Kazue Okamoto-Mizuno

Effects of season on sleep and skin temperature in the elderly

The effects of season on sleep and skin temperature (Tsk) in 19 healthy, elderly volunteers were investigated. Measurements were obtained in summer, winter, and fall, and activity levels were monitored using a wrist actigraph system for five consecutive days. The temperature and humidity of the bedrooms of the subjects’ homes were measured continuously for five days. During actigraphic measurement, Tsk during sleep was measured for two nights. The bedroom temperature and humidity significantly increased in summer compared to winter and fall. In summer, the total sleep time decreased (mean ± SE min; summer, 350.8 ± 15.7; winter, 426.5 ± 14.2; fall, 403.2 ± 16.4) and wakefulness increased (P < 0.003) compared to those in fall or winter. The sleep efficiency index that was derived from wrist actigraphy was significantly decreased (P < 0.001) in summer (81.4 ± 2.9%) compared with winter (91.6 ± 1.3%) or fall (90.2 ± 1.2%). The forehead Tsk significantly increased, while the chest and thigh Tsks were decreased in summer compared to those in fall or winter. These results suggest that, in the elderly, sleep is disturbed in summer more than in other seasons, and that this disturbance is related to fluctuations in Tsk.

Effects of partial humid heat exposure during different segments of sleep on human sleep stages and body temperature.

The effects of partial humid heat exposure applied at different segments of sleep on sleep stages and body temperature were examined. In the first experiment, eight male subjects slept under 26 degrees C 50% (26) and 26 degrees C for the first 3 h and 45 min followed by a 30-min transition to the conditions of 32 degrees C 80%, which was maintained for the final 3 h and 45 min (26-32). Wakefulness increased significantly over the last 4 h under 26-32 compared to 26. Mean skin temperature and clothing microclimate temperature (Tcm) were significantly higher during the last 3 h and 45 min, while rectal temperature (Tre) was higher during the last 3 h under 26-32 than in 26. In the second experiment, eight male subjects slept under 26 degrees C 50% (26) and 32 degrees C 80% for the first 3 h and 45 min followed by a 30-min transition to 26, which was then maintained for the last 3 h and 45 min (32-26). Wakefulness increased both in first and during the last 4 h, and slow wave sleep (SWS) decreased in the first 4 h under 32-26 compared to 26. Mean Tsk was significantly higher during the first 4:15 h. Tcm decreased in 32-26 compared to 26 just after the 30-min transition due to cooling effects. Tre was higher during the first 5 h under 32-26 compared to 26. These results suggest that humid heat exposure during the initial segment of sleep may be more disruptive to sleep stage distribution, Tre decline, and maintenance of Tcm than the same exposure during the later sleep segments.

Effects of an electric blanket on sleep stages and body temperature in young men

The aim of this study was to investigate any effects of electric blanket on sleep stages and body temperature. Nine male subjects slept under two conditions: using the electric blanket (HB); and not using the electric blanket (C). The ambient condition was controlled at 3°C relative humidity 50 – 80%. Electroencephalography, electrooculography (EOG) and electromyography, rectal temperature, skin temperature and microclimate temperature and humidity were recorded continuously through the night. Body weight was measured before and after sleep. The amount of stage 1 and number of stage 1 and rapid eye movement sleep decreased in HB compared to C. No significant difference was observed in other sleep stages. Rectal temperature was higher in HB compared to C. The thigh, leg and foot skin temperature was higher in HB than C. The microclimate temperature of the foot area was higher in HB compared to C. No significant difference was observed in whole body sweat loss between the conditions. These results suggest that use of an electric blanket under low ambient temperature may decrease cold stress to support sleep stability and thermoregulation during sleep.

Sleep in a Gymnasium: A Study to Examine the Psychophysiological and Environmental Conditions in Shelter-Analogue Settings

We aimed to examine sleep in shelter-analogue settings to determine the sleep and environmental conditions in evacuation shelters. A summer social/educational event was conducted in an elementary school, wherein children and their parents (n = 109) spent one night in the school gymnasium; a total of 15 children and 7 adults completed the study. Data were recording using wrist actigraphy and questionnaires, from two days before the event to two days after the event. During the night in the gymnasium, sleep initiation in the children was found to be significantly delayed, whereas adults did not show any significant change in actigraphic sleep parameters. Although 57% of adults complained of stiffness of the floor, only 7% of children had the same complaint. The nocturnal noise recorded at four locations in the gymnasium showed that the percentage of 1-min data epochs with a noise level >40 dB ranged from 53% to 74% during lights-out. The number of subjects that woke up during the night showed a similar pattern with the changes in the noise level. The changes in sleep might represent event-specific responses, such as to a noisy environment, and the different complaints between adults and children could be useful in shelter management.