Okamoto-Mizuno · Journal of physiological anthropology 2012 · narrative review · n=?

Effects of thermal environment on sleep and circadian rhythm.

Cited 481 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of human thermoregulatory and sleep physiology literature without systematic review methodology.

PubMed 22738673 · doi:10.1186/1880-6805-31-14 · record verified 2026-08-28

What was done

The authors reviewed literature examining the physiological effects of ambient thermal environments (heat, humidity, and cold exposure) on human sleep stages, thermoregulation, and autonomic nervous system responses, with particular attention to the mediating effects of clothing and bedding.

What was found

The abstract reports no numerical values, effect sizes, or statistical metrics. Directionally, baseline heat or cold exposure increases wakefulness and reduces both slow wave sleep and rapid eye movement (REM) sleep. In semi-nude subjects, cold impairs sleep architecture more than heat. When bedding and clothing are used, heat exposure (especially humid heat) increases wakefulness and decreases slow wave and REM sleep, whereas cold exposure does not alter sleep stages or subjective sensations but alters cardiac autonomic responses.

Why it matters

It clarifies how everyday factors like bedding and clothing alter thermal vulnerability during sleep, showing that cold stress in typical sleeping conditions predominantly impacts autonomic regulation rather than sleep architecture.

Limits

The abstract describes a narrative review without specified systematic search criteria, inclusion standards, study counts, or quantitative synthesis. Details regarding participant demographics, exposure durations, specific temperature ranges, and confounding sleep disorders are omitted.

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