,睡眠碎片化增加和广泛的认知障碍 (85.7%).
- 认知能力下降与节律参数中断相关,包括较低的振幅和昼夜系数.
结论:
- 循环节律和睡眠障碍很普遍,并且在COPD患者中显著影响认知功能.
- 针对昼夜和睡眠失调可能提供治疗策略,以减轻COPD的认知衰退.
- 慢性治疗干预可能会改善COPD患者的认知结果.
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