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The Development of Circadian Rhythms in Human Infants

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1.5.2 <strong>Circadian</strong> <strong>Rhythms</strong> <strong>in</strong> Temperature<br />

<strong>The</strong> pattern <strong>of</strong> change <strong>in</strong> core body temperature with<strong>in</strong> a 24 hour period has been well<br />

described <strong>in</strong> adult chronobiology research. <strong>The</strong> tight control <strong>of</strong> core body temperature<br />

is thought to be part <strong>of</strong> the mechanism which determ<strong>in</strong>es the sleep/wake cycle<br />

(Asch<strong>of</strong>f, 1981).<br />

Dur<strong>in</strong>g the day it had been well documented that body temperature is high with a<br />

gradual fall over the first few hours after the onset <strong>of</strong> sleep based largely on work <strong>in</strong><br />

the adult population (M<strong>in</strong>ors, 1981). Early summary reports <strong>in</strong>vestigat<strong>in</strong>g the<br />

development <strong>of</strong> circadian rhythms with regard temperature control <strong>in</strong> <strong>in</strong>fancy and<br />

childhood, showed a drop occurr<strong>in</strong>g through the night before a gradual <strong>in</strong>crease<br />

towards day time values based on the analysis <strong>of</strong> data from 100 children (Hellbrügge,<br />

1960). <strong>The</strong> maximum drop was reported to occur later <strong>in</strong> the night for older children<br />

and earlier <strong>in</strong> <strong>in</strong>fants. However the time <strong>of</strong> onset <strong>of</strong> sleep was not taken <strong>in</strong>to account.<br />

<strong>The</strong>refore the f<strong>in</strong>d<strong>in</strong>g <strong>of</strong> a later drop occurr<strong>in</strong>g <strong>in</strong> older children, per say, when<br />

compared to an <strong>in</strong>fant, is likely to be related to a later bed time, rather than denot<strong>in</strong>g a<br />

change <strong>in</strong> maturity state. Another method <strong>of</strong> determ<strong>in</strong><strong>in</strong>g the tim<strong>in</strong>g <strong>of</strong> temperature<br />

circadian rhythmicity relates that the measurement <strong>of</strong> the depth <strong>of</strong> fall <strong>in</strong> the first four<br />

hours <strong>of</strong> sleep at any age, as be<strong>in</strong>g more important. Normalis<strong>in</strong>g the data to tim<strong>in</strong>g <strong>of</strong><br />

sleep onset reveals the maximum drop occurr<strong>in</strong>g <strong>in</strong> the first few months <strong>of</strong> life, not<br />

the first few years. This technique was used by Lodemore et al <strong>in</strong> their description <strong>of</strong><br />

the development core body temperature rhythms. To be more precise the tim<strong>in</strong>g <strong>of</strong><br />

the maturity <strong>in</strong> <strong>in</strong>fancy <strong>of</strong> core body temperature changes occurred, at 2-3 months <strong>of</strong><br />

age. This is described <strong>in</strong> more detail below as it is the method selected <strong>in</strong> this study as<br />

a marker <strong>of</strong> physiological maturity (Lodemore et al., 1991).<br />

15

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