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The Development of Circadian Rhythms in Human Infants

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temperature is one <strong>of</strong> the most tightly regulated systems <strong>in</strong> the body. Deviation from<br />

„normal‟ physiological development, as characterised by the development <strong>of</strong> adult<br />

mature temperature pattern dur<strong>in</strong>g sleep, may be a marker for future morbidity,<br />

mortality or be the basis for <strong>in</strong>creased vulnerability such as to the disease entity<br />

known as SIDS.<br />

1.5.1 <strong>The</strong> Mechanism <strong>of</strong> <strong>The</strong>rmal Regulation<br />

<strong>The</strong> hypothalamus is responsible for the neuronal control <strong>of</strong> core body temperature.<br />

Peripheral receptors send signals to the posterior hypothalamus at the level <strong>of</strong> the<br />

mammillary bodies. <strong>The</strong>se signals <strong>in</strong>tegrate with those from the anterior<br />

hypothalamus to regulate body temperature.<br />

Body temperature is lowered by several methods: vasodilation <strong>of</strong> peripheral blood<br />

vessels, sweat<strong>in</strong>g and a decrease <strong>in</strong> metabolism. Conversely, temperature is raised <strong>in</strong><br />

response to low temperatures by vasoconstriction, piloerection and the generation <strong>of</strong><br />

heat by processes controlled by the sympathetic nervous system.<br />

Core body temperature is ma<strong>in</strong>ta<strong>in</strong>ed with<strong>in</strong> a strict, narrow and precise range <strong>of</strong> +/-<br />

0.6º Celsius, which is critical for enzyme function. <strong>The</strong>re is a set po<strong>in</strong>t <strong>of</strong> 37.1º<br />

Celsius above which heat is conserved and below which heat is produced. This<br />

occurs <strong>in</strong> order to ma<strong>in</strong>ta<strong>in</strong> a normothermic environment. Temperature only changes<br />

<strong>in</strong> response to a significant <strong>in</strong>sult such as illness, vacc<strong>in</strong>ation or pr<strong>of</strong>ound<br />

hypothermia.<br />

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