Cortisol Melatonin Balance refers to the critical reciprocal relationship between the primary stress hormone, cortisol, and the main chronobiotic hormone, melatonin, which together regulate the circadian rhythm. Clinically, maintaining this precise, opposing diurnal rhythm is essential for optimal sleep quality, stress adaptation, and overall hormonal health. Disruption of this balance, often characterized by high nighttime cortisol and low melatonin, is a common marker of chronic stress and HPA axis dysregulation.
Origin
This concept is foundational to the field of chronobiology and neuroendocrinology, recognizing the master regulatory role of the suprachiasmatic nucleus (SCN) in synchronizing these two hormones. Cortisol, released by the adrenal glands, peaks in the morning, while melatonin, released by the pineal gland, peaks during the night. The balance emphasizes the necessary physiological transition between the alert, catabolic state and the restorative, anabolic state.
Mechanism
Cortisol secretion is controlled by the HPA axis and drives the “wake” phase, mobilizing energy resources and suppressing non-essential functions. Conversely, melatonin acts as a powerful signal for darkness and promotes the initiation and maintenance of sleep. The antagonistic interaction ensures a clear physiological separation between the active day and restorative night cycles, supporting metabolic health, immune function, and cellular repair processes.
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