A relationship between heat loss and sleepiness: effects of postural change and melatonin administration
Abstract
Kräuchi, Kurt, Christian Cajochen, and Anna Wirz-Justice. A relationship between heat loss and sleepiness: effects of postural change and melatonin administration. J. Appl. Physiol. 83(1): 134–139, 1997.—Both the pineal hormone melatonin (Mel) and postural changes have thermoregulatory sequelae. The purpose of the study was to evaluate their relationship to subjective sleepiness. Eight healthy young men were investigated under the unmasking conditions of a constant routine protocol. Heart rate, rectal temperature (T re), skin temperatures (foot, T fo; and stomach), and subjective sleepiness ratings were continuously recorded from 1000 to 1700. Mel (5 mg po) was administered at 1300, a time when Mel should not phase shift the circadian system. Both the postural change at 1000 from upright to a supine position (lying down in bed) and Mel administration at 1300 reduced T re and increased T fo in parallel with increased sleepiness. These findings suggest that under comfortable ambient temperature conditions, heat loss via the distal skin regions (e.g., feet) is a key mechanism for induction of sleepiness as core body temperature declines.
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Being in a supine position is a sleep-permissive condition, whereas being upright is a wake-promoting condition.
“Being in a supine position is being in a sleep-permissive condition, whereas being upright is being in a wake-promoting condition [2, 13, 14, 18, 49, 62].”
From Sleep, vigilance, and thermosensitivity (2012) · cites this paper as [49]
Sleep onset and maintenance depend on sleep-permissive and wake-promoting conditions such as posture.
“In real life, sleep onset and maintenance also depend on whether some seemingly trivial yet crucial conditions are met, like having attained an appropriate posture.”
From Sleep, vigilance, and thermosensitivity (2012) · cites this paper as [49]
It has been proposed that the gradient between temperatures measured at a distal and a proximal site correlates most strongly with measures of vigilance.
“Based on these controlled studies, it has been proposed that it may especially be the gradient between the temperatures measured at a distal and a proximal site that correlates most strongly with measures of vigilance [46–49].”
From Sleep, vigilance, and thermosensitivity (2012) · cites this paper as [49]
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- Authors
- Kräuchi, K., Cajochen, C., & Wirz-Justice, A.
- Affiliations
- Universitäre Psychiatrische Kliniken Basel (CH)
- Chronobiology and Sleep Laboratory, Psychiatric University Clinic, CH-4025 Basel, Switzerland
- ORCID
- Cajochen, Christian
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 1997-07-01
- Volume
- 83
- Issue
- 1
- Pages
- 134-139
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W2129551234
- Cited by
- 227
- References
- 25
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 8 · 2021: 7 · 2020: 7 · 2019: 14 · 2018: 8 · 2017: 2 · 2016: 12 · 2015: 3 · 2014: 8 · 2013: 19 · 2012: 8
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- heat loss, sleepiness, melatonin, postural changes, thermoregulation, core body temperature, skin temperature, supine position, subjective sleepiness, circadian rhythm, constant routine
- MeSH terms
- Adult, Body Temperature, Body Temperature Regulation, Double-Blind Method, Electrocardiography, Heart Rate, Humans, Male, Melatonin, Posture, Saliva, Skin Temperature, Sleep Stages, Cross-Over Studies
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