Mild Sleep Restriction Acutely Reduces Plasma Glucagon Levels in Healthy Men
Abstract
BACKGROUND: Sleep loss has repeatedly been suggested to affect glucose metabolism adversely, raising the question as to the impact of subtle forms of sleep loss. OBJECTIVE: The aim of the study was to assess the effects of a single night of sleep restriction to 4.5 h on endocrine parameters of glucose metabolism. DESIGN: We conducted crossover, balanced experiments including two conditions, i.e. one night of 4.5 h and one night of 7 h of sleep. SUBJECTS AND MEASUREMENTS: In 10 healthy men, circulating concentrations of insulin, C-peptide, epinephrine, norepinephrine, GH, ACTH, cortisol, and glucagon were measured after sleep and sleep restriction, respectively, during basal rest and a subsequent stepwise hypoglycemic clamp. RESULTS: Mild sleep restriction induced a robust reduction in basal plasma glucagon levels that persisted throughout the hypoglycemic clamp (P < 0.03). Basal glucose, insulin, and C-peptide levels were unaffected by sleep restriction. Also, basal and hypoglycemia-stimulated concentrations of epinephrine, norepinephrine, and GH were unchanged after sleep restriction. Concentrations of ACTH (P < 0.05) and cortisol (P < 0.001) were reduced after sleep loss during baseline and at the start of hypoglycemia, but reached roughly comparable levels in both conditions at the end of the clamp (ACTH, P > 0.06; cortisol, P > 0.93). CONCLUSION: Our data show that mild restriction of nocturnal sleep to 4.5 h has a reducing effect on circulating glucagon levels. This finding provides further evidence for the notion that glucose homeostasis is sensitive to subtle changes in sleep duration.
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Three studies found no alterations in measures of glucose metabolism.
“Conversely, three studies [11, 145, 217] found no alterations in measures of glucose metabolism.”
From Sleep and metabolic function (2012) · cites this paper as [145]
Counter-regulatory hormones including glucagon and catecholamines are impacted by sleep curtailment.
“Other counter-regulatory hormones coordinate glucose homeostasis and are impacted by sleep curtailment, including glucagon [30] and catecholamines [31].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [30]
Two crossover studies of a single night of total sleep deprivation or partial sleep deprivation showed decreased basal glucagon levels, while catecholamine levels remained unchanged.
“Two crossover studies of a single night of total sleep [32] or partial sleep [30] deprivation showed decreased basal glucagon levels, however catecholamines levels remained unchanged.”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [30]
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- Authors
- Schmid, S. M., Jauch-Chara, K., Hallschmid, M., & Schultes, B.
- Affiliations
- University of Lübeck (DE)
- Psychiatry and Psychotherapy (K.J.-C.), University of Luebeck, D-23538 Luebeck, Germany
- Kantonsspital St. Gallen (CH)
- Corresponding author
- Schultes, Bernd
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2009-12-01
- Volume
- 94
- Issue
- 12
- Pages
- 5169-5173
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2162354918
- Cited by
- 55
- References
- 17
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2020: 5 · 2019: 5 · 2017: 2 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 7
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep restriction, glucagon, glucose metabolism, glucose homeostasis, hypoglycemic clamp, ACTH, cortisol, insulin, C-peptide, epinephrine, norepinephrine, growth hormone, sleep duration
- MeSH terms
- Adult, Blood Glucose, C-Peptide, Glucagon, Hormones, Humans, Insulin, Male, Sleep Deprivation, Cross-Over Studies, Young Adult
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