0299 Total Sleep Deprivation and Time on Task: Not the Same for Sustained Attention and Executive Processes and Poor Benefit of Caffeine
Abstract Introduction Mental Fatigue is commonly questioned regarding time on task or sleep debt effect (Hockey, 2013; Pattyn et al., 2018) or sleep debt effect (Krause et al., 2017). No studies have neither investigated contributions of these two factors for different cognitive processes nor benefit of caffeine. Methods 24 right-handed and healthy subjects (18–50 years old), with a median chronotype and sleep need participated in a 2-experimental counter-balanced (placebo: PBO and caffeine: COFFEE - 2.5 mg/kg) total sleep deprivation protocol (TSD = 27 hours of continuous wakefulness). Subjective sleepiness (KSS), sustained attention (PC-PVT), inhibition (Go-NoGo) and working memory (2N-Back) capabilities were tested each morning during BASE and TSD (10 min. test session from 9:15 am to 10:15 am). Caffeine was ingested with a decaffeinated drink at 8:30 am. Results KSS score (5.6±0.4 vs 3.2±0.3; p<0.001), number of Lapses (9.8±1.7 vs 0.4±0.2; p<0.001), mean response time (RT: 308±4.9 vs 260±9.4; p<0.001) in PVT, errors of commission (6.4±0.4 vs 3.1±0.3; p<0.01) and mean response time (RT: 336±24 vs 301±13; p<0.01) in Go-NoGo were significantly higher after TSD compared to BASE. Neither significant difference in the proportion of correct responses (CR: 0.92±0.015 vs 0.90±0.014; p>0.15) nor RT (592±49 vs 640±28 ms, p > 0,11), were observed in the 2N-Back task. Further analyses showed different TOT x TSD interaction for PVT (after 3 min of task engagement), Go-NoGo (after 6 min) and 2N-Back (after 8 min). Number of Lapses was significantly but partially reduced (5.8±0.4 vs 9.8±1.7; p<0.01) in COFFEE condition compared with PBO with more aversive effects for Go-NoGo errors and 2N-Back BR. Conclusion Our results are in accordance with previous studies showing differential kinetic of cognitive deficits under TSD, limited benefit of sleep banking and regular physical activity (Arnal et al., 2015; Rabat et al., 2019; Sauvet et al., 2019) and no benefit of caffeine on executive processes (Gottsellig et coll., 2006; Killgore et coll., 2007, 2012). Keywords: TSD, TOT, Attention, Executive, Caffeine. Support Grants from the French General Directorate for Armament (Contract Number: SAN-1–509).