This defines the level of alertness, vigilance, and readiness for action exhibited by the central nervous system at any given moment, reflecting the balance between excitation and inhibition. A balanced arousal state is necessary for optimal cognitive throughput and metabolic readiness, whereas extremes indicate physiological stress or depletion. We assess this state as a critical barometer of HPA axis function and overall neurological homeostasis.
Origin
The concept originates from psychophysiology, describing the continuum from deep sleep to maximal alertness. In our framework, arousal is intimately linked to catecholamine release and underlying cortical excitability modulated by systemic factors. It describes the operational readiness of the brain hardware.
Mechanism
The brain arousal state is governed by ascending reticular activating system input modulated by neuromodulators and circulating hormones. Thyroid hormones influence the baseline metabolic rate of neurons, affecting overall excitability. Furthermore, acute stress triggers norepinephrine release, rapidly shifting the system toward high arousal, which is metabolically expensive. Sustaining the right level of arousal requires precise neurochemical signaling integrated with systemic energy availability.
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