BED-TIME present alterations in their nocturnal sleep. Several adverse effects, which are known to reduce the subsequent vigilance level, have been determined, such as partial sleep deprivation and/or sleep fragmentation. Surprisingly, the influence of thermal stressors on subsequent daytime recovery sleep remains unknown, as only one such study has been made, 5 but it did not provide the magnitude of sleep changes. Moreover, the hypnic alterations provoked by thermal stressors may be enhanced by the unusual circadian placement and associated sleep deprivation.In the present study, we analyzed the daytime sleep patterns of individuals kept awake and exposed to a moderate warm stress during the preceding night. Because our interest was focused strictly on the influence of the thermal factor, we controlled the circadian placement and the duration of the diurnal sleep session, and thus also the sleepdeprived state of the volunteers participating in this study.
MATERIALS AND METHODSSixteen young male subjects (20-25 years old) gave their informed consent to participate in the study, which had been approved by the local ethics committee. These volunteers were good sleepers, with sleeping habits intermediary between morning and evening types. 28 They had not been exposed and/or naturally adapted to a warm climate during the six months prior to the experiment.The subjects were randomly assigned to two equal independent groups (control and experimental) and were then studied in pairs. One pair was studied per week, with control pairs alternating with experimental pairs. Before starting the recordings, they were habituated to the experimental and sleep (00:00 -08:00) conditions for two successive nights and days. The habituation period was spent in a living room controlled in temperature. During the third night each subject went to an individual climatic (soundproof) chamber adjacent to the living room and was kept awake (23:00 -08:00). A light breakfast was served at 06:00 (<100kcal). Daytime sleep is usually shorter than nighttime sleep. In a previous experiment, thermally comparable to the present control condition, 10 subjects (also awake at night) slept ad lib (from 08:00) an average of 6.2hours (unpublished data). We thus limited the sleep duration in the present study to six hours (light switched off at 08:00). Throughout the experiment, subjects always slept partially Abstract: We studied the influence of a nocturnal environment perceived as warm on the subsequent daytime sleep of healthy human subjects (20-25 years old). From 00:00 to 8:00, they were kept awake and exposed to either a thermoneutral and comfortable (CN) or a warm and uncomfortable (EW) environment, as assessed by the predicted mean vote/percentage of persons dissatisfied questionnaire (PMV/PPD). The subjects then slept from 8:00 to 14:00 in a thermoneutral environment. Sleep was scored according to the Rechtschaffen and Kales criteria. Rectal temperature was recorded from 22:00 to the end of the sleep period. Compared to CN, a significant but mod...