How Cortisol Affects Sleep and the Circadian Rhythm

Cortisol is a steroid hormone produced by the adrenal glands, often called the stress hormone because it manages the “fight or flight” response. It also plays a significant role in regulating metabolism, blood pressure, and immune function. Sleep is deeply interconnected with cortisol, and this relationship is governed by the body’s internal clock, the circadian rhythm. A healthy sleep cycle depends on the reliable rise and fall of cortisol levels, ensuring the body transitions smoothly between alertness and rest.

The Cortisol-Sleep Circadian Rhythm

Cortisol secretion follows a diurnal rhythm, which is fundamentally tied to the sleep-wake cycle. This rhythm is driven by the central circadian pacemaker in the brain, the suprachiasmatic nucleus (SCN). The SCN coordinates hormone release to align the body with the external day and night cycle. In a healthy individual, cortisol levels begin to decline gradually throughout the day after their morning peak.

The hormone reaches its nadir around midnight and during the early hours of sleep. This evening decrease allows for the optimal production of the sleep-inducing hormone, melatonin, which prepares the body for rest. Cortisol levels then abruptly begin to rise in the late second half of the night, culminating in a sharp increase just before and upon waking.

This morning surge is known as the Cortisol Awakening Response (CAR). The CAR typically increases cortisol by 50% to 60% within the first 30 to 45 minutes after waking. It acts as a biological signal to mobilize energy resources, enhance alertness, and prepare the body for the demands of the coming day.

Factors Disrupting Nighttime Cortisol Levels

When the circadian rhythm is disrupted, cortisol levels may remain elevated in the evening, interfering with the body’s natural transition to sleep. A primary cause of this dysregulation is chronic psychological stress, which leads to sustained overactivation of the HPA axis. This constant state of physiological readiness can prevent the necessary nighttime cortisol drop, resulting in difficulty falling asleep or frequent night awakenings.

Irregular sleep schedules, such as those experienced during shift work or social jetlag, directly disrupt the cortisol rhythm. The body’s master clock relies on consistent timing cues, and inconsistency can cause the cortisol peak and nadir to shift, leading to elevated levels when they should be low. Even short-term sleep restriction, such as sleeping less than 5.5 hours, increases late afternoon or early evening cortisol levels.

Environmental factors also play a role, including exposure to blue light from screens before bed. Blue light suppresses the production of melatonin, which is crucial for sleep onset. This suppression indirectly keeps the body in a state of wakeful arousal, contributing to higher cortisol levels. This combination of stress, inconsistent timing, and light exposure creates a “wired but tired” feeling, characterized by sleep fragmentation and poor overall sleep quality.

Regulating Cortisol for Improved Sleep Quality

Targeting the circadian rhythm and the HPA axis with lifestyle modifications can help lower nighttime cortisol and restore healthy sleep patterns. One strategy is managing light exposure, starting with maximizing natural light within the first hour of waking. This morning light exposure helps synchronize the SCN, reinforcing the proper timing for the cortisol peak and the subsequent evening decline.

Conversely, minimize evening blue light exposure by avoiding bright screens for at least one to two hours before bedtime. Implementing a “wind-down” routine signals to the body that the day’s demands are over and it is time to transition to rest. This routine should include low-stress activities such as reading, gentle stretching, or listening to calming music.

Specific relaxation techniques can lower stress hormones before sleep by activating the parasympathetic nervous system, the body’s “rest-and-digest” mode. Deep, controlled breathing exercises, such as the 4-7-8 technique, reduce cortisol levels within minutes. Dietary adjustments, including limiting caffeine and high-sugar foods in the late afternoon and evening, also help prevent cortisol spikes that can disrupt the sleep process.