Skip to main content
Journal of Psychiatry & Neuroscience : JPN logoLink to Journal of Psychiatry & Neuroscience : JPN
. 1991 Jul;16(2):96–102.

Growth hormone and cortisol secretion in relation to sleep and wakefulness.

J R Davidson 1, H Moldofsky 1, F A Lue 1
PMCID: PMC1188300  PMID: 1911740

Abstract

The study investigated secretory patterns of growth hormone (GH) and cortisol in relation to sleep and wakefulness. Plasma hormone levels were monitored in 10 young men during baseline waking and sleeping, during 40 hours of wakefulness, and during sleep following deprivation. The normal nocturnal GH surge disappeared with sleep deprivation, and was intensified following sleep deprivation. Mean GH levels were higher during slow wave sleep (SWS) compared with other sleep stages. During sleep after deprivation, GH secretion was prolonged, and second GH peaks occurred in three subjects which were not associated with SWS. Average 24-hour cortisol levels were not altered by sleep deprivation or sleep following deprivation, but the nocturnal cortisol rise occurred approximately one hour earlier with sleep deprivation and one hour later with resumed sleep, compared to baseline. This effect on the timing of the rise is consistent with an initial inhibitory influence of sleep on cortisol secretion. The results demonstrate that: the nocturnal growth hormone surge is largely sleep-dependent; temporal associations between GH and SWS are not reliable after sleep deprivation; although the cortisol rhythm is not sleep-dependent, the timing of the cortisol rise may be influenced by sudden changes in the sleep-wake schedule.

Full text

PDF
102

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beck U., Brezinová V., Hunter W. M., Oswald I. Plasma growth hormone and slow wave sleep increase after interruption of sleep. J Clin Endocrinol Metab. 1975 May;40(5):812–815. doi: 10.1210/jcem-40-5-812. [DOI] [PubMed] [Google Scholar]
  2. Beck U. Hormonal secretion during sleep in man. Modification of growth hormone and prolactin secretion by interruption and selective deprivation of sleep. Int J Neurol. 1981;15(1-2):17–29. [PubMed] [Google Scholar]
  3. Born J., Kern W., Bieber K., Fehm-Wolfsdorf G., Schiebe M., Fehm H. L. Night-time plasma cortisol secretion is associated with specific sleep stages. Biol Psychiatry. 1986 Dec;21(14):1415–1424. doi: 10.1016/0006-3223(86)90333-1. [DOI] [PubMed] [Google Scholar]
  4. Born J., Muth S., Fehm H. L. The significance of sleep onset and slow wave sleep for nocturnal release of growth hormone (GH) and cortisol. Psychoneuroendocrinology. 1988;13(3):233–243. doi: 10.1016/0306-4530(88)90021-2. [DOI] [PubMed] [Google Scholar]
  5. Désir D., Van Cauter E., Fang V. S., Martino E., Jadot C., Spire J. P., Noël P., Refetoff S., Copinschi G., Golstein J. Effects of "jet lag" on hormonal patterns. I. Procedures, variations in total plasma proteins, and disruption of adrenocorticotropin-cortisol periodicity. J Clin Endocrinol Metab. 1981 Apr;52(4):628–641. doi: 10.1210/jcem-52-4-628. [DOI] [PubMed] [Google Scholar]
  6. Fehm H. L., Bieber K., Benkowitsch R., Fehm-Wolfsdorf G., Voigt K. H., Born J. Relationships between sleep stages and plasma cortisol: a single case study. Acta Endocrinol (Copenh) 1986 Feb;111(2):264–270. doi: 10.1530/acta.0.1110264. [DOI] [PubMed] [Google Scholar]
  7. Follenius M., Brandenberger G., Simon C., Schlienger J. L. REM sleep in humans begins during decreased secretory activity of the anterior pituitary. Sleep. 1988 Dec;11(6):546–555. [PubMed] [Google Scholar]
  8. Golstein J., Van Cauter E., Désir D., Noël P., Spire J. P., Refetoff S., Copinschi G. Effects of "jet lag" on hormonal patterns. IV. Time shifts increase growth hormone release. J Clin Endocrinol Metab. 1983 Mar;56(3):433–440. doi: 10.1210/jcem-56-3-433. [DOI] [PubMed] [Google Scholar]
  9. Hellman L., Nakada F., Curti J., Weitzman E. D., Kream J., Roffwarg H., Ellman S., Fukushima D. K., Gallagher T. F. Cortisol is secreted episodically by normal man. J Clin Endocrinol Metab. 1970 Apr;30(4):411–422. doi: 10.1210/jcem-30-4-411. [DOI] [PubMed] [Google Scholar]
  10. Honda Y., Takahashi K., Takahashi S., Azumi K., Irie M., Sakuma M., Tsushima T., Shizume K. Growth hormone secretion during nocturnal sleep in normal subjects. J Clin Endocrinol Metab. 1969 Jan;29(1):20–29. doi: 10.1210/jcem-29-1-20. [DOI] [PubMed] [Google Scholar]
  11. Jacoby J. H., Smith E., Sassin J. F., Greenstein M., Weitzman E. D. Altered growth of hormone secretory pattern following prolonged sleep deprivation in the rhesus monkey. Neuroendocrinology. 1975;18(1):9–15. doi: 10.1159/000122378. [DOI] [PubMed] [Google Scholar]
  12. Karacan I., Rosenbloom A. L., Williams R. L., Finley W. W., Hursch C. J. Slow wave sleep deprivation in relation to plasma growth hormone concentration. Behav Neuropsychiatry. 1971 Feb-Mar;2(11):11–14. [PubMed] [Google Scholar]
  13. Mendelson W. B. Studies of human growth hormone secretion in sleep and waking. Int Rev Neurobiol. 1982;23:367–389. [PubMed] [Google Scholar]
  14. Mendlewicz J., Linkowski P., Kerkhofs M., Desmedt D., Golstein J., Copinschi G., Van Cauter E. Diurnal hypersecretion of growth hormone in depression. J Clin Endocrinol Metab. 1985 Mar;60(3):505–512. doi: 10.1210/jcem-60-3-505. [DOI] [PubMed] [Google Scholar]
  15. Moline M. L., Monk T. H., Wagner D. R., Pollak C. P., Kream J., Fookson J. E., Weitzman E. D., Czeisler C. A. Human growth hormone release is decreased during sleep in temporal isolation (free-running). Chronobiologia. 1986 Jan-Mar;13(1):13–19. [PubMed] [Google Scholar]
  16. Orth D. N., Island D. P., Liddle G. W. Experimental alteration of the circadian rhythm in plasma cortisol (17-OHCS) concentration in man. J Clin Endocrinol Metab. 1967 Apr;27(4):549–555. doi: 10.1210/jcem-27-4-549. [DOI] [PubMed] [Google Scholar]
  17. Parker D. C., Sassin J. F., Mace J. W., Gotlin R. W., Rossman L. G. Human growth hormone release during sleep: electroencephalographic correlation. J Clin Endocrinol Metab. 1969 Jun;29(6):871–874. doi: 10.1210/jcem-29-6-871. [DOI] [PubMed] [Google Scholar]
  18. Pawel M. A., Sassin J. F., Weitzman E. D. The temporal relation between HGH release and sleep stage changes at nocturnal sleep onset in man. Life Sci I. 1972 Jun 15;11(12):587–593. doi: 10.1016/0024-3205(72)90194-4. [DOI] [PubMed] [Google Scholar]
  19. Quabbe H. J., Gregor M., Bumke-Vogt C., Härdel C. Pattern of plasma cortisol during the 24-hour sleep/wake cycle in the rhesus monkey. Endocrinology. 1982 May;110(5):1641–1646. doi: 10.1210/endo-110-5-1641. [DOI] [PubMed] [Google Scholar]
  20. Salín-Pascual R. J., Ortega-Soto H., Huerto-Delgadillo L., Camacho-Arroyo I., Roldán-Roldán G., Tamarkin L. The effect of total sleep deprivation on plasma melatonin and cortisol in healthy human volunteers. Sleep. 1988 Aug;11(4):362–369. doi: 10.1093/sleep/11.4.362. [DOI] [PubMed] [Google Scholar]
  21. Sassin J. F., Parker D. C., Johnson L. C., Rossman L. G., Mace J. W., Gotlin R. W. Effects of slow wave sleep deprivation on human growth hormone release in sleep: preliminary study. Life Sci. 1969 Dec 1;8(23):1299–1307. doi: 10.1016/0024-3205(69)90034-4. [DOI] [PubMed] [Google Scholar]
  22. Sassin J. F., Parker D. C., Mace J. W., Gotlin R. W., Johnson L. C., Rossman L. G. Human growth hormone release: relation to slow-wave sleep and sleep-walking cycles. Science. 1969 Aug 1;165(3892):513–515. doi: 10.1126/science.165.3892.513. [DOI] [PubMed] [Google Scholar]
  23. Steiger A., Herth T., Holsboer F. Sleep-electroencephalography and the secretion of cortisol and growth hormone in normal controls. Acta Endocrinol (Copenh) 1987 Sep;116(1):36–42. doi: 10.1530/acta.0.1160036. [DOI] [PubMed] [Google Scholar]
  24. Takahashi Y., Kipnis D. M., Daughaday W. H. Growth hormone secretion during sleep. J Clin Invest. 1968 Sep;47(9):2079–2090. doi: 10.1172/JCI105893. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Van Cauter E., Refetoff S. Multifactorial control of the 24-hour secretory profiles of pituitary hormones. J Endocrinol Invest. 1985 Aug;8(4):381–391. doi: 10.1007/BF03348519. [DOI] [PubMed] [Google Scholar]
  26. Weitzman E. D. Circadian rhythms and episodic hormone secretion in man. Annu Rev Med. 1976;27:225–243. doi: 10.1146/annurev.me.27.020176.001301. [DOI] [PubMed] [Google Scholar]
  27. Weitzman E. D., Fukushima D., Nogeire C., Roffwarg H., Gallagher T. F., Hellman L. Twenty-four hour pattern of the episodic secretion of cortisol in normal subjects. J Clin Endocrinol Metab. 1971 Jul;33(1):14–22. doi: 10.1210/jcem-33-1-14. [DOI] [PubMed] [Google Scholar]
  28. Weitzman E. D., Goldmacher D., Kripke D., MacGregor P., Kream J., Hellman L. Reversal of sleep-waking cycle: effect on sleep stage pattern and certain neuroendocrine rhythms. Trans Am Neurol Assoc. 1968;93:153–157. [PubMed] [Google Scholar]
  29. Weitzman E. D., Nogeire C., Perlow M., Fukushima D., Sassin J., McGregor P., Hellman L. Effects of a prolonged 3-hour sleep-wake cycle on sleep stages, plasma cortisol, growth hormone and body temperature in man. J Clin Endocrinol Metab. 1974 Jun;38(6):1018–1030. doi: 10.1210/jcem-38-6-1018. [DOI] [PubMed] [Google Scholar]
  30. Weitzman E. D., Zimmerman J. C., Czeisler C. A., Ronda J. Cortisol secretion is inhibited during sleep in normal man. J Clin Endocrinol Metab. 1983 Feb;56(2):352–358. doi: 10.1210/jcem-56-2-352. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Psychiatry and Neuroscience are provided here courtesy of Canadian Medical Association

RESOURCES