PURPOSE: The objective was to determine the separate and combined effects of hypoxia and inactivity/unloading on sleep architecture during a 10-day period of confinement. METHODS:Ten subjects participated in three 10-day trials in random order: hypoxic ambulatory (HAMB), hypoxic bedrest (HBR), and normoxic bedrest (NBR). During the HAMB and HBR trials, subjects were confined to a hypoxic facility. The hypoxia profile was: simulated altitude of 2,990 m on day 1, 3,380 m on day 2, and 3,881 m on day 3. In the NBR and HBR trials, subjects maintained a horizontal position throughout the confinement period. During each trial, sleep polysomnography was conducted one night prior to (baseline; altitude of facility is 940 m) and on the first (NT1, altitude 2,990 m) and tenth (NT10, altitude 3,881 m) night of the 10-day intervention. RESULTS:Average time in sleep stage 1 decreased from NT1 to NT10 irrespective of trial. Overall incidence and time spent in periodic breathing increased from NT1 to NT10 in both HAMB and HBR. During NT1, both HAMB and HBR reduced slow-wave sleep and increased light sleep, whereas NBR and HBR increased the number of awakenings/night. There were fewer awakenings during HAMB than NBR. CONCLUSIONS: Acute exposure to both hypoxia and bedrest (HBR) results in greater sleep fragmentation due to more awakenings attributed to bedrest, and lighter sleep as a result of reduced slow wave sleep caused by the hypoxic environment.
RCT Entities:
PURPOSE: The objective was to determine the separate and combined effects of hypoxia and inactivity/unloading on sleep architecture during a 10-day period of confinement. METHODS: Ten subjects participated in three 10-day trials in random order: hypoxic ambulatory (HAMB), hypoxic bedrest (HBR), and normoxic bedrest (NBR). During the HAMB and HBR trials, subjects were confined to a hypoxic facility. The hypoxia profile was: simulated altitude of 2,990 m on day 1, 3,380 m on day 2, and 3,881 m on day 3. In the NBR and HBR trials, subjects maintained a horizontal position throughout the confinement period. During each trial, sleep polysomnography was conducted one night prior to (baseline; altitude of facility is 940 m) and on the first (NT1, altitude 2,990 m) and tenth (NT10, altitude 3,881 m) night of the 10-day intervention. RESULTS: Average time in sleep stage 1 decreased from NT1 to NT10 irrespective of trial. Overall incidence and time spent in periodic breathing increased from NT1 to NT10 in both HAMB and HBR. During NT1, both HAMB and HBR reduced slow-wave sleep and increased light sleep, whereas NBR and HBR increased the number of awakenings/night. There were fewer awakenings during HAMB than NBR. CONCLUSIONS: Acute exposure to both hypoxia and bedrest (HBR) results in greater sleep fragmentation due to more awakenings attributed to bedrest, and lighter sleep as a result of reduced slow wave sleep caused by the hypoxic environment.
Authors: D J Dijk; D F Neri; J K Wyatt; J M Ronda; E Riel; A Ritz-De Cecco; R J Hughes; A R Elliott; G K Prisk; J B West; C A Czeisler Journal: Am J Physiol Regul Integr Comp Physiol Date: 2001-11 Impact factor: 3.619
Authors: Yvonne Nussbaumer-Ochsner; Justyna Ursprung; Christoph Siebenmann; Marco Maggiorini; Konrad E Bloch Journal: Sleep Date: 2012-03-01 Impact factor: 5.849
Authors: A Salvaggio; G Insalaco; O Marrone; S Romano; A Braghiroli; P Lanfranchi; V Patruno; C F Donner; G Bonsignore Journal: Eur Respir J Date: 1998-08 Impact factor: 16.671
Authors: Jeroen Van Cutsem; Nathalie Pattyn; Olivier Mairesse; Bérénice Delwiche; Helio Fernandez Tellez; Martine Van Puyvelde; Emilie Lacroix; Adam C McDonnell; Ola Eiken; Igor B Mekjavic Journal: Front Neurosci Date: 2022-05-10 Impact factor: 5.152
Authors: Stephan Pramsohler; Robert Schilz; Andreas Patzak; Linda Rausch; Nikolaus C Netzer Journal: Sleep Breath Date: 2019-04-10 Impact factor: 2.816
Authors: Shawnda A Morrison; Dani Mirnik; Spela Korsic; Ola Eiken; Igor B Mekjavic; Leja Dolenc-Groselj Journal: Front Physiol Date: 2017-06-20 Impact factor: 4.566