1. Effects of Fragmentation of Stage 3 Sleep and Rapid Eye Movement Sleep on Melatonin Secretion.
- Author
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Ukraintseva, Yu. V. and Saltykov, K. A.
- Subjects
RAPID eye movement sleep ,SLEEP interruptions ,SLEEP stages ,HEART beat ,SLOW wave sleep - Abstract
Objectives. To compare the effects of fragmentation of stage 3 and REM sleep on melatonin (MT) secretion and to evaluate the effects of changes in the autonomic balance and activation reactions occurring in the slow-wave and REM sleep phases. Materials and Methods. Fifteen healthy men took part in three experiments: with fragmentation of stage 3, with fragmentation of REM sleep, and a control experiment in which sleep was not disturbed. In each experiment, seven saliva samples were collected in the evening, at night, and in the morning, and MT contents were determined. Heart rate variability was analyzed using electrocardiogram recordings and the autonomic balance was assessed. Results. Sleep fragmentation was accompanied by activation reactions and decreases in the durations of stage 3 sleep and REM sleep by 50% and 51% in the corresponding experiments. Fragmentation of REM sleep also led to an increase in the duration of nocturnal waking. Sleep disturbances caused an increase in MT secretion in the second half of the night and in the morning, which was particularly marked in the experiments with REM sleep fragmentation, in which MT on waking was 1.8 times higher than in the controls. Stage 3 fragmentation was accompanied by increased sympathetic activation, while REM sleep fragmentation did not cause autonomic shifts. Subjects were divided into two clusters: with high and low MT in night-time and morning saliva samples. In all experiments, subjects with high MT had nocturnal waking lasting 1.7–2 times longer, while these subjects had significantly more activations in the REM sleep phase in the experiments with fragmentation. Conclusions. Nocturnal sleep disturbances increased MT secretion, which was particularly marked with fragmentation of REM sleep. Increases in MT levels were not dependent on changes in the autonomic balance and appeared to be associated with activation of the serotoninergic system, which accompanies impairments of the depth and continuity of sleep. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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