The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Thermoregulatory effects of melatonin in relation to sleepiness
Abstract
Thermoregulatory processes have long been implicated in the initiation of human sleep. In this paper, we review our own studies conducted over the last decade showing a crucial role for melatonin as a mediator between the thermoregulatory and arousal system in humans. Distal heat loss, via increased skin temperature, seems to be intimately coupled with increased sleepiness and sleep induction. Exogenous melatonin administration during the day when melatonin is essentially absent mimics the endogenous thermophysiological processes occurring in the evening and induces sleepiness. Using a cold thermic challenge test, it was shown that melatonin-induced sleepiness occurs in parallel with reduction in the thermoregulatory set-point (threshold); thus, melatonin may act as a circadian modulator of the thermoregulatory set-point. In addition, an orthostatic challenge can partially block the melatonin-induced effects, suggesting an important role of the sympathetic nervous system as a link between the thermoregulatory and arousal systems. A topographical analysis of finger skin temperature with infrared thermometry revealed that the most distal parts of the fingers, i.e., fingertips, represent the important skin regions for heat loss regulation, most probably via opening the arteriovenous anastomoses, and this is clearly potentiated by melatonin. Taken together, melatonin is involved in the fine-tuning of vascular tone in selective vascular beds, as circulating melatonin levels rise and fall throughout the night. Besides the role of melatonin as "nature's soporific", it can also serve as nature's nocturnal vascular modulator.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“As melatonin is known to initiate heat loss by distal vasodilation of the vessels [27,52], our findings of a higher DPG, indicating a stronger heat loss, around the middle of the night (i.e., at 03:00 and 03:35) after reading on printed material compared to reading in both smartphone conditions (cf., Figure 5) are well in line with these results.”
From Preliminary Results: The Impact of Smartphone Use and Short-Wavelength Light during the Evening on Circadian Rhythm, Sleep and Alertness (2021) · cites this paper as [52]
In the citing paper
“melatonin is known to initiate heat loss by distal vasodilation of the vessels [27,52]”
From Preliminary Results: The Impact of Smartphone Use and Short-Wavelength Light during the Evening on Circadian Rhythm, Sleep and Alertness (2021) · cites this paper as [52]
Citations
Cites
Principles and Practice of Sleep Medicine
Kryger, M. H., Roth, T. G., & Dement, W. C. (2011) · Elsevier eBooks · doi:10.1016/c2009-0-59875-3 · Cited by 5,118
Fatigue, alcohol and performance impairment
Dawson, D., & Reid, K. (1997) · Nature · doi:10.1038/40775 · Cited by 1,199
Human Sleep: Its Duration and Organization Depend on Its Circadian Phase
Czeisler, C. A., Weitzman, E. D., Moore-Ede, M. C., Zimmerman, J. C., & Knauer, R. S. (1980) · Science · doi:10.1126/science.7434029 · Cited by 903
The central autonomic nervous system: conscious visceral perception and autonomic pattern generation
Saper, C. B. (2002) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.25.032502.111311 · Cited by 837
Principles and Practice of Sleep Medicine
Stafford, R. S. (2001) · JAMA · doi:10.1001/jama.285.8.1074 · Cited by 612
Krauchi, K., & Wirz-Justice, A. (1994) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1994.267.3.r819 · Cited by 558 · cited 2×
“However, the circadian pattern of heat loss and heat production is not represented by uniform sine waves; heat loss in the evening is more dominant than reduction in heat production, and vice versa in the morning (Kräuchi and Wirz-Justice, 1994).”
BackgroundNeural Organization and Evolution of Thermal Regulation in Mammals
Satinoff, E. (1978) · Science · doi:10.1126/science.351802 · Cited by 512
Warm feet promote the rapid onset of sleep
Kräuchi, K., Cajochen, C., Werth, E., & Wirz-Justice, A. (1999) · Nature · doi:10.1038/43366 · Cited by 398
Self-citationMelatonin: a major regulator of the circadian rhythm of core temperature in humans
Cagnacci, A., Elliott, J. A., & Yen, S. S. C. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.75.2.1639946 · Cited by 396
The dependence of onset and duration of sleep on the circadian rhythm of rectal temperature
Zulley, J., Wever, R., & Aschoff, J. (1981) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/bf00581514 · Cited by 377
Research works printed but not linked: 11
- Brown C. C, 1979, Waking Sleeping, 3, 353
- Cagnacci A., 1992, J. Clin. Endocrinol. Metab., 75, 447
- Dubocovich M., 2000, Melatonin After Four DecadesKluwer Academic Edition, 181
- Grant R. T., 1931, Heart, 15, 385
- Hales J. R.S, 1985, Cardiovascular Shunts. Alfred Benzon Symposium 21, 433
- Kräuchi K., 1994, Am. J. Physiol., 267, R819
- Kräuchi K., 1997, Sleep Res., 26, 79
- Kräuchi K., 1999, Sleep, 22, 285
- Kräuchi K., 2000, Am. J. Physiol., 278, R741
- Kräuchi K., 2002, Chronobiol. Int., 19, 993
- Szymusiak R., 2001, Arch. Ital. Biol., 139, 77
Cited by
Sorted by citations
Items 101–152 of 152
Bruno, S., Cenerini, G., Giudice, L. L., Sanabria, F. C., Benedetti, D., Crippa, A., Fiori, S., Ferri, R., Masi, G., & Faraguna, U. (2025) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2025.102158 · Cited by 5
Ioannou, L. G., Tsoutsoubi, L., Mantzios, K., Ciuha, U., Kenny, G. P., Nybo, L., Flouris, A. D., & Mekjavić, I. B. (2024) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2024-0105 · Cited by 6
Body Temperature Regulation Determines Immune Reactions and Species Longevity
Martins, I. J. (2019) · Heat shock proteins · doi:10.1007/978-3-030-24285-5_3 · Cited by 5
Drugs Used in Circadian Sleep-Wake Rhythm Disturbances
Burgess, H. J., & Emens, J. S. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2022.06.007 · Cited by 5
Neurobiology of NREM Sleep and Thermoregulation in Sleep
Szymusiak, R. S. (2017) · Springer eBooks · doi:10.1007/978-1-4939-6578-6_8 · Cited by 4
Glatfelter, G. C., Sosa, J., Hudson, R. L., & Dubocovich, M. L. (2022) · Methods in molecular biology · doi:10.1007/978-1-0716-2593-4_39 · Cited by 4
Ahmadi, K., Hazrati, M., Ahmadizadeh, M., & Noohi, S. (2019) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v14i2.994 · Cited by 4
Eriņš, M., Minejeva, O., Kivlenieks, R., & Lauznis, J. (2019) · Engineering for Rural Development · doi:10.22616/erdev2019.18.n363 · Cited by 4
Study on the Relationship between Cold type and Sleep Quality in Koreans
Seo, B., Jeong, K., Baek, Y., & Lee, S. (2021) · 동의생리병리학회지 · doi:10.15188/kjopp.2021.02.35.1.42 · Cited by 4
Physiological Changes in the Autonomic Nervous System During Sleep
Amici, R., & Zoccoli, G. (2021) · Springer eBooks · doi:10.1007/978-3-030-62263-3_5 · Cited by 4
Adekeye, A. O., & Fafure, A. A. (2022) · Human & Experimental Toxicology · doi:10.1177/09603271221149010 · Cited by 3
Melatonin and its use in atherosclerosis and dyslipidemia
Danilenko, K. V., & Ragino, Y. I. (2013) · ChronoPhysiology and Therapy · doi:10.2147/cpt.s40209 · Cited by 3
Alteration in circadian rhythms in bipolar disorder: Mechanisms and implications
Dallaspezia, S., & Benedetti, F. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-819182-8.00010-7 · Cited by 4
Sattari, P., Shakourifar, M., Jafarian, K., Naghsh, E., Sadeghi, A., Sharifi, M., & Moghaddas, A. (2025) · Advanced Biomedical Research · doi:10.4103/abr.abr_352_22 · Cited by 2
Rehabilitative strategies after filtering procedure in glaucoma
Vingolo, E. M., Casillo, L., Mecarelli, G., & Limoli, P. G. (2022) · Scientific Reports · doi:10.1038/s41598-022-20191-x · Cited by 2
Barlas, T., Yalçın, M. M., Avci, D. E., Kaplan, Y., Aktürk, M., Törüner, F. B., Karakoç, A., & Altınova, A. E. (2023) · Pituitary · doi:10.1007/s11102-023-01328-1 · Cited by 2
Okamoto, S., Lin, C.-A., Hiromatsu, C., & Goto, K. (2026) · Physical Activity and Nutrition · doi:10.20463/pan.2026.0008 · Cited by 1
Neurophysiology and neuroimaging of human sleep
Ferrarelli, F., & Benca, R. M. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511777493.005 · Cited by 1
Temperature biofeedback and sleep: limited findings and methodological challenges
Forest, G., Koninck, J. D., Lushington, K., & van den Heuvel (2012) · ChronoPhysiology and Therapy · doi:10.2147/cpt.s33147 · Cited by 1
Umetsu, M. (2014) · Brain Disorders & Therapy · doi:10.4172/2168-975x.1000124 · Cited by 1
Interaction between Melatonin, Sleepiness-Alertness and Body Temperature
Naz, S. S., Shafiq, M. M., & Albreiki, M. S. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.112249 · Cited by 3
Lundy, B., Miller, J. C., Jackson, K., Senchina, D. S., Burke, L. M., Stear, S. J., & Castell, L. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090460 · Cited by 1
The use of melatonin to mitigate the adverse metabolic side effects of antipsychotics
Romo‐Nava, F., Buijs, R. M., & McElroy, S. L. (2021) · Handbook of clinical neurology · doi:10.1016/b978-0-12-819975-6.00024-8 · Cited by 1
Overview of physiological processes during sleep
Amici, R., Cerri, M., Hitrec, T., & Zoccoli, G. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822963-7.00178-x · Cited by 2
The Effect of Cooling the Head to Reduce Brain Temperature on Stress
Knox, A. M. (2013) · UC Research Repository (University of Canterbury) · doi:10.26021/6622
The Influence of Melatonin, Caffeine, and Bright Light on Human Circadian Physiology
Burke, T. M. (2011) · CU Scholar (University of Colorado Boulder)
Thermoregulation During Sleep☆
Szymusiak, R. S. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-809324-5.02772-3
Circadian Phase in Chronic Insomnia
Pfahl, J. (2011) · CU Scholar (University of Colorado Boulder)
Dawn, light at night and the clock: Impact on human alertness, performance and physiology
van de Werken, M. (2013) · University of Groningen research database (University of Groningen / Centre for Information Technology)
Morgia, C. L., Ross‐Cisneros, F. N., Hannibal, J., Sadun, A. A., Carelli, V., & Montagna, P. (2012) · Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna)
dos Santos, J. C. (2020) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.17.2020.tde-20112018-110709
Neurobiology of the Control of Sleep
DelRosso, L. M., Wrede, J. E., Lockhart, C. T., & Cardinali, D. P. (2020) · Springer eBooks · doi:10.1007/978-3-030-54359-4_3
Light and melatonin treatment for shift work
Boivin, D. B., Boudreau, P., & Kosmadopoulos, A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-822963-7.00221-8
Stankiewicz, P. (2019) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.736665351.793567195
Omlin, X., & Nissen, C. (2022) · Elsevier eBooks · doi:10.1016/b978-3-437-23031-8.00028-5
Toscanini, A. C., & Hasan, R. (2024) · Springer eBooks · doi:10.1007/978-3-031-50710-6_2
Swami, S. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13814-0.00016-8
Narciso, F. V., Silva, A. A. B., Costa, C. M. A., Borba, D. D. A., Brant, V. M., Wanner, S. P., Silva, A., & de Mello, M. T. (2025) · Journal of Thermal Analysis and Calorimetry · doi:10.1007/s10973-025-14874-6
Hristov, M., & Andreeva-Gateva, P. A. (2025) · Acta Medica Bulgarica · doi:10.2478/amb-2025-0074
Dourte, M., Hammad, G. H., Haan, S. D., Deantoni, M., Reyt, M., Baillet, M., Lesoinne, A., Muto, V., Collette, F., Vandewalle, G., et al. (2026) · Temperature · doi:10.1080/23328940.2026.2623852
Day-to-Day Circadian Phase Fluctuations Shape Sleep and Behavior in Adolescents with ADHDPreprint
Reich, N., Imparato, A., Schneider, M., Eliez, S., Graser, C. J., & Sandini, C. (2026) · medRxiv · doi:10.64898/2026.04.30.26352043
Jouvencel, A., Willoughby, A. R., Leong, R. L. F., & Chee, M. W. L. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.109074
Du, C., Chen, L., Mmereki, D., Chen, J., Zuo, F., & Li, B. (2026) · Energy and Built Environment · doi:10.1016/j.enbenv.2026.07.001
Traitements chronobiologiques dans les troubles du rythme circadien
Kilic-Huck, Ü., Saadi, S., & Bourgin, P. (2025) · Elsevier eBooks · doi:10.1016/b978-2-294-78711-9.00043-8
Vicente-Martínez, J., Bonmatí‐Carrión, M., López-Parra, A. M., Madrid, J. A., Pagán, P., & Rol, M. A. (2026) · Journal of Pineal Research · doi:10.1111/jpi.70181
Blessing, E. (2026) · Alzheimer s & Dementia · doi:10.1002/alz.71847
Miliotis, P. G., Halson, S. L., Mündel, T., Leota, J., Toubekis, A. G., & Botonis, P. G. (2026) · Sports Medicine · doi:10.1007/s40279-026-02555-9
Clock genes and female reproduction
Chen, C. (2009) · ERA
Metadata
- Authors
- Kräuchi, K., Cajochen, C., Pache, M., Flammer, J., & Wirz‐Justice, A.
- Affiliations
- Universitäre Psychiatrische Kliniken Basel (CH)
- University Hospital of Basel (CH)
- Corresponding author
- Kräuchi, Kurt
- Venue
- Chronobiology International
- Publisher
- Informa UK Limited
- Published
- 2006-01
- Volume
- 23
- Issue
- 1-2
- Pages
- 475-484
- ISSN
- 0742-0528 (ISSN-L)
- 1525-6073
- OpenAlex
- W2112943789
- Cited by
- 152
- References
- 40
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 10 · 2021: 12 · 2020: 9 · 2019: 16 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 1 · 2014: 6 · 2013: 12 · 2012: 6
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronobiology International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- melatonin, thermoregulation, sleepiness, sleep induction, thermoregulatory set point, circadian rhythm, arousal system, skin temperature, heat loss, orthostatic challenge, sympathetic nervous system, finger temperature, arteriovenous anastomoses
- MeSH terms
- Adult, Body Temperature Regulation, Circadian Rhythm, Hot Temperature, Humans, Male, Melatonin, Models, Biological, Skin Temperature, Sleep, Sleep Stages, Temperature, Time Factors
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 ›
Are you an author, or do you see a problem with this page? Request a review