Regulation of local sweating in sleep-deprived exercising humans

Summary Thermoregulatory sweating [total body (m _sw,b), chest (m _sw,c) and thigh (m _sw,t) sweating], body temperatures [oesophageal (T _oes) and mean skin temperature (T _sk)] and heart rate were investigated in five sleep-deprived subjects (kept awake for 27 h) while exercising on a cycle (45 min at approximately 50% maximal oxygen consumption) in moderate heat (T _air andT _wall at 35° C. Them _sw,c andm _sw,t were measured under local thermal clamp (T _sk,1), set at 35.5° C. After sleep deprivation, neither the levels of body temperatures (T _oes,T _sk) nor the levels ofm _{sw, b},m _{sw, c} orm _{sw, t} differed from control at rest or during exercise steady state. During the transient phase of exercise (whenT _sk andT _sk,1 were unvarying), them _{sw, c} andm _{sw, t} changes were positively correlated with those ofT _oes. The slopes of them _{sw, c} versusT _oes, orm _{sw, t} versusT _oes relationships remained unchanged between control and sleep-loss experiments. Thus the slopes of the local sweating versusT _oes, relationships (m _{sw, c} andm _{sw, t} sweating data pooled which reached 1.05 (SEM 0.14) mg·cm^–2·min^–1°C^–1 and 1.14 (SEM 0.18) mg·cm^–2·min^–1·°C^–1 before and after sleep deprivation) respectively did not differ. However, in our experiment, sleep deprivation significantly increased theT _oes threshold for the onset of bothm _{sw, c} andm _{sw, t} (+0.3° C,P<0.001). From our investigations it would seem that the delayed core temperature for sweating onset in sleep-deprived humans, while exercising moderately in the heat, is likely to have been due to alterations occurring at the central level.     

Temperature and sweating responses in one-legged and two-legged exercise

Summary In looking at the thermoregulatory responses resulting from symmetrical or asymmetrical exercise, this paper has focused on the effect of local skin temperature (T _{sk, local}) on local sweat rates (m _sw,local) during one-legged (W ₁) and two-legged (W ₂) exercise on an ergocycle. Five subjects underwent four 3-h tests at 36° C, each consisting of six 25-min exercise periods alternating with 5-min rest periods. The subjects performed W ₁ and W ₂ at 45 and 90 W, respectively, either dehydrated or rehydrated. Body temperatures and total sweat rate were measured as well as four m _sw,local (on chest and thighs), assessed from sweat capsules under which T _{sk, local} was maintained at predetermined levels (37.0°C and 35.5°C). The combinations of T _{sk, local} levels, capsule locations, exercise intensity and hydration level chosen in our protocol led to the following results. The hydration level affected rectal temperature but not total or m _sw,local. No specific effect of muscle activity was found; m_sw,local on thighs of resting and working legs were similar. The m_sw,local were only influenced by exercise intensity, m_{sw, local} being more elevated during the higher intensity. No significant effect of T _sk,local on m_sw,local was found, whatever the experimental condition and/or the location. It was concluded that local thermal effects on m_sw,local could have been masked by the strong central drive for sweating which has been found to exist in subjects exercising in a warm environment.     

The effect of diurnal variation on the regional differences in sweating and skin blood flow during exercise

The aim of the present study was to examine changes in the control of heat-dissipation responses to exercise associated with the diurnal variation in core temperature from the viewpoint of the regional response patterns. We studied seven men during exercise on a cycle ergometer at 100 W for 40 min at 25°C at 0630 (morning) 1630 (evening) hours on 2 separate days. Oesophageal temperature (T _oes), local skin temperature, local sweating rate ( ) on the forehead, back, forearm and thigh, and skin blood flow by laser Doppler flowmeter (LDF) on the back and forearm were measured continuously. TheT _oes at rest was significantly higher in the evening than in the morning, the difference averaging approximately 0.4°C (P < 0.05). TheT _oes thresholds for each site in and that for back in LDF were significantly different between the two times of day (P < 0.05). The change inT _oes thresholds for sweating and vasodilatation for morning and evening were similar toT _oes at rest. Although on the forehead was significantly higher in the morning than in the evening, on the back was significantly higher in the evening than in the morning (P < 0.05). Total local sweating rate ( ) for each site during exercise was significantly higher on the forehead than on the forearm in the morning, and on the back than on the forearm in the evening, respectively (P < 0.05). The results would suggest that the diurnal variation of heat-dissipation responses to exercise is influenced not only by a central controlling mechanism but also by changes in the regional differences.     

Skin AVA and capillary dilatation and constriction induced by local skin heating

In conscious sheep, total femoral blood flow and flow through arteriovenous anastomoses (AVAs) and capillaries (CAP) in skin of the hindleg were measured employing electromagnetic and radioactive microsphere techniques. Core temperature (T _c) was manipulated using intravascular heat exchangers and hindleg skin temperature (T _sk) was manipulated by immersion in temperature controlled water. WithT _c set 1°C above normal, AVA flow was highest at the lowestT _sk tested (34°C); AVAs progressively constricted asT _sk was increased from 34 to 40–41°C, then dilated again asT _sk reached the highest levels tested (42–44°C). Skin CAP flow was not altered byT _sk of 34 to 42°C but was increased at aT _sk of 44°C. Therefore total skin blood flow followed essentially the same pattern as AVA flow; total femoral flow also followed this pattern. WhenT _c was set 0.5°C below normal, AVA flow was low at all levels ofT _sk. It is concluded thatT _c plays a dominant role in control of skin blood flow, however, onceT _c is at a level requiring increased heat loss,T _sk exerts an extremely potent influence on the nature and magnitude of changes in skin blood flow. The pattern of flow changes appears to reflect principally a negative feedback mechanism aimed at maintainingT _sk at approximately 40°C; this may contrast with mechanisms associated with sweating and/or active vasodilation in other species.     

Time-of-day effect on nonthermal control of sweating response to maintained static exercise in humans

To investigate the influence of nonthermal factors in the time-of-day effect on the sweating response to maintained static exercise, eight healthy male subjects performed handgrip exercise at 20%, 35% and 50% maximal voluntary contraction (MVC) for 60 s at 0600 hours (morning) and at 1800 hours (evening). Oesophageal temperature (T _oes) before the experiment showed a diurnal rhythm [mean (SEM)] [36.3 (0.1) (morning) compared to 36.8 (0.1) °C (evening), P<0.01]. Experiments were conducted with subjects in a state of mild hyperthermia during which the mean skin temperature (T _sk) was kept constant at 35.5–36.5 °C using a water-perfused suit to activate sudomotor responses. The T _oes and mean T _sk remained stable during the pre-exercise, handgrip exercise and recovery periods. The response in sweating rate (ΔSR) on the chest and forearm to handgrip exercise increased significantly with increasing exercise intensity in both the morning and evening tests (P<0.05). The ΔSR on the palm did not change significantly with increasing exercise intensity in the morning test (P>0.1). During handgrip exercise at 50% MVC only, ΔSR on the chest, forearm and palm in the evening was significantly higher than in the morning (P<0.05). On the other hand, mean arterial blood pressure and the rating of perceived exertion during 50% MVC handgrip exercise were not significantly different between the morning and evening (P>0.1). These results indicate the presence of a time-of-day effect on nonthermal control of the sweating response to isometric handgrip exercise, and that this effect is dependent on exercise intensity. Electronic Publication     

Sleep’s role in the processing of unwanted memories

The concept of ‘repression’ dates back to Freud, assuming that undesirable memories can become suppressed and that dreams ease repression by permitting these memories to be reinstated. Here, we followed this idea adopting the ‘directed forgetting’ approach of experimental psychology. The voluntary suppression of unwanted memories results in impaired later retrieval. Because sleep is known to benefit consolidation of newly learned materials, including cognitive skills, we hypothesized that memory suppression would be enhanced by sleep, and perhaps particularly by rapid eye movement (REM) sleep, which is associated more often with dream reports. Subjects (n = 42) learned a list of word‐pairs and, subsequently, the first (cue) words of the pairs were presented again; for half these words subjects had to recall respective second words (response pairs) and for the other half they had to keep respective second words out of mind (suppression pairs). Retrieval of both response and suppression pairs was tested after 8 h of sleep or wakefulness (main experiment) or after 3‐h periods of early slow wave sleep (SWS)‐rich or late REM‐rich sleep (supplementary experiment). Response pairs were generally recalled better after sleep than wakefulness (P < 0.05). Recall of suppression pairs was, as expected, worse than of response pairs. Contrary to our hypothesis, memory for suppression pairs was not affected differentially by sleep. In the supplementary experiment, compared to SWS‐rich sleep, REM‐rich sleep even improved recall of suppression pairs (P < 0.05). Thus, sleep does not benefit the forgetting of unwanted memories but, on the contrary, REM sleep might even counteract the voluntary suppression of memories making them more accessible for retrieval.     

The relationship between frequency of rapid eye movements in REM sleep and SWS rebound

Previous studies have shown a decrease in rapid eye movement (REM) frequency during desynchronized sleep in recovery nights following total or partial sleep deprivation. This effect has been ascribed to an increase in sleep need or sleep depth consequent to sleep length manipulations. The aims of this study were to assess REM frequency variations in the recovery night after two consecutive nights of selective slow-wave sleep (SWS) deprivation, and to evaluate the relationships between REM frequency and SWS amount and auditory arousal thresholds (AAT), as an independent index of sleep depth. Ten normal males slept for six consecutive nights in the laboratory: one adaptation, two baseline, two selective SWS deprivation and one recovery night. SWS deprivation allowed us to set the SWS amount during both deprivation nights close to zero, without any shortening of total sleep time. In the ensuing recovery night a significant SWS rebound was found, accompanied by an increase in AAT. In addition, REM frequency decreased significantly compared with baseline. This effect cannot be attributed to a variation in prior sleep duration, since there was no sleep loss during the selective SWS deprivation nights. Stepwise regression also showed that the decrease in REM frequency is not correlated with the increase in AAT, the traditional index of sleep depth, but is correlated with SWS rebound.     

Comparison in men of physiological responses to exercise of increasing intensity at low and moderate ambient temperatures

Summary In six male subjects the sweating thresholds, heart rate (f _c, as well as the metabolic responses to exercise of different intensities [40%, 60% and 80% maximal oxygen uptake (VO_2max)], were compared at ambient temperatures (T _a) of 5° C (LT) and 24° C (MT). Each period of exercise was preceded by a rest period at the same temperature. In LT experiments, the subjects rested until shivering occurred and in MT experiments the rest period was made to be of exactly equivalent length. Oxygen uptake (VO₂) at the end of each rest period was higher in LT than MT (P< 0.05). During 20-min exercise at 40%VO_2max performed in the cold no sweating was recorded, while at higher exercise intensities sweating occurred at similar rectal temperatures (T _re) but at lower mean skin (T _sk) and mean body temperatures (T _b) in LT than MT experiments (P<0.001). The exercise inducedVO₂ increase was greater only at the end of the light (40%VO_2max) exercise in the cold in comparison with MT (P<0.001). Bothf _c and blood lactate concentration [la]_b were lower at the end of LT than MT for moderate (60%VO_2max) and heavy (80%VO_2max) exercises. It was concluded that the sweating threshold during exercise in the cold environment had shifted towards lower (T _b) andT _sk. It was also found that subjects exposed to cold possessed a potentially greater ability to exercise at moderate and high intensities than those at 24° C since the increases inT _re,f _c and [la]_b were lower at the lowerT _a.     

Thermoregulation during heat exposure of young children compared to their mothers

The study was conducted to investigate the thermoregulation of young children compared to that of adults. A group of 19 children (ages 9 months-4.5 years), with only 3 children aged 3 years or above, and 16 adults first rested in a thermoneutral room (air temperature 25°C relative humidity 50%, air velocity 0.2 m·s^–1). They were then exposed to a hot room (air temperature 35°C, relative humidity 70%, air velocity 0.3 m·s^–) next door for 30 min, and then returned to the thermoneutral room where they stayed for a further 30 min. The rectal temperature (T _re), skin temperatures (T _sk) at seven sites, heart rate (HR), total sweat rate ( ), local sweat rate ( ) and the Na⁺ concentration of the sweat were measured. There was no significant difference inT _re between the children and their mothers in the rest phase. However, theT _re of the children increased as soon as they entered the hot room and was significantly higher than during the control period, and than that of the mothers during heat exposure. MeanT _sk, forehead, abdomen and instepT _sk were significantly higher in the children during both the thermoneutral and heat exposure. The was significantly higher and Na⁺ concentrations in the sweat on the back and upperarm were significantly lower for the children during the heat exposure. They had a greater body surface area-to-mass ratio than the mothers by 64%, which indicated that they had advantages for thermal regulation. However, the sweating andT _sk responses of the children were not enough to prevent a rise in body temperature. These results would suggest that the young children had the disadvantage of heating up easily due to their smaller body sizes and there may be maturation-related differences in thermoregulation during the heat exposure between young children and mothers.     

The effects of different levels of heat production induced by diathermy and eccentric work on thermoregulation during exercise at a given skin temperature

Summary The thermal responses of two healthy male subjects have been studied at the same mean skin temperature (T _sk ) during negative work, positive work and positive work in which additional heating was induced by diathermy. The results showed that for a given metabolic heat production (M) rectal (T _re ) and oesophageal (T _oes ) temperatures were higher in negative work and positive work with diathermy than normal control experiments. In resting experiments with diathermy, T _oes rose to the same level as when an equal amount of heat was produced metabolically by exercise. In negative work and positive work with diathermy sweat loss (M _sw ) was higher for a given M and T _sk than found for normal exercise, but in all three forms of work the relationship of M _sw to total heat production (H) was identical. During positive work with and without diathermy the differences in M _sw could be accounted for by using a previously developed model of relative sweating rate: %M _sw = – constant + T _re (or T _oes ) + T _sk .In negative work, removal of the difference between predicted and observed %M _sw required the inclusion of a further factor into the equation based on muscle temperature. The results suggest that the core temperature in exercise rises to meet the requirements of heat dissipation mainly by stimulating M _sw and establishing a heat transfer gradient from core to periphery and is not necessarily or uniquely related to M or to the rate of working. The study underlines the usefulness of negative work and diathermy as physiological tools for the further understanding of thermoregulation during exercise.     

Sleep-related sweating in obstructive sleep apnoea: association with sleep stages and blood pressure

The aim of this study was to investigate sleep-related sweating as a symptom of obstructive sleep apnoea (OSA). Fifteen otherwise healthy male non-smoking patients with untreated moderate-to-severe OSA underwent polysomnography, including measurements of skin and core body temperature and electrodermal activity (EDA) as an objective indicator of sweating. Evening and morning blood pressure was measured as well as catecholamines in nocturnal urine. All measurements were repeated after 3 months on successful continuous positive airway pressure (CPAP) treatment. The untreated OSA subjects had a mean (±SD) apnoea–hypopnoea index of 45.3 ± 3.9 and a mean EDA index during sleep of 131.9 ± 22.4 events per hour. Patients with higher EDA indices had higher systolic blood pressure in the evening and morning ( P  = 0.001 and 0.006) and lower rapid eye movement (REM) sleep percentage ( P  = 0.003). The EDA index decreased significantly to 78.5 ± 17.7 in the patients on CPAP treatment ( P  = 0.04). The decrease correlated with lower evening systolic and diastolic blood pressure ( P  = 0.05 and 0.006) and an increase in REM% ( P  = 0.02). No relationship was observed between EDA and skin or core body temperature, or to catecholamine levels in urine. OSA patients who experience sleep-related sweating may have increased blood pressure and decreased REM sleep compared with other OSA patients. CPAP treatment appears to lower blood pressure and increase REM sleep to a higher extent in these patients compared with other OSA patients.     

Emotional facial expressions during REM sleep dreams

Although motor activity is actively inhibited during rapid eye movement (REM) sleep, specific activations of the facial mimetic musculature have been observed during this stage, which may be associated with greater emotional dream mentation. Nevertheless, no specific biomarker of emotional valence or arousal related to dream content has been identified to date. In order to explore the electromyographic (EMG) activity (voltage, number, density and duration) of the corrugator and zygomaticus major muscles during REM sleep and its association with emotional dream mentation, this study performed a series of experimental awakenings after observing EMG facial activations during REM sleep. The study was performed with 12 healthy female participants using an 8‐hr nighttime sleep recording. Emotional tone was evaluated by five blinded judges and final valence and intensity scores were obtained. Emotions were mentioned in 80.4% of dream reports. The voltage, number, density and duration of facial muscle contractions were greater for the corrugator muscle than for the zygomaticus muscle, whereas high positive emotions predicted the number (R² 0.601, p = 0.0001) and voltage (R² 0.332, p = 0.005) of the zygomaticus. Our findings suggest that zygomaticus events were predictive of the experience of positive affect during REM sleep in healthy women.     

Mechanisms of potentiation in sweating induced by long-term physical training

To evaluate the mechanism of potentiation of sweating after long-term physical training, we compared sweating function in trained and untrained subjects using the frequency of sweat expulsion (f _sw) as an indicator of central sudomotor activity. Nine trained male subjects (trained group) and eight untrained male subjects (untrained group) performed 30-min cycle exercise at 35% maximal oxygen uptake at 25°C ambient temperature and 35% relative humidity. Oesophageal temperature (T _oes), mean body temperature _b, chest sweating rate ( _sw,chest), forearm sweating rate ( _forearm), andf _sw were measured. The slopes of the _sw,chest versus body temperature (T _oes and _b) and versusf _sw relationships in the trained group were significantly greater than those in the untrained group (both,P < 0.05), while there was no difference between the groups in the slopes of the _sw,chest versus body temperature or versusf _sw relationships. Neither the body temperature threshold for initiation of chest or forearm sweating nor the slope of thef _sw- _b relationship differed between groups. We concluded that, during light exercise at moderate ambient temperature, the _sw,chest in the subjects who had undergone long-term physical training was greater than that in the untrained subjects while the _sw,forearm was not changed. The greater _sw,chest in the trained subjects was concluded to be due to an increase of sensitivity of peripheral mechanisms.     

Effects of early and late nocturnal sleep on priming and spatial memory.

A wordstem priming task (nondeclarative memory), and a mental spatial rotation task (declarative memory) were presented to subjects of an experimental "sleep" group (n = 11) and of a "wake" control group (n = 10). Repetition priming effects and recall of spatial memory were tested after 3-hr retention intervals, which followed learning and were placed either in the early or in the late half of the night. Sleep group subjects slept during the retention intervals while subjects of the wake group stayed awake. As expected, early retention sleep was dominated by slow wave sleep (SWS), whereas rapid eye movement (REM) sleep prevailed during late retention sleep. After early retention sleep, recall of spatial memory was superior to that after late retention sleep (p < 0.01), and also to that after retention intervals of wakefulness (p < 0.05). In contrast, priming was more effective after late than early retention sleep (p < 0.05). It appears that early sleep dominated by SWS facilitates consolidation of declarative memory whereas late sleep dominated by REM sleep facilitates consolidation of nondeclarative memory.     

Influence of repeated passive body heating on subsequent night sleep in humans

Summary Experiments were carried out on four healthy male subjects in two separate sessions: (a) A baseline period of two consecutive nights, one spent at thermoneutrality [operative temperature (T _o)=30°C, dew-point temperature (T _dp)=7°C, air velocity (V _a)=0.2 m·s⁻¹] and the other in hot condition (T _o=35°C,T _dp=7°C,V _a=0.2 m·s⁻¹). During the day, the subjects lived in their normal housing and were engaged in their usual activities. (b) An acclimation period of seven consecutive daily heat exposures from 1400 to 1700 hours (T _o=44°C,T _dp=29°C,V _a=0.3 m·s⁻¹). During each night, the subjects slept in thermoneutral or in hot conditions. The sleep measurements were: EEG from two sites, EOG from both eyes, EMG and EKG. Esophageal and ten skin temperatures were recorded continuously during the night. In the nocturnal hot conditions, a sweat collection capsule recorded the sweat gland activity in the different sleep stages. Results showed that passive body heating had no significant effect on the sleep structure of subsequent nights at thermoneutrality. In contrast, during nights atT _o=35°C an effect of daily heat exposure was observed on sleep. During the 2nd night of the heat acclimation period, sleep was more restless and less efficient than during the baseline night. The rapid eye movement sleep duration was reduced, while the rate of transient activation phases observed in sleep stage 2 increased significantly. On the 7th night, stage 4 sleep increased (+68%) over values observed during the baseline night. The sweating adaptive mechanisms of heat acclimation persisted only in stage 4 sleep. The results indicated that body temperature rhythmicity was maintained in the heat by an increase in stage 4 sleep which reduced core temperature during the first part of the night.     

Enhancement of finger blood flow response of postprandial human subjects to the increase in body temperature during exercise

Summary The present study was performed to investigate the effect of food intake on thermoregulatory vasodilatation in seven healthy male volunteers. The changes in oesophageal (T _oes) and mean skin temperatures, finger and forearm blood flows (BF), oxygen consumption (VO₂) and heart rate (f _c) with and without food intake were measured before and during a 40-min exercise at an intensity of 35% maximal O₂ consumption at an ambient temperature of 25°C. Exercise commenced 60 min after food intake. Ingestion of food equivalent to 50.2 kJ · kg body mass^–1 elevated mean body temperature, BF,VO₂ andf _c in 60 min. Four subjects responded to exercise with a marked increase in finger BF and with no sweating (non-sweating group), while the other three responded with perspiration over almost the whole skin area and with little change in finger BF. Further analyses were made mainly in the non-sweating group. The postprandial increases inT _oes, BF,VO₂ andf _c were persistent during exercise. The rate of increase in finger BF with the increase inT _oes and mean body temperature was significantly greater with food intake than without. However, there was no difference in the response of forearm BF to exercise between the two conditions. These results suggested that food intake enhanced finger BF response to the increase in deep body temperature during exercise. It was also concluded that there was a regional difference in cutaneous vasomotor response to thermal load in the post-prandial subjects.     

Developmental changes in the sleep electroencephalogram of adolescent boys and girls

The sleep electroencephalogram (EEG) changes across adolescence; however, there are conflicting data as to whether EEG changes are regionally specific, are evident in non‐rapid eye movement (NREM) and rapid eye movement (REM) sleep, and whether there are sex differences. The present study seeks to resolve some of these issues in a combined cross‐sectional and longitudinal analysis of sleep EEG in adolescents. Thirty‐three healthy adolescents (18 boys, 15 girls; 11–14 years) were studied on two occasions 6–8 months apart. Cross‐sectional analysis of data from the initial visit revealed significantly less slow‐wave sleep, delta (0.3 to <4 Hz) and theta (4 to <8 Hz) power in both NREM and REM sleep with advancing age. The age–delta power relationship was significant at the occipital site, with age accounting for 26% of the variance. Longitudinal analysis revealed that NREM delta power declined significantly from the initial to follow‐up visit, in association with declining delta amplitude and incidence (P < 0.01), with the effect being greatest at the occipital site. REM delta power also declined over time in association with reduced amplitude (P < 0.01). There were longitudinal reductions in theta, alpha and sigma power in NREM and REM sleep evident at the occipital site at follow‐up (P < 0.01). No sex differences were apparent in the pattern of change with age for NREM or REM sleep. Declines in sleep EEG spectral power occur across adolescence in both boys and girls, particularly in the occipital derivation, and are not state‐specific, occurring in both NREM and REM sleep.     

Spectral analysis of all-night human sleep EEG in narcoleptic patients and normal subjects

To investigate the pathophysiology of narcoleptic patients' sleep in detail, we analysed and compared the whole-night polysomnograms of narcoleptic patients and normal human subjects. Eight drug-naive narcoleptic patients and eight age-matched normal volunteers underwent polysomnography (PSG) on two consecutive nights. In addition to conventional visual scoring of the polysomnograms, rapid eye movement (REM)-density and electroencephalograph (EEG) power spectra analyses were also performed. Sleep onset REM periods and fragmented nocturnal sleep were observed as expected in our narcoleptic patients. In the narcoleptic patients, REM period duration across the night did not show the significant increasing trend that is usually observed in normal subjects. In all narcoleptic patient REM periods, eye movement densities were significantly increased. The power spectra of narcoleptic REM sleep significantly increased between 0.3 and 0.9 Hz and decreased between 1.0 and 5.4 Hz. Further analysis revealed that non-rapid eye movement (NREM) period duration and the declining trend of delta power density in the narcoleptic patients were not significantly different from the normal subjects. Compared with normal subjects, the power spectra of narcoleptic NREM sleep increased in the 1.0-1.4 Hz and 11.0-11.9 Hz frequency bands, and decreased in a 24.0-26.9 Hz frequency band. Thus, increased EEG delta and decreased beta power densities were commonly observed in both the NREM and REM sleep of the narcoleptic patients, although the decrease in beta power during REM sleep was not statistically significant. Our visual analysis revealed fragmented nocturnal sleep and increased phasic REM components in the narcoleptic patients, which suggest the disturbance of sleep maintenance mechanism(s) and excessive effects of the mechanism(s) underlying eye movement activities during REM sleep in narcolepsy. Spectral analysis revealed significant increases in delta components and decreases in beta components, which suggest decreased activity in central arousal mechanisms. These characteristics lead us to hypothesize that two countervailing mechanisms underlie narcoleptic sleep pathology.     

Perception of experimental pain is reduced after provoked waking from rapid eye movement sleep

Patients with chronic pain often complain of pain when they wake at night, but the accuracy of their perception of the pain after waking at night is unknown. While cognitive functions are reduced for a short time after waking from sleep, a situation known as sleep inertia, it is unclear how sleep inertia may affect the perception of pain. We investigated the effects of sleep inertia on the perception of experimentally induced pain. Fourteen male volunteers were exposed to a randomized thermal heat stimulus of 43.1 °C ‘hot’ and 46.5 °C ‘hurting’ during provoked waking from Stage 2 sleep, slow wave sleep and rapid eye movement (REM) sleep. Subjects rated their pain on awakening on a Visual Analogue Scale at 30 s after awakening and each minute thereafter for 5 min. We found no change in pain perception over the 5‐min period irrespective of temperature used or sleep stage. However, perceived pain when awoken abruptly from REM sleep was significantly lower than the awake score for both the hot (P = 0.0069) and hurting (P = 0.0025) temperatures. Pain perception when woken from Stage 2 sleep or slow wave sleep was not significantly different from perception when awake. Our findings indicate that sleep inertia reduces pain perception when awoken abruptly from REM. This suggests that patients who wake up in pain either perceive accurately the pain they are experiencing, or at worst underestimate the level of pain if woken from REM sleep.     

Hand and finger skin temperatures in convective and contact cold exposure

The present study aimed at investigating the spatial variability of skin temperature (T _sk) measured at various points on the hand during convective and cold contact exposure. A group of 8 subjects participated in a study of convective cooling of the hand (60 min) and 20 subjects to contact cooling of the finger pad (5 min). Experiments were carried out in a small climatic chamber into which the hand was inserted. For convective cold exposure,T _sk was measured at seven points on the palmar surface of the fingers of the left hand, one on the palmar surface and one on the dorsal surface of the hand. The air temperature inside the mini-chamber was 0, 4, 10 and 16°C. With the contact cold exposure, the subjects touched at constant pressures an aluminium cube cooled to temperatures of –7, 0 and 7°C in the same mini-chamber. ContactT _sk was measured on the finger pad of the index finger of the left hand. TheT _sk of the proximal phalanx of the index finger (on both palm and back sides), and of the middle phalanx of the little finger was also measured. The variation ofT _sk between the proximal and the distal phalanx of the index finger was between 1.5 to 10°C during the convective cold exposure to an air temperature of 0°C. Considerable gradients persisted between the hand and fingers (from 2 to 17°C at 0°C air temperature) and between the phalanges of the finger (from 0.5 to 11.4°C at 0°C air temperature). The onset of cold induced vasodilatation (CIVD) on different fingers varied from about 5 to 15 min and it did not always appear in every finger. For contact cold exposure, whenT _sk on the contact skin cooled down to nearly 0°C, the temperature at the area close to the contact skin could still be 30°C. Some cases of CIVD were observed in the contact skin area, but not on other measuring points of the same finger. These results indicated that local thermal stimuli were the main determinents of CIVD. Representative hand skin temperature may require five or more measuring points. Our results strongly emphasised a need to consider the large spatial and individual variations in the prediction and modelling of extremity cooling.