The relationship between insomnia and body temperatures
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.
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Insomnia is associated with impaired thermoregulation.
“Insomnia is associated with impaired thermoregulation [30,31]”
From The effects of exercise on sleep in unipolar depression: a systematic review and network meta-analysis (2021) · cites this paper as [30]
Skin temperature changes with environmental heat and cold, posture, environmental light, anxiety, nutritional status, pain, and stress.
“Because the skin is rather poikilotherm, its temperature changes with environmental heat and cold. It changes also with posture [61, 78], environmental light [12, 80], anxiety [51], nutritional status [48], pain [36, 42, 54], and stress [72].”
From Sleep, vigilance, and thermosensitivity (2012) · cites this paper as [51]
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- Authors
- Lack, L. C., Gradisar, M., Van Someren, E. J. W., Wright, H. R., & Lushington, K.
- Affiliations
- Flinders University (AU)
- University of South Australia (AU)
- Corresponding author
- Lack, Leon C.
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 12
- Issue
- 4
- Pages
- 307-317
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2120172472
- Cited by
- 285
- References
- 100
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 10 · 2023: 26 · 2022: 19 · 2021: 26 · 2020: 11 · 2019: 16 · 2018: 24 · 2017: 20 · 2016: 18 · 2015: 15 · 2014: 9 · 2013: 12 · 2012: 9
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- VU Research Portal (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- insomnia, core body temperature, circadian rhythm, sleep onset insomnia, sleep maintenance insomnia, thermoregulation, bright light therapy, circadian phase advance, circadian phase delay, hyperarousal
- MeSH terms
- Arousal, Body Temperature Regulation, Circadian Rhythm, Homeostasis, Humans, Sleep Initiation and Maintenance Disorders, Melatonin, Phototherapy, Skin Temperature, Sympathetic Nervous System, Wakefulness, Sleep Disorders, Circadian Rhythm
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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