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The Development of Circadian Rhythms in Human Infants

The Development of Circadian Rhythms in Human Infants

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10 Results<br />

10.1 <strong>Circadian</strong> rhythms – <strong>in</strong>vestigation <strong>of</strong> temporal<br />

relationships<br />

In this study several parameters were exam<strong>in</strong>ed concurrently and longitud<strong>in</strong>al<br />

measurements made, from just before 6 to 18 weeks <strong>of</strong> age, <strong>in</strong> the cohort <strong>of</strong> human<br />

<strong>in</strong>fants enrolled. <strong>The</strong> length <strong>of</strong> time each <strong>in</strong>fant rema<strong>in</strong>ed <strong>in</strong> the study was<br />

determ<strong>in</strong>ed by the age each <strong>in</strong>fant achieved physiological maturity characterised by<br />

the maximum fall <strong>in</strong> overnight core body temperature (Lodemore et al., 1991, Wailoo<br />

et al., 1989). Once physiological maturity had been demonstrated, this was confirmed<br />

by a further core body temperature read<strong>in</strong>g (taken a fortnight later) if possible. <strong>The</strong><br />

study protocol for ur<strong>in</strong>e collection (for melaton<strong>in</strong>/cortisol estimation), sleep<br />

characterisation by actigraphy and buccal cell collection (for pattern <strong>of</strong> peripheral<br />

clock gene expression) cont<strong>in</strong>ued till the study end po<strong>in</strong>t.<br />

Def<strong>in</strong>itions<br />

<strong>The</strong> previously described def<strong>in</strong>ition <strong>of</strong> physiological maturation <strong>of</strong> deep overnight<br />

body temperature with sleep has been well described (Lodemore, 1991).<br />

Def<strong>in</strong>itions encompass<strong>in</strong>g age related changes <strong>in</strong> the patterns <strong>of</strong> the other parameters<br />

(melaton<strong>in</strong> secretion and cortisol secretion, <strong>in</strong>fant night time sleep and peripheral<br />

clock gene expression) were developed dur<strong>in</strong>g the <strong>in</strong>vestigation period for this study.<br />

<strong>The</strong>se def<strong>in</strong>itions do not <strong>in</strong>clude an exact age <strong>of</strong> maturation <strong>of</strong> a robust circadian<br />

rhythm <strong>in</strong> each area (other than for temperature maturation). This study was limited<br />

197

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