Usefulness of heart rate variability indices in assessing the risk of an unsuccessful return to work after sick leave in depressed patients.

AIM: The present study aimed to examine whether heart rate variability (HRV) indices in depressed patients measured at return to work after sick leave are related to the outcome of reinstatement. METHODS: This study included 30 workers who took a leave of absence due to major depressive disorder. HRV was measured twice, once when participants left work and another when they returned to work. One month after returning to work, 19 participants continued their original work (successful return group), while 11 failed to perform their original work (unsuccessful return group). HRV indices including high- and low-frequency components (HF and LF) were calculated in three conditions within a session lasting for about 5 minutes, initial rest (Rest), mental task (Task), and rest after task (After), and were compared between the two participant groups. Psychological states were evaluated using Self-rating Depression Scale and State-Trait Anxiety Inventory. RESULTS: No significant differences were observed in the HRV indices on leaving work between groups. On returning to work, the "unsuccessful return group" exhibited lower HF Rest score, higher HF Task/Rest ratio, and higher LF/HF Rest score than the "successful return group." Psychological scores improved in both groups. CONCLUSION: These results indicate that autonomic dysregulations revealed by HRV measurement at return to work after a leave of absence in MDD patients were related to the outcome of reinstatement and can serve as useful information for the assessment of the risk of unsuccessful return.

Human TRPA1 activation by terpenes derived from the essential oil of daidai, Citrus aurantium L. var. daidai Makino.

Daidai (bitter orange, Citrus aurantium) is characterized by its fresh citrus scent. In Japanese cuisine, its juice is an important ingredient. As tons of industrial waste is obtained while processing the daidai juice, additional utilization of this waste has great social value. In our study, we prepared the essential oil from the waste obtained during daidai juice processing and demonstrated that the oil activates human TRPA1 (hTRPA1). This oil contains 10 types of terpenes, all of which activated hTRPA1 with an EC50 value of 6-167 µM. To our knowledge, this study is the first to show a hTRPA1 activation by five terpenes: linalyl acetate, geranyl acetate, osthole, geranyl propionate, and neryl acetate. Because physiological benefits of TRPA1 agonists, such as enhancement of energy metabolism and promotion of skin barrier recovery, have been reported, the oil could be a promising ingredient for anti-obesity food products and cosmetics.

Changes of muscular load with aging in the motion of pulling up disposable diapers.

To elucidate how aging affects the muscular load required for pulling up pants-style disposable diapers, and why some elderly people cannot pull up the rear of their disposable diapers well, we evaluated the electromyogram (EMG) of 8 young subjects (21.5+/-1.5 years) and 7 elderly subjects (71.6+/-6.1 years). EMG was measured for four muscles--biceps brachii, deltoid, brachioradialis, and flexor carpi ulnaris. We evaluated the muscular load during a series of motions for pulling a disposable diaper up at the front and the rear of the body using an EMG-Video Synchronous Split Method. The analysis revealed that the front and the rear integral EMG of elderly subjects were both significantly larger than those of young subjects for all four muscles. For the deltoid and flexor carpi ulnaris muscles, the maximum amplitude of EMG when pulling up the rear of the disposable diapers was significantly larger in the elderly subjects than the young ones. These results suggest that the muscular load involved in pulling up the rear of disposable diapers may increase due to changes in body habitus caused by aging. Since muscular strength decreases with age, it seems likely that the elderly individuals will eventually be unable to pull up the rear of their diapers.

Age-related changes of reaction time and p300 for low-contrast color stimuli: Effects of yellowing of the aging human lens.

We measured reaction time (RT), P300, and subjective evaluation for color Landolt-Cs with a gray color background presented on a CRT display. Seven young and 7 elderly subjects (mean ages: 21.6 and 68.4 years, respectively) participated, and the young subjects wore glasses with filters simulating spectral transmittance of an aging human lens as a test condition. The results for young subjects not wearing the filters showed that RT and P300 latency are constant among different test colors. In contrast, the results for elderly subjects showed that RT and P300 varied substantially depending upon the test colors and RT and P300 latency became longer than those of young subjects, particularly for gray and blue stimuli. In addition, the results for the young subjects with filters showed tendencies similar to those in elderly subjects. These results indicate that the yellowing of the human lens strongly influences reaction time and cognition time for color targets, suggesting that wearing the filters enables the young to simulate RT qualitatively as well as visibility of the elderly because both the simulated filter and the aging human lens modify the effective luminance, effective luminance contrast and effective color difference between the color target and the background on the retina. We also found that the reciprocal of RT and P300 latency could be expressed in a multiple regression model consisting of effective luminance, effective luminance contrast, effective color difference and age. Absolute values of RT and P300 latency in young subjects with filters, however, did not quantitatively coincide with those of the elderly subjects. There were differences of RT and P300 latency between the young with filters and the elderly, indicating that higher order age-related delay could be involved.