Sleep architecture when sleeping at an unusual circadian time and associations with insulin sensitivity
Open accessAbstract
UNLABELLED: Circadian misalignment affects total sleep time, but it may also affect sleep architecture. The objectives of this study were to examine intra-individual effects of circadian misalignment on sleep architecture and inter-individual relationships between sleep stages, cortisol levels and insulin sensitivity. Thirteen subjects (7 men, 6 women, age: 24.3±2.5 y; BMI: 23.6±1.7 kg/m²) stayed in a time blinded respiration chamber during three light-entrained circadian cycles (3x21h and 3x27h) resulting in a phase advance and a phase delay. Sleep was polysomnographically recorded. Blood and salivary samples were collected to determine glucose, insulin and cortisol concentrations. Intra-individually, a phase advance decreased rapid eye movement (REM) sleep and slow-wave sleep (SWS), increased time awake, decreased sleep and REM sleep latency compared to the 24h cycle. A phase delay increased REM sleep, decreased stage 2 sleep, increased time awake, decreased sleep and REM sleep latency compared to the 24h cycle. Moreover, circadian misalignment changed REM sleep distribution with a relatively shorter REM sleep during the second part of the night. Inter-individually, REM sleep was inversely associated with cortisol levels and HOMA-IR index. Circadian misalignment, both a phase advance and a phase delay, significantly changed sleep architecture and resulted in a shift in rem sleep. Inter-individually, shorter REM sleep during the second part of the night was associated with dysregulation of the HPA-axis and reduced insulin sensitivity. TRIAL REGISTRATION: International Clinical Trials Registry Platform NTR2926 http://apps.who.int/trialsearch/
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REM sleep is positively correlated with morning cortisol levels and inversely associated with afternoon cortisol levels.
“REM sleep has been shown to be positively correlated with morning cortisol levels [86] but inversely associated with afternoon cortisol levels [87] and could partly explain decreased morning cortisol levels after sleep restriction.”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [87]
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- Authors
- Gonnissen, H. K. J., Mazuy, C., Rutters, F., Martens, E. A. P., Adam, T. C., & Westerterp-Plantenga, M. S.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Gonnissen, Hanne K. J.
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-08-08
- Volume
- 8
- Issue
- 8
- Pages
- e72877
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3738551
- OpenAlex
- W2006429936
- Cited by
- 59
- References
- 36
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- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by)
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- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Pure Amsterdam UMC (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- circadian misalignment, sleep architecture, REM sleep, slow-wave sleep, cortisol, insulin sensitivity, HOMA-IR, hypothalamic-pituitary-adrenal axis, phase advance, phase lag, time in bed, sleep latency, stage 2 sleep
- MeSH terms
- Adult, Blood Glucose, Circadian Rhythm, Female, Humans, Hydrocortisone, Insulin, Insulin Resistance, Male, Saliva, Sleep Stages, Cross-Over Studies, Young Adult
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 ›
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