Literature DB >> 30464662

Impact of seasons on an individual's chronotype: current perspectives.

Nyambura Shawa1, Dale E Rae2, Laura C Roden1.   

Abstract

Diurnal preference, or chronotype, determined partly by genetics and modified by age, activity, and the environment, defines the time of day at which one feels at his/her best, when one feels sleepy, and when one would prefer to start his/her day. Chronotype affects the phase relationship of an individual's circadian clock with the environment such that morning types have earlier-phased circadian rhythms than evening types. The phases of circadian rhythms are synchronized to the environment on a daily basis, undergoing minor adjustments of phase each day. Light is the most potent time cue for phase-shifting circadian rhythms, but the timing and amount of solar irradiation vary dynamically with season, especially with increasing distance from the equator. There is evidence that chronotype is modified by seasonal change, most likely due to the changes in the light environment, but interindividual differences in photoperiod responsiveness mean that some people are more affected than others. Differences in circadian light sensitivity due to endogenous biological reasons and/or previous light history are responsible for the natural variation in photoperiod responsiveness. Modern lifestyles that include access to artificial light at night, temperature-controlled environments, and spending much less time outdoors offer a buffer to the environmental changes of the seasons and may contribute to humans becoming less responsive to seasons.

Entities:  

Keywords:  circadian photoreception; diurnal preference; latitude; photoperiod

Year:  2018        PMID: 30464662      PMCID: PMC6217906          DOI: 10.2147/NSS.S158596

Source DB:  PubMed          Journal:  Nat Sci Sleep        ISSN: 1179-1608


Chronotype

Chronotype is often thought of simply as one’s preference to wake early or late, related to one’s ability to stay up late at night. However, underpinning these preferences are temporal differences in physiology based on an individual’s circadian biology and the phase angle of entrainment to the external environment.1 This manifests as different phases of temporal variations relative to environmental or societal time in not only sleeping patterns, but also physical performance, hormone levels, core body temperature, cognitive faculties and eating behavior.2–4 Thus chronotypes reflect differences in the phases of “internal” time relative to external time, rather than just self-reported preference for timing of activity and sleep. Chronotype has a genetic basis,5–8 and is modified by sex, development, physical activity, and the environment.4,9–12 The relevance of chronotype is apparent when we consider the current increase in the prevalence of non-communicable diseases as there is evidence to suggest that those with an evening preference are more at risk of developing obesity and type 2 diabetes mellitus.13–15 Chronotype is also an important consideration when it comes to physical or mental performance, since the timing of events or scheduling of work, school, or examinations may favor or affect certain chronotypes.16,17 Depressive symptoms and mood disorders have also been reported to associate with chronotype,18–21 and thus investigating modifiers of chronotype is of interest.

How is chronotype assessed?

Although chronotype is most easily assessed subjectively via questionnaires, the questionnaires in common use have been validated through biological measures. In 1976, Horne and Ostberg,2 in a landmark publication investigating chronotype and phase of oral temperature, designed and evaluated a questionnaire called the Morningness-Eveningness Questionnaire (MEQ). The MEQ was based on a previous Swedish-language MEQ. It has 19 items, which are of Likert type, and when tallied give a score ranging from 16 to 86 that places individuals into one of the following five categories: definite evening type, moderate evening type, neither type, moderate morning type, and definite morning type. The MEQ was validated using oral temperature taken at approximately 30-minute intervals from the time of awakening until sleep time.2 They observed that the individuals who scored as morning types had earlier peaks in oral temperatures than those who scored as evening types. They also observed earlier rising and sleep times in the morning types than in the evening types. The neither types were somewhere in between both in terms of the time of peak oral temperature and rising and sleep times.2 There is also a reduced version that has been validated, which is quicker to complete, reliable, and shows adequate inter-item correlation and reliability.22 The Composite Scale of Morningness (CSM) came about from the extraction of questions from three morningness questionnaires.23 It is made up of 13 questions with Likert-type responses, which give an indication of individual preference for timing of different activities and the ease of waking up in the morning. It includes items from the MEQ and from the diurnal-type scale.24 The diurnal-type scale was designed to be used to determine preference for timing of activity in spite of irregular work schedules;24 however, it has been used less frequently than the other instruments. The CSM total score ranges from 13 to 55 with higher scores indicating morningness. The scale ultimately places an individual into one of the following three categories: evening type, intermediate type, and morning type. The CSM score has good psychometric properties, remains stable over time, and does not change when individuals are in engaged in night- or rotating-shift work.1 Another widely used instrument to assess chronotype is the Munich ChronoType Questionnaire (MCTQ) that assesses an individual’s phase of entrainment with simple questions.25The questions are about sleep and activity times including when one goes to bed, how long one needs to fall asleep, and when one wakes up. For both work and free days, the same set of questions is asked. This questionnaire has been validated, with highly significant correlations, by sleep logs and actimetry and correlates well to biochemical rhythms such as melatonin and cortisol.26 In addition, the phase of entrainment determined by the MCTQ correlates well with the score produced by the MEQ.27

The circadian oscillator and chronotype

Chronotype is influenced by genetics due to the molecular basis of innate circadian rhythm generation. The circadian oscillator consists of interconnected transcription-translation feedback loops that involve several gene products and produces robust rhythms in various outputs with a period of close to, but not exactly, 24 hours.28 These feedback loops operate like clockwork cogs in almost every cell of the body, and the rate of the oscillator is modified as required due to environmental conditions or activity levels, to maintain rhythms of close to 24 hours. The circadian oscillator generates various output rhythms with different phases and specific phase relationships to one another.28 For example, the peak of the pineal hormone melatonin usually precedes the minimum in core body temperature by 1–2 hours.29 Both melatonin and core body temperature are used as phase markers of the endogenous circadian clock.29,30 The circadian clock can be synchronized to external time via several time cues, or zeitgebers (time-givers), the most powerful being light.31 Synchronization is achieved through zeitgeber-induced phase shifting of circadian rhythms at the molecular level.32 There is a master circadian oscillator in the suprachiasmatic nuclei (SCN) in the hypothalamus, which provides both environmental and biological timing to the rest of the body.33–35 Light enters the eyes and is perceived by the retina which, apart from containing rod and cone photoreceptors, contains a small subset of intrinsically photosensitive retinal ganglion cells that project to the SCN.36 These cells express the photopigment melanopsin37 and are responsible for the transmission of photic cues via the retinohypothalamic tract to the SCN.38 Melanopsin is most sensitive to light with a wavelength of 480 nm,39,40 which corresponds with the previously reported wavelengths most effective in circadian phase shifting and melatonin suppression.41,42 These signals align the circadian oscillator to the external 24 hours light–dark cycle by causing delays or advances in the phase of rhythms. The relationship between the timing of a light pulse and the phase shift it elicits is represented by a phase response curve (PRC), and the human PRC to light is similar to that of most diurnal species.43 Light is most effective at causing these shifts in phase during the night, with light signals early in the night (evening) causing delays in rhythms to a later hour, and signals late in the night (in the early hours of the morning) producing phase advances to an earlier hour.44,45 In response to light signaling, the SCN sends synchronizing neural and hormonal signals to the clocks in the rest of the body.35 The signals synchronize the rhythms present in tissues throughout the body such that they attain a specific phase relationship with each other and the external environment.32 As there is genetic variation in humans, there are interindividual differences in the period of innate circadian rhythm as assessed by outputs such as core body temperature or melatonin rhythm. It has been found that the endogenous circadian period measured in constant routine, where periodic environmental time cues have been removed in order to assess the contribution of the circadian oscillator to the observed rhythmicity,46 is shorter47 and the timing of the core body temperature peak is earlier48 in morning-type people than those with a preference for evening activity. Individuals with shorter periods will have earlier circadian phases of specific rhythms such as core body temperature or melatonin secretion within their sleep–wake cycles and relative to the light–dark cycle, whereas those with longer periods will have phases later within the sleep–wake cycle. Duffy et al found that morning types wake significantly later within their circadian cycle than do evening types.49 Thus, morning types had a longer interval between the timing of their circadian peaks of core body temperature and plasma melatonin and their usual wake time. The correlation between intrinsic circadian period, chronotype, and habitual awakening time suggest a circadian mechanism underlying morningness-eveningness.47

Seasons, photoperiod, and circadian light sensitivity

The most obvious and reliable feature of seasons is the change in daylength or photoperiod with shorter photoperiods during winter months and longer photoperiods during summer.50 The differences are most dramatic with increasing distance from the equator (latitude) and are most extreme inside the Arctic and Antarctic circles, where the sun is entirely absent for part of winter, and always present during parts of the summer.50 The duration of daily exposure to bright light (>1000 lux) is longer in summer than in winter and, as one might expect, has been shown to alter many circadian-related biological processes. For example, Hébert et al noted that the phase of the sleep–wake cycle was earlier in summer than in winter for people living at 45°31′N.51 Wehr found that sleep duration was longer in winter than in summer photoperiods in a small study involving eight male participants and that the longer sleep was associated with longer duration of melatonin secretion.52 Wehr et al explored the photoperiod responsiveness in a group of 15 adults (one female), measuring melatonin, prolactin, cortisol, growth hormone, and core body temperature in long and short photoperiods in the laboratory.53 Although there was variability in responsiveness, sleep was extended in short photoperiods in most participants (12 of 15). The electroencephalogram-measured sleep showed a bimodal pattern with a period of quiet wakefulness in the longer nights.53 There was also some variability in melatonin photoperiod responsiveness, with some participants having increased sleep duration without altering melatonin secretion and others displaying increased duration of melatonin secretion without an increase in sleep duration. Interestingly, the participants felt less fatigued, happier, and more energetic in the shorter photoperiods.53 In experiments carried out in natural seasons at 50° N, studies by Illnerová’s group showed that melatonin secretion was of shorter duration and that off-set was phase-advanced in summer compared to winter in adolescents and adults.54,55 However, when Illnerova et al investigated the time taken to adjust to a change in photoperiod in an experiment carried out during natural summer and a simulated winter photoperiod at 50° N, they found that the melatonin secretion was longer with the on-set phased earlier in the shorter photoperiod, and the adjustment happened on the first night of exposure to a short photoperiod.56 They suggested that the advance observed in the shorter photoperiod may have been due to the removal of phase-delaying evening light.56 Peak plasma melatonin concentrations measured in a group of Swedish office workers were lower in summer than in winter, but no seasonal difference was detected in the timing of the melatonin peak.57 In a year-round study of field workers in Antarctica (77° S) who undertook rotating shift-work, the sleep–wake rhythm was set by their work schedule, but the phase of plasma melatonin and core body temperature rhythms were affected by the photoperiod, with phase advances in summer and delays in winter.58 One possible explanation for the observation of a photoperiod circadian phase association in the Antarctic study but not the Swedish study may be that the participants in the Antarctic study worked outdoors and were thus exposed to the changing environmental conditions, whereas the indoor work environment conditions of the Swedish office workers would not change as dramatically. Taken together, it appears that exposure to natural light with the change in seasons has an effect on the circadian physiology of an individual. Besides light abundance, the spectral composition of light is also important since our circadian system is more sensitive to shorter wavelength (blue) light than longer wavelength light,39–42 which has been shown to vary with seasons.57,59 A UK-based study using wrist-worn light meters observed that not only was total light exposure lower in winter than in summer, but also daily blue light exposure in summer was almost double than that in winter.59 Similar findings were made in Sweden57 with wrist- and chest-worn light sensors. The seasonal differences in abundance and composition of light exposure were most pronounced during the evening hours,57,59 when light exposure would be expected to induce phase delays in the circadian system.31 These differences in light exposure would affect the phase of entrainment of the circadian clock differently in summer compared to winter and thus potentially affect chronotype in a seasonal manner. In addition to changes in the light environment with seasons, inherent differences in light sensitivity, due to environment or genetic variations, may also alter phase responsiveness and thus affect chronotype. Eye color and photoresponsiveness of the melanopsin-signaling system have been shown to alter circadian light sensitivity60 and associate with chronotype.61 Light-induced suppression of melatonin was greater in Caucasians with light-colored eyes than in Asians with dark-colored eyes,60 indicating that differences in circadian light sensitivity are caused in part by differences in eye pigmentation. A correlation was observed between the melanopsin-mediated pupillary response to blue light and sleep timing based on the MCTQ, sleep diary, and actigraphy, where those with later mid-points of sleep were the most responsive to blue light.61 Although no causal relationship was explored in the study, it seems that circadian light sensitivity is associated with habitual sleep timing and chronotype. Sensitivity to light has been demonstrated to have a seasonal basis in animals and humans, especially those who suffer from Seasonal Affective Disorder (SAD) or winter depression.62–64 Studies have demonstrated that prior light exposure modifies the sensitivity of the human circadian system to light,65,66 which partly accounts for seasonal differences in circadian light sensitivity.67 For example, Hébert et al demonstrated that the magnitude of the suppression of melatonin was greater in individuals exposed to dim light prior to a saturating light pulse than those with prior exposure to bright light.65 It was later demonstrated that this light history–altered sensitivity affected the phase shifting response of the clock to light.68 In a study carried out in northern Japan, where the photoperiod is approximately 15 hours in summer and 9 hours in winter, Higuchi et al found that the magnitude of light-induced melatonin suppression was greater in winter than in summer.67 Intrinsic circadian period (tau) may also have a bearing on the timing of circadian light sensitivity, that is, the phase responsiveness to light. Smith et al reported a significantly shorter tau in African Americans in comparison to Caucasians and Asians.69 They also reported that when African American participants were exposed to a phase-delaying protocol that included an evening light pulse, they had smaller phase delays in comparison to Caucasian participants. Therefore, this shorter tau may result in less sensitivity to phase-delaying evening light of later sunsets typical of latitudes more than 23.5° away from the equator. It has been proposed that selection for a longer circadian period after early humans migrated out of Africa was adaptive for entrainment to the greater photoperiod changes with seasons at higher latitudes.70 Some gene variants have been found that modulate circadian light sensitivity and affect sleep and or seasonal depression. A length polymorphism in a circadian-clock associated gene, PERIOD3 (PER3), has been associated with chronotype71,72 and blue-light sensitivity for melatonin suppression.73 Those who are homozygous for the shorter PER3 allele are more likely to be evening types71 and are less sensitive to end-of-day blue light–induced suppression of melatonin73 than those who are homozygous for the longer PER3 allele associated with morningness.72 This is in apparent contradiction with the hypothesis that morning types who tend to have a shorter tau are less sensitive to the phase-delaying effects of evening light.69,70 However, it should be noted that in the study by Chellappa et al73 participants with extreme chronotypes were excluded and tau was not assessed, and the association of the PER3 allele with morningness has not been found in all studies.74–76 Polymorphisms in the clock-associated PER2 gene have been found that account for variation in the magnitude of light-induced melatonin suppression.77 Interestingly, the ancestral PER2 haplotype (a particular combination of the single nucleotide polymorphism [SNP] rs4663302, rs147573126, rs190386281, rs142175638, rs11894535, and rs934945 variants within the PER2 gene) conferred low light sensitivity and was more frequently found inside Africa than outside Africa, and there was more diversity in PER2 variants in non-African populations than in African populations.77 Cruciani et al analyzed variations in a 7.7 kb region of the PER2 locus in individuals from five continents.78 While they found no evidence of latitudinal selection at the locus, they did find distinct genetic differences between Africans and non-Africans and selection signals suggesting strong geographical natural selection. The interpopulation genetic differentiation suggested that the differentiation of the PER2 locus and selection occurred after the out-of-Africa migration to areas with greater seasonal variation in photoperiod.78 A variant (rs2675703; P10L) in the melanopsin gene (OPN4) has been found at a higher frequency in patients with SAD.79 In healthy participants, the same variant was associated with earlier bedtimes on shorter days and later bedtimes on longer days.80 Participants who were homozygous for the P10L TT variant showed photoperiod responsiveness in terms of bedtimes and chronotype: they had earlier bedtimes and greater morning preferences when assessed in short days, and later bedtimes and more eveningness when assessed in long days.80 None of the other P10L genotypes showed the photoperiod-dependent change in chronotype.80 Lee et al demonstrated that the rs1079610 SNP in OPN4, previously functionally associated with pupillary light reflex and light sensitivity,81 was associated with habitual sleep timing in Japanese university students.82 While students of all three genotypes of this SNP had relatively low MEQ scores, those who were homozygous CC had significantly later bedtimes and midpoints of sleep.82 These and other genetic or ancestry-specific differences affecting circadian light perception may account for interindividual differences in responsiveness to changes in photo-period. However, it seems unlikely that within populations there are photoperiod-sensitive and -insensitive people.83 It is more likely, as proposed by Roenneberg, that some people are more sensitive while others are less sensitive to photoperiod.84 Further modulating our responsiveness is the variation in individual’s exposure to the outdoors and seasons. As human populations become more industrialized and live increasingly in urban environments with artificial light at night, heating and cooling in homes and work spaces, combined with increasing time spent indoors and fewer outdoor occupations, we are less exposed to natural seasons. Seasonal birth rhythms have dampened, losing their correlation first with photoperiod and then with ambient temperature due to industrialization.85 Sleep timing and duration in pre-industrial populations, such as the Southern African Sān people, show seasonal variation with shorter duration and delayed sleep timing in summer.86 Access to electricity, and thus light at night, resulted in delayed sleep timing in an African community undergoing transition to urbanization relative to a neighboring village without electricity.87 Both communities in the Beale et al study had exposure to bright sunlight in the mornings and during the day.87 Industrialized populations with reduced early morning natural light exposure and artificial light at night have later and shorter sleep durations.88 When exposed to the natural light–dark cycle, for example when camping, participants showed photoperiod responsiveness with earlier sleep onset and longer sleep in winter than in summer.89 Thus, natural and artificial factors may modulate chronotype and the seasonal effects on chronotype assessed in populations.

Chronotype and latitude

As seasonal variation in photoperiod is greatest further from the equator, one might expect circadian entrainment and chronotype to be affected by latitude. Leocadio-Miguel et al assessed chronotype using the MEQ in a countrywide sample of the Brazilian population (n=12,884).90 Information concerning gender, city of residence, age, and work/study routines was also collected from participants. The landmass of Brazil ranges from latitude 05°16′ N to 33°45′ S and longitude 34°47′ W to 73°59′ W, but most of the population live in the same time zone with the highest density at, or around, the coast. The study chose participants living between 0° and 32°33′ S and a longitude range from 34°50′ W to 57°05′ W, which is the time zone UTC/GMT –3. The season at the time participants took part was recorded and was accounted for as a cofactor in the analyses. The authors reported that the annual average solar irradiation exerts a systematic effect on MEQ score even after controlling for age, longitude, and sex. They found that the further away the population is from the equator, ie, where they would experience lower mean irradiation levels, the more significant the shift of chronotype distribution toward later chronotypes.90 They attributed this in part to more light in the evenings in summer as the latitude increases, resulting in light exposure occurring when the human phase response to light is sensitive to delays. Concomitantly, they reasoned that the later sunrise during winter as the latitude increases and low levels of solar irradiance reduce exposure to light during a phase sensitive to phase advances. An earlier study91 also reported an increased tendency toward late chronotype at higher latitudes. In a comparison between cities that are approximately 4.5° apart (Syktyvkar: 61.4° N; Inta: 66.0° N), a significant increase in evening typology among 13- to 17-year-olds was observed in the city of Inta. Randler carried out an investigation of chronotype in adolescents in 17 countries, which revealed a significant association with both latitude and longitude.92 Participants were divided into tropics, subtropics, and temperate zones; individuals in the subtropics were the latest chronotypes while individuals in the tropics were the earliest chronotypes. The authors also observed that within the central Europe time zone, there was more morning orientation toward the North and the East.92 In a study conducted in a region of northern Russia ranging in latitude from 59.5° N to 67.6° N, it was observed that each 8° increment in latitude resulted in the midpoint of sleep being delayed by 1 hour.93 Latitude accounted for almost 42% of variability in chronotype and was most marked in those living in rural rather than urban environments.93

Photoperiod at birth, season, and chronotype

There is a hypothesis which proposes that the duration of daylight following birth sets the internal clock and this is the basis of the effect of season-of-birth on chronotype in adulthood.94,95 An imprinting-like phenomenon may occur during a “sensitive phase” during the 3 months after birth, a significant period of time during which an individual’s sleep–wake cycle is being developed, and the photoperiods in the weeks following birth have an influence on chronotype.94 Individuals born during long or lengthening photoperiods (summer or spring) would set their internal clock with longer days in comparison to those born during the shorter or shortening photoperiods characteristic of winter or autumn. A study of adolescents born between July 1993 and July 1999 in adjacent German regions at 49° N took photoperiod-at-birth (PAB) into consideration when assessing chronotype using the CSM.96 Individuals born when photoperiod was increasing (spring) were more evening-oriented and had later midpoints of sleep than those born when photoperiod was decreasing (autumn), who were more morning-oriented. As these differences were detectable only when comparing increasing vs decreasing photoperiod groups, and when a quadratic or cosine function was applied to the data, the authors suggested that this implied that the effect of PAB on chronotype was small.96 However, it is possible that grouping individuals by season of birth may be masking the effect of PAB on chronotype as photoperiod varies even within a season. Mongrain et al used the MEQ to determine chronotype in 1,591 (1102 women) young adults aged 17–35 years in Montreal, Canada (45°31′ N) with data collection taking place over a period of 4 years.95 Photoperiod for each individual’s date-of-birth was estimated using photoperiod for Montreal City, and four categories of photoperiod length (8–10, 10–12, 12–14, 14–16 hour) were used in the analyses.95 While the exact place of birth was not asked for in the questionnaire, approximately 95% of participants were from the province of Quebec where the study was conducted. Participants born during autumn with a photoperiod of 8–10 hour had higher MEQ scores (ie, tended more toward morningness) than participants born during spring with either 12–14 hour or 14–16 hour photoperiods. Interestingly the MEQ scores of participants born in summer or winter were not different.95 A limitation in this study is that season during which the questionnaire was completed was not taken into consideration. One study compared the association between season-of-birth and chronotype between a population in the southern hemisphere (Rockhampton, Australia, 22° S; n=757) with one in the northern hemisphere (Bologna, Italy, 41° N; n=997).94 CSM scores were higher in Australian participants in comparison to Italian participants, and females reported higher CSM scores in both Italy and Australia.94 Despite the difference in magnitude of CSM scores between the two study sites, which may be due in part to latitude or cultural differences (eg, Italians take a mid-afternoon rest, or “risposo,” which is not common in Australia), the association of season-of-birth and chronotype was similar. In the Northern hemisphere, morningness was linked with winter and autumn births (September to March), while eveningness was more frequent in those born in spring and summer (March to September). In the Southern hemisphere, the pattern was similar as those born from March to September (winter and autumn) were more frequently morning types, whereas those born from September to March (spring and summer) were linked with eveningness.94 Three limitations to this study, however, are that there was a difference in latitude between the northern and southern hemisphere cities, city of birth was not recorded and thus the season-of-birth was assumed, and the time of year the CSM was completed was not taken into consideration. However, similar observations were made in young Italian and Spanish populations: 899 Italian (651 female) and 685 Spanish (518 female), age ranged from 18–34 years.97 Males born between October and March (colder months) were more morning-orientated than those born between April and September (warmer months); this was not found among female participants. Collectively these studies suggest at least some role for PAB in determining adolescent and young adult chronotypes. It seems that latitude is responsible for part of the variation in effect size. For example, Borisenkov et al measured chronotype in 1,172 children and teenagers (609 girls) aged 11–18 years from nine locations, within northern Russia, ranging in latitude from 59.5° N to 67.6° N.93 They observed that individuals born north of the Arctic circle 66.5° N at polar day (summer solstice, sunrise: 00:00 hours) or polar night (winter solstice, sunrise: 12:00 hours) had later chronotypes than individuals born in other seasons.93 They suggested that time of sunrise, sunset and daylength at birth had a significant impact on chronotype,93 factors all determined by both latitude and longitude which have also been shown to affect chronotype.90,98,99

Chronotype and seasonal daylight saving

Many countries in higher latitudes adopt a daylight-saving time (DST), where the societal clock is adjusted by 1 hour, advancing in spring and delaying in autumn. Some studies have assessed the impact of DST on clock entrainment.100,101 In a large study of 55,000 participants from Germany, Italy, Switzerland, France, Slovakia, the Netherlands, and Luxembourg, Kantermann et al found chronotype- dependent differences in adjustments to DST, especially after the spring time change when clocks are advanced by an hour.100 Those who were classified as morning types using the MCTQ adjusted more readily to the DST than those who were evening types, who had still failed to re-entrain (adjust their mid-point of sleep on free days or center of gravity of activity) within 3 weeks of the time transition.100 A later study also demonstrated that seasonal adaptation in central Europeans was disrupted during the annual transition to DST.101 Populations from Estonia (57° N to 59° N), Scotland (59° N), Germany (48° N), and Croatia (42° N) were studied to identify seasonal differences in sleep timing and chronotype during the observance of DST and standard time zone (SZT).101 A total of 9,765 participants had their sleep times and chronotype assessed with the MCTQ from 2007 to 2009. Subgroups of each of the populations were assessed either during DST or SZT. Mean chronotype was found to be significantly later during SZT in comparison to the DST in a subgroup of the Estonian population as well as in the German population. They observed no differences in chronotype between SZT and DST in the population from Scotland. As individuals are required to wake up 1 hour earlier during DST and are exposed to longer photoperiods (especially in northern regions), later chronotypes assessed during DST had slightly earlier midpoints of sleep than in the rest of the year and had more irregular sleep times from work to free days. Sleep duration and mid-sleep were analyzed in one of the Estonian subgroups throughout the year, as they experienced the longest day length at summer solstice. It was noted that within this subgroup, those with earlier chronotypes had similar sleep durations and mid-points of sleep throughout the year during periods of both SZT and DST. However, those with later chronotypes showed significant variation in sleep duration during DST. They further observed that with increasing photoperiod from the DST transition in spring to the end of summer, the mean chronotype in Estonia was earlier relative to periods with shorter daylength, from September to February. This implies that assessment of internal time during the DST period may be less reliable than during SZT. The authors concluded that the variation in chronotype across the year was mostly dependent on age, sex, and season of assessment, with season of assessment having the greatest influence.101

Conclusion

Seasonal plasticity of chronotype must confer an adaptive advantage, allowing humans to maximize sleep and activity periods according to the environment. As some humans occupy areas of the planet that experience great variations in light environments, they have evolved mechanisms to ensure circadian entrainment even at low light levels and of varying spectral composition. PER2 gene variants that confer greater circadian light sensitivity have arisen since modern humans migrated from Africa.77 Genetic variation in PER2, OPN4, and PER3, as well as differences in eye pigmentation, and endogenous circadian period lead to differences in individual anticipation and responsiveness to seasonal change, and seasonality in humans. Many of these variations are related to geographical area of origin and thus may have had an adaptive advantage for the seasonal variations in those regions. For example, having a longer endogenous period may be in part responsible for the trend observed toward a later chronotype as latitude increases91,92 as this may confer the ability to adapt to extremes in seasonal variation.
  97 in total

1.  A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms.

Authors:  J A Horne; O Ostberg
Journal:  Int J Chronobiol       Date:  1976

2.  Influence of eye colors of Caucasians and Asians on suppression of melatonin secretion by light.

Authors:  Shigekazu Higuchi; Yutaka Motohashi; Keita Ishibashi; Takafumi Maeda
Journal:  Am J Physiol Regul Integr Comp Physiol       Date:  2007-03-01       Impact factor: 3.619

3.  Chronotype influences activity circadian rhythm and sleep: differences in sleep quality between weekdays and weekend.

Authors:  Jacopo A Vitale; Eliana Roveda; Angela Montaruli; Letizia Galasso; Andi Weydahl; Andrea Caumo; Franca Carandente
Journal:  Chronobiol Int       Date:  2014-12-03       Impact factor: 2.877

Review 4.  Photic regulation of clock systems.

Authors:  Steven Hughes; Aarti Jagannath; Mark W Hankins; Russell G Foster; Stuart N Peirson
Journal:  Methods Enzymol       Date:  2014-12-26       Impact factor: 1.600

5.  Natural sleep and its seasonal variations in three pre-industrial societies.

Authors:  Gandhi Yetish; Hillard Kaplan; Michael Gurven; Brian Wood; Herman Pontzer; Paul R Manger; Charles Wilson; Ronald McGregor; Jerome M Siegel
Journal:  Curr Biol       Date:  2015-10-17       Impact factor: 10.834

6.  Annual rhythm of human reproduction: II. Environmental correlations.

Authors:  T Roenneberg; J Aschoff
Journal:  J Biol Rhythms       Date:  1990       Impact factor: 3.182

7.  A length polymorphism in the circadian clock gene Per3 is linked to delayed sleep phase syndrome and extreme diurnal preference.

Authors:  Simon N Archer; Donna L Robilliard; Debra J Skene; Marcel Smits; Adrian Williams; Josephine Arendt; Malcolm von Schantz
Journal:  Sleep       Date:  2003-06-15       Impact factor: 5.849

Review 8.  Circadian rhythms, sleep deprivation, and human performance.

Authors:  Namni Goel; Mathias Basner; Hengyi Rao; David F Dinges
Journal:  Prog Mol Biol Transl Sci       Date:  2013       Impact factor: 3.622

9.  Life between clocks: daily temporal patterns of human chronotypes.

Authors:  Till Roenneberg; Anna Wirz-Justice; Martha Merrow
Journal:  J Biol Rhythms       Date:  2003-02       Impact factor: 3.182

10.  Chronotype and sleep duration: the influence of season of assessment.

Authors:  Karla V Allebrandt; Maris Teder-Laving; Thomas Kantermann; Annette Peters; Harry Campbell; Igor Rudan; James F Wilson; Andres Metspalu; Till Roenneberg
Journal:  Chronobiol Int       Date:  2014-03-28       Impact factor: 2.877

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1.  Change in circadian preference predicts sustained treatment outcomes in patients with unipolar depression and evening preference.

Authors:  Joey W Y Chan; Ngan Yin Chan; Shirley Xin Li; Siu Ping Lam; Steven Wai Ho Chau; Yaping Liu; Jihui Zhang; Yun Kwok Wing
Journal:  J Clin Sleep Med       Date:  2022-02-01       Impact factor: 4.062

Review 2.  The Role of the Melatoninergic System in Circadian and Seasonal Rhythms-Insights From Different Mouse Strains.

Authors:  Martina Pfeffer; Charlotte von Gall; Helmut Wicht; Horst-Werner Korf
Journal:  Front Physiol       Date:  2022-04-12       Impact factor: 4.755

3.  Insomnia in Patients Seeking Care at an Orofacial Pain Unit.

Authors:  Miguel Meira E Cruz; Nenad Lukic; Aleksandra Wojczynska; Beat Steiger; Antonio Sérgio Guimarães; Dominik A Ettlin
Journal:  Front Neurol       Date:  2019-05-28       Impact factor: 4.003

Review 4.  Social Jetlag and Related Risks for Human Health: A Timely Review.

Authors:  Rocco Caliandro; Astrid A Streng; Linda W M van Kerkhof; Gijsbertus T J van der Horst; Inês Chaves
Journal:  Nutrients       Date:  2021-12-18       Impact factor: 6.706

5.  The effect of subjective sleep latency on BMI of medical interns during and before COVID-19 pandemic.

Authors:  Ehsan Bastanhagh; Reza Erfanian
Journal:  Sleep Sci       Date:  2021 Jan-Mar

6.  Effects of Interrupted Daily Routine Due to COVID-19 on Circadian Chronotype and Leisure Time Physical Activity.

Authors:  Justine M Renziehausen; David H Fukuda
Journal:  Sports (Basel)       Date:  2022-07-14

7.  Associations between chronotype, social jetlag, and weekday sleep in women with irritable bowel syndrome.

Authors:  Pei-Lin Yang; Robert L Burr; Horacio O de la Iglesia; Diana T Buchanan; Teresa M Ward; Carol A Landis; Margaret M Heitkemper
Journal:  Chronobiol Int       Date:  2021-02-22       Impact factor: 2.877

8.  Do sex hormones confound or mediate the effect of chronotype on breast and prostate cancer? A Mendelian randomization study.

Authors:  Bryony L Hayes; Timothy Robinson; Siddhartha Kar; Katherine S Ruth; Konstantinos K Tsilidis; Timothy Frayling; Anna Murray; Richard M Martin; Deborah A Lawlor; Rebecca C Richmond
Journal:  PLoS Genet       Date:  2022-01-21       Impact factor: 5.917

  8 in total

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