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biological clock

Biological Clocks, the Master of Our Health

Feb 11 by Ewcopywriting Leave a Comment

Chances are, you’ve heard of the term “biological clock,” while this is often times associated with women’s fertility and childbearing abilities, the truth is, almost all of the body’s biological processes are coordinated and timed by these internal biological clocks. The human body is comprised of a variety of biological clocks and rhythms. While these rhythms were once a mystery to scientists and doctors, there is now a growing body of research that can explain how almost all of our biological processes, from sleep to digestion to blood pressure control and brain function, are all linked to internal clocks and rhythms.

This new understanding of the body’s rhythms and internal clocks is known as the science of chronobiology, or the study of internal clocks and timing, and this research is paving the way for new advances in health and medicine.

The Clocks and Rhythms of Life

There are many different types of internal clocks that govern our bodies. Three of which are circadian, ultradian and infradian rhythms.

About Chronobiology

Circadian rhythms, which are the most well recognized, correlate with the 24-hour light/dark cycle of the earth’s rotation. These types of rhythms control various processes that occur once per 24-hour period, such as the human sleep-wake cycle.

Ultradian rhythms, which govern shorter cycles such as hunger, heart rate, digestion and other processes that occur multiple times in a 24-hour day.

In contrast, infradian rhythms are cycles occur in cycles that last longer than the popular 24-hour circadian rhythms, with a complete cycle taking 28-hours or more. A good example of infradian rhythms are the hormonal cycles of adult human females, or the various cell processes and hormone levels that adjust according to the season.

These various body clocks work together to prepare our bodies for the demands of different times of the day, month, and year.

The Circadian Rhythm: The Master Clock

The circadian rhythm is the best understood of body’s internal clocks as it is present in nearly every known living organism. This 24-hour clock governs a diverse range of processes such as sleep, DNA repair, and cell regeneration.

While primitive cells are damaged by the sun and heat during the day, they are able to use the nighttime hours for necessary DNA repair and other healing processes. Although the human circadian rhythm is far more complex than the concept of daytime damage and evening repair, this formula is the most comprehensive explanation of how our body uses the night time hours as a time for cell repair, regeneration, and a chance to chemically prepare for important events. This evening reset ensures that all biological processes occur at the right time and in the right order.

How the Body’s Clocks Are Set

All clock-like and rhythmic processes are timed carefully by our brain, specifically, by the suprachiasmatic nucleus of the hypothalamus. The hypothalamus receives timing cues called zeitgebers, or external or environmental cues, and uses them to keep clocks in sync with each other and with the demands of our environment.

For the circadian rhythm, our retinas receive the zeitgeber of light from the environment around us and passes the light signal to the hypothalamus. The hypothalamus then signals the pineal gland to suppress melatonin production (a hormone that makes us sleepy) while telling other areas of the brain to increase production of hormones associated with wakefulness.

In contract, when our retinas sense lower, or a lack of external light, the hypothalamus assumes nightfall is coming. This is especially true if the lowered light is combined with other cues indicating night as well, such as a lower temperature. The hypothalamus then gives the pineal gland the green light to make melatonin, and the body prepares itself for sleep mode.

Internal Clocks and Your Health

Your Body Clocks: The Internal Master Timekeepers 1

The body’s internal clocks are not just important for our sleep patterns, but essential for whole body health as well. For example, if our internal clocks do not signal for DNA repair to occur, and this process is skipped or not taking place properly, the body’s cells will begin to lose their ability to function, which can then result in gene mutations, illness and can even lead to cancer.

Depending on the ability for our body to maintain proper internal clock cycles, these biological rhythms can either work to our benefit and ultimate well-being, or work against us. One branch of the science of chronobiology is chronopharmacology (also known as chronotherapy), which researches therapeutic approaches based on the basic principles of chronobiology and the understanding of the body’s rhythms and internal clocks.

Chronotherapy works effectively through combining the optimal ingredients and medication formulas, the right dosage amounts, and an understanding of the select organs or relationships involved, in order to deliver the substances at the most effective time of day to yield the best results with less side effects.

This type of research has led to many insights into treating diverse diseases such as diabetes and cardiovascular disease. Other research has taken this approach to ensure that  chemotherapy is now timed to hit cancerous cells at the most vulnerable time in their cell cycle, which reduces the risk to healthy cells.

From a scientific perspective, the body’s internal clocks are fascinating, but they are even more fascinating from a medical standpoint. Understanding the complicated processes the body undergoes, and the various timing associated with them, is leading to a better understanding of the interaction between health and disease, and allowing researchers to develop new and more effective treatment options. Because our body’s biological clocks are essential to our health, focusing on maintaining and treating biological rhythms and rhythm disorders is a new and promising field of health care and preventative health.

 

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Filed Under: Circadian Rhythm Tagged With: biological clock, chronobiology, chronotherapy, circadian, circadian rhythm, internal clock

Chronotherapy: Harmonizing Disease Treatment with Internal Body Clocks

Jan 15 by Ewcopywriting Leave a Comment

Do you suffer from a chronic medical condition? If so, this review of the advancements in chronotherapy may prepare you to better advocate for your healthcare.

For generations, people have been saying that timing is everything. In recent years, breakthroughs in healthcare have brought a whole new meaning to this old saying that affects not only our daily routines, but most importantly, our overall health.

Chronotherapy and the Circadian Rhythm

Although not a new concept, the use of chronotherapy is steadily expanding. Chronotherapy, a subset of chronobiology, is the science of delivering medications and therapies in harmony with the circadian rhythms of the body and of certain diseases. Today, various treatments continue to be administered to coincide with our body’s internal clocks for optimal outcomes.

Circadian rhythms control fluctuations in the chemistry of our body hourly, daily and seasonally. Endogenous in nature, the circadian rhythm is influenced by signals within our environment including light, temperature and food intake. These signals tailor the circadian rhythm into a predictable 24-hour pattern.

Disease-Specific Circadian Rhythms

Just as every person’s body has its own circadian rhythms, so do certain diseases. Extensive research shows that the diseases that follow patterns of circadian rhythm can have improved outcomes, as treatment with chronotherapy can positively influence the manner in which they are managed.

Having knowledge of the circadian rhythms of specific diseases allows healthcare providers to utilize chronotherapy for better treatment outcomes, as drugs can be administered during time periods that will provide the best symptom management.

The extensive research on circadian rhythms and chronotherapy has revealed a great deal of information that is beneficial to the management and treatment of certain diseases. The findings specific to arthritis, bronchial asthma and cardiovascular disorders will be explored.

Arthritis

shutterstock_190283078Both rheumatoid arthritis (RA) and osteoarthritis follow their own circadian rhythm. The Journal of Global Trends in Pharmaceutical Sciences reveals a study that suggests chronotherapy for all types of arthritis using non-steroidal anti-inflammatory drugs (NSAIDs) should be timed to ensure the highest drug levels in the blood coincide with an individual’s peak pain levels.

People who suffer from RA are more likely to experience joint pain and finger swelling during the morning hours. Those with osteoarthritis have less pain during the morning compared to the rest of the day. Many arthritis sufferers rely on NSAIDs for pain relief, but because they can have bothersome side effects, the timing of administration is not only important for their effectiveness, but in reducing the risk of side effects as well.

As symptoms of RA are worse in the morning, the administration of long-acting NSAIDs such as ketoprofen, indomethacin and flubiprofen at bedtime provides the maximum therapeutic effect and minimizes their side effects.

Certain mechanisms of RA, including higher cortisol levels during the day and pro-inflammatory conditions during the night related to elevated levels of prolactin and melatonin, have led researchers to believe that a practical approach to managing this debilitating disease would be the chronotherapeutic use of corticosteroids to increase their efficacy and reduce the risk of adverse events.

One scientific report references a study performed by Buttgereit and co-workers, which highlights the clinical relevance of the chronotherapeutic use of glucocorticoid therapy in low doses for RA suppression, as morning stiffness can be effectively reduced by an evening dose of a modified-release prednisone tablet.

Bronchial Asthma

Compared to other diseases, asthma has more circadian variations. While studying the circadian rhythm associated with asthma, researchers determined the lung function of even healthy individuals dips during the early morning hours; a phenomenon that’s more pronounced in those with asthma. The decrease in lung function can be significant, between 25 to 50 percent.

Also, airway resistance in asthmatic individuals increases progressively during the night, leading to frequent awakenings and sleep disturbances. According to the Journal of Global Trends in Pharmaceutical Sciences, the risk of having an asthma attack is 100-fold greater during the night than during daytime hours.

Upon reviewing data from several clinical studies, researches introduced a proposed chronotherapeutic approach to the management of nocturnal asthma, which is as follows:

  • In the morning – Use of a long-acting beta agonist, such as salmeterol (serevent). Studies found that asthma patients who were administered salmeterol in the AM had a significantly-reduced percentage of night awakenings and their lung function was significantly increased.
  • At 3 p.m. – Use of an oral corticosteroid.
  • Between 6-7 p.m. – Use of sustained-release theophylline. Researchers advise that an individual’s period of wakefulness should be considered with this chronotherapeutic approach, as the pharmacokinetics of theophylline can be altered in those that work the night shift.
  • At bedtime – Use of a leukotriene modifier, such as montelukast (singulair).

Cardiovascular Disorders

shutterstock_101194774shutterstock_101194774Several functions of the cardiovascular system follow a circadian rhythm, including heart rate, blood pressure, platelet aggregation, blood flow and cardiac output.

Upon waking in the morning, heart rate and blood pressure are high with a rise in systolic blood pressure by 20-25 mmHg and diastolic blood pressure by 10-15mmHg. This hypertensive state in the morning is a physiological condition described as the morning surge.

Several trials have been conducted exploring the chronotherapy of hypertension, which has established that changing the time of a treatment, rather than the combination of the treatment, may be a better approach to controlling blood pressure. Their reasoning is related to findings that blood pressure is reported to be highest in the mid-morning, progressively falling throughout the day with the lowest blood pressure to be noted at 3 a.m.

In the morning, the release of cortisol and catecholamine is high. There is also an increase in platelet aggregation. For these reasons, more myocardial infarctions are believed to occur in the morning, with 34 percent taking place between the hours of 6 a.m. and 12 noon.

Other Disorders Governed by Circadian Rhythms

There are other significant medical conditions that follow circadian rhythms as well. Treatment with chronotherapy is expanding. However, not all healthcare providers are on board with this concept yet. The purpose of this article is by no means to provide medical advice, but people who have poorly-managed medical conditions should be aware that additional treatment methods may be available so they can better advocate for their healthcare.

Other significant medical conditions that follow circadian rhythms include:

  • Glaucoma
  • Innate immunity
  • Diabetes
  • Epilepsy
  • Gastric ulcers
  • HIV/AIDS
  • Pain
  • Cancer
  • Allergic rhinitis
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Filed Under: Chronotherapy Tagged With: biological clock, chronobiology, chronopharmacology, chronotherapy, chronotherapy treatment, circadian, circadian rhythm, internal clock

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