Cortisol is used in research as a biomarker of psychological stress. Logistical considerations argue for collecting as few samples as possible, balanced against diurnal rhythms and intra-individual variations. 100 pregnant women gave five saliva samples a day for 3 days, at waking, 30 min after waking, and 11:00 a.m., 5:00 p.m., and 9:00 p.m. Timing of collection was confirmed by monitors. Another sample was taken during a clinic visit. Using the 15 measures as the gold standard, correlations and mean area under the curve (AUC) were compared with subsets and the single clinic sample to evaluate alternate collection protocols. Five samples in 1 day, or protocols involving morning and night samples, had the highest correlations with mean AUC (correlation coefficient ranging from 0.82 to 0.88). Standardizing the clinic measurement to a single time of day did not substantially improve correlations with mean AUC. Correlations with measures of reported stress were also not strong.

译文

:Cortisol在研究中用作心理压力的生物标记。物流方面的考虑认为应收集尽可能少的样本,并与昼夜节律和个体内部差异保持平衡。 100名孕妇在清醒,醒后30分钟和上午11:00,下午5:00和下午9:00每天提供五份唾液样本,为期3天。监控人员确认了收集时间。在诊所就诊时采集了另一个样本。使用15个度量作为金标准,将相关性和曲线下的平均面积(AUC)与子集和单个临床样本进行比较,以评估备用收集方案。 1天中的五个样本或涉及早晨和晚上样本的协议与平均AUC的相关性最高(相关系数范围从0.82到0.88)。将临床测量标准化为一天中的某个时间并不能显着改善与平均AUC的相关性。与报告的压力测量值的相关性也不强。

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