SleepCited

Melatonin in sleep disorders and jet-lag.

Daniel P Cardinali, Luis I Brusco, Santiago Pérez Lloret, Analía M Furio
Review Neuro endocrinology letters 2002

Thiết kế nghiên cứu

Loại nghiên cứu
review
Đối tượng nghiên cứu
Elderly insomniacs, Alzheimer's disease patients, blind individuals, delayed sleep phase syndrome patients, jet lag sufferers; review of melatonin effects on sleep disorders
Can thiệp
Melatonin in sleep disorders and jet-lag. melatonin (unspecified doses); benzodiazepine reduction
Đối chứng
placebo or no treatment
Kết quả chính
sleep latency, sleep efficiency, circadian synchronization, benzodiazepine use
Xu hướng hiệu quả
Positive
Nguy cơ sai lệch
Unclear

Tóm tắt

In elderly insomniacs, melatonin treatment decreased sleep latency and increased sleep efficiency. This is particularly marked in Alzheimer's disease (AD) patients. Melatonin is effective to reduce significantly benzodiazepine use. In addition, melatonin administration synchronizes the sleep-wake cycle in blind people and in individuals suffering from delayed sleep phase syndrome or jet lag. Urinary levels of 6-sulphatoxymelatonin decrease with age and in chronic diseases like AD or coronary heart disease. The effect of melatonin on sleep is probably the consequence of increasing sleep propensity (by inducing a fall in body temperature) and of a synchronizing effect on the circadian clock (chronobiotic effect).

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