库辛综合征和轻度自主皮质醇分泌患者的睡眠障碍:一个横截面研究
Shubhangi Sharma Sharma1, Jasmine Saini2, Shireen R Chacko1
1Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, Minnesota, 55905, USA.
The Journal of clinical endocrinology and metabolism
|October 6, 2025
概括
患有轻度自主皮质醇分泌 (MACS) 的患者经历的睡眠问题类似于库辛综合征 (CS) 的患者. 年轻女性患有更严重的MACS更容易出现睡眠障碍.
科学领域:
- 内分泌学 在内分泌学.
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 过高皮质醇对睡眠的影响尚未完全理解.
- 库希综合征 (CS) 与睡眠障碍有关.
- 轻度自主皮质醇分泌 (MACS) 涉及轻度夜间高皮质醇症,可能会影响睡眠.
研究的目的:
- 使用匹兹堡睡眠质量指数 (PSQI) 评估CS和MACS患者的睡眠异常.
- 确定与这些患者群体睡眠不足相关的因素.
- 为了将MACS患者的睡眠问题与参考人群进行比较.
主要方法:
- 一个单中心的横截面研究,涉及有活性的CS和MACS的成年人.
- 使用PSQI评估睡眠质量.
- 计算临床和生物化学高皮质醇症严重程度得分.
主要成果:
- 与参考人群相比,MACS患者的睡眠质量明显降低,睡眠时间缩短,睡眠延迟时间长,白天功能障碍增加.
- 在调整年龄,性别和BMI后,CS和MACS患者之间没有发现PSQI得分的显著差异.
- 在MACS患者中,年轻的年龄,女性性别和更高的临床严重性得分与睡眠障碍相关.
结论:
- 在MACS患者中明显出现睡眠障碍,与CS患者的睡眠障碍相似.
- 年轻女性患有MACS更严重的临床表现有更高的睡眠障碍风险.
相关概念视频
Adrenal Gland Disorders
2.9K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
2.9K
Sleep-Wake Cycles
2.7K
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:
2.7K
Narcolepsy
498
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
498
Insomnia
406
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
406
Circadian Rhythms and Gene Regulation
4.5K
The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
4.5K


