Medical Understanding ATP, Fatigue, and Sleep: The Role of Cell Energy and Rest

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Fatigue can occur despite having sufficient ATP levels due to various factors beyond energy availability. Clinical fatigue is often linked to chronic diseases or deconditioning, while muscle fatigue results from intense physical exertion. Additionally, diurnal rhythms play a significant role in fatigue, as sleep-wake cycles influenced by neurotransmitters like melatonin can be disrupted by artificial lighting, leading to sleep disorders. This disruption is evident in societal issues like adjusting to daylight savings time. Research indicates that ATP's role in fatigue is limited, primarily relevant in specific contexts such as anaerobic respiration and lactate production during intense exercise. Neurological conditions, such as narcolepsy, also contribute to fatigue, highlighting the complexity of this phenomenon.
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When our body cells are full of ATP (fuel from our mitochrondria), they are supposed to energize our biological systems.. but why do we feel fatigue when we don't sleep when we still have sufficient or ample supplies of ATP?

What really cause fatigue?
 
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This is a large subject - too much for the forums here. LOTS of things cause fatigue.
Some examples:

There is clinical fatigue - a chronic problem associated with disease or deconditioning or a host other factors.

There is muscle fatigue - what you are talking about. Example: Go to the gym and do a single weight training exercise until you cannot do any more. The muscle group is fatigued.

There is a diurnal rhythm associated with periods of fatigue - sleep and wake which is related to day/night cycles and brain neurotransmitters - things like melatonin. Day/night in many urbanized countries is obscured by artficial electric lighting which the brain interprets as daylight. Can cause sleep disorders. Many animals and plants respond to day length (winter/summer) as well.google:
diurnal rhythm (beware of pill peddler sites, general NIH (pubmed) is your best bet.)
------ An example is the mass problems adjusting to daylight savings time changes due to disruption of the sleep cycle.

search the NIH site for fatigue - https://www.ncbi.nlm.nih.gov/pubmed/17370370

resistance training fatigue study - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867092/ This is the only one that comes close to your question - ATP is involved. ATP is not a major player at all except in very limited circumstances, like this one. Actually it involves anaerobic respiration and the production of lactate.

There are also neurological diseases - narcolepsy is an interesting one to learn about - awful to have.
https://en.wikipedia.org/wiki/Narcolepsy
 
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