Cited by 161Circadian rhythm and melatoninSleep and Work-Related FatigueSleep and related disorders

Circadian disruption and human health: A bidirectional relationship

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Abbott, Sabra M., Malkani, Roneil G., Zee, Phyllis C.·2020·European Journal of Neuroscience

Abstract

Circadian rhythm disorders have been classically associated with disorders of abnormal timing of the sleep–wake cycle, however circadian dysfunction can play a role in a wide range of pathology, ranging from the increased risk for cardiometabolic disease and malignancy in shift workers, prompting the need for a new field focused on the larger concept of circadian medicine. The relationship between circadian disruption and human health is bidirectional, with changes in circadian amplitude often preceding the classical symptoms of neurodegenerative disorders. As our understanding of the importance of circadian dysfunction in disease grows, we need to develop better clinical techniques for identifying circadian rhythms and also develop circadian based strategies for disease management. Overall this review highlights the need to bring the concept of time to all aspects of medicine, emphasizing circadian medicine as a prime example of both personalized and precision medicine.

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  • Disturbed rest-activity rhythms lead to desynchronization of internal molecular clocks, thereby disturbing circadian biochemical processes, secretion of hormones, metabolic functions, and physiological parameters.

    “Existing evidence shows that disturbed rest-activity rhythms, as, for example, in shift workers, lead to desynchronization of internal molecular clocks, thereby disturbing circadian biochemical processes, secretion of hormones, metabolic functions, and physiological parameters [66-68].”

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  1. Figueiro M, & Rea M (2005). LEDs: Improving the sleep quality of older adults. In Proceedings of the CIE Midterm Meeting and International Lighting Congress (pp. 18– 21).

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Authors
Abbott, S. M., Malkani, R. G., & Zee, P. C.
Affiliations
Northwestern University (US)
Corresponding author
Abbott, Sabra M.
Venue
European Journal of Neuroscience
Publisher
Wiley
Published
2019-01-03
Volume
51
Issue
1
Pages
567-583
ISSN
  • 0953-816X (ISSN-L)
  • 1460-9568
OpenAlex
W2904994316
Cited by
161
References
180
Citations by year
2026: 21 · 2025: 25 · 2024: 29 · 2023: 23 · 2022: 19 · 2021: 19 · 2020: 15 · 2019: 10
FWCI
1.54
Type
journal article
Language
en
Open access
Locations
  • European Journal of Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (P01AG011412)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
circadian rhythm disruption, circadian medicine, circadian dysfunction, shift work, cardiometabolic disease, cancer risk, neurodegenerative diseases, circadian amplitude, personalized medicine, precision medicine, sleep-wake cycle
MeSH terms
Circadian Rhythm, Humans, Melatonin, Neurodegenerative Diseases

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