Wakefulness Signal Integrity is the measure of the robustness, clarity, and appropriate timing of the neurochemical and hormonal signals that collectively promote and maintain a state of alert consciousness and cognitive function throughout the designated diurnal period. High integrity ensures sustained focus and energy, while compromised integrity leads to fragmented wakefulness and persistent daytime fatigue. This signal is the essential output of a properly entrained circadian system.
Origin
This concept is derived from chronobiology and sleep medicine, focusing on the quality of the homeostatic sleep drive and the circadian alerting signal that together govern the sleep-wake cycle. The term “integrity” is used to denote the signal’s fidelity and strength against physiological noise or disruption. It reflects the overall functional health of the suprachiasmatic nucleus and its downstream signaling pathways.
Mechanism
High integrity relies on the appropriate amplitude and timing of key wakefulness signals, including the morning cortisol surge, the steady daytime activity of orexin and histamine neurotransmitter systems, and the absence of residual sleep pressure. Disruption, often due to circadian misalignment or poor sleep quality, results in a low
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