Maturation of the Circadian Rhythm of the Adrenocortical Functions in Human Neonates and Infants

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Abstract
The cortisol levels in the peripheral blood were measured radioimmunologically at 08.00, 12.00, 16.00, 20.00, 24.00 and 04.00 h in human neonates and infants with ages of 1, 2 and 3 days, 1, 2 and 4 weeks, 2, 3 and 6 months and 1 and 3 years. During the first 2 days of extrauterine life the neonates had high plasma cortisol levels without a circadian rhythm. During the first 2 months there were decreased cortisol levels in the infants, but the diurnal rhythms were still absent, and free-running fluctuations were observed. The typical circadian rhythms of the plasma cortisol levels were present in infants aged 3 months; these rhythms were identical with the diurnal changes of 1- and 3-year-old infants. In the groups of patients studied the data suggest that the circadian rhythm of the adrenocortical function may develop to the adult-type pattern already during early infancy.