Cited by 139Circadian rhythm and melatoninSleep and Work-Related FatigueSleep and related disorders

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Clinical Aspects of Human Circadian Rhythms

Klerman, Elizabeth B.·2005·Journal of Biological Rhythms

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Abstract

Circadian rhythmicity can be important in the pathophysiology, diagnosis, and treatment of clinical disease. Due to the difficulties in conducting the necessary experimental work, it remains unknown whether approximately 24-h changes in pathophysiology or symptoms of many diseases are causally linked to endogenous circadian rhythms or to other diurnal factors that change across the day, such as changes in posture, activity, sleep or wake state, or metabolic changes associated with feeding or fasting. Until the physiology is accurately known, appropriate treatment cannot be designed. This review includes an overview of clinical disorders that are caused or affected by circadian or diurnal rhythms. The clinical side effects of disruption of circadian rhythmicity, such as in shiftwork, including the public health implications of the disrupted alertness and performance, are also discussed.

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Authors: Klerman, E. B.
Affiliations: Brigham and Women's Hospital (US)
Corresponding author: Klerman, Elizabeth B.
ORCID: Klerman, Elizabeth B.
Venue: Journal of Biological Rhythms
Publisher: SAGE Publications
Published: 2005-08
Volume: 20
Issue: 4
Pages: 375-386
ISSN: 0748-7304 (ISSN-L)
1552-4531
DOI: 10.1177/0748730405278353
OpenAlex: W2130935086
Cited by: 139
References: 114
Citations by year: 2025: 5 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 15 · 2013: 4 · 2012: 6
FWCI: 3.30
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Biological Rhythms (publishedVersion)
PubMed (publishedVersion)
Funders: National Aeronautics and Space Administration
Deutsches Krebsforschungszentrum
National Space Biomedical Research Institute
National Institutes of Health
National Institute on Aging (P01AG009975, P01-AG09775)
National Center for Research Resources (M01 RR 02635, M01RR002635)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD040291, R01-HD40291, K02HD045459)
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, diurnal cycle, circadian rhythm disorders, shift work, circadian rhythm disruption, alertness, employee performance, sleep-wake states, fasting and feeding, circadian medicine
MeSH terms: Biological Clocks, Circadian Rhythm, Disease, Humans, Sleep, Wakefulness, Work Schedule Tolerance, Chronobiology Disorders

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Clinical Aspects of Human Circadian Rhythms

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