Cited by 331Stress Responses and CortisolSleep and Wakefulness ResearchSleep and related disorders

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The influence of sleep on human hypothalamic-pituitary-adrenal (HPA) axis reactivity: a systematic review

van Dalfsen, Jens H., Markus, C. Rob·2018·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2017.10.002

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Abstract

Inadequate sleep is highly prevalent and known to decline both physical- and mental health. Literature suggests that altered functioning of the hypothalamic-pituitary-adrenal (HPA) axis might underlie this association. This assumption is mainly based on changes in basal neuroendocrine activity and it is of equal importance to elucidate whether sleep may also influence HPA stress responsiveness. The present review provides a complete outline of recent human studies that have investigated how different aspects of sleep influence cortisol reactivity to laboratory stress. From the available data it can be concluded that both objective and subjective decrements in sleep quality potentiate the stress reactivity of the HPA axis. On the contrary, normal variations in sleep duration do not seem to influence cortisol stress responsiveness whereas excessive daytime sleepiness is associated with a blunting of the cortisol response. Given its well-established health consequences, sensitization of the HPA axis might well be a crucial component linking inadequate sleep to stress-related pathology.

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Additional file 2 of Meditative practices, stress and sleep among students studying complementary and integrative health: a cross-sectional analysis
Sadowski, A., Wexler, R. S., Hanes, D., Buttolph, L., Torrens, T., Moehle, J., Sarrar, H., Harnett, J., Zava, D. T., & Bradley, R. D. (2022) · Figshare · doi:10.6084/m9.figshare.19720108
Additional file 1 of Meditative practices, stress and sleep among students studying complementary and integrative health: a cross-sectional analysis
Sadowski, A., Wexler, R. S., Hanes, D., Buttolph, L., Torrens, T., Moehle, J., Sarrar, H., Harnett, J., Zava, D. T., & Bradley, R. D. (2022) · Figshare · doi:10.6084/m9.figshare.19720105
Additional file 3 of Meditative practices, stress and sleep among students studying complementary and integrative health: a cross-sectional analysis
Sadowski, A., Wexler, R. S., Hanes, D., Buttolph, L., Torrens, T., Moehle, J., Sarrar, H., Harnett, J., Zava, D. T., & Bradley, R. D. (2022) · Figshare · doi:10.6084/m9.figshare.19720111
Additional file 3 of Probing pathways by which rhynchophylline modifies sleep using spatial transcriptomics
Roig, M. N. B., Leduc, T., Dufort‐Gervais, J., Maghmoul, Y., Tastet, O., & Mongrain, V. (2024) · Figshare · doi:10.6084/m9.figshare.26587146
Additional file 2 of Probing pathways by which rhynchophylline modifies sleep using spatial transcriptomics
Roig, M. N. B., Leduc, T., Dufort‐Gervais, J., Maghmoul, Y., Tastet, O., & Mongrain, V. (2024) · Figshare · doi:10.6084/m9.figshare.26587143
Additional file 4 of Meditative practices, stress and sleep among students studying complementary and integrative health: a cross-sectional analysis
Sadowski, A., Wexler, R. S., Hanes, D., Buttolph, L., Torrens, T., Moehle, J., Sarrar, H., Harnett, J., Zava, D. T., & Bradley, R. D. (2022) · Figshare · doi:10.6084/m9.figshare.19720114
Additional file 1 of Clinical and genetic factors associated with self-reported cognitive deficits in women with breast cancer: the “CAGE-Cog” study
Hajj, A., Khoury, R., Hachem, R. E., Awad, A., Hallit, S., Sacre, H., Nasr, F. L., Karak, F. E., Chahine, G., Kattan, J. G., et al. (2022) · Figshare · doi:10.6084/m9.figshare.21162790
Additional file 1 of The efficacy of computer-assisted cognitive behavioral therapy (cCBT) on psychobiological responses and perioperative outcomes in patients undergoing functional endoscopic sinus surgery: a randomized controlled trial
Yang, Y., Li, Y., Zhang, H., Xu, Y., & Wang, B. (2021) · Figshare · doi:10.6084/m9.figshare.15253818
Additional file 1 of Probing pathways by which rhynchophylline modifies sleep using spatial transcriptomics
Roig, M. N. B., Leduc, T., Dufort‐Gervais, J., Maghmoul, Y., Tastet, O., & Mongrain, V. (2024) · Figshare · doi:10.6084/m9.figshare.26587140

Authors: van Dalfsen, J. H., & Markus, C. R.
Affiliations: Maastricht University (NL)
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2018-06
Volume: 39
Pages: 187-194
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2017.10.002
OpenAlex: W2765534164
Cited by: 329
References: 74
Citations by year: 2026: 46 · 2025: 85 · 2024: 32 · 2023: 36 · 2022: 41 · 2021: 39 · 2020: 20 · 2019: 16 · 2018: 13
FWCI: 1.18
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Leiden Repository (Leiden University) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion)
Topics: Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: sleep, hypothalamic-pituitary-adrenal axis, HPA axis reactivity, cortisol, stress reactivity, sleep quality, sleep duration, excessive daytime sleepiness, insufficient sleep, neuroendocrine function
MeSH terms: Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Sleep, Stress, Psychological

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The influence of sleep on human hypothalamic-pituitary-adrenal (HPA) axis reactivity: a systematic review

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