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Related Experiment Video

Updated: Jun 7, 2026

Eye Tracking, Cortisol, and a Sleep vs. Wake Consolidation Delay: Combining Methods to Uncover an Interactive Effect of Sleep and Cortisol on Memory
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Published on: June 18, 2014

The cortisol awakening response in context.

Angela Clow1, Frank Hucklebridge, Lisa Thorn

  • 1Department of Psychology, University of Westminster, London W1B2UW, UK.

International Review of Neurobiology
|October 26, 2010
PubMed
Summary
This summary is machine-generated.

The cortisol awakening response (CAR) is a key part of the daily cortisol rhythm, peaking shortly after waking. Its regulation is distinct and linked to awakening processes.

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Area of Science:

  • Endocrinology
  • Neuroscience
  • Chronobiology

Background:

  • The cortisol awakening response (CAR) is a significant marker in the healthy cortisol circadian rhythm.
  • Cortisol secretion typically peaks 30-45 minutes after waking.

Purpose of the Study:

  • To review the history and regulation of the CAR.
  • To explore the CAR's distinct regulatory mechanisms compared to other daily cortisol secretion.
  • To examine the CAR's role in awakening-induced physiological processes.

Main Methods:

  • Literature review of historical investigations into the CAR.
  • Analysis of evidence on CAR regulation by the suprachiasmatic nucleus and sympathetic nervous system.
  • Examination of the CAR's relationship with other physiological changes upon awakening.

Main Results:

  • CAR regulation is distinct from cortisol secretion throughout the rest of the day.
  • The CAR is initiated by awakening, influenced by the suprachiasmatic nucleus.
  • The sympathetic nervous system fine-tunes CAR via direct neural input to the adrenal cortex.

Conclusions:

  • The CAR is initiated by awakening and influenced by central and neural pathways.
  • The CAR plays a potential role in processes like regaining consciousness, alertness, hormonal shifts, immune balance, and motor system activation.
  • Further research is needed to fully elucidate the CAR's functional significance.