title: Core body temperature is elevated during constant wakefulness in elderly poor sleepers.
abstract: OBJECTIVE
  The aim of this study was to test for heightened physiological activity in elderly poor sleeepers compared to good sleepers under ad lib sleep and constant wakeful conditions.
  
  
  METHODS
  Subjects participated in a five-day protocol consisting of four nights of polysomnographic (PSG) and rectal temperature monitoring followed by 26 hours of continuous rectal temperature monitoring under controlled constant wakefulness.
  
  
  METHODS
  Participants were 16 self-reported sleep maintenance insomniacs and 16 self-reported good sleeping controls over 55 years of age.
  
  
  METHODS
  NA.
  
  
  RESULTS
  Subjects were grouped according to (1) subjective sleep status and (2) into quartiles according to amount of PSG determined wake after sleep onset (WASO). Significant group differences in temperature were observed when subjects were classified according to PSG but not subjective criteria. In the former case, subjects with the lowest (bottom quartile) compared to the highest (top quartile) amount of PSG determined WASO showed lower sleep and nighttime constant wakeful core body temperatures.
  
  
  CONCLUSIONS
  In the elderly, elevated core body temperature is associated with increased nocturnal wakefulness suggesting that physiological activation may underlie sleep maintenance insomnia. This was clearly significant when subjects were compared using objective criteria and temperature was collected under constant wakeful conditions.
authors.affiliation: School of Psychology, University of South Australia, Australia. kurt.lushington@unisa.edu.au
authors.forename: K
authors.initials: K
authors.lastname: Lushington
authors.forename: D
authors.initials: D
authors.lastname: Dawson
authors.forename: L
authors.initials: L
authors.lastname: Lack
mesh_terms: D000368:Aged; D001831:Body Temperature / Q000502:physiology*; D002940:Circadian Rhythm / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography / Q000379:methods; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis*; D013997:Time Factors; D014851:Wakefulness / Q000502:physiology*