Cortisol Rhythm Stability describes the predictable, diurnal pattern of circulating cortisol, characterized by a sharp morning peak (Cortisol Awakening Response) followed by a gradual decline throughout the day, reaching its nadir near the onset of sleep. This rhythm is a key indicator of HPA axis health and resilience to stress. Instability, such as a flattened curve or nocturnal elevation, signals chronic dysregulation. Maintaining this stability supports metabolic regulation and immune modulation.
Origin
This concept derives directly from endocrinology, specifically the study of the hypothalamic-pituitary-adrenal (HPA) axis function over a 24-hour period. “Stability” implies consistency in the timing and amplitude of the peaks and troughs, which is normally dictated by the central circadian pacemaker. Clinical evaluation often involves salivary or serum sampling at fixed intervals to map this dynamic pattern.
Mechanism
The stability is primarily driven by the SCN regulating CRH release from the hypothalamus, which subsequently controls ACTH and cortisol secretion from the adrenals. This feed-forward loop is modulated by feedback inhibition from circulating cortisol itself, ensuring a tightly controlled oscillation. Lifestyle factors, particularly consistent sleep and light exposure, serve as crucial modulators supporting this delicate endocrine timing.
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