The influence of individual characteristics on diurnal physiological sleep tendency was investigated in young good sleepers. Fifty-five subjects underwent a Multiple Sleep Latency Test (MSLT) procedure. Among them 11 also participated in Repeated Test Sustained Wakefulness (RTSW) procedure. The MSLT results were analyzed as a function of both the number of sleep onsets per day and the time of day. Diurnal sleepiness seemed to be better appreciated by sleep onset (SO) frequency than by the traditional criteria of sleep latency. SO frequency, unlike latency, was influenced by factors such as usual sleep duration, morning/evening score, and RTSW procedure. Time of day effect was characterized by a decrease in sleep tendency at the beginning and at the end of the day (decrease in SO frequency and increase in SO latencies); between these two points a peak of sleepiness around 1400 was observed. The morning and evening periods of high alertness could represent important anchor points for the coupling of the sleep/wake and temperature rhythms.
Bright light is a synchronizing agent that entrains human circadian rhythms and modifies various endocrine and neuroendocrine functions. The aim of the present study was to determine whether and how the exposure to a bright light stimulus during the 2 h following a 2 h earlier awakening could modify the disturbance induced by the the sleep deprivation on the plasma pattens of hormones whose secretion is sensitive to light and/or sleep, namely melatonin, prolactin, cortisol and testosterone. Six healthy and synchronized (lights on: 07.00–23.00) male students (22.5±1.1 years) with normal psychological profiles volunteered for the study in winter. The protocol consisted of a baseline control night (customary sleep schedule) followed by three shortened nights with a rising at 05.00 and a 2 h exposure to either dim light (50 lux; one week) or bright light (2000 lux: other week). Our study showed a phase advance of the circadian rhythm of plasma cortisol without significant modifications of the hormone mean or peak concentration. Plasma melatonin concentration decreased following bright light exposure, whereas no obvious modifications of plasma testosterone or prolactin patterns could be observed in this protocol.
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