艾滋病毒感染者睡眠和休息活动节奏延迟且不太稳定
Priya V Borker1,2,3, Stephen F Smagula4, Julia Sherman3
1Division of Pulmonary, Critical Care, and Sleep Medicine, University Hospitals Case Medical Center, Cleveland, Ohio, USA.
与没有艾滋病毒的人相比,艾滋病毒感染者 (PLWH) 的睡眠和休息活动节律 (RAR) 延迟,不太稳定,不太稳定. 这些发现表明PLWH的内在生理节律差异.
科学领域:
- 时间生物学
- 传染性疾病
- 睡眠医学
背景情况:
- 艾滋病毒感染者 (PLWH) 经常出现睡眠障碍.
- 对于PLWH患者的习惯性睡眠模式和休息活动节奏 (RAR) 尚不清楚.
研究的目的:
- 为了比较PLWH和没有HIV的个体之间的睡眠和RAR指标.
- 调查昼夜调节中的潜在差异.
主要方法:
- 在106个PLWH (病毒抑制,稳定的ART) 和105个对照中进行了14天的手腕动图.
- 对睡眠时间,时间,规律性和RAR指标的分析.
- 多变量回归调整为共变量.
主要成果:
- 较晚的睡眠/活动时间 (P=.003) 和较少的夜间睡眠 (P=.007).
- PLWH表现出较不稳定的节奏:睡眠时间变化较大 (P=.0007),睡眠时间不太稳定 (P=.001),幅度较低 (P=.002),规律性降低 (P=.003).
结论:
- 与HIV阴性个体相比,PLWH的睡眠和RAR显著延迟,不那么稳定和不那么强.
- 这些发现表明PLWH之间昼夜节律的内在差异.
- 需要进一步研究这些睡眠和节律异常对健康的影响.
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