The DOI matches its Crossref record; 40 of the 41 references it cites were found in a registry or an index.
Effects of Acutely Displaced Sleep on Testosterone
Abstract
CONTEXT: It is not yet clear whether the diurnal variation in testosterone is regulated by circadian or homeostatic (sleep) influences. OBJECTIVE: The present study tested whether testosterone is driven by a circadian-independent sleep effect by shifting sleep acutely to daytime in a 24-h sampling regiment. DESIGN, SETTING, AND PARTICIPANTS: In the sleep laboratory, seven healthy young men (age, 22-32 yr) participated in three conditions: habituation (sleep between 2300-0700 h), night sleep (2300-0700 h), and day sleep (0700-1500 h), the latter two in a balanced order. INTERVENTION AND MAIN OUTCOME MEASURE: Serum testosterone was, in all conditions, sampled by hourly blood drawing for 24 h during constant bed rest. RESULTS: Mean testosterone levels increased as a log-linear function of time (hours) across both sleep periods (b = 4.88; P < 0.001), from 15.3 +/- 2.1 to 25.3 +/- 2.2 nmol/liter during night sleep and from 17.3 +/- 2.1 to 26.4 +/- 2.9 nmol/liter during day sleep. Similarly, mean testosterone levels decreased with time (log-linear) awake (b = -1.80; P < 0.001). There was also evidence of a weak circadian component (acrophase ranging between 0651-0924 h) and an increase with time in the laboratory. Moreover, all these effects, except for the increase during sleep, differed significantly between individuals. CONCLUSION: In conclusion, testosterone increased during sleep and fell during waking, whereas circadian effects seemed marginal. Individual differences were pronounced.
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
“In males, plasma testosterone fluctuates during the day, with concentrations increasing during sleep and gradually decreasing during waking periods (Axelsson et al., 2005; Touitou et al., 1990), with marginal circadian effects (Axelsson et al., 2005).”
From The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment (2021) · cites this paper as Axelsson et al., 2005
In the citing paper
“The majority of the daily testosterone release in men occurs during sleep.1”
From Effect of 1 Week of Sleep Restriction on Testosterone Levels in Young Healthy Men (2011) · cites this paper as [1]
In the citing paper
“In addition to weight loss, exercise is independently associated with increasing T levels.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [75]
In the citing paper
“Compared to aerobic activity, resistance exercise likely results in greater improvements in T, with untrained men experiencing larger increases compared to those routinely performing resistance exercises.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [75]
Citations
Cites
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,773
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772
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
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 3,900
Methods for cosinor-rhythmometry.
Nelson, W. E., Tong, Y. L., Lee, J. K., & Franz Halberg, A. (1979) · PubMed · Cited by 1,701
Sleep Homeostasis and Models of Sleep Regulation
Borb, A. A., & Achermann, P. (1999) · Journal of Biological Rhythms · doi:10.1177/074873099129000894 · Cited by 1,546
Generalized Latent Variable Modeling: Multilevel, Longitudinal, and Structural Equation Models
Skrondal, A., & Rabe‐Hesketh, S. (2004) · Thammasat University Digital Collections · Cited by 1,505
Testosterone and dominance in men
Mazur, A., & Booth, A. (1998) · Behavioral and Brain Sciences · doi:10.1017/s0140525x98001228 · Cited by 1,447
Health disorders of shift workers
Knutsson, A. (2003) · Occupational Medicine · doi:10.1093/occmed/kqg048 · Cited by 1,218
Vgontzas, A. N., Bixler, E. O., Lin, H.-M., Prolo, P., Mastorakos, G., Vela-Bueno, A., Kales, A., & Chrousos, G. P. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.8.7778 · Cited by 884
Flagged first, then by citations
1 of the 41 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Items 101–170 of 170
Burke, E. E., & Bribiescas, R. G. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.03.011 · Cited by 15
O'Byrne, N. A., Yuen, F., Niaz, W., & Liu, P. Y. (2021) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2021.03.002 · Cited by 16
Impact of an 84-hour workweek on biomarkers for stress, metabolic processes and diurnal rhythm
Persson, R., Ørbæk, P., Kecklund, G., & Åkerstedt, T. (2006) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1030 · Cited by 16
Self-citationThe Significance of Low Testosterone Levels in Obese Men
Pelusi, C., & Pasquali, R. (2012) · Current Obesity Reports · doi:10.1007/s13679-012-0029-4 · Cited by 16
Testosterone Deficiency and Sleep Apnea
Burschtin, O. E., & Wang, J. (2016) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2016.08.003 · Cited by 15
Diagnosis of hypogonadism in ageing men
Kaufman, J. (2022) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-022-09763-4 · Cited by 18
Diurnal variability of total calcium during normal sleep and after an acute shift of sleep
Ridefelt, P., Axelsson, J., & Larsson, A. O. (2012) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.2011.880 · Cited by 14
Self-citationUkraintseva, Y. V., Liaukovich, K. M., Polishchuk, A., Martynova, O., Belov, D. A., Simenel, E. S., Cruz, M. G. M. E., & Nizhnik, A. N. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.04.012 · Cited by 14
Endocrine Rhythms, the Sleep-Wake Cycle, and Biological Clocks
Copinschi, G., Turek, F. W., & Cauter, E. V. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-5583-9.00011-3 · Cited by 14
Cavanaugh, D., Urbanucci, A., Mohamed, N., Tewari, A. K., Figueiro, M. G., & Kyprianou, N. (2024) · The Prostate · doi:10.1002/pros.24656 · Cited by 14
The Functions of Sleep and the Effects of Sleep Deprivation
During, E., & Kawai, M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-804074-4.00003-0 · Cited by 15
Yang, C.-K., Wu, R. S., Wu, C.-H., Lin, T. R.-Y., & Tsai, H. (2015) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2014.10.007 · Cited by 12
Frenette, E., Lui, A., & Cao, M. T. (2012) · Vitamins and hormones · doi:10.1016/b978-0-12-394623-2.00001-9 · Cited by 12
Endocrine Physiology in Relation to Sleep and Sleep Disturbances
Cauter, E. V., & Tasali, E. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00020-9 · Cited by 10
Greives, T., Eshleman, M. A., Galante, H., Elderbrock, E. K., Deimel, C., & Hau, M. (2021) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2021.113861 · Cited by 11
Circadian Rhythms in Neuroendocrine Systems
Arble, D. M., Copinschi, G., Vitaterna, M. H., Cauter, E. V., & Turek, F. W. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-375097-6.10012-5 · Cited by 10
Considering the impact of shift working on health
Bostock, F., & Mortimore, G. (2024) · British Journal of Nursing · doi:10.12968/bjon.2024.33.3.120 · Cited by 10
He, M., Liu, K., Cao, J., & Chen, Q. (2023) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-022-09783-0 · Cited by 9
Current and emerging testosterone therapies for male hypogonadism
Kaminetsky, J. C., & Wynia, B. (2015) · Research and Reports in Endocrine Disorders · doi:10.2147/rred.s46193 · Cited by 9
Elrifai, A., Kotb, A. F., Sharaki, O., & Abdelhady, M. (2015) · Polish Annals of Medicine · doi:10.1016/j.poamed.2015.07.001 · Cited by 8
[Androgens - a common biological marker of sleep disorders and selected sexual dysfunctions?].
Holka-Pokorska, J., Jarema, M., & Wichniak, A. (2014) · PubMed · Cited by 8
Crewther, B. T., Serpell, B. G., Cook, C. J., & Obmiński, Z. (2024) · Biology of Sport · doi:10.5114/biolsport.2024.135415 · Cited by 7
Fraile‐Μartinez, O., Ortega, M. A., & Montero, C. G. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27020692 · Cited by 12
Diurnal rhythm in clinical chemistry: An underrated source of variation
Hassan, M. A. E., DELVIN, E. E., Elnenaei, M. O., & Hoffman, B. (2018) · Critical Reviews in Clinical Laboratory Sciences · doi:10.1080/10408363.2018.1519522 · Cited by 7
Gender, Headaches, and Sleep Health in High School Students
Ming, X., Radhakrishnan, V., Kang, L., & Pecor, K. W. (2016) · Journal of Women s Health · doi:10.1089/jwh.2015.5681 · Cited by 7
Cruz, M. G. M. E., & Gozal, D. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.08.012 · Cited by 7
The role of glucocorticoids in ovarian development of sleep deprived rats
Yang, C.-K., Tsai, H., Wu, C.-H., & Cho, C.-L. (2019) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2018.11.023 · Cited by 6
Lee, D. S., Kim, S. W., & Sohn, D. W. (2020) · The World Journal of Men s Health · doi:10.5534/wjmh.190146 · Cited by 6
Larsson, A. O., Carlsson, L. M. S., & Axelsson, J. (2008) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2008.02.018 · Cited by 5
Self-citationZhang, Y., Jiang, Z., Shang, G., Song, Z., Mao, K., Chen, S., & Liu, H. (2024) · Calcified Tissue International · doi:10.1007/s00223-024-01207-2 · Cited by 4
Testosterone Deficiency or Male Hypogonadism
Koch, C. A., & Zitzmann, M. (2012) · Humana Press eBooks · doi:10.1007/978-1-60761-548-4_11 · Cited by 3
Is There a Relationship Between Waking Up from Sleep and the Onset of Testicular Torsion?
Alzahrani, M. A., Alasmari, M. M. A., Altokhais, M. I., Alkeraithe, F. W., Alghamdi, T. A., Aldaham, A. S., Hakami, A., Alomair, S. A. S., & Hakami, B. (2023) · Research and Reports in Urology · doi:10.2147/rru.s404073 · Cited by 3
Shimizu, N., Yamazaki, C., Asano, K., Ohe, S., & Ishida, M. (2023) · SAGE Open Medicine · doi:10.1177/20503121231175291 · Cited by 3
Linking Biomarkers with Causes, Lifestyle Factors, and Management of Sarcopenia
Papadopoulou, S. Κ., Voulgaridou, G., Papadimitriou, K., & Koidou, E. (2022) · Biomarkers in disease · doi:10.1007/978-3-030-81304-8_64-1 · Cited by 3
Ioachimescu, A. G., & Ioachimescu, O. C. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00132-x · Cited by 3
Chen, K., Luo, F., Huang, X.-L., Huang, K., Liu, X., Hu, Q., & Xu, C.-L. (2025) · Reproductive Toxicology · doi:10.1016/j.reprotox.2025.109083 · Cited by 2
A North American preconception study of sleep health and semen quality
Coleman, C. M., Wesselink, A. K., Yland, J. J., Sommer, G. J., Eisenberg, M. L., Bertisch, S. M., Rothman, K. J., Hatch, E. E., & Wise, L. A. (2025) · Human Reproduction · doi:10.1093/humrep/deaf228 · Cited by 2
Association of night‐time sleep and day napping with the prevalence of MOSH in young obese men
Chen, Y., Zhang, L., Zhao, S., Yuan, L., Shi, J., Zhang, Y., Wang, J., Gu, W., Wang, W., & Hong, J. (2021) · Andrology · doi:10.1111/andr.13074 · Cited by 2
Effects of disturbed sleep on work ability and well-being among European nurses
D. Camerino, P. M. C. (2008) · CRC Press eBooks · doi:10.1201/9780203882511-52 · Cited by 2
Sleep and Circadian Rhythm Association with Sperm Head Defects in Infertile Males
Garg, A., & Sharma, M. (2025) · Journal of Infertility and Reproductive Biology · doi:10.18502/jirb.v13i1.18779 · Cited by 1
Fonction endocrino-métabolique et sommeil
Leproult, R., & Copinschi, G. (2012) · Elsevier eBooks · doi:10.1016/b978-2-294-71025-4.00031-2 · Cited by 1
Anatomy and Physiology of Androgen Regulation in Men
Marifke, J., & Sandlow, J. I. (2012) · Springer eBooks · doi:10.1007/978-1-4471-4405-2_1 · Cited by 1
Lifestyle, Fertility, and Infertility Management
Rajender, S. (2017) · Springer eBooks · doi:10.1007/978-981-10-4017-7_22 · Cited by 2
Lin, Y., Tsai, H., & Chen, Y. (2024) · The Journals of Gerontology Series A · doi:10.1093/gerona/glae102 · Cited by 1
Leydig Cells, Testosterone, Sleep, and Andrological Health
Liu, P. Y. (2025) · Springer eBooks · doi:10.1007/978-3-031-96376-6_35 · Cited by 1
Linking Biomarkers with Causes, Lifestyle Factors, and Management of Sarcopenia
Papadopoulou, S. Κ., Voulgaridou, G., Papadimitriou, K., & Koidou, E. (2022) · Biomarkers in disease · doi:10.1007/978-3-031-07389-2_64 · Cited by 1
Hormonal Circadian Rhythms and Sleep in Aging
Copinschi, G., & Caufriez, A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.65189-9 · Cited by 1
Physiology of Sleep From Infancy to Old Age
Kilner, D., Urquhart, D. S., & Tan, H. (2021) · Elsevier eBooks · doi:10.1016/b978-0-08-102723-3.00122-0 · Cited by 1
Physiological recovery from night-call duty - a field study of physicians
Malmberg, B. (2011) · Lund University Publications (Lund University)
How Sexual is Sexual Desire? Desire and Testosterone in Women
Burke, S. M. (2013) · Deep Blue (University of Michigan)
Testicular cancer; gonadal, sexual and psychological aspects of the disease and its treatment.
Eberhard, J. (2009) · Lund University Publications (Lund University)
Original Research Article Gonadal Steroids and Salivary IgA in Healthy Young Women and Men
van Anders, S. M. (2010)
Effect of one night of sleep deprivation on the diurnal patterns of steroid hormones
Labsy, Z., Vibarel-Rebot, N., Rieth, N., Do, M. C., Gagey, O., Zorgati, H., & Collomp, K. (2017) · Science & Sports · doi:10.1016/j.scispo.2016.06.008
Moyad, M. A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-8492-9_5
Obstructive sleep apnoea and sexual function in men
Melehan, K. L. (2014) · The Sydney eScholarship Repository (The University of Sydney)
Male Behaviors IV: Ageing Brain
Sharma, M., & Kumar, A. (2017) · Springer eBooks · doi:10.1007/978-981-10-3695-8_20
Slow wave sleep and steroid hormones
Arnal, P. J. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.09.012
Authors’ Reply to the Letter to the Editor: “Sleep and Sexual Arousal: A Complex Issue”
Grabovac, I., Jackson, S. E., & Smith, L. (2019) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2019.03.268
Frenette, E., & Guilleminault, C. (2009) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/01.con.0000300027.22909.c4
Koren, D. (2021) · Springer eBooks · doi:10.1007/978-3-030-65574-7_5 · Cited by 1
Testosterone and Disordered Sleep
Yuen, F., Chavoshan, B., Waqfi, D., & Liu, P. Y. (2021) · Controversies in Testosterone Deficiency · doi:10.1007/978-3-030-77111-9_5
Sleep disorders & Hormones: how are they related?
Service de Pneumologie, E. B. A., Chaouki, F., Djebbar, A., Drias, D., & Service d’Endocrinologie, C. B. A. (2021) · Batna Journal of Medical Sciences (BJMS) · doi:10.48087/bjmsra.2021.8207
Camerino, D., Sartori, S., Costa, G., & Conway, P. M. (2008) · CRC Press eBooks · doi:10.1201/9780203882511.ch43
Fonction endocrino-métabolique et sommeil
Spiegel, K., & Copinschi, G. (2019) · Elsevier eBooks · doi:10.1016/b978-2-294-74892-9.00022-9
Kavoussi, P. K., & Machen, G. L. (2023) · Cambridge University Press eBooks · doi:10.1017/9781009197533.033
Circadian rhythms and sleep in aging: Impact on 24-hour hormonal profiles
Spiegel, K., Caufriez, A., & Copinschi, G. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13825-6.00097-2
Warum unser Schlaf so wichtig ist
Dworak, M., & Steiner, A. (2025) · Springer eBooks · doi:10.1007/978-3-662-70386-1_1
Broussard, J. L., Hanlon, E. C., & Tasali, E. (2025) · Oxford University Press eBooks · doi:10.1093/med/9780197756782.003.0015
Determinants of Sleep and Morning Alertness in Elite Short-Track Speed Skaters During the Preseason
Varesco, G., Renaud-Roy, A., Germain, M., Szocs, S., Pattyn, N., Bieuzen, F., & Simonelli, G. (2025) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2025-0088
Metadata
- Authors
- Axelsson, J., Ingre, M., Åkerstedt, T., & Holmbäck, U.
- Affiliations
- Karolinska Institutet (SE)
- Uppsala University (SE)
- Corresponding author
- Axelsson, John
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2005-08
- Volume
- 90
- Issue
- 8
- Pages
- 4530-4535
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2089025220
- Cited by
- 171
- References
- 41
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 10 · 2020: 5 · 2019: 9 · 2018: 8 · 2017: 9 · 2016: 15 · 2015: 12 · 2014: 8 · 2013: 10 · 2012: 13
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- testosterone, sleep, circadian rhythm, diurnal variation, sleep timing, nocturnal sleep, homeostatic regulation, individual differences
- MeSH terms
- Adult, Circadian Rhythm, Humans, Male, Regression Analysis, Sleep, Testosterone, Wakefulness
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