|   | 
Details
   web
Records
Author Lack, L.C.; Gradisar, M.; Van Someren, E.J.W.; Wright, H.R.; Lushington, K.
Title The relationship between insomnia and body temperatures Type Journal Article
Year 2008 Publication Sleep Medicine Reviews Abbreviated Journal Sleep Med Rev
Volume 12 Issue 4 Pages 307-317
Keywords Human Health; Arousal/physiology; Body Temperature Regulation/*physiology; Circadian Rhythm/physiology; Homeostasis/physiology; Humans; Melatonin/blood; Phototherapy; Skin Temperature/physiology; Sleep Disorders, Circadian Rhythm/physiopathology/therapy; Sleep Initiation and Maintenance Disorders/*physiopathology/therapy; Sympathetic Nervous System/physiopathology; Wakefulness/physiology
Abstract Sleepiness and sleep propensity are strongly influenced by our circadian clock as indicated by many circadian rhythms, most commonly by that of core body temperature. Sleep is most conducive in the temperature minimum phase, but is inhibited in a “wake maintenance zone” before the minimum phase, and is disrupted in a zone following that phase. Different types of insomnia symptoms have been associated with abnormalities of the body temperature rhythm. Sleep onset insomnia is associated with a delayed temperature rhythm presumably, at least partly, because sleep is attempted during a delayed evening wake maintenance zone. Morning bright light has been used to phase advance circadian rhythms and successfully treat sleep onset insomnia. Conversely, early morning awakening insomnia has been associated with a phase advanced temperature rhythm and has been successfully treated with the phase delaying effects of evening bright light. Sleep maintenance insomnia has been associated not with a circadian rhythm timing abnormality, but with nocturnally elevated core body temperature. Combination of sleep onset and maintenance insomnia has been associated with a 24-h elevation of core body temperature supporting the chronic hyper-arousal model of insomnia. The possibility that these last two types of insomnia may be related to impaired thermoregulation, particularly a reduced ability to dissipate body heat from distal skin areas, has not been consistently supported in laboratory studies. Further studies of thermoregulation are needed in the typical home environment in which the insomnia is most evident.
Address School of Psychology, Flinders University, South Australia, Australia. leon.lack@flinders.edu.au
Corporate Author Thesis
Publisher Place of Publication Editor
Language (up) English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1087-0792 ISBN Medium
Area Expedition Conference
Notes PMID:18603220 Approved no
Call Number LoNNe @ kagoburian @ Serial 775
Permanent link to this record
 

 
Author Skene, D.J.; Arendt, J.
Title Circadian rhythm sleep disorders in the blind and their treatment with melatonin Type Journal Article
Year 2007 Publication Sleep Medicine Abbreviated Journal Sleep Med
Volume 8 Issue 6 Pages 651-655
Keywords Human Health; Blindness/*complications; Chronotherapy; Circadian Rhythm/drug effects; Humans; Melatonin/*administration & dosage; Sleep/drug effects; Sleep Disorders, Circadian Rhythm/*drug therapy/*etiology; Treatment Outcome
Abstract People who are blind, in addition to having to cope with partial or no sight, have an added handicap; the transmission of ocular light from the retina to their circadian clock is impaired. At its worse, for example in people with both eyes enucleated, this lesion results in desynchronisation of the biological clock (located in the hypothalamic suprachiasmatic nuclei) from the 24h day/night environment. While in a desynchronised state, symptoms akin to jet lag are experienced (e.g., daytime sleepiness, poor night sleep, reduced alertness and performance during waking). This is a lifelong condition. Daily administration of exogenous melatonin is the current treatment of choice for this so-called “non-24h sleep/wake disorder”. Melatonin has been shown to correct the underlying circadian rhythm abnormality as well as improve sleep and reduce daytime napping. The effectiveness of melatonin therapy depends upon its time of administration relative to the timing of the person's circadian clock. If practicable, assessment of an individual's circadian phase (by measurement of the endogenous melatonin rhythm in plasma, saliva or urine) is recommended prior to commencing treatment to optimise melatonin's effectiveness.
Address Centre for Chronobiology, School of Biomedical and Molecular Sciences, University of Surrey, Guildford GU2 7XH, UK. d.skene@surrey.ac.uk
Corporate Author Thesis
Publisher Place of Publication Editor
Language (up) English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1389-9457 ISBN Medium
Area Expedition Conference
Notes PMID:17420154 Approved no
Call Number LoNNe @ kagoburian @ Serial 811
Permanent link to this record
 

 
Author Peixoto, C.A.T.; da Silva, A.G.T.; Carskadon, M.A.; Louzada, F.M.
Title Adolescents living in homes without electric lighting have earlier sleep times Type Journal Article
Year 2009 Publication Behavioral Sleep Medicine Abbreviated Journal Behav Sleep Med
Volume 7 Issue 2 Pages 73-80
Keywords Human Health; Sleep
Abstract The aim of this project was to compare circadian rhythmicity of a group of 37 adolescents (14 girls), aged 11 to 16 (mean age = 13.1 +/- 1.7 years), with and without electricity at home. Twenty students attended morning school (07:30-11:30), and 17 attended evening school classes (19:00-22:30). Eleven adolescents had no electric lighting at home (5 attended morning classes and 6 attended evening classes). They completed a sleep log and wore a wrist actigraph for 5 consecutive days. Saliva samples were collected to assess DLMO. Data were compared by ANOVA and showed later timing and a more extended sleep period for those who attended late classes. Those adolescents without electricity at home had significantly earlier sleep onset on school days. As to DLMO, a trend to a delay was observed in the groups who had electric lighting.
Address Department of Physiology, Universidade Federal do Parana, Brazil. pedatardelli@yahoo.com.br
Corporate Author Thesis
Publisher Place of Publication Editor
Language (up) English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1540-2002 ISBN Medium
Area Expedition Conference
Notes PMID:19330580 Approved no
Call Number LoNNe @ kyba @ Serial 1481
Permanent link to this record
 

 
Author Joo, E.Y.; Abbott, S.M.; Reid, K.J.; Wu, D.; Kang, J.; Wilson, J.; Zee, P.C.
Title Timing of light exposure and activity in adults with delayed sleep-wake phase disorder Type Journal Article
Year 2016 Publication Sleep Medicine Abbreviated Journal Sleep Med
Volume 32 Issue Pages 259-265
Keywords Human Health
Abstract OBJECTIVE: To characterize the patterns of light exposure and physical activity level and assess their relationship with sleep quality and depressive symptoms in adults with delayed sleep-wake phase disorder (DSWPD). METHODS: 42 DSWPD (22 female, mean age 34.5 y) and 26 (+/-4 years) age-and-sex-matched controls (12 female, mean age 33.4 y) underwent seven days of light and activity monitoring. RESULTS: Individuals with DSWPD had significantly delayed bed times and wake times, but similar sleep duration compared to controls. Subjective sleep quality (Pittsburgh Sleep Quality Index (PSQI)) was poorer in DSWPDs compared to controls. Those with DSWPD had significantly more activity and light exposure late at night (2:00-4:00) and significantly less activity and light exposure in the morning (8:00-11:00). Total 24 h levels of light and activity were not significantly different between DSWPD and controls. However, the DSWPD group had significantly more light exposure than controls 22 h after waking, during their sleep period. Later light exposure correlated with higher depression scores [Beck Depression Index (BDI)] and poorer sleep quality (PSQI). CONCLUSIONS: The light exposure patterns observed in DSWPD likely contribute to and perpetuate the chronically delayed sleep and wake phase in these patients. In addition, increased light exposure during the sleep period may also contribute to the poor sleep quality and mood disorders that are common in these individuals.
Address Department of Neurology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. Electronic address: p-zee@northwestern.edu
Corporate Author Thesis
Publisher Place of Publication Editor
Language (up) English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1389-9457 ISBN Medium
Area Expedition Conference
Notes PMID:27964860 Approved no
Call Number LoNNe @ kyba @ Serial 1639
Permanent link to this record
 

 
Author Akacem, L.D.; Wright, K.P.J.; LeBourgeois, M.K.
Title Bedtime and evening light exposure influence circadian timing in preschool-age children: A field study Type Journal Article
Year 2016 Publication Neurobiology of Sleep and Circadian Rhythms Abbreviated Journal Neurobiol Sleep Circadian Rhythms
Volume 1 Issue 2 Pages 27-31
Keywords Human Health
Abstract Light exposure and sleep timing are two factors that influence inter-individual variability in the timing of the human circadian clock. The aim of this study was to quantify the degree to which evening light exposure predicts variance in circadian timing over and above bedtime alone in preschool children. Participants were 21 children ages 4.5-5.0 years (4.7 +/- 0.2 years; 9 females). Children followed their typical sleep schedules for 4 days during which time they wore a wrist actigraph to assess sleep timing and a pendant light meter to measure minute-by-minute illuminance levels in lux. On the 5th day, children participated in an in-home dim-light melatonin onset (DLMO) assessment. Light exposure in the 2 h before bedtime was averaged and aggregated across the 4 nights preceding the DLMO assessment. Mean DLMO and bedtime were 19:22 +/- 01:04 and 20:07 +/- 00:46, respectively. Average evening light exposure was 710.1 +/- 1418.2 lux. Children with later bedtimes (lights-off time) had more delayed melatonin onset times (r=0.61, p=0.002). Evening light exposure was not independently associated with DLMO (r=0.32, p=0.08); however, a partial correlation between evening light exposure and DLMO when controlling for bedtime yielded a positive correlation (r=0.46, p=0.02). Bedtime explained 37.3% of the variance in the timing of DLMO, and evening light exposure accounted for an additional 13.3% of the variance. These findings represent an important step in understanding factors that influence circadian phase in preschool-age children and have implications for understanding a modifiable pathway that may underlie late sleep timing and the development of evening settling problems in early childhood.
Address Sleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA
Corporate Author Thesis
Publisher Place of Publication Editor
Language (up) English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 2451-9944 ISBN Medium
Area Expedition Conference
Notes PMID:28042611; PMCID:PMC5193478 Approved no
Call Number LoNNe @ kyba @ Serial 1755
Permanent link to this record