Estimating dim light melatonin onset time in children using delta changes in melatonin.

Journal: Sleep and biological rhythms

Volume: 22

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Sleep-Wake Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, -- Ogawa-Higashi, Kodaira, Tokyo - Japan. Research Institute for Children's Physical Health, Nippon Sport Science University, -- Fukasawa, Setagaya-Ku, Tokyo - Japan. Department of Business Administration, Faculty of Humanities and Social Sciences, Teikyo Heisei University, -- Nakano, Nakano-Ku, Tokyo - Japan. Department of Human Life Design and Science, Faculty of Design, Kyushu University, -- Shiobaru, Minami-Ku, Fukuoka, - Japan.

Abstract summary 

We aimed to establish a method for estimating dim light melatonin onset (DLMO) using mathematical slopes calculated from melatonin concentrations at three sampling points before and after sleep in children. The saliva of 30 children (mean age ± SD: 10.2 ± 1.3 years old) was collected under dim-light conditions up to six times every hour starting at 17:30 (t17), namely, 18:30 (t18), 19:30 (t19), 20:30 (t20), 21:30 (t21), 22:30 (t22), and 23:30 (t23), in the evening, and at 6:00 (t30) the following morning. We calculated (mathematical slope between melatonin concentrations at t18 and t20, t21 or t22), (the slope between t20, t21 or t22, and t30), and , which is generated by subtracting from . DLMO was estimated by multiple regression analysis with the leave-one-out cross-validation (LOOCV) method using and , and . The intraclass correlation coefficient (ICC) between the estimated and measured DLMOs was used as the index of estimation accuracy. DLMOs estimated using multiple regression equations with and yielded significant ICCs for the measured DLMOs, with the largest ICC at t20 (ICC = 0.634). Additionally, the ICC between the estimated and measured DLMOs using the equation with was significant, with a larger ICC at t20 (ICC = 0.726) than that of the equation with and . Our results showed that DLMO could be estimated with a certain level of accuracy from salivary melatonin levels at three time points before and after sleep in children.The online version contains supplementary material available at 10.1007/s41105-023-00493-x.

Authors & Co-authors:  Eto Kitamura Shikano Tanabe Higuchi Noi

Study Outcome 

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Statistics
Citations :  Lewy AJ, Cutler NL, Sack RL. The endogenous melatonin profile as a marker for circadian phase position. J Biol Rhythms. 1999;14:227–236. doi: 10.1177/074873099129000641.
Authors :  6
Identifiers
Doi : 10.1007/s41105-023-00493-x
SSN : 1446-9235
Study Population
Male,Female
Mesh Terms
Other Terms
Children;Circadian phase;Dim light melatonin onset (DLMO);Estimating methodologies
Study Design
Study Approach
Country of Study
Publication Country
Japan