关键词: autonomic nervous system disorders of gut–brain interaction functional gastrointestinal disorders respiratory sinus arrhythmia vagal efficiency

来  源:   DOI:10.1111/nmo.14887

Abstract:
BACKGROUND: Wearable technology is increasingly used in clinical practice and research to monitor functional gastrointestinal symptoms and mental health.
OBJECTIVE: This article explores the potential of wearable sensors to enhance the understanding of the autonomic nervous system (ANS), particularly its role in linking psychological and gastrointestinal function. The ANS, facilitates brain-gut communication and is responsive to psychosocial conditions. It is implicated in disorders related to psychological stress and gut-brain interaction. Wearable technology enables tracking of the ANS in daily life, offering complementary and alternative methods from traditional lab-based measures. This review places focus on autonomic metrics such as respiratory sinus arrhythmia, vagal efficiency, and electrodermal activity as well as self-reports of autonomic symptoms.
CONCLUSIONS: Potential applications include use of wearable sensors for tracking autonomic activity in disorder of gut-brain interaction such as cyclic vomiting syndrome, in which ANS dysregulation may be triggered by psychosocial factors. Considerations for data interpretation and contextualization are addressed, acknowledging challenges such as situational confounders of ANS activity and accuracy of wearable devices.
摘要:
背景:可穿戴技术越来越多地用于临床实践和研究中,以监测功能性胃肠道症状和心理健康。
目的:本文探讨了可穿戴传感器在增强对自主神经系统(ANS)的理解方面的潜力,特别是它在连接心理和胃肠功能方面的作用。ANS,促进大脑与肠道的交流,并对社会心理状况做出反应。它涉及与心理压力和肠-脑相互作用相关的疾病。可穿戴技术可以在日常生活中跟踪ANS,从传统的基于实验室的措施提供补充和替代方法。这篇综述将重点放在自主神经指标上,如呼吸窦性心律失常,迷走神经效率,和皮肤电活动以及自主症状的自我报告。
结论:潜在的应用包括使用可穿戴传感器跟踪肠-脑相互作用障碍的自主神经活动,如周期性呕吐综合征,其中ANS失调可能是由心理社会因素引发的。解决了数据解释和语境化的考虑因素,承认诸如ANS活动的情境混杂因素和可穿戴设备的准确性等挑战。
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