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The Development of Circadian Rhythms in Human Infants

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298.051 nmol.l -1 .mg.ml -1 night values 172.562 nmol.l -1 .mg.ml -1 ; Trend p=0.061;<br />

Wilcoxon signed ranks).<br />

It is <strong>in</strong>terest<strong>in</strong>g that there seems to be a diurnal rhythm <strong>in</strong> cortisol, which was present<br />

and susta<strong>in</strong>ed from early on <strong>in</strong> the time course <strong>of</strong> the study. It may be that cortisol is<br />

pivotal to maturation <strong>of</strong> other physiological systems with<strong>in</strong> the body to a degree that<br />

has not previously been highlighted. High levels <strong>of</strong> cortisol early on <strong>in</strong> the life <strong>of</strong> a<br />

newborn baby may confer stability to the <strong>in</strong>fant‟s physiology, evident by the<br />

achievement <strong>of</strong> a mature temperature pattern.<br />

Studies have reported cortisol rhythmicity occurr<strong>in</strong>g from 4 weeks , 8 weeks (de<br />

Weerth et al., 2003, Santiago et al., 1996, Vermes et al., 1980), 12 weeks <strong>of</strong> age<br />

(Mantagos et al., 1998, Price et al., 1983), or as late as 6-9 months (Onishi et al.,<br />

1983). This difference between the age <strong>of</strong> emergence <strong>of</strong> rhythmicity for cortisol <strong>in</strong><br />

this study and <strong>in</strong> other reported studies, may be due to the fact that there is generally<br />

little agreement or consistency <strong>in</strong> the manner <strong>in</strong> which a diurnal rhythm is denoted <strong>in</strong><br />

the different studies (de Weerth et al., 2003) .<br />

<strong>The</strong> illustrative paper by De Weerth‟s group, highlighted the <strong>in</strong>herent difficulty <strong>of</strong><br />

compar<strong>in</strong>g f<strong>in</strong>d<strong>in</strong>gs from different research papers. <strong>The</strong>y applied three different<br />

methods for exam<strong>in</strong><strong>in</strong>g the emergence <strong>of</strong> a cortisol circadian rhythm as described by<br />

Price, Santiago, Anton<strong>in</strong>i and Krieger, on the same data set. <strong>The</strong>re was little<br />

consistency or agreement as to whether a rhythm had actually appeared when the<br />

214

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