Cortisol Rhythm Dampening describes a pathological or stress-induced alteration where the characteristic peaks and troughs of the cortisol diurnal variation become significantly flattened or blunted. This physiological state is marked by a reduced Cortisol Awakening Response and often persistently elevated levels throughout the evening and night, resulting in a loss of the healthy, robust amplitude. Clinically, dampening is associated with chronic stress and HPA axis fatigue.
Origin
This term is a clinical descriptor derived from the analysis of salivary or serum cortisol profiles over a 24-hour period, specifically in the context of stress physiology and adrenal health assessment. The concept arises from observing a deviation from the normal, high-amplitude circadian pattern, indicating a failure of the neuroendocrine system to appropriately modulate glucocorticoid output. It signals a loss of hormonal precision.
Mechanism
Dampening occurs when chronic stress or inflammatory signals continuously stimulate the HPA axis, leading to a state of sustained, non-specific cortisol release that overrides the fine-tuned circadian signals. The glucocorticoid receptors may become desensitized, and the negative feedback loop that normally suppresses cortisol release becomes impaired. This blunted rhythm prevents the essential nocturnal shift toward anabolism and can profoundly impact sleep quality and immune regulation.
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