Age Differences in the Variability and Distribution of Sleep Spindle and Rapid Eye Movement Densities

The present study had two main objectives. The first objective was to compare the sleep architecture of young and older adults, with an emphasis on sleep spindle density and REM density. The second objective was to examine two aspects of age differences that have not been considered in previous studies: age differences in the variability of sleep measures as well as the magnitude of age differences in phasic events across the distribution of values (i.e., at each decile rather than a single measure of location such as the mean or median. A total of 24 young (mean age = 20.75±1.78 years) and 24 older (mean age = 71.17±6.15 years) adults underwent in-home polysomnography. Whole-night spindle density was significantly higher in young adults than older adults. The two age groups did not differ significantly in whole-night REM density, although significant increases in REM density across the night were observed in both age groups. These results suggest that spindle density is more affected by age than REM density. Although age differences were observed in the degree of absolute variability (older adults had significantly larger variances than young adults for sleep efficiency and time spent awake after sleep onset), a similar pattern was also observed within the two age groups: the four sleep measures with the lowest degrees of relative variability were the same and included time spent in REM and Stage 2 sleep, total sleep time, and sleep efficiency. The distributional analysis of age differences in sleep spindle density revealed that the largest age differences were initially observed in the middle of the distributions, but as the night progressed, they were seen at the upper end of the distributions. The results reported here have potential implications for the causes and functional implications of age-related changes in sleep architecture.

[1]  Gordon Jackson-Koku,et al.  Beck Depression Inventory. , 2016, Occupational medicine.

[2]  Julie Carrier,et al.  Topography of age-related changes in sleep spindles , 2013, Neurobiology of Aging.

[3]  Julien Doyon,et al.  NREM Sleep Oscillations and Brain Plasticity in Aging , 2012, Front. Neur..

[4]  Edgar Brunner,et al.  Nonparametric analysis of longitudinal data in factorial experiments , 2012 .

[5]  T. Dang-Vu,et al.  Spontaneous brain rhythms predict sleep stability in the face of noise , 2010, Current Biology.

[6]  Douglas Curran-Everett,et al.  Explorations in statistics: the bootstrap. , 2009, Advances in physiology education.

[7]  Sonia Ancoli-Israel,et al.  Sleep Disorders in the Older Adult – A Mini-Review , 2009, Gerontology.

[8]  David M Erceg-Hurn,et al.  Modern robust statistical methods: an easy way to maximize the accuracy and power of your research. , 2008, The American psychologist.

[9]  Francis Eustache,et al.  Is there a link between sleep changes and memory in Alzheimer's disease? , 2008, Neuroreport.

[10]  David J. Kupfer,et al.  Size of Treatment Effects and Their Importance to Clinical Research and Practice , 2006, Biological Psychiatry.

[11]  John J. Peterson,et al.  Probabilistic index: an intuitive non‐parametric approach to measuring the size of treatment effects , 2006, Statistics in medicine.

[12]  Julia Kastner,et al.  Introduction to Robust Estimation and Hypothesis Testing , 2005 .

[13]  Dennis D. Boos,et al.  Comparing variances and other measures of dispersion , 2004 .

[14]  C. Guilleminault,et al.  Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. , 2004, Sleep.

[15]  I. Feinberg,et al.  Rapid eye movement density shows trends across REM periods but is uncorrelated with NREM delta in young and elderly human subjects , 2004, Brain Research Bulletin.

[16]  Irwin Feinberg,et al.  Rapid eye movement density is reduced in the normal elderly. , 2003, Sleep.

[17]  K. Crowley,et al.  The effects of normal aging on sleep spindle and K-complex production , 2002, Clinical Neurophysiology.

[18]  J. Montplaisir,et al.  Sleep spindle characteristics in healthy subjects of different age groups , 2001, Clinical Neurophysiology.

[19]  R. Stafford,et al.  Principles and Practice of Sleep Medicine , 2001 .

[20]  P. Ktonas,et al.  The organization of rapid eye movement activity during rapid eye movement sleep is further impaired in very old human subjects , 2001, Neuroscience Letters.

[21]  P. Ktonas,et al.  The organization of rapid eye movement activity during rapid eye movement sleep is impaired in the elderly , 1999, Neuroscience Letters.

[22]  R. Spiegel,et al.  Polygraphic sleep criteria as predictors of successful aging: an exploratory longitudinal study , 1999, Biological Psychiatry.

[23]  Derk-Jan Dijk,et al.  Attenuated amplitude of circadian and sleep-dependent modulation of electroencephalographic sleep spindle characteristics in elderly human subjects , 1999, Neuroscience Letters.

[24]  L. Murri,et al.  Functional uncertainty, aging and memory processes during sleep. , 1997, Acta neurologica Belgica.

[25]  P. Achermann,et al.  Effect of age on the sleep EEG: slow-wave activity and spindle frequency activity in young and middle-aged men , 1996, Brain Research.

[26]  W. Loh,et al.  A comparison of tests of equality of variances , 1996 .

[27]  P. Achermann,et al.  Melatonin effect on daytime sleep in men: suppression of EEG low frequency activity and enhancement of spindle frequency activity , 1995, Neuroscience Letters.

[28]  P. Prinz Sleep and Sleep Disorders in Older Adults , 1995, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[29]  M Steriade,et al.  Sleep oscillations and their blockage by activating systems. , 1994, Journal of psychiatry & neuroscience : JPN.

[30]  R. Grissom Probability of the superior outcome of one treatment over another. , 1994 .

[31]  W C Dement,et al.  The Sleep Disorders Questionnaire. I: Creation and multivariate structure of SDQ. , 1994, Sleep.

[32]  A. Wauquier Aging and changes in phasic events during sleep , 1993, Physiology & Behavior.

[33]  D. Dannefer,et al.  Aged heterogeneity: fact or fiction? The fate of diversity in gerontological research. , 1992, The Gerontologist.

[34]  R. Daroff,et al.  The International Classification of Sleep Disorders , 1991, Neurology.

[35]  Mark C. Jones PRINCIPLES AND PRACTICE OF SLEEP MEDICINE , 1990 .

[36]  D. Kupfer,et al.  Effects of age on delta and REM sleep parameters. , 1989, Electroencephalography and clinical neurophysiology.

[37]  G. Fein,et al.  Sleep spindles in normal elderly: comparison with young adult patterns and relation to nocturnal awakening, cognitive function and brain atrophy. , 1986, Electroencephalography and clinical neurophysiology.

[38]  I Feinberg,et al.  Changes in sleep cycle patterns with age. , 1974, Journal of psychiatric research.

[39]  Kjell A. Doksum,et al.  Empirical Probability Plots and Statistical Inference for Nonlinear Models in the Two-Sample Case , 1974 .

[40]  A Yamadori,et al.  Role of the spindles in the onset of sleep. , 1971, The Kobe journal of medical sciences.

[41]  I Feinberg,et al.  EEG sleep patterns as a function of normal and pathological aging in man. , 1967, Journal of psychiatric research.

[42]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[43]  Rand Wilcox,et al.  Chapter 10 – Robust Regression , 2012 .

[44]  M. Kenward,et al.  An Introduction to the Bootstrap , 2007 .

[45]  A. Chesson,et al.  The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology, and Techinical Specifications , 2007 .

[46]  W. Sturm,et al.  Neuropsychological assessment , 2007, Journal of Neurology.

[47]  A. Chesson,et al.  The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications , 2007 .

[48]  Zhang Jing-xing,et al.  Brief introduction to second edition of International Classification of Sleep Disorders:Diagnostic and Coding Manual , 2007 .

[49]  E. Brunner,et al.  The Nonparametric Behrens‐Fisher Problem: Asymptotic Theory and a Small‐Sample Approximation , 2000 .

[50]  D. Braus,et al.  The value of REM sleep parameters in differentiating Alzheimer's disease from old-age depression and normal aging. , 1998, Journal of psychiatric research.

[51]  M. Kryger,et al.  Principles and Practice of Sleep Medicine , 1989 .

[52]  A. Rechtschaffen,et al.  A manual of standardized terminology, technique and scoring system for sleep stages of human subjects , 1968 .