Cited by 59Circadian rhythm and melatoninSleep and Wakefulness ResearchSleep and related disorders

Sleep architecture when sleeping at an unusual circadian time and associations with insulin sensitivity

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Gonnissen, Hanne K. J., Mazuy, Claire, Rutters, Femke, Martens, Eveline A. P., Adam, Tanja C., Westerterp-Plantenga, Margriet S.·2013·PLoS ONE

Abstract

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.”

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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
Published
2013-08-08
Volume
8
Issue
8
Pages
e72877
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2006429936
Cited by
59
References
36
Citations by year
2026: 3 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 5 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 1
FWCI
2.16
Type
journal article
Language
en
Open access
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)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • 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

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