Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study

Abstract Weakened circadian activity rhythms (CARs) were associated with mild cognitive impairment (MCI) in the general population. However, it remains unclear among pneumoconiosis patients. We aimed to address this knowledge gap. This cross-sectional study comprised 186 male pneumoconiosis patients...

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Main Authors: Bixia Huang, Gengze Liao, Priscilla Ming Yi Lee, Chi Kuen Chan, Lai-bun Tai, Chun Yuk Jason Tsang, Chi Chiu Leung, Lap Ah Tse
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-28832-5
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author Bixia Huang
Gengze Liao
Priscilla Ming Yi Lee
Chi Kuen Chan
Lai-bun Tai
Chun Yuk Jason Tsang
Chi Chiu Leung
Lap Ah Tse
author_facet Bixia Huang
Gengze Liao
Priscilla Ming Yi Lee
Chi Kuen Chan
Lai-bun Tai
Chun Yuk Jason Tsang
Chi Chiu Leung
Lap Ah Tse
author_sort Bixia Huang
collection DOAJ
description Abstract Weakened circadian activity rhythms (CARs) were associated with mild cognitive impairment (MCI) in the general population. However, it remains unclear among pneumoconiosis patients. We aimed to address this knowledge gap. This cross-sectional study comprised 186 male pneumoconiosis patients (71.3 ± 7.8 years) and 208 healthy community men. Actigraphy was used to determine CARs parameters (percent rhythm, amplitude, MESOR, and acrophase). Values below the corresponding medians of the CARs parameters represented weakened CARs. The Cantonese version of Mini-Mental State Examination (CMMSE) was used to assess cognitive function, MCI, and the composite outcome of MCI plus cognitive impairment. Compared with the community referents, pneumoconiosis patients had worse cognition and dampened CARs. Compared with the community referents or pneumoconiosis patients with robust circadian rhythm, pneumoconiosis patients with weakened circadian rhythm were consistently associated with increased risk of MCI and the composite outcome. However, significant association was only observed between MESOR and the composite outcome (adjusted OR = 1.99, 95%: 1.04–3.81). A delayed phase of CARs was insignificantly associated with MCI and the composite outcome. Our findings showed that weakened CARs were associated with worse cognitive function among male pneumoconiosis workers. Intervention in improving CARs may mitigate cognitive deterioration in male pneumoconiosis workers.
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spelling doaj.art-aa3d5a7b87ec4676a97d723ebbae36f72023-02-05T12:09:21ZengNature PortfolioScientific Reports2045-23222023-01-0113111010.1038/s41598-023-28832-5Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional studyBixia Huang0Gengze Liao1Priscilla Ming Yi Lee2Chi Kuen Chan3Lai-bun Tai4Chun Yuk Jason Tsang5Chi Chiu Leung6Lap Ah Tse7JC School of Public Health and Primary Care, The Chinese University of Hong KongJC School of Public Health and Primary Care, The Chinese University of Hong KongJC School of Public Health and Primary Care, The Chinese University of Hong KongPneumoconiosis Clinic, Tuberculosis and Chest Service, Department of HealthPneumoconiosis Clinic, Tuberculosis and Chest Service, Department of HealthPneumoconiosis Mutual Aid AssociationStanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong KongJC School of Public Health and Primary Care, The Chinese University of Hong KongAbstract Weakened circadian activity rhythms (CARs) were associated with mild cognitive impairment (MCI) in the general population. However, it remains unclear among pneumoconiosis patients. We aimed to address this knowledge gap. This cross-sectional study comprised 186 male pneumoconiosis patients (71.3 ± 7.8 years) and 208 healthy community men. Actigraphy was used to determine CARs parameters (percent rhythm, amplitude, MESOR, and acrophase). Values below the corresponding medians of the CARs parameters represented weakened CARs. The Cantonese version of Mini-Mental State Examination (CMMSE) was used to assess cognitive function, MCI, and the composite outcome of MCI plus cognitive impairment. Compared with the community referents, pneumoconiosis patients had worse cognition and dampened CARs. Compared with the community referents or pneumoconiosis patients with robust circadian rhythm, pneumoconiosis patients with weakened circadian rhythm were consistently associated with increased risk of MCI and the composite outcome. However, significant association was only observed between MESOR and the composite outcome (adjusted OR = 1.99, 95%: 1.04–3.81). A delayed phase of CARs was insignificantly associated with MCI and the composite outcome. Our findings showed that weakened CARs were associated with worse cognitive function among male pneumoconiosis workers. Intervention in improving CARs may mitigate cognitive deterioration in male pneumoconiosis workers.https://doi.org/10.1038/s41598-023-28832-5
spellingShingle Bixia Huang
Gengze Liao
Priscilla Ming Yi Lee
Chi Kuen Chan
Lai-bun Tai
Chun Yuk Jason Tsang
Chi Chiu Leung
Lap Ah Tse
Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
Scientific Reports
title Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
title_full Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
title_fullStr Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
title_full_unstemmed Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
title_short Association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in Hong Kong: a cross-sectional study
title_sort association of circadian rhythm with mild cognitive impairment among male pneumoconiosis workers in hong kong a cross sectional study
url https://doi.org/10.1038/s41598-023-28832-5
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