American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · 2000 · 335 citations · 20 references
DermatologySleep-related Breathing DisorderHyperthermiaDistal VasodilationHuman SleepSleep PhysiologyHealth SciencesSleepAlertnessSleep InitiationNervous SystemMelatoninSleep Disordered BreathingSleep DisorderNeurophysiologyPhysiologyNeuroscienceCentral Nervous SystemHeat LossMedicine
Thermoregulatory processes have long been implicated in initiation of human sleep. The purpose of this study was to evaluate the role of heat loss in sleep initiation, under the controlled conditions of a constant-routine protocol modified to permit nocturnal sleep. Heat loss was indirectly measured by means of the distal-to-proximal skin temperature gradient (DPG). A stepwise regression analysis revealed that the DPG was the best predictor variable for sleep-onset latency (compared with core body temperature or its rate of change, heart rate, melatonin onset, and subjective sleepiness ratings). This study provides evidence that selective vasodilation of distal skin regions (and hence heat loss) promotes the rapid onset of sleep.
20
Human Sleep: Its Duration and Organization Depend on Its Circadian Phase
Charles A. Czeisler, Elliot D. Weitzman, Martin C. Moore‐Ede et al. · Science · 1980 · 904 citations