Developmental changes in baseline cortisol activity in early childhood: relations with napping and effortful control

Sarah E Watamura1, Bonny Donzella, Darlene A Kertes

  • 1Department of Human Development, Cornell University, Ithaca, NY 14853, USA. SKL24@cornell.edu

Insights

The development of the hypothalamic-pituitary-adrenocortical (HPA) axis in children shows maturation into the third year. Cortisol levels decrease with age, correlating with reduced napping and increased effortful control.

Area of Science:

  • Developmental psychology
  • Endocrinology
  • Neuroscience

Background:

  • The hypothalamic-pituitary-adrenocortical (HPA) axis regulates the stress response.
  • Understanding HPA axis development in early childhood is crucial for identifying potential developmental trajectories.

Purpose of the Study:

  • To examine the developmental trajectory of the HPA axis in children from 12 to 36 months of age.
  • To investigate the relationship between HPA axis maturation, napping behavior, and effortful control.

Main Methods:

  • Salivary cortisol levels were measured in 77 children at four time points daily (wake-up, midmorning, midafternoon, bedtime).
  • Hierarchical linear modeling (HLM) was used to analyze age-related differences and diurnal cortisol patterns.
  • Area under the curve (AUC) was calculated to assess overall cortisol exposure.

Main Results:

  • Cortisol levels, assessed by AUC, were higher in younger children (12-24 months) compared to older children (30-36 months).
  • Cortisol levels followed a diurnal pattern, highest at wake-up and lowest at bedtime, with significant decreases observed.
  • Shorter nap durations in older children correlated with more adult-like cortisol decreases, and higher effortful control negatively correlated with cortisol levels.

Conclusions:

  • Circadian regulation of the HPA axis continues to mature through the second year of life in humans.
  • HPA axis maturation in early childhood is associated with behavioral development, specifically reduced napping and increased effortful control.

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