This describes the precise composition of circulating neurochemicals, hormones, and metabolic signals present in the systemic environment immediately preceding the onset of sustained sleep, which dictates the readiness for the transition into restorative sleep stages. This milieu must favor parasympathetic tone and suppress activating signals like excessive cortisol or norepinephrine. A favorable milieu ensures smooth initiation of sleep architecture.
Origin
This term combines ‘Pre-Sleep,’ indicating the immediate temporal window before rest, with ‘Chemical Milieu,’ referring to the local biochemical environment, rooted in pharmacology and neuroendocrinology. It acknowledges that the body’s chemical state at bedtime determines sleep quality. We are assessing the chemical readiness for rest.
Mechanism
The ideal milieu involves rising levels of sleep-promoting agents like GABA and melatonin, coupled with declining levels of alerting signals such as cortisol and hypocretin/orexin. Proper regulation ensures the transition from wakefulness to sleep is smooth, allowing the brain to quickly enter the necessary slow-wave sleep architecture. Imbalances, such as elevated evening cortisol, directly antagonize the mechanisms required for efficient sleep onset.
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