Publications by authors named "Malcolm Von Schantz"

There is an ongoing debate in the United Kingdom and in other countries about whether twice-yearly changes into and out of Daylight Saving Time should be abolished. Opinions are divided about whether any abolition of Daylight Saving Time should result in permanent Standard Time, or year-long Daylight Saving Time. The British Sleep Society concludes from the available scientific evidence that circadian and sleep health are affected negatively by enforced changes of clock time (especially in a forward direction) and positively by the availability of natural daylight during the morning.

View Article and Find Full Text PDF

Study Objectives: Sleep characteristics are associated with cardiovascular disease (CVD) risk and both sleep and CVD risk vary by gender. Our objective was to examine associations between polysomnographic sleep characteristics and CVD risk after excluding moderate-severe sleep apnea, and whether gender modifies these associations.

Methods: This was a cross-sectional study with at-home polysomnography in adults in Brazil (n= 1,102 participants with apnea-hypopnea index (AHI)<15 events/hour).

View Article and Find Full Text PDF

Many people with bipolar disorder have disrupted circadian rhythms. This means that the timing of sleep and wake activities becomes out-of-sync with the standard 24-hour cycle. Circadian rhythms are strongly influenced by light levels and previous research suggests that people with bipolar disorder might have a heightened sensitivity to light, causing more circadian rhythm disruption, increasing the potential for triggering a mood switch into mania or depression.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how age affects sleep stages differently for men and women in a rural Brazilian population, focusing on individuals without moderate-severe obstructive sleep apnea (OSA).
  • - A total of 893 adults (584 women and 309 men) were analyzed using polysomnography recordings, with significant findings related to age and sleep parameters like total sleep time and wake after sleep onset (WASO).
  • - Results indicate that women have more N3 sleep and less WASO compared to men, particularly at older ages (60 and 70 years), while overall sleep architecture is influenced by age regardless of gender.
View Article and Find Full Text PDF

Study Objectives: People with diabetes and prediabetes are more likely to have sleep-disordered breathing (SDB), but few studies examined sleep architecture in people with diabetes or prediabetes in the absence of moderate-severe SDB, which was the aim of our cross-sectional study.

Methods: This cross-sectional sample is from the Baependi Heart Study, a family-based cohort of adults in Brazil. About 1074 participants underwent at-home polysomnography (PSG).

View Article and Find Full Text PDF

Objective: People with diabetes are more likely to have obstructive sleep apnea, but there are few studies examining sleep architecture in people with diabetes, especially in the absence of moderate-severe sleep apnea. Therefore, we compared sleep architecture among people with diabetes, prediabetes or neither condition, whilst excluding people with moderate-severe sleep apnea.

Research Design And Methods: This sample is from the Baependi Heart Study, a prospective, family-based cohort of adults in Brazil.

View Article and Find Full Text PDF

Objectives: Comorbid depression is a highly prevalent and debilitating condition in middle-aged and elderly adults, particularly when associated with obesity, diabetes, and sleep disturbances. In this context, there is a growing need to develop efficient screening methods for cases based on clinical health markers for these comorbidities and sleep data. Thus, our objective was to detect depressive symptoms in these subjects, considering general biomarkers of obesity and diabetes and variables related to sleep and physical exercise through a machine learning approach.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how HIV status affects sleep patterns and circadian rhythms in older adults in South Africa, focusing on those living with HIV (PLWH) compared to HIV-negative individuals.
  • Findings show that HIV-positive participants have later sleep onset, earlier sleep offset, and shorter total sleep times than their HIV-negative counterparts.
  • Additionally, the study reveals a significant delay in dim light melatonin onset (DLMO) for HIV-positive individuals, indicating disruptions in their circadian phase that could impact sleep quality.
View Article and Find Full Text PDF
Article Synopsis
  • * Common sleep issues include insomnia and obstructive sleep apnoea, which not only disrupt daily function but are also linked to metabolic disorders and cardiovascular diseases.
  • * Investigating the relationship between HIV, immune system activity, and sleep disturbances could help reduce health complications and improve the quality of life for those living with HIV.
View Article and Find Full Text PDF

Objectives: Prior studies have examined sleep during the coronavirus disease 2019 (COVID-19) pandemic, but have few compared sleep measured both during and prior to COVID. We examined the impact of the COVID-19 pandemic on subjective sleep quality in general and separately by gender and age (<50 vs. ≥50 years).

View Article and Find Full Text PDF

It is well established that the oldest chronotype questionnaire, the morningness-eveningness questionnaire (MEQ), has significant heritability, and several associations have been reported between MEQ score and polymorphisms in candidate clock genes, a number of them reproducibly across populations. By contrast, there are no reports of heritability and genetic associations for the Munich chronotype questionnaire (MCTQ). Recent genome-wide association studies (GWAS) from large cohorts have reported multiple associations with chronotype as assessed by a single self-evaluation question.

View Article and Find Full Text PDF

Non-communicable diseases, including diabetes, are partly responsible for the deceleration of improvements of life expectancy in many countries. Diabetes is also associated with sleep disturbances. Our aim was to determine whether sleep disturbances, particularly in people with diabetes, were associated with increased mortality risk.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates obstructive sleep apnea (OSA) and its link to increased cardiometabolic risk (CMR) in older adults from rural South Africa, an area previously lacking objective research on this topic.
  • The research involved 75 participants who underwent assessments for various health metrics including body mass index, hypertension, and diabetes, along with sleep evaluations through polysomnography.
  • Findings revealed a high prevalence of undiagnosed OSA, especially among older individuals and those with higher body mass, stressing the need for improved health awareness and care in the community.
View Article and Find Full Text PDF

Circadian rhythm disturbances are frequently described in psychiatric disorders such as major depressive disorder, bipolar disorder, and schizophrenia. Growing evidence suggests a biological connection between mental health and circadian rhythmicity, including the circadian influence on brain function and mood and the requirement for circadian entrainment by external factors, which is often impaired in mental illness. Mental (as well as physical) health is also adversely affected by circadian misalignment.

View Article and Find Full Text PDF

Individual variability in diurnal preference or chronotype is commonly assessed with self-report scales such as the widely used morningness-eveningness questionnaire (MEQ). We sought to investigate the MEQ's internal consistency by applying exploratory factor analysis (EFA) to determine the number of underlying latent factors in four different adult samples, two each from the United Kingdom and Brazil (total = 3,457). We focused on factors that were apparent in all samples, irrespective of particular sociocultural diversity and geographical characteristics, so as to show a common core reproducible structure across samples.

View Article and Find Full Text PDF

Context: Metabolic syndrome (MetS) is a complex condition comprising a 'clustering' of components representing cardiometabolic risk factors for heart disease and diabetes; its prevalence rate is high and consequences serious. Evidence suggests that light exposure patterns and misalignment of circadian rhythms might contribute to MetS etiology by impacting energy metabolism and glucose regulation.

Objective: We hypothesised that individuals with MetS would show disrupted circadian and sleep parameters alongside differences in light exposure profiles.

View Article and Find Full Text PDF

Studying communities at different stages of urbanisation and industrialisation can teach us how timing and intensity of light affect the circadian clock under real-life conditions. We have previously described a strong tendency towards morningness in the Baependi Heart Study, located in a small rural town in Brazil. Here, we tested the hypothesis that this morningness tendency is associated with early circadian phase based on objective measurements (as determined by dim light melatonin onset, DLMO, and activity) and light exposure.

View Article and Find Full Text PDF

Temperature compensation and period determination by casein kinase 1 (CK1) are conserved features of eukaryotic circadian rhythms, whereas the clock gene transcription factors that facilitate daily gene expression rhythms differ between phylogenetic kingdoms. Human red blood cells (RBCs) exhibit temperature-compensated circadian rhythms, which, because RBCs lack nuclei, must occur in the absence of a circadian transcription-translation feedback loop. We tested whether period determination and temperature compensation are dependent on CKs in RBCs.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to investigate the connection between cardiometabolic risk factors and subjective sleep quality, using the Pittsburgh Sleep Quality Index (PSQI), while controlling for factors like obstructive sleep apnea (OSA) and sleep duration.
  • A total of 573 participants from Brazil revealed that 50% experienced poor sleep quality, linking high PSQI scores to elevated levels of very-low-density lipoprotein (VLDL) and triglycerides, even after adjusting for OSA and other variables.
  • The findings suggest that poor lipid profiles are independently associated with poor sleep quality, particularly highlighting the impacts of sleep disturbances and daytime dysfunction on VLDL and triglyceride levels.
View Article and Find Full Text PDF

As part of the Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI), we investigated sleep habits and their interactions with HIV or non-communicable diseases (NCDs) in 5059 participants (median age: 61, interquartile range: 52-71, 54% females). Self-reported sleep duration was 8.2 ± 1.

View Article and Find Full Text PDF

In spite of suspected circadian differences between different ancestral groups, most human studies have used individuals of European descent. This also applies to three recent genome-wide association studies (GWAS), which pinpointed a number of chronotype loci. We investigated the distribution of these hits in different 1000 Genomes populations.

View Article and Find Full Text PDF

Later chronotype (i.e. evening preference) and later timing of sleep have been associated with greater morbidity, including higher rates of metabolic dysfunction and cardiovascular disease (CVD).

View Article and Find Full Text PDF

Circadian rhythms organize many aspects of cell biology and physiology to a daily temporal program that depends on clock gene expression cycles in most mammalian cell types. However, circadian rhythms are also observed in isolated mammalian red blood cells (RBCs), which lack nuclei, suggesting the existence of post-translational cellular clock mechanisms in these cells. Here we show using electrophysiological and pharmacological approaches that human RBCs display circadian regulation of membrane conductance and cytoplasmic conductivity that depends on the cycling of cytoplasmic K levels.

View Article and Find Full Text PDF