Abstract | INTRODUCTION: Previous work demonstrated reduced stage 3+4 and rapid eye movement (REM) sleep following burn injury. This study evaluated the hormonal effects of drug intervention on measures of endocrine status. A secondary objective examined the relationship between hormones and sleep stage distribution. METHODS: RESULTS: Both drugs were associated with increased DHEA levels (P < .03); no other hormones were affected by medication. Significant inverse correlation was observed between REM sleep and epinephrine (r = -.34, P = .004) and norepinephrine levels (r = -.45, P = .02). A positive relationship existed between serotonin and sleep stage 3+4 (r = 0.24, P = .01) and REM (r = 0.48, P = .01). No other significant associations were identified between hormones and sleep. CONCLUSIONS: This work characterizes the relationship between sleep deprivation and select endocrine parameters postburn. Drug interventions utilized in this study were either ineffective or insufficient in modulating improved hormonal response. Significance of zolpidem's and haloperidol's effect on serum levels of DHEA is unclear. The inverse correlation of epinephrine with REM may suggest that hypermetabolism associated with burns is partly due to lack of REM sleep. Questions remain regarding the effects of sleep deprivation on metabolism and clinical outcome.
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Authors | Michele M Gottschlich, Jane Khoury, Glenn D Warden, Richard J Kagan |
Journal | JPEN. Journal of parenteral and enteral nutrition
(JPEN J Parenter Enteral Nutr)
2009 May-Jun
Vol. 33
Issue 3
Pg. 317-26
ISSN: 0148-6071 [Print] United States |
PMID | 19223527
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Dopamine Antagonists
- Hormones
- Hypnotics and Sedatives
- Pyridines
- Zolpidem
- Haloperidol
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Topics |
- Adolescent
- Burns
(complications)
- Child
- Child, Preschool
- Cross-Over Studies
- Dopamine Antagonists
(administration & dosage)
- Double-Blind Method
- Female
- Haloperidol
(administration & dosage)
- Hormones
(blood)
- Humans
- Hypnotics and Sedatives
(administration & dosage)
- Male
- Neurosecretory Systems
(drug effects, physiopathology)
- Polysomnography
(methods, statistics & numerical data)
- Pyridines
(administration & dosage)
- Sleep
(drug effects)
- Sleep Deprivation
(drug therapy, etiology, physiopathology)
- Sleep Stages
(drug effects)
- Zolpidem
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