The comprehensive study of the neuroendocrine, metabolic, and cardiovascular changes that occur during the various stages of the sleep cycle, recognizing sleep as an active, restorative physiological process. This state is essential for consolidating memory, regulating mood, and crucially, optimizing hormonal secretion and cellular repair. Clinical understanding of this physiology is paramount for addressing metabolic dysfunction and chronic stress.
Origin
Sleep physiology has its roots in early electroencephalography (EEG) studies that first characterized the distinct stages of non-REM and REM sleep in the mid-20th century. Its integration into hormonal health became prominent with the discovery of the strong link between sleep architecture and the pulsatile release of key anabolic hormones. This field emphasizes sleep as a non-negotiable component of systemic health.
Mechanism
Deep non-REM sleep is the primary period for the maximal pulsatile release of Growth Hormone (GH), which is vital for tissue repair, lipolysis, and muscle anabolism. Concurrently, the sleep state facilitates the downregulation of the HPA axis, allowing cortisol levels to reach their diurnal nadir, which is essential for systemic recovery and reducing catabolism. Furthermore, the brain utilizes this period for glymphatic clearance, removing metabolic waste products.
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