I wish the paper had a handy graphic overview for “Later life” like they do for adolescents…
That said, seems like the same “Interventions” would help (at least a bit).
As you suggest, we can control supplementing with melatonin.
Additionally, I’ve seen a number of studies identifying the variation of light intensity (e.g., bright sunlight early in the morning vs the darkness in the evening) as driving melatonin levels.
I experienced this most dramatically during and following hurricane Sandy. We lost power for a several days here in lower Manhattan. The darkness and quiet of the city provided a profoundly different environment than normal life. Once the sun set we lived by candle light. I don’t remember ever sleeping better, sleeping more deeply, or feeling so rested.
The quiet, and fall in temperature during the power outage might have also contributed to sleep quality.
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Some twenty years ago the NY Times Magazine had an article on an experiment where a family lived for a year in a remote location (away from city lights and noise) without electricity. Their daily rhythms quickly converged to them rising with the sun and going to sleep at sunset.
They reported profound changes in alertness and productivity as well as a broader and expansive experience of sleep and dreaming.
I don’t think anyone measured their body temperature, cortisol, and melatonin levels.
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The paper only mentions cortisol a couple of times in its text.
The flattening of cortisol during sleep surprises me. I don’t remember seeing this reported in the past.
Cortisol rhythms peak earlier in the morning during childhood and, with age, gradually widen and reduce in overall amplitude. The amplitude of rhythmic gene expression in the brain and other tissues is reduced during ageing, affecting tissue homeostasis and function (not shown).
Things like HIT and HIIT could increase cortisol during the day, but would this alter the flattened curve?
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re: caffeine
Cortisol fluctuates with increases and decreases in negative affect
Caffeine also increases cortisol and epinephrine levels both at rest and during periods of stress (al’Absi and Lovallo, 2004).
…but I don’t think this would raise cortisol during sleep.
I wonder if cortisol rises in response to REM sleep and dreaming?