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Diurnal Cortisol Rhythmicity

Meaning

Diurnal cortisol rhythmicity is the intrinsic, 24-hour cyclical pattern governing the secretion of cortisol, the body’s primary glucocorticoid, which is tightly linked to the sleep-wake cycle. This precise biological oscillation ensures cortisol levels are highest in the morning to promote wakefulness and lowest before bedtime to facilitate sleep initiation. Maintaining robust rhythmicity is fundamental for metabolic stability, immune regulation, and effective stress adaptation. Perturbations in this rhythm are a clinical hallmark of chronic stress or Hypothalamic-Pituitary-Adrenal (HPA) axis dysregulation.