Profiling Objective Sleep Quality in a Healthy Taiwanese Sample: Using a Novel Electrocardiogram-based Cardiopulmonary Coupling Analysis

Albert. C. Yang; Chen-Jee Hong; Chung-Hsun Kuo; Tai-Jui Chen; Cheng-Hung Yang; Cheng Li; Shih-Jen Tsai

doi:10.29478/TJP.201009.0006

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P201 - 209

医药卫生 > 社会医学

DOI： 10.29478/TJP

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Profiling Objective Sleep Quality in a Healthy Taiwanese Sample: Using a Novel Electrocardiogram-based Cardiopulmonary Coupling Analysis

以心电讯号定量睡眠品质之新方法－健康受试者研究

杨智杰(Albert. C. Yang) ；洪成志(Chen-Jee Hong) ；郭忠训(Chung-Hsun Kuo) ；陈泰瑞(Tai-Jui Chen) ；杨诚弘(Cheng-Hung Yang) ；李征(Cheng Li) ；蔡世仁(Shih-Jen Tsai)

台湾精神医学； 24 卷 3 期 (2010 / 09 / 01) ， P201 - 209

英文 DOI： 10.29478/TJP.201009.0006

睡眠稳定性；心电讯号；心肺耦合分析； sleep stability ； electrocardiogram ； cardiopulmonary coupling analysis

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摘要 │ 参考文献 (24) │ 被引用文献 (2) │ 国际计量

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Objectives: Sleep affects the regulation of circulatory and respiratory function. The factors of age and gender are also known to have a significant impact on the cardiac physiology. We investigated the impact of the factors of age and gender on sleep-related cardiovascular and respiratory dynamics with a novel, validated cardiopulmonary coupling analysis based solely on the electrocardiogram (ECG) signal. Methods: We recruited 155 healthy subjects (41 males and 114 females, aged 37.6±13.0 years, range being 19-67 years) to participate in this study. We evaluated their mood and sleep with self-reported questionnaires - the Beck Depression Inventory, the Pittsburgh Sleep Quality Index, and the Epworth Sleepiness Scales. Physiologic sleep measures were quantified by analysis of continuous ECG recordings using the cardiopulmonary coupling analysis. Three sleep states were determined, namely stable, unstable, and rapid eye movement (REM)/wake state, by measuring the degree of association between autonomic and respiratory drives during sleep. Results: The key findings in this study included: (A) Compared to subjects under age 40, subjects over age 40 showed to have significantly decreased very-low-frequency coupling, an index of REM/wake state. (B) Compared to female subjects, male subjects revealed to have lower high-frequency-coupling, an index of stable sleep, and higher low-frequency-coupling, an index of unstable sleep. And (C) ECG-based sleep characteristics were not fount to be correlated with self-reported questionnaires in this healthy adult sample. Conclusions: Our study results showed that aging and gender as factors had significant effects on cardiopulmonary coupling dynamics during sleep. This study also provided a profile of the physiological sleep characteristics of a healthy Taiwanese sample. We suggest that further research may enhance the use of this relatively simple ECG-based method to give a cost-efficient way to objectively evaluate sleep quality.

参考文献 ( 24 ) 〈TOP〉

Achermann, P.,Borbely, A.A.(1987).Dynamics of EEG slow wave activity during physiological sleep and after administration of benzodiazepine hypnotics.Hum Neurobiol,6,203-10.
Armitage, R.,Trivedi, M.,Hoffmann, R.,Rush, A.J.(1997).Relationship between objective and subjective sleep measures in depressed patients and healthy controls.Depress Anxiety,5,97-102.
Bae, J.N.,MacFall, J.R.,Krishnan, K.R.,Payne, M.E.,Steffens, D.C.,Taylor, W.D.(2006).Dorsolateral prefrontal cortex and anterior cingulate cortex white matter alterations in late-life depression.Biol Psychiatry,60,1356-63.
Beck, A.T.,Ward, C.H.,Mendelson, M.,Mock, J.,Erbaugh, J.(1961).An inventory for measuring depression.Arch Gen Psychiatry,4,561-71.
Buysse, D.J.,ncoli-Israel, S.,Edinger, J.D.,Lichstein, K.L.,Morin, C.M.(2006).Recommendations for a standard research assessment of insomnia.Sleep,29,1155-73.

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