Almost all functions of humans are subject to cyclic changes and are govern
ed by the nervous system. Most rhythms are driven by an internal biological
clock located in the hypothalamic suprachiasmatic nucleus (SCN) and can be
synchronized by external signals such as light-dark cycles. Homeostatic ac
tivities such as body temperature, blood volume, water balance and sleep, a
re rhythmic. Likewise, most hormones are secreted in a rhythmic fashion. Bo
th sleep and circadian effects interact to produce the overall rhythmic pat
tern of the pituitary and pituitary-dependent hormones. Some of the 24-h ho
rmonal rhythms depend on the circadian clock (ACTH, cortisol and melatonin)
, or are sleep related (prolactin and TSH).
GH secretion is influenced by the first slow wave sleep (SWS) episode at th
e beginning of the night. Pulses of prolactin and GH are positively linked
to increases in delta wave activity, i.e. deepest phases of sleep, occurrin
g primarily during the first third of the night. Pulses of TSH and cortisol
are related to superficial phases of sleep.
As a result of the consolidation of the sleep period in humans, the wake-sl
eep transition is associated with physiological changes with the endocrine
system being part of the adaptive mechanism to reduce physical activity dur
ing sleep.