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Instability of nocturnal parasympathetic nerve function in patients with chronic lung disease with or without nocturnal desaturation

Research Project

Project/Area Number 15K01281
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Biomedical engineering/Biomaterial science and engineering
Research InstitutionShinshu University

Principal Investigator

Fujimoto Keisaku  信州大学, 学術研究院保健学系, 教授 (70242691)

Co-Investigator(Kenkyū-buntansha) 山本 洋  信州大学, 学術研究院医学系, 准教授 (00322131)
安尾 将法  信州大学, 学術研究院医学系(医学部附属病院), 講師 (20402117)
Co-Investigator(Renkei-kenkyūsha) Kameko Fumiko  信州大学, 学術研究院保健学系, 助教 (60126670)
Terasawa Fumiko  信州大学, 学術研究院保健学系, 准教授 (40109210)
Research Collaborator Ura Midori  信州大学, 大学院医学研究科博士後期課程医療生命科学分野 (50826089)
Yamazaki Haruna  信州大学, 大学院医学研究科博士前期課程検査技術科学分野
Project Period (FY) 2015-10-21 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords自律神経活動 / 慢性呼吸器疾患 / 夜間低酸素 / 在宅酸素療法 / 睡眠呼吸障害 / 交感神経活動 / 副交感神経活動 / 睡眠障害 / 酸素療法 / 心拍変動解析 / 光電式容積脈波 / 夜間低酸素血症 / 自律神経機能 / 低換気 / 高炭酸ガス血症
Outline of Final Research Achievements

We examined the factors contributing to sleep disturbance in patients with chronic lung disease (CLD). CLD patients showed sleep disturbance such as longer sleeping latent time, a lot of interrupted sleep, lack of deep sleep, and deteriorated good sleep, and 38.1% of CLD showed moderate-to-severe sleep disordered breathing (SDB). Sympathetic nerve activity (SNA) and parasympathetic nerve activity (PNA) evaluated by pulse rate variability showed no significant difference, but the stability of PNA was deteriorated in CLD patients, especially, in the patients with nocturnal oxygen desaturation, and the instability of PNA significantly correlated with hypoxemia at night. On the other hand, the CLD patients prescribed long-term oxygen therapy and maintained their SpO2>90% at night showed significant improvement in the instability of PNA. These findings suggest that the presence of SDB and nocturnal hypoxemia due to hypoventilation may deteriorate the sleep quality in CLD patients.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (10 results)

All 2018 2017 2016

All Journal Article (4 results) (of which Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Instability of parasympathetic nerve function evaluated by instantaneous time?frequency analysis in patients with obstructive sleep apnea2018

    • Author(s)
      Fujimoto Keisaku、Ura Midori、Yamazaki Haruna、Uematsu Akikazu
    • Journal Title

      Sleep and Biological Rhythms

      Volume: 21 Issue: 3 Pages: 1-8

    • DOI

      10.1007/s41105-018-0153-y

    • NAID

      120007099762

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Verification of Non-Invasive Blood Glucose Measurement Method Based on Pulse Wave Signal Detected by FBG Sensor System2017

    • Author(s)
      Shintaro Kurasawa, Shouhei Koyama, Hiroaki Ishizawa, Keisaku Fujimoto, Shun Chino
    • Journal Title

      MDPI-Sensors

      Volume: 17 Issue: 12 Pages: 1-13

    • DOI

      10.3390/s17122702

    • NAID

      120007099794

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of tiotropium and indacaterol monotherapy and their combination on dynamic lung hyperinflation in COPD: a random open-label crossover study.2017

    • Author(s)
      Fujimoto K, Yamazaki H, Ura M, Kitaguchi Y.
    • Journal Title

      Int J Chron Obstruct Pulmon Dis.

      Volume: 12 Pages: 3195-3201

    • DOI

      10.2147/copd.s149054

    • NAID

      120007099793

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-Term Oxygen Therapy (or Home Oxygen Therapy) for COPD: The Present State and Future Problems.2016

    • Author(s)
      Fujimoto K.
    • Journal Title

      Respiratory Disease Series: Diagnostic Tools and Disease Managements Chronic Obstructive Pulmonary Disease. A Systemic Inflammatory Disease.

      Volume: Chapter 11 Pages: 195-210

    • DOI

      10.1007/978-981-10-0839-9_11

    • ISBN
      9789811008382, 9789811008399
    • Related Report
      2016 Research-status Report
  • [Presentation] Sleep-disordered breathing and pregnancy-induced hypertension in women with and those without obesity.2017

    • Author(s)
      Ura M, Fujimoto K.
    • Organizer
      European Respiratory Society 2017 International Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 妊娠37週における睡眠呼吸障害と夜間睡眠時の姿勢との関係-横断的観察研究-2017

    • Author(s)
      浦 みどり、藤本圭作
    • Organizer
      日本睡眠学会第42回定期学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] OSAと自律神経活動2017

    • Author(s)
      藤本圭作、浦 みどり
    • Organizer
      日本呼吸ケア・リハビリテーション学会 第3回甲信越支部学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 妊娠中の女性における睡眠の質に関する検討-質問票による主観的評価と脳波計による客観的評価-2016

    • Author(s)
      浦 みどり、藤本圭作、寺前優香
    • Organizer
      日本呼吸ケア・リハビリテーション甲信越支部第2回学術集会
    • Place of Presentation
      信州大学医学部附属病院、松本
    • Year and Date
      2016-09-18
    • Related Report
      2016 Research-status Report
  • [Presentation] A trial of the measurement of dynamic lung compliance by the new method using photoplethysmography in patients with COPD and pulmonary fibrosis.2016

    • Author(s)
      Fujimoto K, Yamazaki H, Ura M.
    • Organizer
      European Respiratory Society 2016 International Congress
    • Place of Presentation
      London, England
    • Year and Date
      2016-09-06
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 腕時計型非侵襲的生体情報検出機器改良型による自動睡眠段階判定アルゴリズム構築に関する研究2016

    • Author(s)
      藤本圭作、百瀬寿郎、山﨑春奈、高橋英三、丁 イメイ
    • Organizer
      日本睡眠学会第41回定期学術集会
    • Place of Presentation
      京王プラザホテル、東京
    • Year and Date
      2016-07-07
    • Related Report
      2016 Research-status Report

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Published: 2015-10-21   Modified: 2023-03-16  

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