Zespół przesunięcia czasowego
Patofizjologia i mechanizm

Zespół przesunięcia czasowego (Jet Lag Disorder, JLD) to zaburzenie rytmu okołodobowego snu, wynikające z szybkiego przekroczenia wielu stref czasowych, prowadzące do desynchronizacji między wewnętrznym zegarem biologicznym a środowiskiem zewnętrznym oraz między centralnym (jądro nadskrzyżowaniowe, SCN) a peryferyjnymi zegarami okołodobowymi. SCN dostosowuje się do zmian stref czasowych z prędkością około 1 godziny na dobę, co oznacza, że pełna adaptacja wymaga około 1 dnia na każdą godzinę różnicy czasowej. Objawy JLD obejmują bezsenność, nadmierną senność, zaburzenia funkcji poznawczych, deficyty pamięci i nastroju, a także objawy somatyczne. Kluczową rolę w patofizjologii odgrywają mechanizmy molekularne, takie jak cząsteczka SIK1 hamująca szybkie dostosowanie zegara biologicznego oraz hormon arginina wazopresyna, który wpływa na resetowanie rytmu. Adaptacja jest asymetryczna – loty na wschód są trudniejsze do kompensacji niż na zachód, co wiąże się z kompresją dobowego cyklu i większym obciążeniem układu nerwowego. Nasilenie objawów wzrasta wraz z liczbą przekroczonych stref czasowych (powyżej 3) oraz wiekiem pacjenta, a także jest modulowane przez ekspozycję na światło, czas posiłków i indywidualne cechy biologiczne.

Patofizjologia zespołu przesunięcia czasowego

Zespół przesunięcia czasowego (ang. Jet Lag Disorder, JLD) to uznane zaburzenie rytmu okołodobowego snu, charakteryzujące się bezsennością lub nadmierną sennością w ciągu dnia (a czasami ogólnym złym samopoczuciem i objawami somatycznymi) związanymi z transmeridiańskimi podróżami lotniczymi1. Jest konsekwencją niedopasowania rytmów okołodobowych, które występuje po zbyt szybkim przekroczeniu stref czasowych, uniemożliwiającym układowi okołodobowemu nadążenie za zmianami23.

Mechanizm zaburzenia rytmu okołodobowego

Rytmy okołodobowe to niemal 24-godzinne endogenne procesy, które pozwalają organizmowi odpowiednio reagować na zmiany środowiskowe związane z cyklem światło-ciemność wynikającym z 24-godzinnej rotacji Ziemi4. Jednym z najbardziej oczywistych przejawów działania systemu okołodobowego jest cykl sen-czuwanie, który zazwyczaj dostosowuje się do cyklu światło-ciemność5.

Zegar biologiczny przeciętnego człowieka, w każdym wieku, ma endogenny cykl okołodobowy nieznacznie dłuższy niż 24 godziny, zazwyczaj około 24,2 godziny6. Utrzymanie podstawowego 24-godzinnego cyklu wymaga codziennej synchronizacji wewnętrznych zegarów z krótszym cyklem środowiskowym za pomocą zewnętrznych dawców czasu (proces znany jako dostrajanie)7.

Światło jest głównym dawcą czasu (zeitgeberem) dla endogennych zegarów u ludzi, podobnie jak u innych zwierząt i roślin8. Kluczowy wpływ na rytmy okołodobowe ma światło słoneczne, które wpływa na regulację melatoniny – hormonu pomagającego komórkom w całym organizmie współpracować ze sobą9.

Podwójne rozregulowanie przy zespole przesunięcia czasowego

Zespół przesunięcia czasowego prowadzi do tak zwanego podwójnego rozregulowania (double desynchronisation), które obejmuje niedopasowanie między10:

  • Wewnętrznymi zegarami organizmu a środowiskiem zewnętrznym (np. lokalnym czasem w miejscu docelowym podróży)
  • Centralnym a peryferyjnymi zegarami okołodobowymi organizmu (tj. niedopasowanie między różnymi częściami własnego ciała)
  • 10

Konsekwencją niezależnych wewnętrznych zegarów może być wyjaśnienie niektórych objawów zespołu przesunięcia czasowego. Osoby, które podróżują przez kilka stref czasowych, mogą w ciągu kilku dni dostosować swój główny zegar SCN (jądra nadskrzyżowaniowe) do światła z nowego środowiska. Jednak ich mięśnie szkieletowe, wątroba, płuca i inne narządy mogą dostosowywać się w różnym tempie (peryferyjne zegary okołodobowe mogą pozostawać w tyle)11.

To wewnętrzne biologiczne rozregulowanie jest pogłębiane przez fakt, że organizm nie jest zsynchronizowany ze środowiskiem – podwójne rozregulowanie, które ma implikacje dla zdrowia i nastroju12.

Rola jądra nadskrzyżowaniowego

Sparowane jądra nadskrzyżowaniowe (SCN) podwzgórza zostały uznane za główny ośrodek okołodobowego oscylatora ssaków13. Podczas zespołu przesunięcia czasowego, nagłe zmiany w środowiskowym cyklu światło-ciemność tymczasowo desynchronizują SCN i powiązane sieci oscylacyjne, co prowadzi do zwiększonej senności i upośledzenia funkcjonowania w ciągu dnia14.

SCN powoli dostosowuje się do zmian w strefach czasowych, a peryferyjne zegary lub oscylatory dostosowują się w różnym tempie, przez co organizm znajduje się w stanie desynchronizacji zarówno z zewnętrznym środowiskiem, jak i wewnętrznie15.

Szybka podróż przez strefy czasowe prowadzi do niedopasowania lub braku synchronizacji między aktywnością wewnętrznych systemów generujących rytm a lokalnymi wskazówkami czasowymi, zarówno społecznymi, jak i środowiskowymi16. SCN dostosowuje się powoli do nagłych zmian wskazówek czasowych – średnio centralny zegar przesuwa się o około 1 godzinę dziennie bez środków zaradczych i będzie potrzebował około 1 dnia na każdą godzinę zmiany strefy czasowej, aby adaptacja była kompletna17.

Molekularne podstawy zespołu przesunięcia czasowego

Niemal każda komórka w organizmie posiada aktywne oscylatory molekularne, które regulują okołodobową ekspresję genów w odpowiedzi na różne wskazówki czasowe, głównie zmiany chemiczne wywołane odżywianiem i zmianami temperatury18.

Badania dotyczące molekularnych podstaw zespołu przesunięcia czasowego doprowadziły do identyfikacji cząsteczki SIK1, która działa jako hamulec ograniczający wpływ światła na zegar biologiczny19. Gdy zablokowano działanie SIK1 u myszy, szybciej dostosowywały się one do zmian w cyklu światła20.

Badacze z Uniwersytetu Oksfordzkiego wyjaśniają: „Zidentyfikowaliśmy system, który aktywnie zapobiega ponownemu dostosowaniu się zegara biologicznego, ale jest to ten sam mechanizm buforujący, który spowalnia naszą zdolność do dostosowania się do nowej strefy czasowej i powoduje jet lag”21.

Zwiększona ekspresja pewnych genów zegarowych efektywnie przesuwa molekularne wskazówki zegara na właściwy czas, ale istnieje ograniczenie dotyczące tego, jak bardzo zegar może zostać przesunięty – tylko o jedną godzinę dziennie22.

Badania opublikowane przez naukowców z Japonii sugerują, że hormon arginina wazopresyna odgrywa kluczową rolę w resetowaniu zegara biologicznego. Myszy pozbawione receptorów tego hormonu były znacznie mniej dotknięte zespołem przesunięcia czasowego i szybciej dostosowywały się do zmian czasowych23.

Kierunek podróży a nasilenie objawów

Proces dostosowania się układu okołodobowego do nowego zewnętrznego harmonogramu czasowego jest powolny i asymetryczny, przebiegając szybciej w przypadku lotów w kierunku zachodnim24. Podróż na wschód, czyli w kierunku słońca, jest często trudniejsza dla podróżujących niż podróż na zachód, czyli w tym samym kierunku co słońce25.

Podróż na wschód przez strefy czasowe jest trudniejsza niż podróż na zachód, ponieważ kompresuje dni w krótsze okresy czasu, oddalając osobę od naturalnych rytmów organizmu. Podróż na zachód, dla porównania, wydłuża dni, aby bardziej korelowały z wewnętrznym cyklem organizmu26.

Autonomiczny układ nerwowy jest asymetrycznie połączony w taki sposób, że łatwiej jest pozostać dłużej na nogach niż naturalnie byśmy chcieli, niż wcześniej pójść spać27. Badania wpływu jet lagu na długowieczność wykazały, że podróże na wschód odbierają więcej lat życia niż podróże na zachód28.

Czynniki wpływające na zespół przesunięcia czasowego

Nasilenie i czas trwania objawów zespołu przesunięcia czasowego zależą od wielu czynników29:

Liczba przekroczonych stref czasowych

Im więcej stref czasowych zostanie przekroczonych, tym bardziej prawdopodobne jest wystąpienie zespołu przesunięcia czasowego30. Przekroczenie wielu stref czasowych stawia wewnętrzny zegar biologiczny w sytuacji desynchronizacji z czasem w nowej lokalizacji31.

Szkodliwe skutki zespołu przesunięcia czasowego są odczuwalne dopiero po przekroczeniu 3 stref czasowych32. Zespół przesunięcia czasowego jest związany wyłącznie z odległością pokonaną wzdłuż osi wschód-zachód. Dziesięciogodzinny lot między Europą a południową Afryką nie powoduje jet lagu, ponieważ kierunek podróży jest głównie północ-południe33.

Ekspozycja na światło

Światło odgrywa kluczową rolę w pokonywaniu zespołu przesunięcia czasowego. Częstym nieporozumieniem jest jednak to, że każde światło jest równe34. Osoba może dostosować swoje rytmy okołodobowe o około jedną godzinę każdego dnia, jeśli wystawia się na odpowiednie ilości światła we właściwym czasie35.

Jeśli osoba wystawia się na działanie światła po nocy snu, nawet zwykłe światło pokojowe wpłynie na jej zegar, dlatego należy tego unikać podczas podróży na zachód36. Światło wieczorem jest jednak nieco inne, ponieważ osoba była już wystawiona na światło w ciągu dnia. Potrzebne będzie jaśniejsze światło, aby zmienić zegar, zwłaszcza jeśli osoba przebywała na zewnątrz w ciągu dnia37.

Indywidualne różnice genetyczne

Odpowiedź okołodobowa na zmianę strefy czasowej zależy od indywidualnych cech, takich jak początkowy stan okołodobowy, tau i wrażliwość na światło, indywidualna ekspozycja na sztuczne i naturalne światło w samolocie, naturalne światło w miejscu docelowym, a tym samym pora roku (fotoperiod) oraz czas odlotu i przylotu samolotu38.

Wiadomo, że zespół dwubiegunowy jest dziedzicznym zaburzeniem nastroju, a ostatnio zasugerowano, że zaburzenie rytmu okołodobowego, czynnik ryzyka zespołu dwubiegunowego, może również być dziedziczne39.

Wiek podróżującego

Zespół przesunięcia czasowego nasila się wraz z wiekiem40. Starsze osoby wydają się być bardziej dotknięte zespołem przesunięcia czasowego i mogą wymagać nieco więcej czasu na dostosowanie się41.

Interakcja między zegarami okołodobowymi słabnie wraz ze zmniejszoną wrażliwością na światło. W konsekwencji starsze osoby mogą wymagać dłuższego okresu regeneracji po podróży42.

Deprywacja snu i zmęczenie związane z podróżą

Oprócz niedopasowania okołodobowego, inne przyczyny przyczyniające się do zespołu przesunięcia czasowego to deprywacja snu i zmęczenie związane z podróżą43. Stres związany z lotem i zmęczenie, oprócz deprywacji snu, przyczyniają się do obrazu klinicznego w pierwszym lub drugim dniu po przybyciu do nowej strefy czasowej44.

Zespół przesunięcia czasowego należy odróżnić od zmęczenia związanego z podróżą, które występuje za każdym razem, gdy transport jest długi i niewygodny, niezależnie czy odbywa się samochodem, pociągiem, łodzią czy samolotem45.

Ważnym czynnikiem w zrozumieniu zespołu przesunięcia czasowego jest kwestia długu snu (skumulowanej utraty snu)46.

Skutki zespołu przesunięcia czasowego dla organizmu

Wpływ na układ nerwowy i funkcje poznawcze

Zespół przesunięcia czasowego prowadzi do wyraźnych deficytów w uczeniu się i pamięci, które są równoległe do znacznego zmniejszenia proliferacji komórek hipokampa i neurogenezy47. Te wyniki wspierają pogląd, że zaburzenia okołodobowe hamują neurogenezę hipokampa poprzez mechanizm niezależny od glukokortykoidów, narzucając wyraźne i trwałe upośledzenia uczenia się i pamięci48.

Zwierzęta dotknięte zespołem przesunięcia czasowego wykazywały 24-godzinne rytmy niesynchronizowane z czasem zewnętrznym, co sugeruje, że obserwowane deficyty wynikają z braku synchronizacji między fizjologią wewnętrzną a czasem zewnętrznym, a nie z poważnych zaburzeń w rytmice wewnętrznej49.

Chronic jet lag (CJL) wywoływany przez wielokrotne przesuwanie cykli światło-ciemność jest powszechnie stosowanym protokołem do naśladowania zmian środowiskowych światło/ciemność, z którymi spotykają się pracownicy zmianowi50. Ostatnie badania na gryzoniach wykazały również, że CJL prowadzi do fenotypów związanych z zaburzeniami nastroju, ale mechanizm jest w dużej mierze nieznany51.

Nieprawidłowy metabolizm glukozy w mózgu był zgłaszany w demencji, epilepsji, dużej depresji i zaburzeniach dwubiegunowych52. Dysfunkcja kory przedczołowej została stwierdzona w różnych zaburzeniach psychiatrycznych i neurologicznych, w tym w depresji, zaburzeniach lękowych, uzależnieniach, schizofrenii, zaburzeniach ze spektrum autyzmu, chorobie Alzheimera i chorobie Parkinsona53.

Wpływ na układ hormonalny

Hormonem stresu, który jest wydzielany w rytmie okołodobowym i który jest szczególnie wrażliwy na zakłócenia w cyklach sen-czuwanie, jest kortyzol. Poziomy kortyzolu, które normalnie wzrastają w ciągu dnia i zmniejszają się w nocy, są znajdowane w nietypowo wysokich poziomach u osób, które doświadczają zespołu przesunięcia czasowego regularnie (np. stewardesy i piloci)54.

Wzrost poziomów kortyzolu odpowiadał zmniejszeniu się rozmiaru płata skroniowego u tych osób, sugerując bezpośredni związek między desynchronizacją fizjologiczną a zmniejszoną funkcjonalnością pamięci krótkotrwałej55.

Hormon melatonina odgrywa główną rolę w regulacji okołodobowych rytmów sen-czuwanie, a na jej produkcję ma wpływ cykl światło-ciemność56. Ponieważ podróżujący na długie dystanse transmeridiańskie normalnie doświadczają znaczącej zmiany w cyklach światło-ciemność, wydzielanie melatoniny jest natychmiast niesynchronizowane po przybyciu do nowej strefy czasowej – stąd zespół przesunięcia czasowego57.

Melatonina jest wydzielana przez szyszynkę w mózgu podczas ciemności i jest hamowana w ciągu dnia pod wpływem światła58. Jeśli podróżujący przyjmie melatoninę, gdy jego wewnętrzny zegar myśli, że jest ranek, spowoduje to opóźnienie fazy, które może ułatwić adaptację do podróży na zachód. Przyjmowanie melatoniny, gdy wewnętrzny zegar myśli, że jest wczesny wieczór, spowoduje przyspieszenie fazy, które może ułatwić adaptację do podróży na wschód59.

Wpływ na układ pokarmowy

Czas przyjmowania energii jest ważną peryferyjną wskazówką, wpływającą na regulację funkcji okołodobowej60. Rytmy jedzenia wpływają na masę ciała i metabolizm energetyczny, nawet gdy spożywana jest ta sama ilość pożywienia, ponieważ równowaga energetyczna nie sprzyja wydatkowaniu energii w godzinach nocnych, więc kalorie są magazynowane jako tłuszcz61.

Światło słoneczne pomaga utrzymać SCN w synchronizacji, ale czas posiłków również odgrywa kluczową rolę. Dostosowując nawyki żywieniowe do nowej strefy czasowej, podróżujący mogą szybciej zresetować swoje wewnętrzne zegary, zmniejszając wpływ zespołu przesunięcia czasowego i szybciej cieszyć się podróżą62.

Sprzeczne zewnętrzne wskazówki, takie jak jedzenie w nocy, mogą dezorientować nasze wewnętrzne zegary, prowadząc do desynchronizacji63.

Długoterminowe skutki zdrowotne

Oprócz zaburzeń trawiennych i zmniejszonej czujności, częsty zespół przesunięcia czasowego jest związany z rakiem i chorobami trawiennymi u ludzi oraz zwiększoną śmiertelnością u myszy64.

Zrozumienie zespołu przesunięcia czasowego może pomóc nam rozwiązać szerszy problem niedopasowania okołodobowego, które coraz częściej wiąże się ze zwiększonym ryzykiem raka, chorób metabolicznych, dysfunkcji sercowo-naczyniowych, zaburzeń nastroju i pogorszenia funkcji poznawczych65.

Chroniczne niedopasowanie naszych zegarów biologicznych – na przykład, gdy wzorce jedzenia i spania są sprzeczne z naturalnym cyklem światło-ciemność lub przy długotrwałej pracy zmianowej – jest związane z wyższym ryzykiem chorób, takich jak zespół metaboliczny, choroby sercowo-naczyniowe, choroby neurologiczne i nowotwory66.

Zaburzenia rytmu okołodobowego poprzez częste podróże transmeridiańskie, rotacyjną pracę zmianową i złą higienę snu są związane z szeregiem fizycznych i psychicznych dolegliwości, w tym z wyraźnymi deficytami w ludzkiej funkcji poznawczej67.

Jet lag separatrix i granice adaptacji

Jet lag separatrix to kluczowa koncepcja dla zrozumienia i radzenia sobie z zespołem przesunięcia czasowego68. Występuje ona powszechnie w układach oscylacyjnych pobudzanych przez słabe okresowe bodźce69.

W pobliżu punktu bifurkacji istnieje niestabilne rozwiązanie, które leży u podstaw jet lag separatrix70. Wykazano, że model może przewidzieć odpowiedź na zespół przesunięcia czasowego i stwierdzono, że myszy lepiej radzą sobie z zespołem przesunięcia czasowego, gdy są wcześniej uwrażliwione na zespół przesunięcia czasowego71.

Badacze podejrzewają, że złe wyczucie przesunięcia fazy rytmu dobowego dezynchronizuje komórki zegarowe w SCN rotatorów, co może być jedną z głównych przyczyn zgłaszanych problemów zdrowotnych72.

Aby zademonstrować użyteczność badania teoretycznego, zastosowano je do przewidzenia, że ponowne dostrojenie za pomocą dwuetapowego zespołu przesunięcia czasowego, w którym czterogodzinne przesunięcie cyklu światło-ciemność jest podawane w ciągu dwóch kolejnych dni, wymaga mniej dni niż gdy jest podawane jako pojedyncze ośmiogodzinne przesunięcie73.

Model z powodzeniem odtworzył główne odkrycie eksperymentalne, że adaptacja do zaawansowanego cyklu LD została przyspieszona, gdy osłabione zostało sprzężenie międzykomórkowe. Jednak jego mechanizm pozostaje raczej niejasny74.

Zespół przesunięcia czasowego a „metaboliczny jet lag”

Metaboliczny jet lag odnosi się do stanu przesunięcia w okołodobowych wzorcach homeostazy energetycznej, wpływającego na funkcje neuroendokrynne, immunologiczne i tkanki tłuszczowej, wyrażającego się poprzez zmiany behawioralne, takie jak nieregularności w śnie i apetycie75.

Dowody sugerują, że metaboliczny jet lag jest podstawowym składnikiem patofizjologii zespołu dwubiegunowego, ponieważ osoby z tym zaburzeniem często wykazują nieregularne rytmy jedzenia i desynchronizację okołodobową ich metabolizmu energetycznego, co jest związane z niekorzystnymi wynikami klinicznymi76.

Metaboliczny jet lag stanowi desynchronizację między zewnętrznymi wskazówkami a porządkiem czasowym głównego zegara okołodobowego i został powiązany z różnymi niekorzystnymi skutkami dla zdrowia77.

Dodatkowo, częstość występowania zaburzeń dwubiegunowych w chorobach mitochondrialnych jest około 20 razy wyższa niż w populacji ogólnej78. Obecne dowody sugerują, że mitochondria są zarówno pod wpływem rytmu okołodobowego, jak i wywierają wpływ na rytmy biologiczne79.

Zaburzenia metaboliczne są znacznie wyższe w chorobie dwubiegunowej w porównaniu do populacji ogólnej i zostały powiązane z niekorzystnymi trajektoriami choroby80. Wysoka częstość występowania i wpływ dysfunkcji metabolicznej u osób z chorobą dwubiegunową wspierają pogląd, że metaboliczny jet lag może być kluczowym aspektem patofizjologii i progresji choroby81.

Czynniki środowiskowe i ich wpływ na zespół przesunięcia czasowego

Ciśnienie w kabinie i wysokość

Niektóre badania pokazują, że zmiany ciśnienia w kabinie i duże wysokości związane z podróżami lotniczymi mogą przyczyniać się do niektórych objawów zespołu przesunięcia czasowego, niezależnie od podróży przez strefy czasowe82.

Wpływ alkoholu i kofeiny

Istnieje duża pokusa, aby pić dużo kawy i napojów energetycznych, aby przetrwać, ale kiedy jesteś wyczerpany z powodu zespołu przesunięcia czasowego, po prostu nie działają one i po prostu jeszcze bardziej wpływają na twój sen83.

Dlatego niektórzy ludzie mogą wypić filiżankę kawy rano i nadal mieć pół filiżanki krążącej w mózgu w nocy, gdy próbują zasnąć84. Alkohol nie odtwarza normalnego snu regeneracyjnego – zwłaszcza w dużych ilościach. Powoduje odwodnienie, które fragmentuje sen85.

Sezon i fotoperiod

Odpowiedź okołodobowa na zmianę strefy czasowej zależy od indywidualnych cech, takich jak początkowy stan okołodobowy, tau i wrażliwość na światło, indywidualna ekspozycja na sztuczne i naturalne światło w samolocie, naturalne światło w miejscu docelowym, a tym samym pora roku (fotoperiod) oraz czas odlotu i przylotu samolotu86.

Rola adrenaliny w adaptacji do zespołu przesunięcia czasowego

Nadnercze odgrywa kluczową rolę w procesie adaptacji do nowego rytmu okołodobowego. Kiedy naukowcy wyłączyli zegar nadnerczy lub manipulowali syntezą kortykosteronu przez nadnercze za pomocą metyraponu, gryzonie szybciej dostosowywały się do zmienionego rytmu okołodobowego87.

Problemy, które pojawiają się przy zespole przesunięcia czasowego, są wyraźnym przykładem tego, jak wpływy zewnętrzne mogą zakłócić nasz wewnętrzny zegar biologiczny88. „Wewnętrzne zegary i geny zegarowe dostosowują się do zmienionych wpływów zewnętrznych w różnym tempie”, mówi Gregor Eichele, dyrektor Wydziału Genów i Zachowań Instytutu. „Kiedy organizm cierpi na zespół przesunięcia czasowego, wydaje się, że cały mechanizm zegara nie tyka w odpowiednim rytmie. W rezultacie liczne procesy fizjologiczne nie są już skoordynowane”89.

Jak odkryli naukowcy z Getyngi, zegar nadnerczy odgrywa kluczową rolę w adaptacji organizmu do nowego rytmu okołodobowego90. Czasowo zależne uwalnianie kortykosteronu było kluczowe, aby umożliwić gryzoniom szybsze dostosowanie się do nowego czasu91.

Odkrycia naukowców z Getyngi mogą w przyszłości stworzyć zupełnie nowe podejście do leczenia zespołu przesunięcia czasowego92.

Zespół przesunięcia czasowego separatrix bardziej szczegółowo

Podróż przez wiele stref czasowych powoduje desynchronizację środowiskowych wskazówek czasowych i harmonogramu sen-czuwanie z ich normalnych relacji fazowych z endogennym układem okołodobowym93.

Niedopasowanie okołodobowe może prowadzić do złej wydajności neurobehawioralnej, zmniejszonej efektywności snu i nieodpowiednio zsynchronizowanych sygnałów fizjologicznych, w tym aktywności żołądkowo-jelitowej i uwalniania hormonów94.

Jednym z podejść do zmniejszenia krótkoterminowych problemów okołodobowych, związanych ze snem-czuwaniem i wydajnością, jest wykorzystanie modeli matematycznych zegara głównego do projektowania środków zaradczych, które szybko przesuwają zegar główny, aby dostosować go do nowego harmonogramu95.

Kluczowymi danymi wejściowymi do projektowania harmonogramu są długość endogennego okresu okołodobowego, pożądany harmonogram sen-czuwanie, długość interwencji, poziom tła światła i siła środka zaradczego96.

Metoda przedstawiona w tym artykule ma bezpośrednie implikacje dla projektowania harmonogramów zespołu przesunięcia czasowego, pracy zmianowej i harmonogramów nie-24-godzinnych, w tym harmonogramów dla ekstremalnych środowisk, takich jak przestrzeń kosmiczna, podwodna lub regiony polarne97.

Dobrze znaną interwencją mającą na celu resynchronizację wewnętrznego zegara jednostki ze środowiskiem jest odpowiednio zaplanowana ekspozycja na światło98.

Istotne dla tego podejścia jest wykorzystanie modeli matematycznych, które symulują wewnętrzny zegar okołodobowy organizmu i jego wpływ na ludzką wydajność99.

Wyniki obejmują szybsze projektowanie wielu alternatywnych harmonogramów i przewidywania znacznej poprawy wydajności w porównaniu do braku interwencji100.

CAM (Circadian Adjustment Method) jest techniką iteracyjną, która wykorzystuje informacje o przewidywanej fazie okołodobowej do określenia umiejscowienia CM (Countermeasures) tak, aby końcowy wynik był odporny i optymalny101.

Wykazano, że model matematyczny wpływu światła na fazę okołodobową i wpływu rytmów okołodobowych oraz długości czasu czuwania na wydajność może być używany do automatycznego projektowania środków zaradczych związanych ze światłem w celu ułatwienia ponownego dostrojenia po zmianie harmonogramu102.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 The pathophysiology of jet lag – ProQuest
    https://www.proquest.com/docview/1027134860/20CB7D54A81A45E3PQ/3
    Jet Lag Disorder (JLD) is a recognized circadian rhythm sleep disorder characterized by insomnia or excessive daytime sleepiness (and sometimes general malaise and somatic symptoms) associated with transmeridian jet travel. […] It is a consequence of circadian misalignment that occurs after crossing time zones too rapidly for the circadian system to keep pace. […] The thesis of this review is that a rational treatment approach for jet lag can be grounded in an understanding of the biology of the human circadian timekeeping system. […] An overview of circadian rhythm physiology is presented with special emphasis on the role of light exposure and melatonin secretion in the regulation of circadian timing. […] Both timed light exposure (or avoidance) and exogenous melatonin administration have been recruited as treatment modalities to accelerate circadian realignment, based on an understanding of their role in circadian physiology. […] In addition to circadian misalignment, other contributing causes to jet lag are considered including travel-related sleep deprivation and fatigue.
  • #2 The pathophysiology of jet lag – ProQuest
    https://www.proquest.com/docview/1027134860/20CB7D54A81A45E3PQ/3
    Jet Lag Disorder (JLD) is a recognized circadian rhythm sleep disorder characterized by insomnia or excessive daytime sleepiness (and sometimes general malaise and somatic symptoms) associated with transmeridian jet travel. […] It is a consequence of circadian misalignment that occurs after crossing time zones too rapidly for the circadian system to keep pace. […] The thesis of this review is that a rational treatment approach for jet lag can be grounded in an understanding of the biology of the human circadian timekeeping system. […] An overview of circadian rhythm physiology is presented with special emphasis on the role of light exposure and melatonin secretion in the regulation of circadian timing. […] Both timed light exposure (or avoidance) and exogenous melatonin administration have been recruited as treatment modalities to accelerate circadian realignment, based on an understanding of their role in circadian physiology. […] In addition to circadian misalignment, other contributing causes to jet lag are considered including travel-related sleep deprivation and fatigue.
  • #3 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Jet lag disorder occurs due to a misalignment of an individuals endogenous circadian timing with the external clock time (destinations local time zone). After rapid travel, typically two or more time zones, the endogenous circadian system initially remains aligned to the environmental time cues of the home time zone and only slowly resets to the new environmental time schedule. […] The severity and duration of these symptoms is dependent on many factors: the number of the time zones traveled, the direction of travel (east or west), departure and arrival times, the ability to sleep while traveling, exposure to local time cues, and individual differences in phase tolerance. […] Flight-related stress and fatigue, in addition to sleep deprivation, contribute to the clinical picture in the first day or two on arrival to the new time zone.
  • #4 Jet lag – UpToDate
    https://www.uptodate.com/contents/jet-lag/print
    Air travel allows individuals to traverse time zones faster than the internal clock, or circadian rhythm, can adjust. This results in desynchrony between the external light-dark cycle and the endogenous circadian rhythm. Jet lag ensues, which manifests as impaired alertness during the desired wake time and/or difficulty sleeping during the allotted time for sleep at the destination. […] Circadian rhythms are the near 24-hour endogenous processes that allow an organism to react in an appropriate manner to environmental light-dark changes caused by the earth’s rotation every 24 hours. One of the most obvious outputs of the circadian timing system is the sleep-wake cycle, which typically aligns to the light-dark cycle. […] The circadian rhythm of sleep and wake is paralleled by the secretion of melatonin and oscillation of core body temperature (CBT):
  • #5 Jet lag – UpToDate
    https://www.uptodate.com/contents/jet-lag
    Jet lag ensues, which manifests as impaired alertness during the desired wake time and/or difficulty sleeping during the allotted time for sleep at the destination. […] Circadian rhythms are the near 24-hour endogenous processes that allow an organism to react in an appropriate manner to environmental light-dark changes caused by the earth’s rotation every 24 hours. One of the most obvious outputs of the circadian timing system is the sleep-wake cycle, which typically aligns to the light-dark cycle. […] The circadian rhythm of sleep and wake is paralleled by the secretion of melatonin and oscillation of core body temperature (CBT):
  • #6 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #7 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #8 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #9 Jet lag disorder – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/jet-lag/symptoms-causes/syc-20374027
    Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] A key influence on circadian rhythms is sunlight. Light affects the regulation of melatonin, a hormone that helps cells throughout the body work together. […] Some research shows that changes in cabin pressure and high altitudes associated with air travel may contribute to some symptoms of jet lag, regardless of travel across time zones.
  • #10 Jet lag – Wikipedia
    https://en.wikipedia.org/wiki/Jet_lag
    Double desynchronisation is the misalignment between: The body’s internal clocks and the external environment (e.g., local time at your travel destination) and the body’s central and peripheral circadian clocks (i.e., misalignment within different parts of your own body). […] The implication of independent internal clocks may explain some of the symptoms of jet lag. People who travel across several time zones can, within a few days, adapt their master clock SCN with light from the environment earlier. However, their skeletal muscles, liver, lungs, and other organs may adapt at different rates (peripheral circadian clocks may lag behind). This internal biological de-synchronisation is exacerbated as the body is not in sync with the environment a double desynchronisation, which has implications for health and mood.
  • #11 Jet lag – Wikipedia
    https://en.wikipedia.org/wiki/Jet_lag
    Double desynchronisation is the misalignment between: The body’s internal clocks and the external environment (e.g., local time at your travel destination) and the body’s central and peripheral circadian clocks (i.e., misalignment within different parts of your own body). […] The implication of independent internal clocks may explain some of the symptoms of jet lag. People who travel across several time zones can, within a few days, adapt their master clock SCN with light from the environment earlier. However, their skeletal muscles, liver, lungs, and other organs may adapt at different rates (peripheral circadian clocks may lag behind). This internal biological de-synchronisation is exacerbated as the body is not in sync with the environment a double desynchronisation, which has implications for health and mood.
  • #12 Jet lag – Wikipedia
    https://en.wikipedia.org/wiki/Jet_lag
    Double desynchronisation is the misalignment between: The body’s internal clocks and the external environment (e.g., local time at your travel destination) and the body’s central and peripheral circadian clocks (i.e., misalignment within different parts of your own body). […] The implication of independent internal clocks may explain some of the symptoms of jet lag. People who travel across several time zones can, within a few days, adapt their master clock SCN with light from the environment earlier. However, their skeletal muscles, liver, lungs, and other organs may adapt at different rates (peripheral circadian clocks may lag behind). This internal biological de-synchronisation is exacerbated as the body is not in sync with the environment a double desynchronisation, which has implications for health and mood.
  • #13 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #14 Jet lag syndrome: circadian organization, pathophysiology, and managem | NSS
    https://www.dovepress.com/jet-lag-syndrome-circadian-organization-pathophysiology-and-management-peer-reviewed-fulltext-article-NSS
    The circadian system regulates the cyclical occurrence of wakefulness and sleep through a series of oscillatory networks that comprise two different theoretical processes. […] During jet lag, abrupt shifts in the environmental lightdark cycle temporarily desynchronize the SCN and downstream oscillatory networks from each other, resulting in increased sleepiness and impaired daytime functioning. […] This type of circadian misalignment can further lead to a cluster of symptoms including major metabolic, cardiovascular, psychiatric, and neurological impairments. […] The aim of this review is to provide mechanistic links between the fields of sleep and circadian rhythms to understand the biological basis of jet lag and to apply this information to clinical management strategies.
  • #15
    https://link.springer.com/article/10.1007/s40265-018-0973-8
    For many years now a treatment mitigating the debilitating effects of jet lag has been sought. […] Mis-timed circadian rhythms are considered to be the main factor underlying jet-lag symptoms, together with the sleep deprivation from long haul flights. […] The SCN adapts slowly to changes in time zone, and peripheral clocks or oscillators adapt at different rates, such that the organism is in a state of desynchrony from the external environment and internally. […] Rapid travel across time zones leads to a mismatch or lack of synchrony between the activity of the internal rhythm-generating systems and the local time cues, whether social or environmental. […] The SCN adapts slowly to abrupt changes of time cues. […] On average, the central clock shifts approximately 1 h per day without countermeasures and it will take approximately 1 day for each hour of time zone change for adaptation to be complete.
  • #16
    https://link.springer.com/article/10.1007/s40265-018-0973-8
    For many years now a treatment mitigating the debilitating effects of jet lag has been sought. […] Mis-timed circadian rhythms are considered to be the main factor underlying jet-lag symptoms, together with the sleep deprivation from long haul flights. […] The SCN adapts slowly to changes in time zone, and peripheral clocks or oscillators adapt at different rates, such that the organism is in a state of desynchrony from the external environment and internally. […] Rapid travel across time zones leads to a mismatch or lack of synchrony between the activity of the internal rhythm-generating systems and the local time cues, whether social or environmental. […] The SCN adapts slowly to abrupt changes of time cues. […] On average, the central clock shifts approximately 1 h per day without countermeasures and it will take approximately 1 day for each hour of time zone change for adaptation to be complete.
  • #17
    https://link.springer.com/article/10.1007/s40265-018-0973-8
    For many years now a treatment mitigating the debilitating effects of jet lag has been sought. […] Mis-timed circadian rhythms are considered to be the main factor underlying jet-lag symptoms, together with the sleep deprivation from long haul flights. […] The SCN adapts slowly to changes in time zone, and peripheral clocks or oscillators adapt at different rates, such that the organism is in a state of desynchrony from the external environment and internally. […] Rapid travel across time zones leads to a mismatch or lack of synchrony between the activity of the internal rhythm-generating systems and the local time cues, whether social or environmental. […] The SCN adapts slowly to abrupt changes of time cues. […] On average, the central clock shifts approximately 1 h per day without countermeasures and it will take approximately 1 day for each hour of time zone change for adaptation to be complete.
  • #18 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #19 Jet lag: Why the body clock is slow to adjust to time changes | ScienceDaily
    https://www.sciencedaily.com/releases/2013/08/130829124013.htm
    New research in mice reveals why the body is so slow to recover from jet lag and identifies a target for the development of drugs that could help us to adjust faster to changes in time zone. […] Researchers at the University of Oxford, University of Notre Dame and F. Hoffmann La Roche have identified a mechanism that limits the ability of the body clock to adjust to changes in patterns of light and dark. […] The team show that if you block the activity of this gene in mice, they recover faster from disturbances in their daily light/dark cycle that were designed to simulate jet-lag. […] They identified around 100 genes that were switched on in response to light, revealing a sequence of events that act to retune the circadian clock. Amongst these, they identified one molecule, SIK1, that terminates this response, acting as a brake to limit the effects of light on the clock.
  • #20 Jet lag: Why the body clock is slow to adjust to time changes | ScienceDaily
    https://www.sciencedaily.com/releases/2013/08/130829124013.htm
    When they blocked the activity of SIK1, the mice adjusted faster to changes in light cycle. […] Dr Peirson explains: „We’ve identified a system that actively prevents the body clock from re-adjusting. […] But it is this same buffering mechanism that slows down our ability to adjust to a new time zone and causes jet lag.” […] Understanding the mechanisms that generate and regulate our circadian clock gives us targets to develop drugs to help bring our bodies in tune with the solar cycle.
  • #21 Jet lag: Why the body clock is slow to adjust to time changes | ScienceDaily
    https://www.sciencedaily.com/releases/2013/08/130829124013.htm
    When they blocked the activity of SIK1, the mice adjusted faster to changes in light cycle. […] Dr Peirson explains: „We’ve identified a system that actively prevents the body clock from re-adjusting. […] But it is this same buffering mechanism that slows down our ability to adjust to a new time zone and causes jet lag.” […] Understanding the mechanisms that generate and regulate our circadian clock gives us targets to develop drugs to help bring our bodies in tune with the solar cycle.
  • #22 The science of jet lag… and how best to beat it
    https://www.bbc.com/future/article/20140523-the-science-of-jet-lag
    Increased expression of certain clock genes effectively moves the molecular hands of the clock to the correct time, says Peirson but there seems to be a limit on how much the clock can be shifted: its just one hour per day. […] Work published last year by researchers in Japan suggests a hormone plays a key role in re-setting the body clock. Mice lacking receptors for the hormone arginine vasopressin were much less affected by jet lag and adjusted more quickly to time shifts, says Peirson.
  • #23 The science of jet lag… and how best to beat it
    https://www.bbc.com/future/article/20140523-the-science-of-jet-lag
    Increased expression of certain clock genes effectively moves the molecular hands of the clock to the correct time, says Peirson but there seems to be a limit on how much the clock can be shifted: its just one hour per day. […] Work published last year by researchers in Japan suggests a hormone plays a key role in re-setting the body clock. Mice lacking receptors for the hormone arginine vasopressin were much less affected by jet lag and adjusted more quickly to time shifts, says Peirson.
  • #24 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Almost every cell in the organism has active molecular oscillators that regulate circadian gene expression in response to various time cues, mainly chemical changes induced by feeding and temperature changes. […] The paired suprachiasmatic nuclei (SCN) of the hypothalamus have been established as the site of the central mammalian circadian oscillator. […] The biological clocks of average humans of all ages have an endogenous circadian cycle of slightly more than 24 hours, generally about 24.2 hours. […] Keeping the basic 24-hour cycle involves daily synchronizing of the internal clocks with the shorter environmental cycle following external zeitgebers (a process known as entraining, a control of one oscillating process by another). […] Light is the main zeitgeber of endogenous clocks in humans, as it is in other animals and plants. […] The adjustment process of the circadian timing system to a new external time schedule is slow and asymmetrical, being faster for westbound flights. […] The exact biological origin of the malaise in jet lag disorder is unknown.
  • #25 Why Does Jet Lag Happen? | Britannica
    https://www.britannica.com/video/jet-lag/-193828
    Long-distance travel like this throws off our sleep-wake cycle and our inner clock. […] The body has its own biological mechanism that adjusts a person’s metabolism to the day’s light-dark cycle. […] Our bodies are not equipped to adjust this natural rhythm quickly enough when people speed around the planet. […] The biggest determinant of our body’s daily rhythm is sunlight. […] When it is disturbed, we get jet lag. […] Flying east, i.e. towards the sun, is often harder on travellers than flying west, i.e. in the same direction as the sun. […] The time gap you have to bridge is a lot longer.
  • #26
    https://www.nbcnews.com/id/wbna26407903
    In addition to sleep disorders, complications from jet lag can include swollen limbs, gastrointestinal problems, dehydration and even memory loss. […] Some research suggests that jet lag may also be reduced by taking supplements and natural remedies. Since plane travel is known to interfere with the bodys production of melatonin, a hormone that helps regulate circadian rhythms, taking a supplement may help you adjust to new sleeping patterns. […] Indeed, a paper documenting the incidence of jet lag on the cabin crew of a commercial airline published in 2004 by the „Indian Journal of Aerospace Medicine” found that melatonin delays the circadian rhythms when taken in the morning and advances them when administered in the evening. […] Exercise and diet may also affect the severity of your jet lag. While exercise itself has little direct effect on adjusting the bodys biological clock, experts say that moderate physical training leads to an increase in sleep length and nighttime alertness. […] Recognize that your whole digestive system is tightly coupled to this biological clock and takes many days to readjust, he says.
  • #27 How to Defeat Jet Lag, Shift Work & Sleeplessness – Huberman Lab
    https://www.hubermanlab.com/episode/find-your-temperature-minimum-to-defeat-jetlag-shift-work-and-sleeplessness
    Jet lag is a serious thing. […] Jet lag will shorten your life. It will kill you earlier. […] Jet lag has two elements, travel fatigue and time zone jet lag. Time zone jet lag is simply the inability of local sunlight and local darkness to match to your internal rhythm, this endogenous rhythm that you have. […] Jet lag can really mess yourself up. […] Traveling westward on the globe is always easier than traveling eastward. […] The effects of jet lag on longevity have shown that traveling east takes more years off your life than traveling west. […] The autonomic nervous system is asymmetrically wired such that it’s easier to stay up later than we would naturally want to, than it is to go to sleep earlier. […] If you want to read up on this, because people have asked me about papers, you can look, there’s a paper published by Davidson and colleagues, 2006, in Current Biology, that talks about the differences in lifespan for frequent eastward, versus westward, versus no travel, in longevity and etcetera.
  • #28 How to Defeat Jet Lag, Shift Work & Sleeplessness – Huberman Lab
    https://www.hubermanlab.com/episode/find-your-temperature-minimum-to-defeat-jetlag-shift-work-and-sleeplessness
    Jet lag is a serious thing. […] Jet lag will shorten your life. It will kill you earlier. […] Jet lag has two elements, travel fatigue and time zone jet lag. Time zone jet lag is simply the inability of local sunlight and local darkness to match to your internal rhythm, this endogenous rhythm that you have. […] Jet lag can really mess yourself up. […] Traveling westward on the globe is always easier than traveling eastward. […] The effects of jet lag on longevity have shown that traveling east takes more years off your life than traveling west. […] The autonomic nervous system is asymmetrically wired such that it’s easier to stay up later than we would naturally want to, than it is to go to sleep earlier. […] If you want to read up on this, because people have asked me about papers, you can look, there’s a paper published by Davidson and colleagues, 2006, in Current Biology, that talks about the differences in lifespan for frequent eastward, versus westward, versus no travel, in longevity and etcetera.
  • #29 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Jet lag disorder occurs due to a misalignment of an individuals endogenous circadian timing with the external clock time (destinations local time zone). After rapid travel, typically two or more time zones, the endogenous circadian system initially remains aligned to the environmental time cues of the home time zone and only slowly resets to the new environmental time schedule. […] The severity and duration of these symptoms is dependent on many factors: the number of the time zones traveled, the direction of travel (east or west), departure and arrival times, the ability to sleep while traveling, exposure to local time cues, and individual differences in phase tolerance. […] Flight-related stress and fatigue, in addition to sleep deprivation, contribute to the clinical picture in the first day or two on arrival to the new time zone.
  • #30 Jet lag disorder – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/jet-lag/symptoms-causes/syc-20374027
    Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] A key influence on circadian rhythms is sunlight. Light affects the regulation of melatonin, a hormone that helps cells throughout the body work together. […] Some research shows that changes in cabin pressure and high altitudes associated with air travel may contribute to some symptoms of jet lag, regardless of travel across time zones.
  • #31 Jet lag disorder – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/jet-lag/symptoms-causes/syc-20374027
    Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] A key influence on circadian rhythms is sunlight. Light affects the regulation of melatonin, a hormone that helps cells throughout the body work together. […] Some research shows that changes in cabin pressure and high altitudes associated with air travel may contribute to some symptoms of jet lag, regardless of travel across time zones.
  • #32 Terapia światłem Jet Lag: rozświetl swój powrót do zdrowia | Luminette
    https://myluminette.com/en-us/blogs/light-therapy-applications/jet-lag-light-therapy?srsltid=AfmBOooxogz6IrTc0HaAzl9xcMnLmPCnXmTJPv5kyrtYQUefgdVC2cVo
    Terapia wiatem leczy problemy zwizane z jet lagiem, zwane take jet lagiem, ktre wynika z szybkiego przekroczenia (najczciej samolotem) kilku stref czasowych. Przekada si to na zaburzenia zegara biologicznego, ktrych czas trwania i intensywno s proporcjonalne do liczby stref czasowych. Szkodliwe skutki jet lag s odczuwalne dopiero po przekroczeniu 3 stref czasowych. […] Przyczyn jest zbyt szybkie przekroczenie kilku stref czasowych, uniemoliwiajce wewntrznemu zegarowi (zegarowi biologicznemu) dostosowanie si do czasu zewntrznego. […] Jet lag nie jest patologi w cisym tego sowa znaczeniu. Dlatego nie mwimy o leczeniu, ale raczej o rozwizaniu zapewniajcym lepsze samopoczucie. Stanowi one cz klasycznego narzdzia chronoterapii, czyli narzdzi umoliwiajcych resynchronizacj zegara biologicznego z nowym czasem. Wyrniamy 3 gwne narzdzia, za pomoc ktrych podrny moe zagodzi skutki jet lag: terapi wiatem, przyjmowanie melatoniny, unikanie wiata i snu.
  • #33 Jet lag – Wikipedia
    https://en.wikipedia.org/wiki/Jet_lag
    Jet lag is caused by a misalignment between the internal circadian clock and the external environment, and it has been classified within the category of a circadian rhythm sleep-wake disorder, reflecting its basis in disrupted biological timing rather than general travel fatigue. […] Jet lag is a chronobiological problem, similar to issues often induced by shift work and circadian rhythm sleep disorders. During jet lag, there is a shift in the sleep-wake cycle, disrupting the coordinated regulation of the suprachiasmatic nucleus (SCN) of the hypothalamus. The output of the SCN influences oscillatory sleep and arousal controls, which can later lead to an effect on daily sleep-wake behavior. […] Jet lag is linked only to the distance travelled along the east-west axis. A ten-hour flight between Europe and southern Africa does not cause jet lag, as the direction of travel is primarily north-south. A four-hour flight between Miami, Florida, and Phoenix, Arizona, in the United States may result in jet lag, as the direction of travel is primarily east-west.
  • #34 Beating Jet Lag: A Guide to Strategic Light Exposure – Wu Tsai Human Performance Alliance
    https://humanperformancealliance.org/playbook/beating-jet-lag-a-guide-to-strategic-light-exposure/
    Light plays a crucial role in overcoming jet lag. A common misunderstanding, however, is that all light is equal. […] A person can adjust their circadian rhythms by approximately one hour each day if they expose themselves to the right amounts of light at the right times. […] Eastward travel across time zones is often harder to adjust to than Westward. Its generally more challenging to fall asleep earlier when traveling East than stay awake later when traveling West. […] If you are getting light after a night of sleep, even regular room light will impact your clock, so avoid this when going Westward, said Dr. Zeitzer. […] Light in the evening, however, is a little different because youve been exposed to light already during the day. You’ll need brighter light to change your clock, especially if you have been outside during the daytime, added Dr. Zeitzer.
  • #35 Beating Jet Lag: A Guide to Strategic Light Exposure – Wu Tsai Human Performance Alliance
    https://humanperformancealliance.org/playbook/beating-jet-lag-a-guide-to-strategic-light-exposure/
    Light plays a crucial role in overcoming jet lag. A common misunderstanding, however, is that all light is equal. […] A person can adjust their circadian rhythms by approximately one hour each day if they expose themselves to the right amounts of light at the right times. […] Eastward travel across time zones is often harder to adjust to than Westward. Its generally more challenging to fall asleep earlier when traveling East than stay awake later when traveling West. […] If you are getting light after a night of sleep, even regular room light will impact your clock, so avoid this when going Westward, said Dr. Zeitzer. […] Light in the evening, however, is a little different because youve been exposed to light already during the day. You’ll need brighter light to change your clock, especially if you have been outside during the daytime, added Dr. Zeitzer.
  • #36 Beating Jet Lag: A Guide to Strategic Light Exposure – Wu Tsai Human Performance Alliance
    https://humanperformancealliance.org/playbook/beating-jet-lag-a-guide-to-strategic-light-exposure/
    Light plays a crucial role in overcoming jet lag. A common misunderstanding, however, is that all light is equal. […] A person can adjust their circadian rhythms by approximately one hour each day if they expose themselves to the right amounts of light at the right times. […] Eastward travel across time zones is often harder to adjust to than Westward. Its generally more challenging to fall asleep earlier when traveling East than stay awake later when traveling West. […] If you are getting light after a night of sleep, even regular room light will impact your clock, so avoid this when going Westward, said Dr. Zeitzer. […] Light in the evening, however, is a little different because youve been exposed to light already during the day. You’ll need brighter light to change your clock, especially if you have been outside during the daytime, added Dr. Zeitzer.
  • #37 Beating Jet Lag: A Guide to Strategic Light Exposure – Wu Tsai Human Performance Alliance
    https://humanperformancealliance.org/playbook/beating-jet-lag-a-guide-to-strategic-light-exposure/
    Light plays a crucial role in overcoming jet lag. A common misunderstanding, however, is that all light is equal. […] A person can adjust their circadian rhythms by approximately one hour each day if they expose themselves to the right amounts of light at the right times. […] Eastward travel across time zones is often harder to adjust to than Westward. Its generally more challenging to fall asleep earlier when traveling East than stay awake later when traveling West. […] If you are getting light after a night of sleep, even regular room light will impact your clock, so avoid this when going Westward, said Dr. Zeitzer. […] Light in the evening, however, is a little different because youve been exposed to light already during the day. You’ll need brighter light to change your clock, especially if you have been outside during the daytime, added Dr. Zeitzer.
  • #38
    https://link.springer.com/article/10.1007/s40265-018-0973-8
    Thus internal rhythms are not only out of synchrony with the environment (external desynchronisation) but also out of synchrony with each other (internal desynchrony). […] The problem of treatment is not simple. […] However, circadian response to time-zone change depends on individual characteristics such as initial circadian status, tau and light sensitivity, the individual exposure to artificial and natural light in the aircraft, natural light at destination and thus the season (photoperiod), and departure and arrival time of the aircraft. […] Much effort has been devoted to finding an efficient method of alleviating jet lag with only partial success. […] A major problem is the (biological) time-dependency of chronobiotics, which may have opposite effects depending on internal circadian time of treatment.
  • #39 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Several factors are involved in the pathophysiology of metabolic jet lag. […] It is known that BD is a heritable mood disorder and recently it has been suggested that circadian disruption, a risk factor for BD, may also be heritable. […] The timing of energy intake is an important peripheral cue, influencing the regulation of circadian function. […] Eating rhythms have been shown to influence body weight and energy metabolism, even when the same amount of food is consumed because energy balance does not promote expenditure during the night hours and therefore calories are stored as fat. […] In addition, the prevalence of BD in mitochondrial diseases is about 20 times higher than in the general population. […] Current evidence suggests that mitochondria are both influenced by circadian rhythm and exert effects on biological rhythms.
  • #40 How to Defeat Jet Lag, Shift Work & Sleeplessness – Huberman Lab
    https://www.hubermanlab.com/episode/find-your-temperature-minimum-to-defeat-jetlag-shift-work-and-sleeplessness
    Jet lag gets worse as we age. […] If you expose your eyes to bright light in the four hours after your temperature minimum, your circadian clock will shift so that you will tend to get up earlier and go to sleep earlier in the subsequent days. […] If you view bright light in the four to six hours before your temperature minimum, you will tend to phase delay your clock. […] Understanding mechanism affords you more flexibility. […] Jet lag is a serious thing. […] Jet lag can shorten your life. […] Jet lag has two elements, travel fatigue and time zone jet lag. […] Jet lag gets worse as we age.
  • #41 Jet Lag – Harvard Health
    https://www.health.harvard.edu/a_to_z/jet-lag-a-to-z
    Jet lag is a type of sleep disorder that is a reaction to traveling between time zones. […] Because traveling between time zones changes the light-dark patterns in your environment, it can disrupt your body’s rhythms. A change of even a few hours may not seem significant, but often it is enough to affect the body’s sleep-wake cycle. […] The effects of jet lag go beyond being tired for a few extra hours. Because the disruption in the sleep-wake cycle affects your body’s hormone levels, many body processes can be thrown off balance, leading to a variety of symptoms. […] Older people seem to be hit harder by jet lag and may require a little more time to adjust. Traveling from west to east can cause more bothersome symptoms because the body has more difficulty adjusting its clock forward than backward.
  • #42 The surprisingly simple trick to overcoming jet lag – The Brighter Side of News
    https://www.thebrighterside.news/health/the-surprisingly-simple-trick-to-overcoming-jet-lag
    Jetlag happens when the body’s circadian rhythmits built-in 24-hour cyclefalls out of sync. Tied to Earths rotation, this rhythm controls sleep, digestion, and energy levels. Crossing multiple time zones throws it into chaos, leading to fatigue, insomnia, sudden hunger pangs, and even splitting headaches. […] Sunlight helps keep the SCN in sync, but meal timing plays a crucial role too. By aligning eating habits with a new time zone, travelers may reset their internal clocks faster, reducing jetlags grip and getting back to enjoying the journey. […] Conflicting external cues, such as nighttime eating, can confuse our internal clocks, leading to desynchrony. […] The interplay between circadian clocks weakens alongside diminished light sensitivity. Consequently, older individuals might require extended recovery post-travel. […] Their findings, published in Chaos, emphasized the need for a mathematical framework encompassing both the central and peripheral clocks to deepen our circadian rhythm understanding.
  • #43 The pathophysiology of jet lag – ProQuest
    https://www.proquest.com/docview/1027134860/20CB7D54A81A45E3PQ/3
    Jet Lag Disorder (JLD) is a recognized circadian rhythm sleep disorder characterized by insomnia or excessive daytime sleepiness (and sometimes general malaise and somatic symptoms) associated with transmeridian jet travel. […] It is a consequence of circadian misalignment that occurs after crossing time zones too rapidly for the circadian system to keep pace. […] The thesis of this review is that a rational treatment approach for jet lag can be grounded in an understanding of the biology of the human circadian timekeeping system. […] An overview of circadian rhythm physiology is presented with special emphasis on the role of light exposure and melatonin secretion in the regulation of circadian timing. […] Both timed light exposure (or avoidance) and exogenous melatonin administration have been recruited as treatment modalities to accelerate circadian realignment, based on an understanding of their role in circadian physiology. […] In addition to circadian misalignment, other contributing causes to jet lag are considered including travel-related sleep deprivation and fatigue.
  • #44 Jet lag disorder | MedLink Neurology
    https://www.medlink.com/articles/jet-lag-disorder
    Jet lag disorder occurs due to a misalignment of an individuals endogenous circadian timing with the external clock time (destinations local time zone). After rapid travel, typically two or more time zones, the endogenous circadian system initially remains aligned to the environmental time cues of the home time zone and only slowly resets to the new environmental time schedule. […] The severity and duration of these symptoms is dependent on many factors: the number of the time zones traveled, the direction of travel (east or west), departure and arrival times, the ability to sleep while traveling, exposure to local time cues, and individual differences in phase tolerance. […] Flight-related stress and fatigue, in addition to sleep deprivation, contribute to the clinical picture in the first day or two on arrival to the new time zone.
  • #45 Jet Lag | IntechOpen
    https://www.intechopen.com/chapters/60485
    Jet Lag must be distinguished from travel fatigue, that happens every time transport has been long and uncomfortable, be it in car, train, boat or jet. […] An important factor in the understanding of Jet Lag is the issue of sleep debt (cumulative sleep loss). […] Jet Lag is a phenomenon that is best explained by a mismatch between the circadian body clock and actual destination time. After fast (airplane) transportation to destination, the body clock remains set to departure schedules for a number of days that depend mostly on the amount of time zones crossed. […] The circadian clock slowly adjusts to new schedules, thanks to external time-givers, especially the alternation of outside night and dark periods but also social meetings and meals.
  • #46 Jet Lag | IntechOpen
    https://www.intechopen.com/chapters/60485
    Jet Lag must be distinguished from travel fatigue, that happens every time transport has been long and uncomfortable, be it in car, train, boat or jet. […] An important factor in the understanding of Jet Lag is the issue of sleep debt (cumulative sleep loss). […] Jet Lag is a phenomenon that is best explained by a mismatch between the circadian body clock and actual destination time. After fast (airplane) transportation to destination, the body clock remains set to departure schedules for a number of days that depend mostly on the amount of time zones crossed. […] The circadian clock slowly adjusts to new schedules, thanks to external time-givers, especially the alternation of outside night and dark periods but also social meetings and meals.
  • #47 Experimental ‘Jet Lag’ Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0015267
    Experimental Jet Lag Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters […] Circadian disruptions through frequent transmeridian travel, rotating shift work, and poor sleep hygiene are associated with an array of physical and mental health maladies, including marked deficits in human cognitive function. […] In the present study, we investigated whether experimental jet lag (i.e., phase advances of the lightdark cycle) negatively impacts learning and memory and whether any deficits observed are associated with reductions in hippocampal cell proliferation and neurogenesis. […] Circadian disruption resulted in pronounced deficits in learning and memory paralleled by marked reductions in hippocampal cell proliferation and neurogenesis. […] Together, these findings support the view that circadian disruptions suppress hippocampal neurogenesis via a glucocorticoid-independent mechanism, imposing pronounced and persistent impairments on learning and memory. […] The present findings show, for the first time, that circadian disruptions lead to marked suppression of hippocampal cell proliferation and neurogenesis, associated with notable deficits in learning and memory. […] In contrast, the pronounced suppression of neurogenesis is independent of jet lag-induced alterations in circulating glucocorticoid and sex steroid concentrations. […] Jet-lagged animals exhibited 24-hr rhythms, not synchronized with external time, suggesting that the observed deficits result from a desynchrony between internal physiology and external time, not from gross disruptions in internal rhythmicity. […] Together, these results underscore the importance of circadian entrainment in maintaining optimal neural and cognitive functioning.
  • #48 Experimental ‘Jet Lag’ Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0015267
    Experimental Jet Lag Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters […] Circadian disruptions through frequent transmeridian travel, rotating shift work, and poor sleep hygiene are associated with an array of physical and mental health maladies, including marked deficits in human cognitive function. […] In the present study, we investigated whether experimental jet lag (i.e., phase advances of the lightdark cycle) negatively impacts learning and memory and whether any deficits observed are associated with reductions in hippocampal cell proliferation and neurogenesis. […] Circadian disruption resulted in pronounced deficits in learning and memory paralleled by marked reductions in hippocampal cell proliferation and neurogenesis. […] Together, these findings support the view that circadian disruptions suppress hippocampal neurogenesis via a glucocorticoid-independent mechanism, imposing pronounced and persistent impairments on learning and memory. […] The present findings show, for the first time, that circadian disruptions lead to marked suppression of hippocampal cell proliferation and neurogenesis, associated with notable deficits in learning and memory. […] In contrast, the pronounced suppression of neurogenesis is independent of jet lag-induced alterations in circulating glucocorticoid and sex steroid concentrations. […] Jet-lagged animals exhibited 24-hr rhythms, not synchronized with external time, suggesting that the observed deficits result from a desynchrony between internal physiology and external time, not from gross disruptions in internal rhythmicity. […] Together, these results underscore the importance of circadian entrainment in maintaining optimal neural and cognitive functioning.
  • #49 Experimental ‘Jet Lag’ Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0015267
    Experimental Jet Lag Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters […] Circadian disruptions through frequent transmeridian travel, rotating shift work, and poor sleep hygiene are associated with an array of physical and mental health maladies, including marked deficits in human cognitive function. […] In the present study, we investigated whether experimental jet lag (i.e., phase advances of the lightdark cycle) negatively impacts learning and memory and whether any deficits observed are associated with reductions in hippocampal cell proliferation and neurogenesis. […] Circadian disruption resulted in pronounced deficits in learning and memory paralleled by marked reductions in hippocampal cell proliferation and neurogenesis. […] Together, these findings support the view that circadian disruptions suppress hippocampal neurogenesis via a glucocorticoid-independent mechanism, imposing pronounced and persistent impairments on learning and memory. […] The present findings show, for the first time, that circadian disruptions lead to marked suppression of hippocampal cell proliferation and neurogenesis, associated with notable deficits in learning and memory. […] In contrast, the pronounced suppression of neurogenesis is independent of jet lag-induced alterations in circulating glucocorticoid and sex steroid concentrations. […] Jet-lagged animals exhibited 24-hr rhythms, not synchronized with external time, suggesting that the observed deficits result from a desynchrony between internal physiology and external time, not from gross disruptions in internal rhythmicity. […] Together, these results underscore the importance of circadian entrainment in maintaining optimal neural and cognitive functioning.
  • #50 Brain activity and transcriptional profiling in mice under chronic jet lag | Scientific Data
    https://www.nature.com/articles/s41597-020-00709-6
    Chronic jet lag (CJL) induced by shifting light-dark cycles repeatedly is a commonly used protocol to mimic the environmental light/dark changes encountered by shift workers. […] Our results reveal the alterations of brain activities and systematic reprogramming of gene expression in brain tissues under CJL, building hypothesis for how CJL increases the susceptibility to neurological and psychiatric diseases. […] Recent work in rodents also demonstrated that CJL leads to phenotypes related to mood disorders, but the mechanism is largely unknown. […] Abnormal glucose metabolism in the brain has been reported in dementia, epilepsy, major depressive disorder, and bipolar disorder. […] Dysfunction of the PFC has been found in various psychiatric and neurological disorders, including depression, anxiety disorders, addiction, schizophrenia, autism spectrum disorders, Alzheimers disease, and Parkinsons disease.
  • #51 Brain activity and transcriptional profiling in mice under chronic jet lag | Scientific Data
    https://www.nature.com/articles/s41597-020-00709-6
    Chronic jet lag (CJL) induced by shifting light-dark cycles repeatedly is a commonly used protocol to mimic the environmental light/dark changes encountered by shift workers. […] Our results reveal the alterations of brain activities and systematic reprogramming of gene expression in brain tissues under CJL, building hypothesis for how CJL increases the susceptibility to neurological and psychiatric diseases. […] Recent work in rodents also demonstrated that CJL leads to phenotypes related to mood disorders, but the mechanism is largely unknown. […] Abnormal glucose metabolism in the brain has been reported in dementia, epilepsy, major depressive disorder, and bipolar disorder. […] Dysfunction of the PFC has been found in various psychiatric and neurological disorders, including depression, anxiety disorders, addiction, schizophrenia, autism spectrum disorders, Alzheimers disease, and Parkinsons disease.
  • #52 Brain activity and transcriptional profiling in mice under chronic jet lag | Scientific Data
    https://www.nature.com/articles/s41597-020-00709-6
    Chronic jet lag (CJL) induced by shifting light-dark cycles repeatedly is a commonly used protocol to mimic the environmental light/dark changes encountered by shift workers. […] Our results reveal the alterations of brain activities and systematic reprogramming of gene expression in brain tissues under CJL, building hypothesis for how CJL increases the susceptibility to neurological and psychiatric diseases. […] Recent work in rodents also demonstrated that CJL leads to phenotypes related to mood disorders, but the mechanism is largely unknown. […] Abnormal glucose metabolism in the brain has been reported in dementia, epilepsy, major depressive disorder, and bipolar disorder. […] Dysfunction of the PFC has been found in various psychiatric and neurological disorders, including depression, anxiety disorders, addiction, schizophrenia, autism spectrum disorders, Alzheimers disease, and Parkinsons disease.
  • #53 Brain activity and transcriptional profiling in mice under chronic jet lag | Scientific Data
    https://www.nature.com/articles/s41597-020-00709-6
    Chronic jet lag (CJL) induced by shifting light-dark cycles repeatedly is a commonly used protocol to mimic the environmental light/dark changes encountered by shift workers. […] Our results reveal the alterations of brain activities and systematic reprogramming of gene expression in brain tissues under CJL, building hypothesis for how CJL increases the susceptibility to neurological and psychiatric diseases. […] Recent work in rodents also demonstrated that CJL leads to phenotypes related to mood disorders, but the mechanism is largely unknown. […] Abnormal glucose metabolism in the brain has been reported in dementia, epilepsy, major depressive disorder, and bipolar disorder. […] Dysfunction of the PFC has been found in various psychiatric and neurological disorders, including depression, anxiety disorders, addiction, schizophrenia, autism spectrum disorders, Alzheimers disease, and Parkinsons disease.
  • #54 Jet lag | Causes, Symptoms & Treatment | Britannica
    https://www.britannica.com/science/jet-lag
    A stress hormone that is secreted in a circadian pattern and that is particularly sensitive to interruptions in sleep-wake cycles is cortisol. Levels of cortisol, which normally increase during the day and decrease at night, are found in unusually high levels in people who experience jet lag on a regular basis (e.g., flight attendants and pilots). […] Increasing cortisol levels corresponded with decreasing temporal lobe size in these individuals, suggesting a direct link between physiological desynchronization and decreased functionality of short-term memory. […] The hormone melatonin plays a major role in regulating circadian sleep-wake rhythms, and its production is influenced by light-dark cycles. […] Because long-distance transmeridian jet travelers normally experience a significant shift in the light-dark cycles, melatonin secretion is immediately out of sync upon arrival in a new time zonethus jet lag.
  • #55 Jet lag | Causes, Symptoms & Treatment | Britannica
    https://www.britannica.com/science/jet-lag
    A stress hormone that is secreted in a circadian pattern and that is particularly sensitive to interruptions in sleep-wake cycles is cortisol. Levels of cortisol, which normally increase during the day and decrease at night, are found in unusually high levels in people who experience jet lag on a regular basis (e.g., flight attendants and pilots). […] Increasing cortisol levels corresponded with decreasing temporal lobe size in these individuals, suggesting a direct link between physiological desynchronization and decreased functionality of short-term memory. […] The hormone melatonin plays a major role in regulating circadian sleep-wake rhythms, and its production is influenced by light-dark cycles. […] Because long-distance transmeridian jet travelers normally experience a significant shift in the light-dark cycles, melatonin secretion is immediately out of sync upon arrival in a new time zonethus jet lag.
  • #56 Jet lag | Causes, Symptoms & Treatment | Britannica
    https://www.britannica.com/science/jet-lag
    A stress hormone that is secreted in a circadian pattern and that is particularly sensitive to interruptions in sleep-wake cycles is cortisol. Levels of cortisol, which normally increase during the day and decrease at night, are found in unusually high levels in people who experience jet lag on a regular basis (e.g., flight attendants and pilots). […] Increasing cortisol levels corresponded with decreasing temporal lobe size in these individuals, suggesting a direct link between physiological desynchronization and decreased functionality of short-term memory. […] The hormone melatonin plays a major role in regulating circadian sleep-wake rhythms, and its production is influenced by light-dark cycles. […] Because long-distance transmeridian jet travelers normally experience a significant shift in the light-dark cycles, melatonin secretion is immediately out of sync upon arrival in a new time zonethus jet lag.
  • #57 Jet lag | Causes, Symptoms & Treatment | Britannica
    https://www.britannica.com/science/jet-lag
    A stress hormone that is secreted in a circadian pattern and that is particularly sensitive to interruptions in sleep-wake cycles is cortisol. Levels of cortisol, which normally increase during the day and decrease at night, are found in unusually high levels in people who experience jet lag on a regular basis (e.g., flight attendants and pilots). […] Increasing cortisol levels corresponded with decreasing temporal lobe size in these individuals, suggesting a direct link between physiological desynchronization and decreased functionality of short-term memory. […] The hormone melatonin plays a major role in regulating circadian sleep-wake rhythms, and its production is influenced by light-dark cycles. […] Because long-distance transmeridian jet travelers normally experience a significant shift in the light-dark cycles, melatonin secretion is immediately out of sync upon arrival in a new time zonethus jet lag.
  • #58 Jet Lag Disorder | Yellow Book | CDC
    https://wwwnc.cdc.gov/travel/yellowbook/2024/air-land-sea/jet-lag
    Melatonin is secreted by the pineal gland in the brain during darkness and it is suppressed during the day with light exposure. If a traveler takes melatonin when their internal clock thinks it is morning, this will result in a phase delay which can facilitate adaptation to westward travel. Taking melatonin when the internal clock thinks it is early evening will result in a phase advance which can facilitate adaptation to eastward travel. […] There are several over-the-counter and prescription medications that are often used to help sustain alertness during the local day, promote sleep during the local night, and ultimately adjust to the new time zone.
  • #59 Jet Lag Disorder | Yellow Book | CDC
    https://wwwnc.cdc.gov/travel/yellowbook/2024/air-land-sea/jet-lag
    Melatonin is secreted by the pineal gland in the brain during darkness and it is suppressed during the day with light exposure. If a traveler takes melatonin when their internal clock thinks it is morning, this will result in a phase delay which can facilitate adaptation to westward travel. Taking melatonin when the internal clock thinks it is early evening will result in a phase advance which can facilitate adaptation to eastward travel. […] There are several over-the-counter and prescription medications that are often used to help sustain alertness during the local day, promote sleep during the local night, and ultimately adjust to the new time zone.
  • #60 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Several factors are involved in the pathophysiology of metabolic jet lag. […] It is known that BD is a heritable mood disorder and recently it has been suggested that circadian disruption, a risk factor for BD, may also be heritable. […] The timing of energy intake is an important peripheral cue, influencing the regulation of circadian function. […] Eating rhythms have been shown to influence body weight and energy metabolism, even when the same amount of food is consumed because energy balance does not promote expenditure during the night hours and therefore calories are stored as fat. […] In addition, the prevalence of BD in mitochondrial diseases is about 20 times higher than in the general population. […] Current evidence suggests that mitochondria are both influenced by circadian rhythm and exert effects on biological rhythms.
  • #61 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Several factors are involved in the pathophysiology of metabolic jet lag. […] It is known that BD is a heritable mood disorder and recently it has been suggested that circadian disruption, a risk factor for BD, may also be heritable. […] The timing of energy intake is an important peripheral cue, influencing the regulation of circadian function. […] Eating rhythms have been shown to influence body weight and energy metabolism, even when the same amount of food is consumed because energy balance does not promote expenditure during the night hours and therefore calories are stored as fat. […] In addition, the prevalence of BD in mitochondrial diseases is about 20 times higher than in the general population. […] Current evidence suggests that mitochondria are both influenced by circadian rhythm and exert effects on biological rhythms.
  • #62 The surprisingly simple trick to overcoming jet lag – The Brighter Side of News
    https://www.thebrighterside.news/health/the-surprisingly-simple-trick-to-overcoming-jet-lag
    Jetlag happens when the body’s circadian rhythmits built-in 24-hour cyclefalls out of sync. Tied to Earths rotation, this rhythm controls sleep, digestion, and energy levels. Crossing multiple time zones throws it into chaos, leading to fatigue, insomnia, sudden hunger pangs, and even splitting headaches. […] Sunlight helps keep the SCN in sync, but meal timing plays a crucial role too. By aligning eating habits with a new time zone, travelers may reset their internal clocks faster, reducing jetlags grip and getting back to enjoying the journey. […] Conflicting external cues, such as nighttime eating, can confuse our internal clocks, leading to desynchrony. […] The interplay between circadian clocks weakens alongside diminished light sensitivity. Consequently, older individuals might require extended recovery post-travel. […] Their findings, published in Chaos, emphasized the need for a mathematical framework encompassing both the central and peripheral clocks to deepen our circadian rhythm understanding.
  • #63 The surprisingly simple trick to overcoming jet lag – The Brighter Side of News
    https://www.thebrighterside.news/health/the-surprisingly-simple-trick-to-overcoming-jet-lag
    Jetlag happens when the body’s circadian rhythmits built-in 24-hour cyclefalls out of sync. Tied to Earths rotation, this rhythm controls sleep, digestion, and energy levels. Crossing multiple time zones throws it into chaos, leading to fatigue, insomnia, sudden hunger pangs, and even splitting headaches. […] Sunlight helps keep the SCN in sync, but meal timing plays a crucial role too. By aligning eating habits with a new time zone, travelers may reset their internal clocks faster, reducing jetlags grip and getting back to enjoying the journey. […] Conflicting external cues, such as nighttime eating, can confuse our internal clocks, leading to desynchrony. […] The interplay between circadian clocks weakens alongside diminished light sensitivity. Consequently, older individuals might require extended recovery post-travel. […] Their findings, published in Chaos, emphasized the need for a mathematical framework encompassing both the central and peripheral clocks to deepen our circadian rhythm understanding.
  • #64 How to Prevent Jet Lag | Scientific American
    https://www.scientificamerican.com/article/how-to-prevent-jet-lag/
    Jet lag occurs when our rhythms no longer align with the environment. […] Evidence has recently accumulated that we can apply this knowledge to minimise the negative effects of shift work and jet lag. […] Bright light exposure is the most powerful way to cause a phase shift an advance or delay in circadian rhythms. […] This simple insight can be used to minimise jet lag. […] Several field studies have reached similar conclusions. […] Thus, seeking and avoiding light at the right times can reduce jet lag. […] These people often end up jet lagged for longer than necessary. […] Besides gastrointestinal disturbances and reduced alertness, frequent jet lag is associated with cancer and digestive diseases in humans, and increases mortality in mice.
  • #65 Jet lag syndrome: circadian organization, pathophysiology, and management strategies
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3630947/
    The circadian system regulates the cyclical occurrence of wakefulness and sleep through a series of oscillatory networks that comprise two different theoretical processes. […] During jet lag, abrupt shifts in the environmental lightdark cycle temporarily desynchronize the SCN and downstream oscillatory networks from each other, resulting in increased sleepiness and impaired daytime functioning. […] This type of circadian misalignment can further lead to a cluster of symptoms including major metabolic, cardiovascular, psychiatric, and neurological impairments. […] Understanding jet lag can help us address the broader problem of circadian misalignment, which has increasingly been associated with increased risk for cancer, metabolic disease, cardiovascular dysfunction, mood disorders, and cognitive decline.
  • #66 How to Prevent Jet Lag: Tips to Sleep Better and Adjust Faster
    https://www.legalnomads.com/jet-lag-tips/
    At its core, jet lag is caused by misalignment of the body’s circadian systems — i.e. your body clock is not “aligned” with the sun any longer. […] The body clock can even help dictate when medications are most effectively taken: […] Jet lag is essentially a chronobiological problem. The same issues arise not just when we fly long distances, but also we do shift work. Both require your body to make changes to how your body clock perceives time. […] Jet lag isn’t simply about sleeping a little better as you travel. As mentioned earlier, there are plenty of studies about the effects long-term circadian rhythm changes have on the body. […] Chronic misalignment of our body clocks — for example, when eating and sleeping patterns conflict with the natural light-dark cycle, or with prolonged shift work — is associated with higher risks of conditions like metabolic syndrome, cardiovascular disease, neurological conditions, and cancer.
  • #67 Experimental ‘Jet Lag’ Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0015267
    Experimental Jet Lag Inhibits Adult Neurogenesis and Produces Long-Term Cognitive Deficits in Female Hamsters […] Circadian disruptions through frequent transmeridian travel, rotating shift work, and poor sleep hygiene are associated with an array of physical and mental health maladies, including marked deficits in human cognitive function. […] In the present study, we investigated whether experimental jet lag (i.e., phase advances of the lightdark cycle) negatively impacts learning and memory and whether any deficits observed are associated with reductions in hippocampal cell proliferation and neurogenesis. […] Circadian disruption resulted in pronounced deficits in learning and memory paralleled by marked reductions in hippocampal cell proliferation and neurogenesis. […] Together, these findings support the view that circadian disruptions suppress hippocampal neurogenesis via a glucocorticoid-independent mechanism, imposing pronounced and persistent impairments on learning and memory. […] The present findings show, for the first time, that circadian disruptions lead to marked suppression of hippocampal cell proliferation and neurogenesis, associated with notable deficits in learning and memory. […] In contrast, the pronounced suppression of neurogenesis is independent of jet lag-induced alterations in circulating glucocorticoid and sex steroid concentrations. […] Jet-lagged animals exhibited 24-hr rhythms, not synchronized with external time, suggesting that the observed deficits result from a desynchrony between internal physiology and external time, not from gross disruptions in internal rhythmicity. […] Together, these results underscore the importance of circadian entrainment in maintaining optimal neural and cognitive functioning.
  • #68 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    Jet lag separatrix is the key concept for understanding and coping with jet lag. […] Jet lag separatrix exists generally in oscillatory systems entrained by weak periodic stimuli. […] Near the bifurcation point, an unstable solution exists, which underlies the jet lag separatrix. […] We demonstrated that our model can predict the response to jet lag and concluded that mice cope better with jet lag when they are pre-sensitized to jet lag. […] We suspect that the bad timing of phase shift of ones daily rhythm desynchronizes the clock cells in the SCN of rotators, which may be one of the main causes of reported health problems.
  • #69 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    Jet lag separatrix is the key concept for understanding and coping with jet lag. […] Jet lag separatrix exists generally in oscillatory systems entrained by weak periodic stimuli. […] Near the bifurcation point, an unstable solution exists, which underlies the jet lag separatrix. […] We demonstrated that our model can predict the response to jet lag and concluded that mice cope better with jet lag when they are pre-sensitized to jet lag. […] We suspect that the bad timing of phase shift of ones daily rhythm desynchronizes the clock cells in the SCN of rotators, which may be one of the main causes of reported health problems.
  • #70 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    Jet lag separatrix is the key concept for understanding and coping with jet lag. […] Jet lag separatrix exists generally in oscillatory systems entrained by weak periodic stimuli. […] Near the bifurcation point, an unstable solution exists, which underlies the jet lag separatrix. […] We demonstrated that our model can predict the response to jet lag and concluded that mice cope better with jet lag when they are pre-sensitized to jet lag. […] We suspect that the bad timing of phase shift of ones daily rhythm desynchronizes the clock cells in the SCN of rotators, which may be one of the main causes of reported health problems.
  • #71 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    Jet lag separatrix is the key concept for understanding and coping with jet lag. […] Jet lag separatrix exists generally in oscillatory systems entrained by weak periodic stimuli. […] Near the bifurcation point, an unstable solution exists, which underlies the jet lag separatrix. […] We demonstrated that our model can predict the response to jet lag and concluded that mice cope better with jet lag when they are pre-sensitized to jet lag. […] We suspect that the bad timing of phase shift of ones daily rhythm desynchronizes the clock cells in the SCN of rotators, which may be one of the main causes of reported health problems.
  • #72 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    Jet lag separatrix is the key concept for understanding and coping with jet lag. […] Jet lag separatrix exists generally in oscillatory systems entrained by weak periodic stimuli. […] Near the bifurcation point, an unstable solution exists, which underlies the jet lag separatrix. […] We demonstrated that our model can predict the response to jet lag and concluded that mice cope better with jet lag when they are pre-sensitized to jet lag. […] We suspect that the bad timing of phase shift of ones daily rhythm desynchronizes the clock cells in the SCN of rotators, which may be one of the main causes of reported health problems.
  • #73 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    The endogenous circadian clock drives oscillations that are completely synchronized with the environmental daynight rhythms with a period of approximately 24hours. […] However, the mechanism behind the disruption of ones internal clock is not well understood. […] To demonstrate the utility of our theoretical study, we applied it to predict that re-entrainment via a two-step jet lag in which a four-hour shift of the light-dark cycle is given in the span of two successive days requires fewer days than when given as a single eight-hour shift. […] Our model successfully reproduced our main experimental finding that the adaptation to the advanced LD cycle was accelerated when the intercellular coupling is weakened. However, its mechanism remains rather vague. […] We experimentally verified our method using mice, observing the re-entrainment process to be in good agreement with our mathematical predictions.
  • #74 Accelerating recovery from jet lag: prediction from a multi-oscillator model and its experimental confirmation in model animals | Scientific Reports
    https://www.nature.com/articles/srep46702
    The endogenous circadian clock drives oscillations that are completely synchronized with the environmental daynight rhythms with a period of approximately 24hours. […] However, the mechanism behind the disruption of ones internal clock is not well understood. […] To demonstrate the utility of our theoretical study, we applied it to predict that re-entrainment via a two-step jet lag in which a four-hour shift of the light-dark cycle is given in the span of two successive days requires fewer days than when given as a single eight-hour shift. […] Our model successfully reproduced our main experimental finding that the adaptation to the advanced LD cycle was accelerated when the intercellular coupling is weakened. However, its mechanism remains rather vague. […] We experimentally verified our method using mice, observing the re-entrainment process to be in good agreement with our mathematical predictions.
  • #75 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Bipolar disorder (BD) is a potentially chronic mental disorder marked by recurrent depressive and manic episodes, circadian rhythm disruption, and changes in energetic metabolism. Metabolic jet lag refers to a state of shift in circadian patterns of energy homeostasis, affecting neuroendocrine, immune, and adipose tissue function, expressed through behavioral changes such as irregularities in sleep and appetite. […] Evidence suggests metabolic jet lag is a core component of BD pathophysiology, as individuals with BD frequently exhibit irregular eating rhythms and circadian desynchronization of their energetic metabolism, which is associated with unfavorable clinical outcomes. […] Metabolic jet lag constitutes a desynchronization between external cues and the temporal order of the main circadian clock and has been linked to a variety of detrimental health outcomes.
  • #76 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Bipolar disorder (BD) is a potentially chronic mental disorder marked by recurrent depressive and manic episodes, circadian rhythm disruption, and changes in energetic metabolism. Metabolic jet lag refers to a state of shift in circadian patterns of energy homeostasis, affecting neuroendocrine, immune, and adipose tissue function, expressed through behavioral changes such as irregularities in sleep and appetite. […] Evidence suggests metabolic jet lag is a core component of BD pathophysiology, as individuals with BD frequently exhibit irregular eating rhythms and circadian desynchronization of their energetic metabolism, which is associated with unfavorable clinical outcomes. […] Metabolic jet lag constitutes a desynchronization between external cues and the temporal order of the main circadian clock and has been linked to a variety of detrimental health outcomes.
  • #77 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Bipolar disorder (BD) is a potentially chronic mental disorder marked by recurrent depressive and manic episodes, circadian rhythm disruption, and changes in energetic metabolism. Metabolic jet lag refers to a state of shift in circadian patterns of energy homeostasis, affecting neuroendocrine, immune, and adipose tissue function, expressed through behavioral changes such as irregularities in sleep and appetite. […] Evidence suggests metabolic jet lag is a core component of BD pathophysiology, as individuals with BD frequently exhibit irregular eating rhythms and circadian desynchronization of their energetic metabolism, which is associated with unfavorable clinical outcomes. […] Metabolic jet lag constitutes a desynchronization between external cues and the temporal order of the main circadian clock and has been linked to a variety of detrimental health outcomes.
  • #78 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Several factors are involved in the pathophysiology of metabolic jet lag. […] It is known that BD is a heritable mood disorder and recently it has been suggested that circadian disruption, a risk factor for BD, may also be heritable. […] The timing of energy intake is an important peripheral cue, influencing the regulation of circadian function. […] Eating rhythms have been shown to influence body weight and energy metabolism, even when the same amount of food is consumed because energy balance does not promote expenditure during the night hours and therefore calories are stored as fat. […] In addition, the prevalence of BD in mitochondrial diseases is about 20 times higher than in the general population. […] Current evidence suggests that mitochondria are both influenced by circadian rhythm and exert effects on biological rhythms.
  • #79 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Several factors are involved in the pathophysiology of metabolic jet lag. […] It is known that BD is a heritable mood disorder and recently it has been suggested that circadian disruption, a risk factor for BD, may also be heritable. […] The timing of energy intake is an important peripheral cue, influencing the regulation of circadian function. […] Eating rhythms have been shown to influence body weight and energy metabolism, even when the same amount of food is consumed because energy balance does not promote expenditure during the night hours and therefore calories are stored as fat. […] In addition, the prevalence of BD in mitochondrial diseases is about 20 times higher than in the general population. […] Current evidence suggests that mitochondria are both influenced by circadian rhythm and exert effects on biological rhythms.
  • #80 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Metabolic abnormalities are significantly higher in BD compared to the general population and have been linked to unfavorable illness trajectories. […] The high prevalence and impact of metabolic dysfunction in individuals with BD support the view that metabolic jet lag may be a key aspect of the pathophysiology and disease progression. […] Individuals with BD routinely exhibit signs of metabolic jet lag, and more work is needed to determine the link between biological rhythms such as meal timing and disease progression.
  • #81 The concept of “metabolic jet lag” in the pathophysiology of bipolar disorder: implications for research and clinical care | CNS Spectrums | Cambridge Core
    https://www.cambridge.org/core/journals/cns-spectrums/article/concept-of-metabolic-jet-lag-in-the-pathophysiology-of-bipolar-disorder-implications-for-research-and-clinical-care/51B49B133C09B249F6DD90F04F877B05
    Metabolic abnormalities are significantly higher in BD compared to the general population and have been linked to unfavorable illness trajectories. […] The high prevalence and impact of metabolic dysfunction in individuals with BD support the view that metabolic jet lag may be a key aspect of the pathophysiology and disease progression. […] Individuals with BD routinely exhibit signs of metabolic jet lag, and more work is needed to determine the link between biological rhythms such as meal timing and disease progression.
  • #82 Jet lag disorder – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/jet-lag/symptoms-causes/syc-20374027
    Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] A key influence on circadian rhythms is sunlight. Light affects the regulation of melatonin, a hormone that helps cells throughout the body work together. […] Some research shows that changes in cabin pressure and high altitudes associated with air travel may contribute to some symptoms of jet lag, regardless of travel across time zones.
  • #83
    https://www.welcometothejungle.com/en/articles/how-to-work-with-jet-lag
    If a 1% difference in your work performance is going to matter, then jet lag matters, Zeitzer says. […] For him, it ultimately impacts a companys bottom line through missed opportunities and damaged reputation. […] Zeitzer similarly highlights that exhausting travel schedules negatively impact staff retention and sick leave, which can lead to costly recruitment processes and a hike in insurance premiums. […] Timeshifter lets you know when you should sleep, use caffeine, and get light exposure in the days prior and after traveling – as well as advising you as to when you can take melatonin if you wish to, which in Lockleys words is the only thing except light, which can help reset the circadian clock. […] McHardy believes there is also a big temptation to drink a lot of coffee and energy drinks to power on through, but by his own admission, when youre exhausted from jet lag, these just dont work and simply affect your sleep even more.
  • #84
    https://www.welcometothejungle.com/en/articles/how-to-work-with-jet-lag
    Therefore, some people can have a cup of coffee in the morning and still have half a cup running around their brain at night when trying to sleep. […] Alcohol does not recapitulate normal restorative sleep – especially in large amounts. It causes dehydration, which fragments sleep. […] Zeitzer seconds this, stating that it might be that spending an extra couple hundred dollars is better for a worker and might tilt the scale to get that big contract.
  • #85
    https://www.welcometothejungle.com/en/articles/how-to-work-with-jet-lag
    Therefore, some people can have a cup of coffee in the morning and still have half a cup running around their brain at night when trying to sleep. […] Alcohol does not recapitulate normal restorative sleep – especially in large amounts. It causes dehydration, which fragments sleep. […] Zeitzer seconds this, stating that it might be that spending an extra couple hundred dollars is better for a worker and might tilt the scale to get that big contract.
  • #86
    https://link.springer.com/article/10.1007/s40265-018-0973-8
    Thus internal rhythms are not only out of synchrony with the environment (external desynchronisation) but also out of synchrony with each other (internal desynchrony). […] The problem of treatment is not simple. […] However, circadian response to time-zone change depends on individual characteristics such as initial circadian status, tau and light sensitivity, the individual exposure to artificial and natural light in the aircraft, natural light at destination and thus the season (photoperiod), and departure and arrival time of the aircraft. […] Much effort has been devoted to finding an efficient method of alleviating jet lag with only partial success. […] A major problem is the (biological) time-dependency of chronobiotics, which may have opposite effects depending on internal circadian time of treatment.
  • #87 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    The active agent metyrapone influences corticosterone synthesis and enables faster adaptation to altered circadian rhythms. […] The adrenal gland plays a key role in this process. When the researchers switched off the adrenal clock or manipulated the synthesis of corticosterone by the adrenal gland with the help of metyrapone, the rodents adapted more quickly to the altered circadian rhythm. […] The problems that arise with jet lag are a clear example of how external influences can disrupt our internal body clock. […] „The internal clocks and the clock genes adapt to the altered external influences at varying speeds,” says Gregor Eichele, Director of the Institutes Genes and Behaviour Department. „When an organism suffers from jet lag, it would appear that the entire clock mechanism fails to tick at the right rhythm. As a result, numerous physiological processes are no longer coordinated.”
  • #88 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    The active agent metyrapone influences corticosterone synthesis and enables faster adaptation to altered circadian rhythms. […] The adrenal gland plays a key role in this process. When the researchers switched off the adrenal clock or manipulated the synthesis of corticosterone by the adrenal gland with the help of metyrapone, the rodents adapted more quickly to the altered circadian rhythm. […] The problems that arise with jet lag are a clear example of how external influences can disrupt our internal body clock. […] „The internal clocks and the clock genes adapt to the altered external influences at varying speeds,” says Gregor Eichele, Director of the Institutes Genes and Behaviour Department. „When an organism suffers from jet lag, it would appear that the entire clock mechanism fails to tick at the right rhythm. As a result, numerous physiological processes are no longer coordinated.”
  • #89 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    The active agent metyrapone influences corticosterone synthesis and enables faster adaptation to altered circadian rhythms. […] The adrenal gland plays a key role in this process. When the researchers switched off the adrenal clock or manipulated the synthesis of corticosterone by the adrenal gland with the help of metyrapone, the rodents adapted more quickly to the altered circadian rhythm. […] The problems that arise with jet lag are a clear example of how external influences can disrupt our internal body clock. […] „The internal clocks and the clock genes adapt to the altered external influences at varying speeds,” says Gregor Eichele, Director of the Institutes Genes and Behaviour Department. „When an organism suffers from jet lag, it would appear that the entire clock mechanism fails to tick at the right rhythm. As a result, numerous physiological processes are no longer coordinated.”
  • #90 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    As the Gttingen-based researchers discovered, the adrenal clock plays a key role in the bodys adaptation to a new circadian rhythm. […] The time-dependent release of corticosterone was crucial in enabling our rodents to adapt more quickly to the new time. […] The insights of the Gttingen scientists could produce an entirely new approach to the treatment of jet lag in the future.
  • #91 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    As the Gttingen-based researchers discovered, the adrenal clock plays a key role in the bodys adaptation to a new circadian rhythm. […] The time-dependent release of corticosterone was crucial in enabling our rodents to adapt more quickly to the new time. […] The insights of the Gttingen scientists could produce an entirely new approach to the treatment of jet lag in the future.
  • #92 Down with jet lag
    https://www.mpg.de/623745/pressRelease201006242
    As the Gttingen-based researchers discovered, the adrenal clock plays a key role in the bodys adaptation to a new circadian rhythm. […] The time-dependent release of corticosterone was crucial in enabling our rodents to adapt more quickly to the new time. […] The insights of the Gttingen scientists could produce an entirely new approach to the treatment of jet lag in the future.
  • #93 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    Travel across multiple time zones results in desynchronization of environmental time cues and the sleep-wake schedule from their normal phase relationships with the endogenous circadian system. […] Circadian misalignment can result in poor neurobehavioral performance, decreased sleep efficiency, and inappropriately timed physiological signals including gastrointestinal activity and hormone release. […] One approach to reduce the short-term circadian, sleep-wake, and performance problems is to use mathematical models of the circadian pacemaker to design countermeasures that rapidly shift the circadian pacemaker to align with the new schedule. […] The key schedule design inputs are endogenous circadian period length, desired sleep-wake schedule, length of intervention, background light level, and countermeasure strength.
  • #94 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    Travel across multiple time zones results in desynchronization of environmental time cues and the sleep-wake schedule from their normal phase relationships with the endogenous circadian system. […] Circadian misalignment can result in poor neurobehavioral performance, decreased sleep efficiency, and inappropriately timed physiological signals including gastrointestinal activity and hormone release. […] One approach to reduce the short-term circadian, sleep-wake, and performance problems is to use mathematical models of the circadian pacemaker to design countermeasures that rapidly shift the circadian pacemaker to align with the new schedule. […] The key schedule design inputs are endogenous circadian period length, desired sleep-wake schedule, length of intervention, background light level, and countermeasure strength.
  • #95 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    Travel across multiple time zones results in desynchronization of environmental time cues and the sleep-wake schedule from their normal phase relationships with the endogenous circadian system. […] Circadian misalignment can result in poor neurobehavioral performance, decreased sleep efficiency, and inappropriately timed physiological signals including gastrointestinal activity and hormone release. […] One approach to reduce the short-term circadian, sleep-wake, and performance problems is to use mathematical models of the circadian pacemaker to design countermeasures that rapidly shift the circadian pacemaker to align with the new schedule. […] The key schedule design inputs are endogenous circadian period length, desired sleep-wake schedule, length of intervention, background light level, and countermeasure strength.
  • #96 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    Travel across multiple time zones results in desynchronization of environmental time cues and the sleep-wake schedule from their normal phase relationships with the endogenous circadian system. […] Circadian misalignment can result in poor neurobehavioral performance, decreased sleep efficiency, and inappropriately timed physiological signals including gastrointestinal activity and hormone release. […] One approach to reduce the short-term circadian, sleep-wake, and performance problems is to use mathematical models of the circadian pacemaker to design countermeasures that rapidly shift the circadian pacemaker to align with the new schedule. […] The key schedule design inputs are endogenous circadian period length, desired sleep-wake schedule, length of intervention, background light level, and countermeasure strength.
  • #97 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.
  • #98 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.
  • #99 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.
  • #100 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.
  • #101 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.
  • #102 Taking the Lag out of Jet Lag through Model-Based Schedule Design | PLOS Computational Biology
    https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1000418
    The method presented in this paper has direct implications for designing jet lag, shift-work, and non-24-hour schedules, including scheduling for extreme environments, such as in space, undersea, or in polar regions. […] A well-known intervention to resynchronize an individual’s clock with the environment is appropriately timed light exposure. […] Essential to our approach is the use of mathematical models that simulate the body’s internal circadian clock and its effect on human performance. […] Our results include quicker design of multiple schedule alternatives and predictions of substantial performance improvements relative to no intervention. […] The CAM is an iterative technique that uses information about predicted circadian phase to determine placement of CMs such that the final result is robust and optimal. […] We have shown that a mathematical model of the effect of light on circadian phase and the effects of circadian rhythms and length of time awake on performance can be used to automatically design light CMs to facilitate re-entrainment after a shift in schedule.