Challenging the sleep homeostat does not influence the thermoregulatory system in men: evidence from a nap vs. sleep-deprivation study
Abstract
The purpose of our study was to understand the relationship between the components of the three-process model of sleepiness regulation (homeostatic, circadian, and sleep inertia) and the thermoregulatory system. This was achieved by comparing the impact of a 40-h sleep deprivation vs. a 40-h multiple nap paradigm (10 cycles with 150/75 min wakefulness/sleep episodes) on distal and proximal skin temperatures, core body temperature (CBT), melatonin secretion, subjective sleepiness, and nocturnal sleep EEG slow-wave activity in eight healthy young men in a “controlled posture” protocol. The main finding of the study was that accumulation of sleep pressure increased subjective sleepiness and slow-wave activity during the succeeding recovery night but did not influence the thermoregulatory system as measured by distal, proximal, and CBT. The circadian rhythm of sleepiness (and proximal temperature) was significantly correlated and phase locked with CBT, whereas distal temperature and melatonin secretion were phase advanced (by 113 ± 28 and 130 ± 30 min, respectively; both P < 0.005). This provides evidence for a primary role of distal vasodilatation in the circadian regulation of CBT and its relationship with sleepiness. Specific thermoregulatory changes occur at lights off and on. After lights off, skin temperatures increased and were most pronounced for distal; after lights on, the converse occurred. The decay in distal temperature (vasoconstriction) was significantly correlated with the disappearance of sleep inertia. These effects showed minor and nonsignificant circadian modulation. In summary, the thermoregulatory system seems to be independent of the sleep homeostat, but the circadian modulation of sleepiness and sleep inertia is clearly associated with thermoregulatory changes.
Integrity signals
Registry
Cites
Statistics
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?
Participants collected wrist temperature data under real life conditions so that the rhythms contain both circadian and sleep-wake behavior and environmentally evoked components.
“Importantly, participants collected these data under real life conditions so that the wrist temperature rhythms contain both circadian as well as sleep-wake behavior and environmentally evoked components (i.e., sleep reduces core temp and increases distal skin temperature)19.”
From Diurnal rhythms of wrist temperature are associated with future disease risk in the UK Biobank (2023) · cites this paper as [19]
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364 · see citing works
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 · see citing works
Two-Process Model of Sleep Regulation
Binder, M. D., Hirokawa, N., & Windhorst, U. (2008) · Springer eBooks · doi:10.1007/978-3-540-29678-2_6166 · Cited by 3,895 · see citing works
Subjective and objective sleepiness in the active individual
Åkerstedt, T., & Gillberg, M. (1990) · International Journal of Neuroscience · doi:10.3109/00207459008994241 · Cited by 3,088 · see citing works
Stability, precision, and near-24-hour period of the human circadian pacemaker
Czeisler, C. A., Duffy, J. F., Shanahan, T. L., Brown, E. N., Mitchell, J. F., Rimmer, D. W., Ronda, J. M., Silva, E. J., Allan, J. S., Emens, J. S., et al. (1999) · Science · doi:10.1126/science.284.5423.2177 · Cited by 1,705 · see citing works
Funnekotter, B. (2005) · Amsterdam University Press eBooks · doi:10.1017/9789048505418.012 · Cited by 1,672 · see citing works
Timing of human sleep: recovery process gated by a circadian pacemaker
Daan, S., Beersma, D. G. M., & Borbély, A. A. (1984) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1984.246.2.r161 · Cited by 1,424 · see citing works
Dijk, D., & Czeisler, C. (1995) · The Journal of Neuroscience · doi:10.1523/jneurosci.15-05-03526.1995 · Cited by 1,356 · see citing works
Primer of Applied Regression & Analysis of Variance
Glantz, S. A., & Slinker, B. K. (1990) · UCLA - Biblioteca de Ciencias y Tecnologia Felix Morales Bueno · Cited by 1,201 · see citing works
Multiple comparisons: philosophies and illustrations
Curran-Everett, D. (2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.279.1.r1 · Cited by 743 · see citing works
Circadian and sleep/wake dependent aspects of subjective alertness and cognitive performance
Dijk, D., Duffy, J. F., & Czeisler, C. A. (1992) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1992.tb00021.x · Cited by 602 · see citing works
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 · see citing works
Self-citationAchermann, P., Dijk, D.-J., Brunner, D. P., & Borbély, A. A. (1993) · Brain Research Bulletin · doi:10.1016/0361-9230(93)90016-5 · Cited by 470 · see citing works
A diurnal type scale. Construction, consistency and validation in shift work.
Torsvall, L., & Åkerstedt, T. (1980) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.2608 · Cited by 434 · see citing works
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 · see citing works
Self-citationKeeping cool: a hypothesis about the mechanisms and functions of slow-wave sleep
McGinty, D., & Szymusiak, R. S. (1990) · Trends in Neurosciences · doi:10.1016/0166-2236(90)90081-k · Cited by 390 · see citing works
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 · see citing works
Aschoff, J., Daan, S., & Groos, G. A. (1982) · Proceedings in life sciences · doi:10.1007/978-3-642-68651-1 · Cited by 373 · see citing works
Functional link between distal vasodilation and sleep-onset latency?
Kräuchi, K., Cajochen, C., Werth, E., & Wirz-Justice, A. (2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.278.3.r741 · Cited by 356 · see citing works
Self-citationTime course of sleep inertia dissipation in human performance and alertness
Jewett, M. E., Wyatt, J. K., Cecco, A. R.-D., Khalsa, S. B. S., Dijk, D., & Czeisler, C. A. (1999) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1999.00128.x · Cited by 327 · see citing works
Adaptation to abrupt time shifts of the oscillator(s) controlling human circadian rhythms.
Mills, J. N., Minors, D. S., & Waterhouse, J. M. (1978) · The Journal of Physiology · doi:10.1113/jphysiol.1978.sp012582 · Cited by 285 · see citing works
Why we sleep: the functions of sleep in humans and other mammals
(1988) · Choice Reviews Online · doi:10.5860/choice.26-1810 · Cited by 250 · see citing works
Kräuchi, K., Cajochen, C., Mori, D., Graw, P., & Wirz‐Justice, A. (1997) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1997.272.4.r1178 · Cited by 196 · see citing works
Self-citationMelatonin: Role in Gating Nocturnal Rise in Sleep Propensity
Lavie, P. (1997) · Journal of Biological Rhythms · doi:10.1177/074873049701200622 · Cited by 190 · see citing works
Dynamics of frontal EEG activity, sleepiness and body temperature under high and low sleep pressure
Cajochen, C., Knoblauch, V., Kräuchi, K., Renz, C., & Wirz‐Justice, A. (2001) · Neuroreport · doi:10.1097/00001756-200107200-00046 · Cited by 163 · see citing works
Self-citationAge-related attenuation of the evening circadian arousal signal in humans
Münch, M. Y., Knoblauch, V., Blatter, K., Schroder, C. M., Schnitzler, C., Kräuchi, K., Wirz‐Justice, A., & Cajochen, C. (2005) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2005.03.004 · Cited by 158 · see citing works
Self-citationThe rhythms of human sleep propensity and core body temperature
Lack, L. C., & Lushington, K. (1996) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1996.00005.x · Cited by 153 · see citing works
From slow waves to sleep homeostasis: new perspectives.
Borbély, A. A. (2001) · PubMed · Cited by 152 · see citing works
Rapid Decline in Body Temperature Before Sleep: Fluffing the Physiological Pillow?
Campbell, S. S., & Broughton, R. (1994) · Chronobiology International · doi:10.3109/07420529409055899 · Cited by 127 · see citing works
The Sleep-Evoked Decrease of Body Temperature
Barrett, J., Lack, L. C., & Morris, M. (1993) · SLEEP · doi:10.1093/sleep/16.2.93 · Cited by 116 · see citing works
Folkard, S., & Åkerstedt, T. (2004) · PubMed · Cited by 106 · see citing works
Baylor, G. W., & Corrado Cavallero, P. (2001) · SLEEP · doi:10.1093/sleep/24.2.165 · Cited by 105 · see citing works
Sleep propensity is modulated by circadian and behavior-induced changes in cutaneous temperature
Van Someren, E. J. W. (2004) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2004.08.003 · Cited by 98 · see citing works
Waking up properly: Is there a role of thermoregulation in sleep inertia?
Kräuchi, K., Cajochen, C., & Wirz‐Justice, A. (2004) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2004.00398.x · Cited by 91 · see citing works
Gradisar, M., & Lack, L. C. (2004) · Journal of Biological Rhythms · doi:10.1177/0748730403261560 · Cited by 82 · see citing works
Body temperature and sleep architecture in response to a mild cold stress in women
Sewitch, D. E., Kittrell, E. M. W., Kupfer, D. J., & Reynolds, C. F. (1986) · Physiology & Behavior · doi:10.1016/0031-9384(86)90459-2 · Cited by 82 · see citing works
Slow Wave Sleep Deficiency Insomnia: A Problem in Thermo‐Downregulation at Sleep Onset
Sewitch, D. E. (1987) · Psychophysiology · doi:10.1111/j.1469-8986.1987.tb00279.x · Cited by 61 · see citing works
Lowe, A. A. (1993) · SLEEP · doi:10.1093/sleep/16.suppl_8.s93 · Cited by 59 · see citing works
Thermophysiologic Aspects of the Three-Process-Model of Sleepiness Regulation
Kräuchi, K., Cajochen, C., & Wirz‐Justice, A. (2005) · Clinics in Sports Medicine · doi:10.1016/j.csm.2004.12.009 · Cited by 58 · see citing works
Self-citationKräuchi, K., Cajochen, C., Danilenko, K. V., & Wirz-Justice, A. (1997) · Neuroscience Letters · doi:10.1016/s0304-3940(97)00553-3 · Cited by 54 · see citing works
Self-citationSleep inertia: performance changes after sleep, rest and active waking
Hofer-Tinguely, G., Achermann, P., Landolt, H., Regel, S. J., Rétey, J., Dürr, R., Borbély, A. A., & Gottselig, J. M. (2004) · Cognitive Brain Research · doi:10.1016/j.cogbrainres.2004.09.013 · Cited by 54 · see citing works
Acute finger temperature changes preceding sleep onsets over a 45‐h period
Lack, L. C., & Gradisar, M. (2002) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2002.00312.x · Cited by 51 · see citing works
Regional differences in the circadian modulation of human sleep spindle characteristics
Knoblauch, V., Martens, W. L. J., Wirz‐Justice, A., Kräuchi, K., & Cajochen, C. (2003) · European Journal of Neuroscience · doi:10.1046/j.1460-9568.2003.02729.x · Cited by 49 · see citing works
Self-citation(2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.279.4.ra1 · Cited by 41 · see citing works
Interaction Between the Sleep-Wake Cycle and the Rhythm of Rectal Temperature
Zulley, J., & Wever, R. (1982) · Proceedings in life sciences · doi:10.1007/978-3-642-68651-1_28 · Cited by 38 · see citing works
Dijk, D., & Czeisler, C. A. (1993) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1993.tb00073.x · Cited by 27 · see citing works
Nocturnal variations in subcutaneous blood flow rate in lower leg of normal human subjects
Sindrup, J. H., Kastrup, J., Jørgensen, B., Bülow, J., & Lassen, N. A. (1991) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.1991.260.2.h480 · Cited by 23 · see citing works
Wechselwirkung zwischen Kern und Schale im Wärmehaushalt
Aschoff, J. (1956) · MPG.PuRe (Max Planck Society) · Cited by 13 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Mechanisms and functions of coupling between sleep and temperature rhythms
Van Someren, E. J. W. (2006) · Progress in Brain Research · doi:10.1016/s0079-6123(06)53018-3 · Cited by 209 · see citing works
The thermophysiological cascade leading to sleep initiation in relation to phase of entrainment
Kräuchi, K. (2007) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.07.001 · Cited by 191 · see citing works
Self-citationAdenosine, caffeine, and sleep–wake regulation: state of the science and perspectives
Reichert, C. F., Deboer, T., & Landolt, H. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13597 · Cited by 183 · see citing works
“Also the amplitude of output markers of the circadian clock in humans, like melatonin release or core body temperature do not change under the influence of increased sleep pressure (e.g., Birchler-Pedross et al., 2009; Krauchi et al., 2006), but the sleep pressure induced may not be strong enough.”
BackgroundThe human sleep–wake cycle reconsidered from a thermoregulatory point of view
Kräuchi, K. (2007) · Physiology & Behavior · doi:10.1016/j.physbeh.2006.09.005 · Cited by 173 · see citing works
Self-citation<p>Sleep inertia: current insights</p>
Hilditch, C. J., & McHill, A. W. (2019) · Nature and Science of Sleep · doi:10.2147/nss.s188911 · Cited by 173 · see citing works
The interrelationship between sleep regulation and thermoregulation
Krauchi, K. (2010) · Frontiers in bioscience · doi:10.2741/3636 · Cited by 156 · see citing works
Effects of season on sleep and skin temperature in the elderly
Okamoto-Mizuno, K., & Tsuzuki, K. (2010) · International Journal of Biometeorology · doi:10.1007/s00484-009-0291-7 · Cited by 97 · see citing works
Altered Skin-Temperature Regulation in Narcolepsy Relates to Sleep Propensity
Fronczek, R., Overeem, S., Lammers, G. J., van Dijk, J. G., & van Someren, E. J. W. (2006) · Sleep · doi:10.1093/sleep/29.11.1444 · Cited by 92 · see citing works
Diurnal rhythms of wrist temperature are associated with future disease risk in the UK Biobank
Brooks, T. G., Lahens, N. F., Grant, G. R., Sheline, Y. I., FitzGerald, G. A., & Skarke, C. (2023) · Nature Communications · doi:10.1038/s41467-023-40977-5 · Cited by 57 · see citing works
Kräuchi, K., Konieczka, K., Roescheisen-Weich, C., Gompper, B., Hauenstein, D., Schoetzau, A., Fraenkl, S., & Flammer, J. (2014) · Chronobiology International · doi:10.3109/07420528.2013.829482 · Cited by 46 · see citing works
Self-citationMartinez-Nicolas, A., Guaita, M., Santamaría, J., Montserrat, J. M., Rol, M. Á., & Madrid, J. A. (2017) · Sleep · doi:10.1093/sleep/zsx067 · Cited by 42 · see citing works
Romeijn, N., Verweij, I. M., Koeleman, A., Mooij, A., Steimke, R., Virkkala, J., van der Werf, Y., & Van Someren, E. J. W. (2012) · Sleep · doi:10.5665/sleep.2242 · Cited by 41 · see citing works
- Authors
- Kräuchi, K., Knoblauch, V., Wirz-Justice, A., & Cajochen, C.
- Affiliations
- Universitäre Psychiatrische Kliniken Basel (CH)
- ORCID
- Cajochen, Christian
- Venue
- American Journal of Physiology-Regulatory, Integrative and Comparative Physiology
- Publisher
- American Physiological Society
- Published
- 2006-04
- Volume
- 290
- Issue
- 4
- Pages
- R1052-R1061
- ISSN
- 0363-6119 (ISSN-L)
- 1522-1490
- OpenAlex
- W1978560007
- Cited by
- 83
- References
- 49
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 4
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Regulatory, Integrative and Comparative Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep homeostasis, thermoregulation, sleep deprivation, sleepiness, circadian rhythm, sleep inertia, core body temperature, skin temperature, melatonin secretion, slow-wave activity, vasodilation, vasomotor control
- MeSH terms
- Body Temperature, Body Temperature Regulation, Circadian Rhythm, Electroencephalography, Humans, Male, Skin Temperature, Sleep, Sleep Deprivation, Sleep Stages
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