La somnolence diurne excessive est un symptôme essentiel de diverses pathologies du sommeil et notamment au cours du syndrome d’apnées obstructives du sommeil (SAOS). Les moyens instrumentaux disponibles pour évaluer objectivement la somnolence nécessitent l’enregistrement de marqueurs EEG, rendant ces techniques coûteuses tant en terme matériel qu’en terme de personnel. Le test d’OSleR (Oxford Sleep Resistance test) a récemment été proposé comme une technique alternative d’évaluation de la somnolence diurne, simplifiant les tests classiques de maintien de l’éveil. Ce test propose une évaluation comportementale de la vigilance diurne en contexte soporifique. Au cours de ce test, le sujet a pour simple consigne de répondre à une stimulation lumineuse s’éclairant toutes les 3 secondes. Le test dure 40 minutes ou prend fin lorsque le sujet omet de répondre à 7 stimulations consécutives. Une latence est ainsi établie sur des variables comportementales de non réponses. Des études de validations ont mis en évidence la capacité du test d’OSleR à distinguer les performances de patients porteurs d’un SAOS de celles de sujets contrôles. Ce test offre ainsi l’avantage d’une technique simplifiée de mesure objective de la somnolence diurne, cependant des études de validation à plus grande échelle sont souhaitables pour valoriser encore plus cette technique.Daytime sleepiness is an important symptom of sleep disorders and more particularly in obstructive sleep apnoea syndrome (OSAS). The standard tests for its objective quantification use EEG recordings, which makes them expensive and difficult to use out of sleep laboratories. The Oxford Sleep Resistance test (OSleR test) has been recently proposed as a behavioral test, which simplifies the performance of the maintenance of wakefulness test.With this test, the occurrence of sleep is assessed behaviourally. The test consists in a resistance challenge lasting 40 minutes. During this time, subjects are asked to press a switch in response to a light emitting diode, which is lit for 1 second in every three. OSleR test has the advantage that sleep onset is defined objectively and automatically as a failure to respond to the light, rather than from EEG interpretation. Validation studies shown that this test allowed to separate normal from sleepy subjects with OSAS when sleep latencies and errors are analyzed. This technique may provide a simple method of objectively quantifying daytime sleepiness, however, normative data are still lacking.

The majority of oligosaccharides used as prebiotics typically consist of a combination of 3 kinds of neutral monosaccharides, d-glucose, d-galactose, and d-fructose. In this context, we aimed to generate new types of prebiotic oligosaccharides containing other monosaccharides, and to date have synthesized various oligosaccharides containing an amino sugar, uronic acid, and their derivatives. In this study, we investigated the effects of 4 kinds of sucrose (Suc) analog disaccharides containing d-glucosamine, N-acetyl-d-glucosamine, d-glucuronic acid, or d-glucuronamide as constituent monosaccharides, on the growth of 8 species of bifidobacteria and 3 species of lactobacilli isolated from the human intestine. The results of these experiments were compared with those obtained from identical experiments using Suc. We confirmed that all bacterial strains could utilize Suc as a nutrient source for growth; in contrast, only specific species of bifidobacteria showed growth with Suc analog disaccharides. When oligosaccharides are utilized as a nutrient source by bacteria, they are often broken down into monosaccharides or their derivatives by cellular enzymes before entering the intracellular glycolytic pathway. Therefore, to clarify the above phenomenon involved in the growth of bifidobacteria using Suc analog disaccharides, we investigated the cellular glycosidases of 3 strains of bifidobacteria shown to be capable or incapable of growth in the presence of these disaccharides. As the result, it was confirmed that the strains capable of growth using Suc analog disaccharides show greater productivity of glycosidases that degrade these disaccharides than strains not capable of growth; however, we have not identified the enzymes here.

Objectives Episodes of sleep during a nightshift are frequently reported in various types of jobs. This phenomenon has been seldom documented so far. This field study investigated individual differences in the sleep-wake behavior of nurses.Methods A group of eight nurses working in an intensive care unit on a two 12-hour shift system kept a "sleep diary" for 1 month, recording main sleep periods and naps. They subjectively assessed sleepiness, sleep quality, and the need for sleep at various times of the day and night. Continuous actimetric measurements provided an evaluation of the rest-activity patterns and of the sleep parameters.Results Half of the nurses chose to take naps in 75% of their nightshifts. No differences between the night-nappers and nonnight-nappers were found for either total sleep length or the temporal patterns of subjective sleepiness at night but, during nightwork, night-nappers needed sleep earlier than nonnight-nappers. They had long naps during a worknight and short daytime sleep, sometimes followed by a late afternoon nap. This strategy probably favored the maintenance of a diurnal orientation. Nonnight-nappers had long daytime sleep and took preventive naps to anticipate sleepiness during nightwork. However, their readjustment to diurnal life seemed more difficult than that of night-nappers.Conclusions Nurses use different sleep-wake strategies to cope with nightwork. These different strategies may be due to circadian influence although social factors cannot be totally excluded.

The present studies evaluated to what extent duration (all-night or 4-hour exposures) and timing of nocturnal bright light (BL) (beginning or end of the night) modulate effects on vigilance. The results showed that all-night BL exposure is able to alleviate the nocturnal decrements in alertness and performance. However, under certain circumstances, this continuous BL exposure may induce adverse effects on mood and finally reveal to be counterproductive. Shorter BL exposure (4 h) during nighttime helps improve mood and performance, although the effects of short BL pulses were less efficacious than all-night BL exposure. The latter part of the night appears the best time for using the alerting effect of BL. The immediate alerting effect of BL seems to be mediated by a global activation of the central nervous system.

Objectives: Spectral power of 40 all-night sleep EEGs (Cz-Pz bipolar lead) recorded in 20 healthy young subjects was calculated after normalization on 30-s consecutive epochs by means of an autocorrelation method based on a 15-order autoregressive model.Methods: The spectral parameters were calculated for the 7 main EEG bands: slow delta (0.7-2 Hz); fast delta (2-4 Hz); theta (4-8 Hz); alpha (8-12 Hz); sigma (12-16 Hz); beta1 (16-35 Hz); and beta 2 (>35 Hz).Results: Strong negative correlations were found between power in the fast delta and either the alpha or the beta bands and between slow delta and theta bands, whereas the two delta bands showed little correlation with each other.Conclusion: The possibility that theses different relationships of slow and fast delta components with other frequency bands might reflect the neocortical or the thalamocortical origin of the delta waves is discussed. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

The effects of zopiclone on the rest/activity rhythm were investigated after a westward flight with a 5-h phase delay (Grenoble-Martinique). The rest/activity rhythm was recorded continuously with an actigraph monitor during a 6-day baseline episode in Grenoble and a 6-day sojourn in Martinique. Rectal temperature was recorded before the flight on day 2 and after the flight on days 2 and 5. Subjective jet-lag score was assessed before the flight on days 1 and 2 and in Martinique on days 1, 2, 5 and 6. Zopiclone (7.5 mg) or placebo were administered double blind 30 min prior to bedtime during the first 4 post-flight days (D1–D4). Under zopiclone treatment, sleep was less fragmented on the first post-flight night and the curtailment of sleep duration observed on D2 and D3 under placebo was prevented. During daytime, subjects tended to be more active than with placebo. By contrast, subjective jet-lag scores did not differ between both groups. Zopiclone seemed to accelerate the readjustment of the rest/activity rhythm and the normalisation of the phase relationship between sleep and the temperature rhythm. Zopiclone probably exerts its ”resetting” effects on jet-lag desynchronosis by facilitating sleep induction rather than via a chronobiotic action.

OBJECTIVES:This simulated night shift study measured the effects of moderate bright light (a 4-hour pulse starting at 2000 or 0400) during the exposure night and subsequent night (dim light).METHODS:Eight young males remained confined with little physical activity to a laboratory in groups of 4. After a night of reference, they were active for 24 hours; then after a morning recovery sleep, they were active again for 16 hours.RESULTS:Continuously measured rectal temperature proved to be immediately sensitive to 4 hours of bright light, particularly when given at the end of the night. Self-assessed alertness and also performance on a task with a high requirement for short-term memory were improved by the exposure to bright light. During the subsequent night the subjects were exposed only to dim light. Core temperature, subjective alertness and performance continued to show a time course depending on the preceding bright light exposure.CONCLUSIONS:Probably because evening exposure to bright light and morning sleep both had a phase-delaying effect, the effects on the circadian pacemaker were more pronounced. Thus, for practical applications in long night shifts, bright light can be considered to improve mood and alertness immediately but the possibility of modifying the circadian "clock" during subsequent nights should be taken into consideration, in particular after exposure to bright light in the evening.

Eight young adults were exposed to either 36 hours of moderate bright light (BL; 1,000-2,000 lux) or a light/dark cycle (L/D <50 lux) during constant routine. Sleep was recorded on the two subsequent recovery sleeps (R1 and R2) and compared to baseline. After the BL exposure, the rebound of stage 4 sleep and slow wave activity (SWA) were split over R1 and R2, whereas after the L/D cycle, the stage 4 sleep debt was almost completely compensated for during R1. During R1, stage 2 sleep and wakefulness accumulated faster in the BL condition than in the L/D condition. An elevation of the temperature level was also found during R1 of the BL condition. No differences between light conditions were found in urinary levels of melatonin or cortisol secreted during R1 or R2. Homeostasic process does not appear to be affected by the BL condition. A modification in the sleep-wake balance and a change in the temporal relationship between the circadian system and the sleep-wake cycle are discussed.

The aim of this study was to assess the effects of exposure for one night to moderate bright light (BL) on subjective and objective measures of alertness, performance, and mood. Eight subjects were exposed to either BL or dim light (DL) during one night. During the previous day, they were exposed to bright light in both experimental conditions. Nocturnal BL suppressed melatonin secretion and increased body temperature. The ability to stay awake during the night, as measured by the power density in the alpha band, was significantly improved by BL exposure. BL also improved subjective alertness and performance during the first part of the night. However, improvements in the last two variables were followed by marked disruption in early morning patterns, with deterioration of mood and motivation.

Eight healthy subjects were studied during 39-h spans (from 07:00 on one day until 22:00 the second) in which they remained awake. During one experiment, subjects were exposed to 100 lux of light between 18:00 and 8:00, and during a second experiment, they were exposed to 1000 lux during the same time span. Throughout the daytime period, they were exposed to normal daylight (1500 lux or more). The nighttime 1000-lux light treatment suppressed the melatonin metabolite aMT6s, while the 100 lux treatment did not. On the treatment day, the 1000 lux, in comparison to the 100 lux, light treatment resulted in both an elevated temperature minimum and a delay in its clock-time occurrence overnight. No real circadian phase shift in the temperature, urinary melatonin, or cortisol rhythms was detected after light treatment. This study confirmed that nocturnal exposure to lower light intensities is capable of modifying circadian variables more than previously estimated. The immediate effects of all-night light treatment are essentially not different from those of evening light. This may be important if bright light is used to improve alertness of night workers. Whether subsequent daytime alertness and sleep recovery are affected by the protocol used in our study remains to be determined.

The aim of the present study was to assess the stimulating effects of bright light (BL) on subjective and objective alertness. Eight subjects were exposed to either bright light or dim light (DL) during a 24-h constant routine (0900-0900). Bright light failed to modify either the 24-h course or the level of body temperature. Compared to DL, BL delayed the circadian trough of motor activity by 2 h. During the night, relative to the dim-light condition, BL significantly increased subjective and objective (EEG test) alertness and improved performances. Thus, BL exposure partly counteracted the effects of sleep deprivation and/or the circadian trough on alertness and performances. During the day, BL only improved the mood and motivation levels. However, the time course of mood and motivation was not affected by the BL exposure, a nocturnal circadian trough occurring at 0630 in both light conditions.

SLEEP and body temperature characteristics were studied in man in baseline (B), 24 h-constant routine (CR) and recovery (R) after the CR. The sleep advanced and deepened the trough of the minimum temperature when compared with CR. No relevant difference in minimum body temperature, or in the slope of temperature decrease was found, however, between B and R sleeping nights. No correlation was found between the amount of slow wave sleep and body cooling. The results do not support a homeostatic role of slow wave sleep in brain and/or body cooling.