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Human Phase Response Curves to Three Days of Daily Melatonin: 0.5 mg Versus 3.0 mg

机译:每日褪黑素三天的人体相响应曲线:0.5毫克对3.0毫克

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摘要

>Context: Phase response curves (PRCs) to melatonin exist, but none compare different doses of melatonin using the same protocol.>Objective: The aim was to generate a PRC to 0.5 mg of oral melatonin and compare it to our previously published 3.0 mg PRC generated using the same protocol.>Design and Setting: The study included two 5-d sessions in the laboratory, each preceded by 7–9 d of fixed sleep times. Each session started and ended with a phase assessment to measure the dim light melatonin onset (DLMO). In between were 3 d in an ultradian dim light (<150 lux)/dark cycle (light:dark, 2.5:1.5).>Participants: Healthy adults (16 men, 18 women) between the ages of 18 and 42 yr participated in the study.>Interventions: During the ultradian days of the laboratory sessions, each participant took one pill per day at the same clock time (0.5 mg melatonin or placebo, double blind, counterbalanced).>Main Outcome Measure: Phase shifts to melatonin were derived by subtracting the phase shift to placebo. A PRC with time of pill administration relative to baseline DLMO and a PRC relative to midpoint of home sleep were generated.>Results: Maximum advances occurred when 0.5 mg melatonin was taken in the afternoon, 2–4 h before the DLMO, or 9–11 h before sleep midpoint. The time for maximum phase delays was not as distinct, but a fitted curve peaked soon after wake time.>Conclusions: The optimal administration time for advances and delays is later for the lower dose of melatonin. When each dose of melatonin is given at its optimal time, both yield similarly sized advances and delays.
机译:>上下文:存在对褪黑激素的相位响应曲线(PRC),但没有一个使用相同的方案比较不同剂量的褪黑激素。>目的:目的是产生0.5 mg的PRC口服褪黑激素,并将其与我们先前发表的使用相同方案产生的3.0 mg PRC进行比较。>设计和设置::该研究在实验室中进行了两次为期5天的试验,每次试验前7-9 d固定的睡眠时间。每节课以阶段评估开始和结束,以评估暗淡褪黑激素发作(DLMO)。两次之间的间隔为3天,以超暗光(<150 lux)/黑暗周期(光照:黑暗,2.5:1.5)进行。>参与者: >干预措施::在实验室活动的极端日子里,每个参与者每天在同一时间服用一粒药(0.5毫克褪黑素或安慰剂,双盲,平衡)。>主要结果指标:通过减去与安慰剂的相移可得出与褪黑激素的相移。产生相对于基线DLMO的服药时间的PRC和相对于家庭睡眠中点的PRC。>结果:在下午2到4小时前服用0.5 mg褪黑素时,最大进展发生了DLMO,即睡眠中点之前9-11小时。最大相位延迟的时间并没有那么明显,但是一条拟合曲线在苏醒时间后很快达到峰值。>结论:对于较低剂量的褪黑激素,用于进阶和延迟的最佳给药时间较晚。当在最佳时间服用褪黑激素时,两者都会产生相似大小的进展和延迟。

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