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A relationship between heat loss and sleepiness: effects of postural change and melatonin administration
Authors:Krauchi  Kurt; Cajochen  Christian; Wirz-Justice  Anna
Abstract:Kräuchi, Kurt, Christian Cajochen, and AnnaWirz-Justice. A relationship between heat loss and sleepiness:effects of postural change and melatonin administration.J. Appl. Physiol. 83(1): 134-139, 1997.---Both the pineal hormone melatonin (Mel) and postural changeshave thermoregulatory sequelae. The purpose of the study was toevaluate their relationship to subjective sleepiness. Eight healthyyoung men were investigated under the unmasking conditions of aconstant routine protocol. Heart rate, rectal temperature(Tre), skin temperatures (foot,Tfo; and stomach), and subjectivesleepiness ratings were continuously recorded from 1000 to 1700. Mel (5 mg po) was administered at 1300, a time when Mel should not phaseshift the circadian system. Both the postural change at1000 from upright to a supine position (lying down in bed) and Meladministration at 1300 reduced Treand increased Tfo in parallel withincreased sleepiness. These findings suggest that under comfortableambient temperature conditions, heat loss via the distal skin regions(e.g., feet) is a key mechanism for induction of sleepiness as corebody temperature declines.

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