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Overture for growth hormone : Requiem for interleukin-6?

Identifieur interne : 000116 ( PascalFrancis/Corpus ); précédent : 000115; suivant : 000117

Overture for growth hormone : Requiem for interleukin-6?

Auteurs : Claudius Conrad ; Hanno Niess ; Karl-Walter Jauch ; Christiane J. Bruns ; Wolfgang H. Hartl ; Lorenz Welker

Source :

RBID : Pascal:08-0013275

Descripteurs français

English descriptors

Abstract

Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02 01      @0 CCMDC7
A03   1    @0 Crit. care med.
A05       @2 35
A06       @2 12
A08 01  1  ENG  @1 Overture for growth hormone : Requiem for interleukin-6?
A11 01  1    @1 CONRAD (Claudius)
A11 02  1    @1 NIESS (Hanno)
A11 03  1    @1 JAUCH (Karl-Walter)
A11 04  1    @1 BRUNS (Christiane J.)
A11 05  1    @1 HARTL (Wolfgang H.)
A11 06  1    @1 WELKER (Lorenz)
A14 01      @1 Department of Surgery, Massachusetts General Hospital @2 Boston, MA @3 USA @Z 1 aut.
A14 02      @1 Department of Surgery, University of Munich-Grosshadern @2 Munich @3 DEU @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
A14 03      @1 Department of Fine Arts, Institute of Music Science, University of Munich @2 Munich @3 DEU @Z 6 aut.
A20       @1 2709-2713
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 17751 @5 354000162159240050
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 49 ref.
A47 01  1    @0 08-0013275
A60       @1 P
A61       @0 A
A64 01  1    @0 Critical care medicine
A66 01      @0 USA
C01 01    ENG  @0 Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.
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C03 01  X  SPA  @0 Reanimación @5 09
C03 02  X  FRE  @0 Soin intensif @5 10
C03 02  X  ENG  @0 Intensive care @5 10
C03 02  X  SPA  @0 Cuidado intensivo @5 10
C03 03  X  FRE  @0 Somatotropine @5 11
C03 03  X  ENG  @0 Somatotropin @5 11
C03 03  X  SPA  @0 Somatotropina @5 11
C03 04  X  FRE  @0 Interleukine 6 @5 12
C03 04  X  ENG  @0 Interleukin 6 @5 12
C03 04  X  SPA  @0 Interleuquina 6 @5 12
C03 05  X  FRE  @0 Unité soin intensif @5 13
C03 05  X  ENG  @0 Intensive care unit @5 13
C03 05  X  SPA  @0 Unidad terapia intensiva @5 13
C07 01  X  FRE  @0 Hormone adénohypophysaire @5 37
C07 01  X  ENG  @0 Adenohypophyseal hormone @5 37
C07 01  X  SPA  @0 Hormona adenohipofisaria @5 37
C07 02  X  FRE  @0 Cytokine @5 38
C07 02  X  ENG  @0 Cytokine @5 38
C07 02  X  SPA  @0 Citoquina @5 38
N21       @1 009
N44 01      @1 OTO
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Format Inist (serveur)

NO : PASCAL 08-0013275 INIST
ET : Overture for growth hormone : Requiem for interleukin-6?
AU : CONRAD (Claudius); NIESS (Hanno); JAUCH (Karl-Walter); BRUNS (Christiane J.); HARTL (Wolfgang H.); WELKER (Lorenz)
AF : Department of Surgery, Massachusetts General Hospital/Boston, MA/Etats-Unis (1 aut.); Department of Surgery, University of Munich-Grosshadern/Munich/Allemagne (2 aut., 3 aut., 4 aut., 5 aut.); Department of Fine Arts, Institute of Music Science, University of Munich/Munich/Allemagne (6 aut.)
DT : Publication en série; Niveau analytique
SO : Critical care medicine; ISSN 0090-3493; Coden CCMDC7; Etats-Unis; Da. 2007; Vol. 35; No. 12; Pp. 2709-2713; Bibl. 49 ref.
LA : Anglais
EA : Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.
CC : 002B27B; 002B24O06; 002A28A02
FD : Réanimation; Soin intensif; Somatotropine; Interleukine 6; Unité soin intensif
FG : Hormone adénohypophysaire; Cytokine
ED : Resuscitation; Intensive care; Somatotropin; Interleukin 6; Intensive care unit
EG : Adenohypophyseal hormone; Cytokine
SD : Reanimación; Cuidado intensivo; Somatotropina; Interleuquina 6; Unidad terapia intensiva
LO : INIST-17751.354000162159240050
ID : 08-0013275

Links to Exploration step

Pascal:08-0013275

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<s5>38</s5>
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<s5>38</s5>
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<s1>009</s1>
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<NO>PASCAL 08-0013275 INIST</NO>
<ET>Overture for growth hormone : Requiem for interleukin-6?</ET>
<AU>CONRAD (Claudius); NIESS (Hanno); JAUCH (Karl-Walter); BRUNS (Christiane J.); HARTL (Wolfgang H.); WELKER (Lorenz)</AU>
<AF>Department of Surgery, Massachusetts General Hospital/Boston, MA/Etats-Unis (1 aut.); Department of Surgery, University of Munich-Grosshadern/Munich/Allemagne (2 aut., 3 aut., 4 aut., 5 aut.); Department of Fine Arts, Institute of Music Science, University of Munich/Munich/Allemagne (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Critical care medicine; ISSN 0090-3493; Coden CCMDC7; Etats-Unis; Da. 2007; Vol. 35; No. 12; Pp. 2709-2713; Bibl. 49 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.</EA>
<CC>002B27B; 002B24O06; 002A28A02</CC>
<FD>Réanimation; Soin intensif; Somatotropine; Interleukine 6; Unité soin intensif</FD>
<FG>Hormone adénohypophysaire; Cytokine</FG>
<ED>Resuscitation; Intensive care; Somatotropin; Interleukin 6; Intensive care unit</ED>
<EG>Adenohypophyseal hormone; Cytokine</EG>
<SD>Reanimación; Cuidado intensivo; Somatotropina; Interleuquina 6; Unidad terapia intensiva</SD>
<LO>INIST-17751.354000162159240050</LO>
<ID>08-0013275</ID>
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