Effects of Sleep Loss on Endothelial Function and Cytokine Levels in Internal Medicine Residents
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Purpose
Work requirements for medical trainees result in substantial sleep loss. Sleep loss has been associated with increased levels of certain inflammatory hormones that could have negative impact on blood vessel function. The purpose of this study is to determine the effects of sleep loss on blood hormone levels and blood vessel function in medical trainees.
| Study Type: | Observational |
| Study Design: | Observational Model: Defined Population Observational Model: Natural History Time Perspective: Longitudinal Time Perspective: Prospective |
| Official Title: | Effects of Sleep Loss on Endothelial Function and Cytokine Levels in Internal Medicine Residents |
| Estimated Enrollment: | 22 |
| Study Start Date: | December 2004 |
| Estimated Study Completion Date: | June 2005 |
Context: Sleep loss is associated with increased blood levels of interleukin-6 (IL-6) and C-reactive protein (CRP). Medical residents are often deprived of normal sleep during extended work shifts, but the effects of work-related sleep loss on biomarkers of vascular inflammation and function are unknown.
Objective: We sought to test the hypothesis that sleep loss during extended work shifts during medical training is associated with increased circulating levels of pro-inflammatory biomarkers and evidence of vascular dysfunction.
Design: Outcome measures were assessed after extended 30-hour work shifts and non-extended 6-hour work shifts in a single-blind, randomized crossover design.
Setting: University hospital medical intensive care unit
Patients or Other Participants: Twenty-two healthy medical residents were studied during a medical intensive care unit rotation.
Main Outcome Measure(s): Sleep related cytokines (interleukin-6 and tumor necrosis factor), serum markers of vascular inflammation (C-reactive protein), and flow-mediated dilation in the brachial artery.
Eligibility| Ages Eligible for Study: | 18 Years to 40 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Medical resident in MICU rotation
- Non-smoker
- Body mass index <28 kg/m2
Exclusion Criteria:
- Systolic blood pressure >140 mmHg; Diastolic blood pressure >90 mmHg
- Known history of diabetes mellitus, hypertension, hyperlipidemia
- Known history of acute or chronic inflammatory or infectious disease
- Known history of sleep disturbance unrelated to work
- Pregnancy
Contacts and Locations| United States, Connecticut | |
| Yale University School of Medicine | |
| New Haven, Connecticut, United States, 06510 | |
| Principal Investigator: | Stuart D Katz, MD | Yale University |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00272233 History of Changes |
| Other Study ID Numbers: | HIC26414, NIH NHLBI K24 04024 |
| Study First Received: | January 3, 2006 |
| Last Updated: | March 19, 2007 |
| Health Authority: | United States: Yale University School of Medicine United States: National Heart Lung and Blood Institute |
Keywords provided by Yale University:
|
Inflammation Mediators [D23.469] Cardiovascular Physiologic Phenomena [G09.330.553] |
Additional relevant MeSH terms:
|
Sleep Deprivation Dyssomnias Sleep Disorders Nervous System Diseases |
Neurologic Manifestations Signs and Symptoms Mental Disorders |
ClinicalTrials.gov processed this record on May 23, 2013