Okamoto-Mizuno · Physiology & behavior 2005 · controlled crossover trial · n=8

Effects of partial humid heat exposure during different segments of sleep on human sleep stages and body temperature.

Cited 60 times in the scientific literature.

Level 2 - randomized trial

Controlled experimental crossover trial in humans

PubMed 15639161 · doi:10.1016/j.physbeh.2004.09.009 · record verified 2026-08-28

What was done

Eight male subjects were tested across two experimental conditions comparing constant thermoneutral sleep (26°C, 50% relative humidity) against partial humid heat exposure (32°C, 80% relative humidity). In the first experiment, subjects spent the first 3 hours and 45 minutes at 26°C, transitioned for 30 minutes, and spent the final 3 hours and 45 minutes at 32°C. In the second experiment, subjects experienced 32°C for the initial 3 hours and 45 minutes before transitioning back to 26°C for the remainder of the night. Sleep stages, skin temperature, clothing microclimate temperature, and rectal core temperature were measured.

What was found

Late-night heat exposure significantly increased wakefulness during the last 4 hours of sleep and elevated skin temperature, microclimate temperature, and rectal temperature during the exposure period compared to thermoneutral control. Early-night heat exposure significantly increased wakefulness in both the first and last 4 hours, significantly decreased slow wave sleep during the first 4 hours, and kept rectal temperature elevated for the first 5 hours. The abstract reports directional statistical significance but provides no numerical values, variances, or effect sizes.

Why it matters

Thermal stress during the early segment of sleep is markedly more disruptive to restorative slow wave sleep and nocturnal core body cooling than heat exposure later in the night.

Limits

The study was conducted in a very small sample of eight healthy males, limiting generalizability to females, older populations, and clinical cohorts. Specific numerical metrics and p-values were omitted from the abstract. Abrupt environmental chamber temperature transitions may not replicate real-world domestic sleep environments.

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