Developmental changes in baseline cortisol activity in early childhood: relations with napping and effortful control
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Updated: Aug 21, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
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.
Abstract:
Development of the hypothalamic-pituitary-adrenocortical (HPA) axis was examined using salivary cortisol levels assessed at wake-up, midmorning, midafternoon, and bedtime in 77 children aged 12, 18, 24, 30, and 36 months, in a cross-sectional design. Hierarchical linear modeling (HLM) analyses were used to characterize cortisol production across the day and to examine age-related differences. Using area(s) under the curve (AUC), cortisol levels were higher among the 12-, 18-, and 24-month children than among the 30- and 36-month children. For all five age groups, cortisol levels were highest at wake-up and lowest at bedtime. Significant decreases were noted between wake-up and midmorning, and between midafternoon and bedtime. Unlike adults, midafternoon cortisol levels were not significantly lower than midmorning levels. Over this age period, children napped less and scored increasingly higher on parent reports of effortful control. Among the 30- and 36-month children, shorter naps were associated with more adultlike decreases in cortisol levels from midmorning to midafternoon. Considering all of the age groups together, effortful control correlated negatively with cortisol levels after controlling for age. These results suggest that circadian regulation of the HPA axis continues to mature into the third year in humans, and that its maturation corresponds to aspects of behavioral development.
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