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RESEARCH PRODUCT

Physiological and autonomic stress responses after prolonged sleep restriction and subsequent recovery sleep in healthy young men

Wessel M. A. Van LeeuwenWessel M. A. Van LeeuwenWessel M. A. Van LeeuwenTarja Porkka-heiskanenMikael SallinenMikael SallinenHarri LindholmMikko HärmäChrister HublinAri HirvonenJussi Virkkala

subject

sykemedicine.medical_specialtyNeurologyPhysiologyBLOOD-PRESSURE030204 cardiovascular system & hematologySYMPATHOVAGAL BALANCE3124 Neurology and psychiatryuni (lepotila)Cortisolstress03 medical and health sciences0302 clinical medicinePhysiology (medical)Internal medicineautonominen hermostomedicineAutonomic nervous systemHeart rate variabilityCircadian rhythmApplied PsychologyHeart rate variabilitySleep restrictionHEART-RATE-VARIABILITYSleep restrictionbusiness.industryCIRCADIAN-RHYTHM3112 NeurosciencesTillämpad psykologiSleep in non-human animals3. Good healthAutonomic nervous systemINSUFFICIENT SLEEPNeuropsychology and Physiological PsychologyBlood pressureEndocrinologyNeurologyNEUROPEPTIDE-YCARDIOVASCULAR-DISEASEHPA-axisONE NIGHTIMMUNE-SYSTEMOriginal ArticleDEPRESSED-PATIENTSheartsProlonged sleepbusiness030217 neurology & neurosurgery

description

Purpose Sleep restriction is increasingly common and associated with the development of health problems. We investigated how the neuroendocrine stress systems respond to prolonged sleep restriction and subsequent recovery sleep in healthy young men. Methods After two baseline (BL) nights of 8 h time in bed (TIB), TIB was restricted to 4 h per night for five nights (sleep restriction, SR, n = 15), followed by three recovery nights (REC) of 8 h TIB, representing a busy workweek and a recovery weekend. The control group (n = 8) had 8 h TIB throughout the experiment. A variety of autonomic cardiovascular parameters, together with salivary neuropeptide Y (NPY) and cortisol levels, were assessed. Results In the control group, none of the parameters changed. In the experimental group, heart rate increased from 60 +/- 1.8 beats per minute (bpm) at BL, to 63 +/- 1.1 bpm after SR and further to 65 +/- 1.8 bpm after REC. In addition, whole day low-frequency to-high frequency (LF/HF) power ratio of heart rate variability increased from 4.6 +/- 0.4 at BL to 6.0 +/- 0.6 after SR. Other parameters, including salivary NPY and cortisol levels, remained unaffected. Conclusions Increased heart rate and LF/HF power ratio are early signs of an increased sympathetic activity after prolonged sleep restriction. To reliably interpret the clinical significance of these early signs of physiological stress, a follow-up study would be needed to evaluate if the stress responses escalate and lead to more unfavourable reactions, such as elevated blood pressure and a subsequent elevated risk for cardiovascular health problems. Peer reviewed

https://doi.org/10.1007/s41105-017-0122-x