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Although circadian rhythms are endogenous, they are adjusted to the local environment by external cues called zeitgebers (from German Zeitgeber (German: [ˈtsaɪtˌɡeːbɐ]; lit. ' time giver ')), which include light, temperature and redox cycles. In clinical settings, an abnormal circadian rhythm in humans is known as a circadian rhythm sleep ...
A circadian rhythm is an entrainable, endogenous, biological activity that has a period of roughly twenty-four hours. This internal time-keeping mechanism is centralized in the suprachiasmatic nucleus (SCN) of humans, and allows for the internal physiological mechanisms underlying sleep and alertness to become synchronized to external environmental cues, like the light-dark cycle. [4]
The sleep diary, or sleep log, is a tool used by doctors and patients. [1] [2] [3] It is a useful resource in the diagnosis and treatment of especially circadian rhythm sleep disorders, and in monitoring whether treatment of those and other sleep disorders is successful. Sleep diaries may be used in conjunction with actigraphy.
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These variants occur near genes known to be important in photoreception and circadian rhythms. [37] The variant most strongly associated with chronotype occurs near RGS16, which is a regulator of G-protein signalling and has a known role in circadian rhythms. In mice, gene ablation of Rgs16 lengthens the circadian period of behavioural rhythm.
According to the International Classification of Sleep Disorders, Revised (ICSD-R, 2001), [10] the circadian rhythm sleep disorders share a common underlying chronophysiologic basis: The major feature of these disorders is a misalignment between the patient's sleep-wake pattern and the pattern that is desired or regarded as the societal norm...
Advanced Sleep Phase Disorder (ASPD), also known as the advanced sleep-phase type (ASPT) of circadian rhythm sleep disorder, is a condition that is characterized by a recurrent pattern of early evening (e.g. 7-9 PM) sleepiness and very early morning awakening (e.g. 2-4 AM).
A constant routine protocol is a common method used in human circadian rhythm research to study internally generated, or endogenous, circadian rhythms without the effect of external, or exogenous, influences. In the method, subjects are kept in constant conditions for at least 24 hours. [1]