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Updated: May 4, 2026

Human Circadian Phenotyping and Diurnal Performance Testing in the Real World
Published on: April 7, 2020
Individual variations in serum melatonin levels through time: implications for epidemiologic studies.
Leticia M Nogueira1, Joshua N Sampson1, Lisa W Chu2
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, United States of America.
Serum melatonin levels are stable over five years, suggesting single measurements can link melatonin to cancer risk. Season and smoking status influence levels, requiring consideration in studies.
Area of Science:
- Endocrinology
- Cancer Epidemiology
- Chronobiology
Background:
- Melatonin, a circadian rhythm marker, is investigated for anti-cancer properties.
- Circadian rhythm disruption is a potential carcinogenic factor.
- Understanding melatonin variability is crucial for epidemiological studies on cancer.
Purpose of the Study:
- To assess the stability of serum melatonin levels over time.
- To identify lifestyle and environmental factors influencing serum melatonin levels.
- To inform the design of epidemiological studies investigating melatonin and cancer risk.
Main Methods:
- Longitudinal measurement of serum melatonin in 97 men over five years.
- Cross-sectional analysis of serum melatonin in 292 individuals.
- Statistical analysis including Pearson correlation and Analysis of Variance (ANOVA).
Main Results:
- High correlation (0.70) of serum melatonin levels over five years.
- Serum melatonin levels were higher in winter (6.36±0.59 pg/ml) than summer (4.83±0.62 pg/ml).
- Current smokers had significantly lower serum melatonin levels (3.02±1.25 pg/ml) compared to never (6.66±0.66 pg/ml) and former smokers (5.59±0.50 pg/ml).
Conclusions:
- Single serum melatonin measurements may be sufficient for population-level cancer risk studies.
- Season of sample collection and smoking status are important confounders in melatonin research.
- Accurate assessment of melatonin's role in cancer requires accounting for individual and environmental factors.
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