T. Akerstedt et al., EXPERIMENTAL SEPARATION OF TIME OF DAY AND HOMEOSTATIC INFLUENCES ON SLEEP, American journal of physiology. Regulatory, integrative and comparative physiology, 43(4), 1998, pp. 1162-1168
The purpose of the present study was to evaluate the simultaneous effe
cts on sleep of prior time awake (PRW) and time of day (TOD). Eight ma
le subjects spent 13 days in an isolated sleep lab and had three 8-h b
aseline sleeps and then 18 4-h sleeps, distributed to provide three sl
eeps starting at 2400, 0400, 0800, 1200, 1600, and 2000. The three sle
eps were preceded by 4, 8, and 12 h of PRW, respectively. ANOVA showed
that TST and subjective sleepiness increased with PRW and with closen
ess to the trough of the circadian rhythm of rectal temperature, where
as sleep latency showed the opposite pattern, and rapid eye movement s
leep (REM) latency strongly decreased with PRW and with closeness to t
he trough. Slow-wave sleep (SWS) increased with PRW, whereas SWS laten
cy and final time awake decreased. REM sleep increased with closeness
to the circadian trough, and time awake decreased. Multiple-regression
analysis showed that REM latency was closely related to increased SWS
in the first sleep cycle, reduced SWS latency, and increased PRW [a s
hort PRW before sleep at noon yielded an extremely short (14 min) REM
latency]. Sleep latency and final time awake showed almost exactly the
same relationship to TOD and PRW. It is concluded that both homeostat
ic and circadian influences simultaneously affect sleep, that REM late
ncy is very sensitive to the need for SWS, and that the circadian acro
phase strongly interferes with sleep. It should be emphasized that the
conclusions should not be extrapolated to longer (>12 h) wake spans.