This refers to the precise, optimized timing and magnitude of the expected surge in salivary or serum cortisol approximately 30 to 45 minutes after waking, reflecting healthy HPA axis function. Tuning implies actively adjusting lifestyle factors to ensure this response is appropriate—neither blunted nor exaggerated—for the individual’s physiological demands. It is a key indicator of adrenal reserve and stress resilience.
Origin
It combines ‘Cortisol Awakening Response,’ a well-established clinical marker, with ‘Tuning,’ suggesting calibration or fine adjustment, stemming from engineering principles applied to biological feedback systems. The concept addresses the clinical observation that chronic stress often distorts this crucial morning hormonal signal. We seek to harmonize the body’s initial activation signal.
Mechanism
Tuning involves managing the preceding night’s sleep quality and the morning’s immediate environmental cues to regulate the pulsatile release of ACTH from the pituitary. Optimal tuning ensures sufficient morning cortisol to facilitate alertness and metabolic readiness without inducing prolonged sympathetic activation. Successful modulation often involves optimizing the negative feedback sensitivity of the glucocorticoid receptors.
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