title: Melatonin phase shifts human circadian rhythms in a placebo-controlled simulated night-work study.
abstract: There has been scant evidence for a phase-shifting effect of melatonin in shift-work or jet-lag protocols. This study tested whether melatonin can facilitate phase shifts in a simulated night-work protocol. Subjects (n = 32) slept in the afternoons/evenings before night work (a 7-h advance of the sleep schedule). They took melatonin (0.5 mg or 3.0 mg) or placebo before the first four of eight afternoon/evening sleep episodes at a time when melatonin has been shown to phase advance the circadian clock. Melatonin produced larger phase advances than placebo in the circadian rhythms of melatonin and temperature. Average phase advances (+/-SD) of the dim light melatonin onset were 1.7 +/- 1.2 h (placebo), 3.0 +/- 1.1 h (0.5 mg), and 3.9 +/- 0.5 h (3.0 mg). A measure of circadian adaptation, shifting the temperature minimum enough to occur within afternoon/evening sleep, showed that only subjects given melatonin achieved this goal (73% with 3.0 mg, 56% with 0.5 mg, and 0% with placebo). Melatonin could be used to promote adaptation to night work and jet travel.
authors.affiliation: Biological Rhythms Research Laboratory, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Sharkey
authors.forename: Charmane I
authors.initials: CI
authors.lastname: Eastman
mesh_terms: D000276:Adjuvants, Immunologic / Q000008:administration & dosage*; D000328:Adult; D000339:Affect / Q000187:drug effects; D001831:Body Temperature; D002940:Circadian Rhythm / Q000187:drug effects*; D005260:Female; D006801:Humans; D020179:Jet Lag Syndrome / Q000188:drug therapy; D008297:Male; D008550:Melatonin / Q000008:administration & dosage*; D012890:Sleep / Q000187:drug effects; D020178:Sleep Disorders, Circadian Rhythm / Q000188:drug therapy*; D012894:Sleep Stages / Q000187:drug effects; D014940:Work Schedule Tolerance
chemical_list: D000276:Adjuvants, Immunologic; D008550:Melatonin