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The Development of Circadian Rhythms in Human Infants

The Development of Circadian Rhythms in Human Infants

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due to small sample size and limits on data collection with<strong>in</strong> the home sett<strong>in</strong>g. For<br />

tighter def<strong>in</strong>itions for age <strong>of</strong> circadian maturity <strong>in</strong> melaton<strong>in</strong> secretion, cortisol<br />

secretion, maturity <strong>of</strong> <strong>in</strong>fant sleep and age circadian gene expression matures occurs,<br />

more detailed, larger home based studies plus research performed under lab<br />

conditions need to be conducted.<br />

Core body temperature physiological maturity is said to be achieved when an <strong>in</strong>fant is<br />

able to drop core body temperature to a m<strong>in</strong>imum <strong>of</strong> 36.4 C dur<strong>in</strong>g the first four hours<br />

<strong>of</strong> night time sleep (Lodemore et al., 1991).<br />

<strong>The</strong> beg<strong>in</strong>n<strong>in</strong>g <strong>of</strong> an emergence <strong>of</strong> a diurnal rhythm <strong>of</strong> melaton<strong>in</strong> excretion may be<br />

illustrated by demonstration <strong>of</strong> a day night difference <strong>in</strong> melaton<strong>in</strong> secretion for each<br />

<strong>in</strong>fant. This was def<strong>in</strong>ed when more than fifty percent <strong>of</strong> total melaton<strong>in</strong> was secreted<br />

dur<strong>in</strong>g the night time period, or when night time secretion exceeded day time levels<br />

(Sivan et al., 2001). <strong>The</strong> <strong>in</strong>itial appearance <strong>of</strong> diurnal rhythmicity was def<strong>in</strong>ed when<br />

the first peak <strong>in</strong> night time melaton<strong>in</strong> occurred.<br />

Cortisol data were analysed <strong>in</strong> a similar fashion. <strong>The</strong> tim<strong>in</strong>g <strong>of</strong> a diurnal pattern <strong>of</strong><br />

cortisol secretion was def<strong>in</strong>ed as the week the morn<strong>in</strong>g cortisol secretion was more<br />

than fifty percent <strong>of</strong> the total cortisol production. This characterised the first cortisol<br />

peak and the first suggestion appearance <strong>of</strong> diurnal rhythmicity.<br />

<strong>The</strong> pattern <strong>of</strong> an age related change <strong>in</strong> peripheral gene expression was characterised<br />

by exam<strong>in</strong><strong>in</strong>g values <strong>of</strong> amplitude and R squared. <strong>The</strong> age when there is a comb<strong>in</strong>ed<br />

rise <strong>in</strong> amplitude <strong>of</strong> gene expression to above 0.05 and goodness <strong>of</strong> fit to s<strong>in</strong>e wave<br />

198

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