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Circadian rhythms are self-sustaining phenomena with a periodicity of approximately 24 hours (Latin: circa = about, diem = 1 day). For example, the human circadian rhythm of body temperature shows a cosine wave pattern, typically peaking in the early evening (57 p.m.) and reaching a nadir in the early morning (46 a.m.). This entry will review evidence that exercise can influence the circadian system and discuss implications for health and performance.

Every living organism displays circadian rhythms, which probably evolved to allow adaptation to the 24-hour rotation of the earth. The bilaterally coupled suprachiasmatic nuclei (SCN) of the hypothalamus are the predominant anatomic locus of the mammalian circadian pacemaker. Neural and humoral outputs from the SCN to other centers in the hypothalamus and endocrine system drive multiple behavioral and physiological rhythms.

In humans, direct measurement of SCN activity is essentially impossible, so measurement of the human circadian system involves assessment of the output markers, such as body temperature and melatonin excretion, which can be considered the “hands of the clock.” The measurement of these rhythms can be partly confounded or “masked” by environmental and behavioral factors, such as energy intake, activity, temperature, and light. For example, the diurnal rhythm of body temperature observed under normal conditions is influenced partly by day-night fluctuations in physical activity and food intake.

However, by definition, these rhythms are endogenously produced, though their measurement is influenced by these masking factors. That is, the rhythms persist even when an organism is separated from time-of-day cues or from diurnal fluctuations in these masking factors. The earliest human studies demonstrated this point in cave experiments, where there was no fluctuation in temperature and light and participants were isolated from the environment. Modern laboratory techniques have been developed to “unmask” circadian rhythms from masking factors. These include the constant routine, forced desynchrony, and ultrashort sleep-wake cycle. In the 180-minute ultrashort sleep-wake schedule, participants are allowed 60 minutes for sleep in darkness (<1 lux), followed by 120 minutes of out-of-bed wakefulness in dim light (30 lux). This schedule is repeated round the clock for up to 10 days and distributes masking effects equally around the 24-hour day.

Circadian Malsynchronization

Under ideal conditions, the circadian system is synchronized precisely to the 24-hour rotation of the earth to promote adaptation to the environment. Synchronization occurs through exposure to daily time cues (zeitgebers), including the light-dark cycle of day and night, physical activity, and ambient temperature. However, when circadian timing is out of synchrony with environmental demands, there are negative consequences, as reviewed below.

Shift Work

Shift workers, who constitute about one fourth of the U.S. work force, suffer an increased prevalence of cancer; cardiovascular, endocrine, mood, and gastrointestinal (GI) morbidity; and chronic sleep impairment. Moreover, the rate of automobile and work-related accidents increases precipitously at night, as exemplified by some notorious catastrophes, such as what occurred at Chernobyl, former USSR, and Bhopal, India. Shift workers suffer these symptoms chronically because their body clocks almost never fully adjust, for example, to the graveyard shift. This is because environmental zeitgebers tend to keep humans on a diurnal schedule and because shift workers usually revert to diurnal schedules when not working.

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