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Emergence and evolution of the circadian rhythm of melatonin in children
Julio Ardura1, Regina Gutierrez, Jesus Andres
1Department of Pediatrics, University Hospital, University of Valladolid, Spain. ardura@ped.uva.es
Insights
The circadian melatonin rhythm emerges in newborns by 27-41 days old and continues throughout infancy. This study tracked melatonin levels in infants to determine when this daily rhythm begins.
Area of Science:
- Pediatrics
- Chronobiology
- Endocrinology
Background:
- The circadian rhythm of melatonin, a key hormone regulating sleep-wake cycles, is crucial for infant development.
- Understanding the onset of this rhythm is vital for assessing normal physiological development in early life.
Purpose of the Study:
- To determine the precise age at which the circadian rhythm of melatonin production begins in human infants.
- To investigate the persistence of this rhythm from the neonatal period through early childhood.
Main Methods:
- Studied 55 infants from the neonatal period to 24 months.
- Measured urinary 6-sulfatoxymelatonin (aMT6s) in newborns and salivary melatonin (aMT) in older infants.
- Utilized ELISA and RIA for hormone quantification and statistical tests to analyze daily variations.
Main Results:
- Statistically significant daily differences in melatonin concentrations were observed in infants aged 27-41 days.
- Peak melatonin levels consistently occurred between midnight and 8:00 AM.
- This day/night pattern persisted from 2-3 months up to 13-24 months of age.
Conclusions:
- The circadian melatonin rhythm is established by the end of the neonatal period in infants.
- This rhythm demonstrates developmental continuity, persisting throughout the first two years of life.
Objective:
To assess the age at which the circadian rhythm of melatonin begins.
Methods:
55 children, divided into groups from the neonatal period to 24 months of life, were studied. Urine samples were taken from 28 newborn babies to measure 6-sulfatoxymelatonin (aMT6s). Salivary samples were collected from infants (27 cases), to measure melatonin (aMT). aMT was measured by RIA and aMT6s by ELISA using commercial kits. Changes in the levels of aMT6s and aMT were evaluated using the Friedman test and Wilcoxon matched pair test.
Results:
The group aged 27-41 days showed statistically significant differences in daily aMT6s and aMT concentrations. The highest values were always found between 24.00 and 8.00 h. This day/night difference persisted from 2-3 to 13-24 months of age.
Conclusion:
The data indicate that the circadian melatonin rhythm appears at the end of the neonatal period and persists thereafter.
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