The CIRCORT database: Reference ranges and seasonal changes in diurnal salivary cortisol derived from a meta-dataset comprised of 15 field studies

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Robert Miller - , TUD Dresden University of Technology (Author)
  • Tobias Stalder - , Chair of Biopsychology (Author)
  • Marc Jarczok - , Heidelberg University  (Author)
  • David M. Almeida - , Pennsylvania State University (Author)
  • Ellena Badrick - , University of Manchester (Author)
  • Meike Bartels - , Vrije Universiteit Amsterdam (VU) (Author)
  • Dorret I. Boomsma - , Vrije Universiteit Amsterdam (VU) (Author)
  • Christopher L. Coe - , University of Wisconsin-Madison (Author)
  • Marieke C.J. Dekker - , Erasmus University Rotterdam (Author)
  • Bonny Donzella - , University of Minnesota System (Author)
  • Joachim E. Fischer - , Heidelberg University  (Author)
  • Megan R. Gunnar - , University of Minnesota System (Author)
  • Meena Kumari - , University of Essex (Author)
  • Florian Lederbogen - , Heidelberg University  (Author)
  • Christine Power - , University College London (Author)
  • Carol D. Ryff - , University of Wisconsin-Madison (Author)
  • S. V. Subramanian - , Harvard University (Author)
  • Henning Tiemeier - , Erasmus University Rotterdam (Author)
  • Sarah E. Watamura - , University of Denver (Author)
  • Clemens Kirschbaum - , Chair of Biopsychology (Author)

Abstract

Diurnal salivary cortisol profiles are valuable indicators of adrenocortical functioning in epidemiological research and clinical practice. However, normative reference values derived from a large number of participants and across a wide age range are still missing. To fill this gap, data were compiled from 15 independently conducted field studies with a total of 104,623 salivary cortisol samples obtained from 18,698 unselected individuals (mean age: 48.3 years, age range: 0.5–98.5 years, 39% females). Besides providing a descriptive analysis of the complete dataset, we also performed mixed-effects growth curve modeling of diurnal salivary cortisol (i.e., 1–16 h after awakening). Cortisol decreased significantly across the day and was influenced by both, age and sex. Intriguingly, we also found a pronounced impact of sampling season with elevated diurnal cortisol in spring and decreased levels in autumn. However, the majority of variance was accounted for by between-participant and between-study variance components. Based on these analyses, reference ranges (LC/MS–MS calibrated) for cortisol concentrations in saliva were derived for different times across the day, with more specific reference ranges generated for males and females in different age categories. This integrative summary provides important reference values on salivary cortisol to aid basic scientists and clinicians in interpreting deviations from the normal diurnal cycle.

Details

Original languageEnglish
Pages (from-to)16-23
Number of pages8
JournalPsychoneuroendocrinology
Volume73
Publication statusPublished - 1 Nov 2016
Peer-reviewedYes

External IDs

PubMed 27448524

Keywords

Keywords

  • Circadian rhythm, Cortisol, Lifespan, Reference value, Saliva