Association between circadian disruption and diseases: A narrative review

Life Sci. 2020 Dec 1:262:118512. doi: 10.1016/j.lfs.2020.118512. Epub 2020 Sep 30.

Abstract

Circadian rhythms play an important role in a wide range of human physiology and pathology. Individuals increasingly experience situations such as night-shift work schedules, likely leading to circadian disruption. Recent studies have also demonstrated that patients with other diseases often show symptoms of circadian disruption as manifested by the sleep-wake cycle and other biological rhythms. Circadian disruption often results in changes to the phase, period, and amplitude of the sleep-wake cycle, melatonin rhythm, and core body temperature. Several cardiometabolic, psychiatric, and neurodegenerative diseases are closely related to circadian disruption. Several interventions are also available, including phototherapy, exogenous melatonin, and exercise. The cumulative findings suggest that circadian disruption can increase risk for some cardiometabolic diseases. Circadian disruption also acts as a concomitant symptom of several psychiatric and neurodegenerative diseases. More attention should be paid to evaluating the impact of circadian disruption on these related diseases, as well as the benefits of the mitigation interventions for both circadian disruption and related diseases.

Keywords: Circadian disruption; Circadian rhythm; Core body temperature; Melatonin; Sleep–wake cycle.

Publication types

  • Review

MeSH terms

  • Animals
  • Chronobiology Disorders / complications
  • Chronobiology Disorders / physiopathology*
  • Chronobiology Disorders / therapy
  • Circadian Rhythm / physiology*
  • Exercise / physiology
  • Humans
  • Melatonin / administration & dosage
  • Phototherapy / methods

Substances

  • Melatonin