biological rhythms

生物节律
  • 文章类型: Journal Article
    真核生物的生物钟控制着生理和行为的日常节律。它显示了一个复杂的组织,涉及分子转录时钟和氧化还原振荡器,它们可能协调工作以控制细胞节律。氧化还原振荡器在适应O2水平的环境变化的进化过程中很早就出现了,并且已被证明可以调节不同真核细胞中甘油脂(GL)代谢的日常节律。GL是脂滴(LD)的关键成分,细胞内储存细胞器,存在于所有生物体中,对能量和脂质稳态调节和生存至关重要;然而,细胞生物能学的状态在时间上并不恒定,并且取决于能量需求。因此,LD的形成和降解可能反映了能量需求之后的时间依赖性过程。这项工作通过研究原核和真核细胞和生物体,研究了LD含量在进化过程中代谢节律的存在。我们发现铜绿假单胞菌和秀丽隐杆线虫中LD含量的持续时间振荡与温度周期同步,地塞米松脉冲后的血清休克同步人胚肾细胞(HEK293细胞)和脑肿瘤细胞(T98G和GL26)。此外,在同步T98G细胞中,LD振荡通过影响代谢振荡器的胞浆活性的糖原合酶激酶-3(GSK-3)抑制或通过敲低关键GL合成酶LIPIN-1而改变。总的来说,我们的发现揭示了代谢振荡的存在,就LD含量而言,在进化尺度上高度保守,尽管复杂性变化,regulation,和细胞组织。
    The biological clock in eukaryotes controls daily rhythms in physiology and behavior. It displays a complex organization that involves the molecular transcriptional clock and the redox oscillator which may coordinately work to control cellular rhythms. The redox oscillator has emerged very early in evolution in adaptation to the environmental changes in O2 levels and has been shown to regulate daily rhythms in glycerolipid (GL) metabolism in different eukaryotic cells. GLs are key components of lipid droplets (LDs), intracellular storage organelles, present in all living organisms, and essential for energy and lipid homeostasis regulation and survival; however, the cell bioenergetics status is not constant across time and depends on energy demands. Thus, the formation and degradation of LDs may reflect a time-dependent process following energy requirements. This work investigated the presence of metabolic rhythms in LD content along evolution by studying prokaryotic and eukaryotic cells and organisms. We found sustained temporal oscillations in LD content in Pseudomonas aeruginosa bacteria and Caenorhabditis elegans synchronized by temperature cycles, in serum-shock synchronized human embryonic kidney cells (HEK 293 cells) and brain tumor cells (T98G and GL26) after a dexamethasone pulse. Moreover, in synchronized T98G cells, LD oscillations were altered by glycogen synthase kinase-3 (GSK-3) inhibition that affects the cytosolic activity of the metabolic oscillator or by knocking down LIPIN-1, a key GL synthesizing enzyme. Overall, our findings reveal the existence of metabolic oscillations in terms of LD content highly conserved across evolutionary scales notwithstanding variations in complexity, regulation, and cell organization.
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  • 文章类型: Journal Article
    表示循环行为模式的信号的相位为理解驱动观察到的行为的机制提供了有价值的信息。通常采用的方法来估计相位,基于将信号投影到复平面上,对其频率含量有严格的要求,这限制了它的应用。为了克服这些限制,输入信号可以使用带通滤波器或分解技术进行处理。在本文中,我们简要回顾了这些方法,并提出了一个新的方法。我们的方法基于经验模式分解(EMD)的原理,但与EMD不同,它的目的不是分解输入信号。这避免了在逐个提取信号分量时可能出现的许多问题。所提出的方法估计实验信号的相位,这些信号具有一个主要的振荡分量,该分量由较慢的活动调制,并由微弱的,稀疏,或以更快的时间尺度进行随机活动。我们说明了我们的方法是如何通过估计合成信号的相位动力学和现实世界信号表示膝盖角度在屈曲/伸展活动,步态时的脚跟高度,以及参与语音制作的不同器官的活动。
    The phase of signals representing cyclic behavioural patterns provides valuable information for understanding the mechanisms driving the observed behaviours. Methods usually adopted to estimate the phase, which are based on projecting the signal onto the complex plane, have strict requirements on its frequency content, which limits their application. To overcome these limitations, input signals can be processed using band-pass filters or decomposition techniques. In this paper, we briefly review these approaches and propose a new one. Our approach is based on the principles of Empirical Mode Decomposition (EMD), but unlike EMD, it does not aim to decompose the input signal. This avoids the many problems that can occur when extracting a signal\'s components one by one. The proposed approach estimates the phase of experimental signals that have one main oscillatory component modulated by slower activity and perturbed by weak, sparse, or random activity at faster time scales. We illustrate how our approach works by estimating the phase dynamics of synthetic signals and real-world signals representing knee angles during flexion/extension activity, heel height during gait, and the activity of different organs involved in speech production.
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  • 文章类型: Journal Article
    强健的昼夜节律对于最佳健康至关重要。中央生物钟控制温度节奏,已知可以组织啮齿动物周围昼夜节律的时间。在人类中,然而,目前尚不清楚温度节律是否与整个身体的昼夜节律组织有关。我们在40小时恒定常规方案中评估了929种血浆代谢物的核心体温幅度和节律性,控制掩盖内源性温度节律的行为和环境因素,在23名健康个体中(平均[±SD]年龄=25.4±5.7岁,5个女人)。有效的核心体温数据在17/23(平均[±SD]年龄=25.6±6.3岁,1个女人)。核心体温振幅较高的个体具有更多的表现出昼夜节律的代谢物(R2=0.37,p=.009)。较高的核心体温幅度也与个体内代谢物节律自由适应期的变异性较小相关(R2=0.47,p=.002)。这些发现表明,更强大的中央昼夜节律时钟与人类昼夜节律代谢节律的更大组织有关。因此,代谢节律可以提供进入中央昼夜节律钟的强度的窗口。
    Robust circadian rhythms are essential for optimal health. The central circadian clock controls temperature rhythms, which are known to organize the timing of peripheral circadian rhythms in rodents. In humans, however, it is unknown whether temperature rhythms relate to the organization of circadian rhythms throughout the body. We assessed core body temperature amplitude and the rhythmicity of 929 blood plasma metabolites across a 40-h constant routine protocol, controlling for behavioral and environmental factors that mask endogenous temperature rhythms, in 23 healthy individuals (mean [± SD] age = 25.4 ± 5.7 years, 5 women). Valid core body temperature data were available in 17/23 (mean [± SD] age = 25.6 ± 6.3 years, 1 woman). Individuals with higher core body temperature amplitude had a greater number of metabolites exhibiting circadian rhythms (R2 = 0.37, p = .009). Higher core body temperature amplitude was also associated with less variability in the free-fitted periods of metabolite rhythms within an individual (R2 = 0.47, p = .002). These findings indicate that a more robust central circadian clock is associated with greater organization of circadian metabolite rhythms in humans. Metabolite rhythms may therefore provide a window into the strength of the central circadian clock.
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  • 文章类型: Journal Article
    这项研究旨在评估规律性,强度,频率,以及包含社交节奏的活动周期,并将它们与中风患者的功能相关联。样本包括73名患者(41名男性和32名女性),平均年龄为60岁(±10)。通过社会节奏指标(SRM)和活动水平指数(ALI)评估社会节奏。使用国际功能分类对功能进行了评估,残疾,健康(ICF)。数据采用学生t检验进行分析,方差分析,和卡方检验。平均SRM为5.1±0.9,ALI为58.3±14.9。值得注意的是,40%的患者表现出低规律性和低活动强度。六项SRM活动,低频表演(外出,开始工作,锻炼,零食,看其他电视节目,然后回家),表现出偏离预期24小时每日周期的趋势。与SRM最相关的ICF领域是:d2-一般任务和需求,d3-通信,d4-移动性,d5-自我护理,d8-主要生活领域,和d9-社区,社会和公民生活。结果表明社会节奏的变化对患者的功能有影响。筛查社会节奏的中断可能是中风后患者康复过程中功能评估的一部分。
    The study aimed to assess the regularity, intensity, frequency, and period of activities comprising social rhythm and associate them with the functionality of stroke patients. The sample consisted of 73 patients (41 men and 32 women) with a mean age of 60 years (±10). Social rhythm was assessed by Social Rhythm Metric (SRM) and Activity Level Index (ALI). The functionality was evaluated using the International Classification of Functioning, Disability, and Health (ICF). Data were analyzed using Student\'s t-test, ANOVA, and Chi-square test. The mean SRM was 5.1 ± 0.9, and ALI was 58.3 ± 14.9. Notably, 40% of the patients exhibited both low regularity and low intensity of activities. Six SRM activities, performed with low frequency (going outside, starting work, exercising, snacking, watching other TV programs, and going home), exhibited a tendency to have periods that deviated from the expected 24-hour daily cycle. ICF domains most associated with SRM were: d2-General tasks and demands, d3-Communication, d4-Mobility, d5-Self care, d8-Major life areas, and d9-Community, social and civic life. The results indicated changes in social rhythm with implications for patient functionality. Screening for disruptions in social rhythm could be part of the functional assessment during the rehabilitation process for post-stroke patients.
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  • 文章类型: Journal Article
    这项研究调查了健康对照(HC)和重度抑郁发作(MDE)患者中自我报告的繁体中文版《神经精神病学评估生物节律访谈》(C-BRIAN-SR)的心理测量特性和纵向变化。招募了80例目前患有MDE和80例HC的患者。在HC中两周后重复评估,并在MDE患者出院后检查抑郁症缓解后的前瞻性变化。MDE组C-BRIAN-SR评分明显高于HC组。C-BRIAN-SR得分之间的正相关支持了并发效度,失眠严重程度指数和医院焦虑抑郁量表。MDE组C-BRIAN-SRMEQ呈负相关(r=.30,p=0.009),提示较高的节律紊乱与夜晚倾向相关。发现中等测试-重测可靠性(r=.61,p<0.001)。38.5的截止值将MDE受试者与HC区分开,敏感性为82.9%,特异性为81.0%。C-BRIAN-SR评分在缓解的MDE患者中恢复正常,但在未缓解的患者中仍较高。C-BRIAN-SR是测量生物节律的有效且可靠的量表,可能有助于筛查MDE患者。
    This study examined the psychometric properties and longitudinal changes of the self-reporting Traditional Chinese version of Biological Rhythms Interview for Assessment in Neuropsychiatry (C-BRIAN-SR) among healthy controls (HC) and patients with major depressive episode (MDE). Eighty patients with a current MDE and 80 HC were recruited. Assessments were repeated after two weeks in HC, and upon the discharge of MDE patients to examine the prospective changes upon remission of depression. The C-BRIAN-SR score was significantly higher in the MDE than HC group. The concurrent validity was supported by a positive correlation between scores of C-BRIAN-SR, Insomnia Severity Index and the Hospital Anxiety Depression Scale. C-BRIAN-SR negatively correlated MEQ in the MDE group (r = .30, p = 0.009), suggesting higher rhythm disturbances were associated with a tendency toward eveningness. A moderate test-retest reliability was found (r = .61, p < 0.001). A cut-off of 38.5 distinguished MDE subjects from HC with 82.9% of sensitivity and 81.0% of specificity. C-BRIAN-SR score normalized in remitted MDE patients but remained higher in the non-remitted. The C-BRIAN-SR is a valid and reliable scale for measuring the biological rhythms and may assist in the screening of patients with MDE.
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  • 文章类型: Journal Article
    背景:先前的移动健康(mHealth)研究表明,抑郁症与通过可穿戴设备测量的昼夜节律特征之间存在显着联系。然而,这些研究没有充分考虑季节性变化的综合影响,在现实世界中的潜在偏见解释。
    目的:本研究旨在探讨抑郁症严重程度与可穿戴测量的昼夜节律之间的关联,同时考虑季节性影响。
    方法:数据来自一项大型纵向mHealth研究,其中使用8项患者健康问卷(PHQ-8)每两周评估参与者的抑郁严重程度,和参与者的行为,包括睡眠,步数,心率(HR),通过Fitbit设备跟踪长达2年。我们从每次PHQ-8评估之前的14天Fitbit数据中提取了12个昼夜节律特征,包括余弦变量,如HR峰值定时(HR顶相),和非参数特征,例如最活跃的连续10小时期(M10发作)的发作。为了调查抑郁症严重程度与昼夜节律之间的关系,同时评估季节性影响,我们为每个昼夜节律特征使用了三个嵌套的线性混合效应模型:(1)将PHQ-8评分作为自变量,(2)增加季节性,和(3)在季节和PHQ-8得分之间添加相互作用项。
    结果:分析来自543名参与者的10,018个PHQ-8记录以及Fitbit数据(n=414,76.2%为女性;平均年龄48,IQR32-58岁),我们发现,在调整了季节性影响后,较高的PHQ-8评分与每日步数减少相关(β=-93.61,P<.001),睡眠变异性增加(β=0.96,P<.001),和延迟的昼夜节律(即,睡眠开始:β=0.55,P=.001;睡眠偏移:β=1.12,P<.001;M10开始:β=0.73,P=.003;HR顶期:β=0.71,P=.001)。值得注意的是,与冬季相比,春季(PHQ-8×spring的β=-31.51,P=.002)和夏季(PHQ-8×summer的β=-42.61,P<.001)与日步数的负相关更为明显。此外,仅在夏季观察到与M10延迟发作的显着相关性(PHQ-8×summer=1.06,P=.008)。此外,与冬天相比,参与者的睡眠时间缩短了16.6分钟,每日步数增加394.5,M10发作延迟20.5分钟,夏季HR高峰时间延迟67.9分钟。
    结论:我们的研究结果强调了季节性对人类昼夜节律的显著影响及其与抑郁症的关系,强调在实际应用中考虑mHealth研究中季节性变化的重要性。这项研究还表明,可穿戴测量的昼夜节律作为抑郁症的数字生物标志物的潜力。
    BACKGROUND: Previous mobile health (mHealth) studies have revealed significant links between depression and circadian rhythm features measured via wearables. However, the comprehensive impact of seasonal variations was not fully considered in these studies, potentially biasing interpretations in real-world settings.
    OBJECTIVE: This study aims to explore the associations between depression severity and wearable-measured circadian rhythms while accounting for seasonal impacts.
    METHODS: Data were sourced from a large longitudinal mHealth study, wherein participants\' depression severity was assessed biweekly using the 8-item Patient Health Questionnaire (PHQ-8), and participants\' behaviors, including sleep, step count, and heart rate (HR), were tracked via Fitbit devices for up to 2 years. We extracted 12 circadian rhythm features from the 14-day Fitbit data preceding each PHQ-8 assessment, including cosinor variables, such as HR peak timing (HR acrophase), and nonparametric features, such as the onset of the most active continuous 10-hour period (M10 onset). To investigate the association between depression severity and circadian rhythms while also assessing the seasonal impacts, we used three nested linear mixed-effects models for each circadian rhythm feature: (1) incorporating the PHQ-8 score as an independent variable, (2) adding seasonality, and (3) adding an interaction term between season and the PHQ-8 score.
    RESULTS: Analyzing 10,018 PHQ-8 records alongside Fitbit data from 543 participants (n=414, 76.2% female; median age 48, IQR 32-58 years), we found that after adjusting for seasonal effects, higher PHQ-8 scores were associated with reduced daily steps (β=-93.61, P<.001), increased sleep variability (β=0.96, P<.001), and delayed circadian rhythms (ie, sleep onset: β=0.55, P=.001; sleep offset: β=1.12, P<.001; M10 onset: β=0.73, P=.003; HR acrophase: β=0.71, P=.001). Notably, the negative association with daily steps was more pronounced in spring (β of PHQ-8 × spring = -31.51, P=.002) and summer (β of PHQ-8 × summer = -42.61, P<.001) compared with winter. Additionally, the significant correlation with delayed M10 onset was observed solely in summer (β of PHQ-8 × summer = 1.06, P=.008). Moreover, compared with winter, participants experienced a shorter sleep duration by 16.6 minutes, an increase in daily steps by 394.5, a delay in M10 onset by 20.5 minutes, and a delay in HR peak time by 67.9 minutes during summer.
    CONCLUSIONS: Our findings highlight significant seasonal influences on human circadian rhythms and their associations with depression, underscoring the importance of considering seasonal variations in mHealth research for real-world applications. This study also indicates the potential of wearable-measured circadian rhythms as digital biomarkers for depression.
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  • 文章类型: Journal Article
    生物节律是生物体的一个基本方面,调节许多生理过程。这项研究的重点是分析昼夜节律的分子基础及其对肝脏功能的影响。生物节律的调节是由时钟系统进行的,它由中央时钟和外围时钟组成。中心时钟位于下丘脑的视交叉上核(SCN)中,并由从视网膜通路接收的信号调节。SCN通过其对外围时钟的间接影响来调节整个身体的昼夜节律。反过来,外围时钟可以保持自己的节奏,独立于SCN,通过在转录和翻译因子之间创建特殊的反馈回路。参与这些过程的主要蛋白质家族是CLOCK,BMAL,和哭泣。这些因子表达的紊乱对肝脏的功能有显著影响。在这种情况下,脂质代谢,胆固醇代谢,胆汁酸代谢,酒精代谢,和异种生物的排毒可能会受到显著影响。时钟功能障碍有助于各种疾病的发病机理,包括脂肪肝,肝硬化和不同类型的癌症。因此,了解昼夜节律可以对许多肝病的治疗具有重要意义。以及开发新的预防和治疗策略。
    The biological rhythm is a fundamental aspect of an organism, regulating many physiological processes. This study focuses on the analysis of the molecular basis of circadian rhythms and its impact on the functioning of the liver. The regulation of biological rhythms is carried out by the clock system, which consists of the central clock and peripheral clocks. The central clock is located in the suprachiasmatic nucleus (SCN) of the hypothalamus and is regulated by signals received from the retinal pathway. The SCN regulates the circadian rhythm of the entire body through its indirect influence on the peripheral clocks. In turn, the peripheral clocks can maintain their own rhythm, independent of the SCN, by creating special feedback loops between transcriptional and translational factors. The main protein families involved in these processes are CLOCK, BMAL, PER and CRY. Disorders in the expression of these factors have a significant impact on the functioning of the liver. In such cases lipid metabolism, cholesterol metabolism, bile acid metabolism, alcohol metabolism, and xenobiotic detoxification can be significantly affected. Clock dysfunctions contribute to the pathogenesis of various disorders, including fatty liver disease, liver cirrhosis and different types of cancer. Therefore understanding circadian rhythm can have significant implications for the therapy of many liver diseases, as well as the development of new preventive and treatment strategies.
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  • 文章类型: Journal Article
    生物节律的起源可以追溯到生命的开始。在动植物世界的各个组织中都可以观察到它们,从细胞到生态系统。早在18世纪,植物科学家首先解释了开花周期和环境周期之间的关系,强调日常明暗周期和季节的重要性。我们的时间结构由外部和内部节奏信号控制。光是昼夜节律系统的主要同步器,因为每天暴露在光线下的时间超过24小时,昼夜节律系统的内生周期接近,但不完全是,24小时1960年,一个开创性的科学会议,冷泉港生物节律研讨会,汇集了当时所有的生物节律科学家,其中许多人被认为是现代时间生物学的创始人。生物节律的各个方面都得到了解决,从昼夜节律的特性到它们的实用和生态方面。时间生物学的诞生可以追溯到这个时期,根据其词汇和新陈代谢特异性的定义,光周期,动物生理学,等。大约在同一时间,直到今天,研究集中在褪黑激素上,松果体的昼夜节律神经激素,有关于它模式的数据,新陈代谢,光控制和临床应用。然而,光有双面,因为它作为生物钟夹带剂具有积极作用,但也有有害的影响,因为在晚上长期暴露会导致慢性中断,这会增加患癌症和其他疾病的风险。最后,过去几十年的研究揭示了生物钟的解剖位置及其细胞和分子机制。这项最近的研究反过来使我们能够解释昼夜节律如何控制生理和健康。
    The origin of biological rhythms goes back to the very beginning of life. They are observed in the animal and plant world at all levels of organization, from cells to ecosystems. As early as the 18th century, plant scientists were the first to explain the relationship between flowering cycles and environmental cycles, emphasizing the importance of daily light-dark cycles and the seasons. Our temporal structure is controlled by external and internal rhythmic signals. Light is the main synchronizer of the circadian system, as daily exposure to light entrains our clock over 24 hours, the endogenous period of the circadian system being close to, but not exactly, 24 hours. In 1960, a seminal scientific meeting, the Cold Spring Harbor Symposium on Biological Rhythms, brought together all the biological rhythms scientists of the time, a number of whom are considered the founders of modern chronobiology. All aspects of biological rhythms were addressed, from the properties of circadian rhythms to their practical and ecological aspects. Birth of chronobiology dates from this period, with the definition of its vocabulary and specificities in metabolism, photoperiodism, animal physiology, etc. At around the same time, and right up to the present day, research has focused on melatonin, the circadian neurohormone of the pineal gland, with data on its pattern, metabolism, control by light and clinical applications. However, light has a double face, as it has positive effects as a circadian clock entraining agent, but also deleterious effects, as it can lead to chronodisruption when exposed chronically at night, which can increase the risk of cancer and other diseases. Finally, research over the past few decades has unraveled the anatomical location of circadian clocks and their cellular and molecular mechanisms. This recent research has in turn allowed us to explain how circadian rhythms control physiology and health.
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  • 文章类型: Journal Article
    背景:患有唐氏综合症(DS)的儿童在人类生物学领域内提供了令人信服的背景,以检查潜在的月球影响。虽然控制月球效应的确切机制仍在调查中,越来越多的科学研究表明,月相和生理之间可能存在联系,物理,和认知参数。这项研究有望揭示月球周期(LCs)与DS儿童的独特生物学之间的复杂相互作用。这项研究调查了LC对生理的潜在影响,物理,和DS儿童的认知参数,专注于睡眠模式,物理性能,和认知能力。
    方法:17名DS儿童参与了这项研究。睡眠数据,物理性能指标,在整个LC中收集认知测试结果,包括新月(NM),第一季度,满月(FM),和第三季度。进行了统计分析,以评估这些参数在月相之间的差异。
    结果:在睡眠模式中观察到显著差异,在FM阶段总睡眠时间(P<0.01)和睡眠效率(P<0.001)减少。运动前(P<0.001)和运动后(P<0.01)的心率(HR)在LC期间也显示出明显的变化。此外,整个月相的反应时间(RT)具有显着差异(P<0.01)。然而,物理性能指标,包括蹲跳(SJ),sprint,和6分钟步行距离(6MWD),没有显示出明显的变化。
    结论:这项研究表明,LC可能对睡眠模式有调节作用,HR,和DS儿童的认知表现。这些发现对护理人员和教育工作者具有实际意义,并强调了在DS儿童的计划时间表和干预措施中考虑与月球相关的变化的重要性。
    BACKGROUND: Children with Down syndrome (DS) offer a compelling context within the fieldof human biology for examining potential lunar influences. While the exact mechanisms governing lunar effects are still under investigation, a growing body of scientific inquiry suggests possible connections between lunar phases and physiological, physical, and cognitive parameters. This investigation holds promise for uncovering the intricate interplay between lunar cycles (LCs) and the unique biology of children with DS. This study investigated the potential influence of the LC on physiological, physical, and cognitive parameters in children with DS, focusing on sleep patterns, physical performance, and cognitive abilities.
    METHODS: Seventeen children with DS participated in this study. Sleep data, physical performance metrics, and cognitive test results were collected throughout the LC, including the new moon (NM), first quarter, full moon (FM), and third quarter. Statistical analyses were conducted to assess the differences in these parameters across lunar phases.
    RESULTS: Significant differences were observed in sleep patterns, with reduced total sleep time (P < 0.01) and sleep efficiency (P < 0.001) during the FM phase. Heart rates (HRs) before (P < 0.001) and after (P < 0.01) exercise also displayed pronounced changes during LC. Additionally, the reaction time (RT) exhibited a significant difference (P < 0.01) across the lunar phases. However, physical performance metrics, including squat jump (SJ), sprint, and 6-minute walk distance (6MWD), did not show significant variations.
    CONCLUSIONS: This study suggests that LC may have a moderating effect on sleep patterns, HR, and cognitive performance in children with DS. These findings have practical implications for caregivers and educators and highlight the importance of considering lunar-associated variations in planning schedules and interventions for children with DS.
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  • 文章类型: Journal Article
    背景:生物节律表示以24小时为周期的生命活动的周期性模式。研究表明,抑郁症表现出生物节律的紊乱。然而,这些生物节律与伴随焦虑症状之间的关系在结构化临床评估中没有得到充分研究.
    方法:这项多中心研究,在四家中国医院进行,全面检查了抑郁症患者的焦虑与生物节律中断之间的关系。该研究包括218名被诊断患有抑郁症的患者和205名匹配的健康对照。使用中文版的神经精神病学生物节律评估访谈来评估参与者的生物节律,关注四个维度:睡眠,活动,社会,和饮食。
    结果:在抑郁症患者中,焦虑症状的严重程度与生物节律紊乱之间存在显着正相关。焦虑和抑郁的严重程度,随着生活的质量,与生物节律的破坏独立相关。中介模型揭示了焦虑症状介导抑郁症状与生物节律之间的关系。
    结论:这项研究强调了焦虑在抑郁障碍和相关生物节律紊乱中的作用。我们的发现揭示了针对与抑郁和焦虑作斗争的个体的更有针对性的预防策略和治疗干预的潜在途径。
    BACKGROUND: Biological rhythms denote the cyclical patterns of life activities anchored to a 24-hour cycle. Research shows that depression exhibits disturbances in biological rhythms. Yet, the relationship between these biological rhythms and concomitant anxiety symptoms is insufficiently investigated in structured clinical assessments.
    METHODS: This multicenter study, carried out in four Chinese hospitals, comprehensively examined the relationship between anxiety and disruptions in biological rhythms among patients with depression. The study encompassed 218 patients diagnosed with depression and 205 matched healthy controls. The Chinese version of the Biological Rhythms Interview of Assessment in Neuropsychiatry was utilized to evaluate the participants\' biological rhythms, focusing on four dimensions: sleep, activity, social, and diet.
    RESULTS: In patients with depression, there is a significant positive correlation between the severity of anxiety symptoms and the disturbances in biological rhythms. The severity of anxiety and depression, along with the quality of life, are independently associated with disruptions in biological rhythms. The mediation model reveals that anxiety symptoms mediate the relationship between depressive symptoms and biological rhythms.
    CONCLUSIONS: This research highlights the role of anxiety within the spectrum of depressive disorders and the associated disturbances in biological rhythms. Our findings shed light on potential pathways towards more targeted preventive strategies and therapeutic interventions for individuals battling depression and anxiety.
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