睡眠-觉醒调节的阴与阳:人类一生对睡眠需求的性别差异始终存在。

IF 2 4区 医学 Q3 CLINICAL NEUROLOGY
Arcady A Putilov, Evgeniy G Verevkin
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引用次数: 0

摘要

目的:在自主选择光-暗和醒-睡周期条件下的睡眠调节实验显示,女性的睡眠比例大于男性。在问卷调查中,女性通常比男性更需要睡眠。总体而言,在大多数人生阶段,女性的睡眠时间也比男性多。然而,这一差距很大程度上是由工作/家庭责任和性别时间权衡来解释的。我们测试了从童年到成年后期,女性在周末是否比男性在床上的时间更长,以及在工作日,她们在床上的时间是否没有变长,这是由于社会因素而不是生理因素导致的。方法:对340组男女睡眠时间配对亚样本进行分析。计算和模拟平均睡眠时间。结果:男女周末卧床时间差异为0.26 h(前者早睡0.16 h,后者晚起0.10 h)。工作日起床时间的性别差异不显著,工作日卧床时间的性别差异方向在整个生命周期中不一致。基于模型的模拟支持了一项预测,即在绝大多数已发表的研究中,男性和女性在睡眠欲望上的差距可以反映出女性睡眠慢波活动(SWA)的水平更高。结论:由于SWA强烈表明了年龄和年龄相关的神经网络变化,女性更强烈的睡眠欲望的持久性可以通过这些网络中年龄相关结构变化的潜在性别差异来解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The yin and yang of sleep-wake regulation: gender gap in need for sleep persists across the human lifespan.

Purpose: Experiments on sleep regulation under the condition of self-selected light-dark and wake-sleep cycle revealed a larger sleep fraction in women than men. In questionnaire studies, women usually report a greater need for sleep than men. They also sleep more than men in overall and at most life course stages. However, much of the gap was explained by work/family responsibilities and gendered time tradeoffs. We tested whether females from childhood to late adulthood spend longer time in bed than males on weekends, and whether on weekdays, their time in bed fails to become longer due to the socially rather than biologically governed earlier weekday wake ups.

Methods: A set of 340 paired subsamples of male and female sleep times was analyzed. The averaged sleep times were calculated and simulated.

Results: Female-male difference in weekend time in bed attained the value of 0.26 h (the 0.16-h earlier bedtime was combined with the 0.10-h later risetime). The gender gap in weekday risetime was non-significant and the direction of gender difference in weekday time in bed was inconsistent across the lifespan. Model-based simulations provided support for the prediction that the male-female gap in sleep desire can reflect a higher level of sleep slow-wave activity (SWA) in females found in the vast majority of published studies.

Conclusion: Since SWA is strongly indicative of age and age-associated change in neuronal networks, the persistency of female's greater desire for sleep can be explained by the underlying sex difference in age-associated structural changes in these networks.

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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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