دورية أكاديمية
أعرض في EDS

A pilot study of light exposure as a countermeasure for menstrual phase-dependent neurobehavioral performance impairment in women.

التفاصيل البيبلوغرافية
العنوان: A pilot study of light exposure as a countermeasure for menstrual phase-dependent neurobehavioral performance impairment in women.
المؤلفون: Grant LK; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA; Mary Horrigan Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: lgrant@bwh.harvard.edu., Gooley JJ; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., St Hilaire MA; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA; Department of Computer and Data Sciences, School of Science and Engineering, Merrimack College, North Andover, Massachusetts, USA., Joffe H; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA; Mary Horrigan Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Women's Hormones and Aging Research Program, Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Brainard GC; Department of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Van Reen E; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., Rüger M; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., Rajaratnam SMW; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., Lockley SW; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., Czeisler CA; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA., Rahman SA; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
المصدر: Sleep health [Sleep Health] 2024 Feb; Vol. 10 (1S), pp. S34-S40. Date of Electronic Publication: 2023 Sep 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101656808 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-7226 (Electronic) Linking ISSN: 23527218 NLM ISO Abbreviation: Sleep Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [New York, NY] : Elsevier Inc., [2015]-
مواضيع طبية MeSH: Circadian Rhythm* , Melatonin*/pharmacology, Humans ; Female ; Pilot Projects ; Sleepiness ; Attention
مستخلص: Objective: To examine effects of menstrual phase and nighttime light exposure on subjective sleepiness and auditory Psychomotor Vigilance Task performance.
Methods: Twenty-nine premenopausal women (12 =Follicular; 17 =Luteal) completed a 6.5-hour nighttime monochromatic light exposure with varying wavelengths (420-620 nm) and irradiances (1.03-14.12 µW/cm 2 ). Subjective sleepiness, reaction time, and attentional lapses were compared between menstrual phases in women with minimal (<33%) or substantial (≥33%) light-induced melatonin suppression.
Results: When melatonin was not suppressed, women in the follicular phase had significantly worse reaction time (mean difference=145.1 ms, 95% CI 51.8-238.3, p < .001, Cohen's D=1.9) and lapses (mean difference=12.9 lapses, 95% CI 4.37-21.41, p < .001, Cohen's D=1.7) compared to women in the luteal phase. When melatonin was suppressed, women in the follicular phase had significantly better reaction time (mean difference=152.1 ms, 95% CI 43.88-260.3, p < .001, Cohen's D=1.7) and lapses (mean difference=12.3 lapses, 95% CI 1.14-25.6, p < .01, Cohen's D=1.6) compared to when melatonin was not suppressed, such that their performance was not different (p > .9) from women in the luteal phase. Subjective sleepiness did not differ by menstrual phase (mean difference=0.6, p > .08) or melatonin suppression (mean difference=0.2, p > .4).
Conclusions: Nighttime light exposure sufficient to suppress melatonin can also mitigate neurobehavioral performance deficits associated with the follicular phase. Despite the relatively small sample size, these data suggest that nighttime light may be a valuable strategy to help reduce errors and accidents in female shift workers.
(Copyright © 2024 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R21 ES017112 United States ES NIEHS NIH HHS; M01 RR002635 United States RR NCRR NIH HHS; R01 MH045130 United States MH NIMH NIH HHS; UL1 RR025758 United States RR NCRR NIH HHS; R01 HL162102 United States HL NHLBI NIH HHS; R01 AT002129 United States AT NCCIH NIH HHS; R01 NS036590 United States NS NINDS NIH HHS; R01 AG053838 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Light; Melatonin; Menstrual phase; Neurobehavioral performance; Night work; Shift work; Women
المشرفين على المادة: JL5DK93RCL (Melatonin)
تواريخ الأحداث: Date Created: 20230925 Date Completed: 20240422 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC10959759
DOI: 10.1016/j.sleh.2023.08.012
PMID: 37748973
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-7226
DOI:10.1016/j.sleh.2023.08.012