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Published on: October 24, 2019
Development of the nocturnal sleep electroencephalogram in human infants
Oskar G Jenni1, Alexander A Borbély, Peter Achermann
1Institute of Pharmacology and Toxicology, University of Zurich, Switzerland. Oskar_Jenni@Brown.EDU
Insights
Infant sleep patterns mature rapidly, with EEG changes indicating sleep homeostasis emerging early. Theta activity, not delta, appears to track sleepiness dissipation in developing infants.
Area of Science:
- Neuroscience
- Developmental Biology
- Sleep Science
Background:
- Nocturnal sleep and electroencephalogram (EEG) development are crucial during infancy.
- Understanding these changes provides insights into early brain maturation and sleep regulation.
Purpose of the Study:
- To longitudinally investigate the development of sleep patterns and EEG characteristics in infants.
- To identify age-related changes in sleep architecture and spectral power.
Main Methods:
- Longitudinal study involving 7 infants.
- All-night polysomnography recordings at 2 weeks, 2, 4, 6, and 9 months post-birth.
- Analysis of sleep duration, sleep stage percentages, and spectral power of sleep EEG.
Main Results:
- Total sleep time and quiet sleep/non-rapid eye movement sleep (QS/NREMS) increased with age, while active sleep/rapid eye movement sleep (AS/REMS) decreased.
- EEG power increased with age in specific frequency bands (<10 Hz and >17 Hz), with significant changes between 2 and 6 months.
- Sleep spindles emerged at 2 months, and theta activity showed a decline over consecutive QS/NREMS episodes, suggesting sleep propensity dissipation.
Conclusions:
- EEG markers of sleep homeostasis are present in early infancy.
- Sleep homeostasis undergoes significant maturation during the first postnatal months.
- Theta activity, rather than delta activity, appears to reflect the dissipation of sleep propensity in infants.
Abstract:
The development of nocturnal sleep and the sleep electroencephalogram (EEG) was investigated in a longitudinal study during infancy. All-night polysomnographic recordings were obtained at home at 2 wk and at 2, 4, 6, and 9 mo after birth (analysis of 7 infants). Total sleep time and the percentage of quiet sleep or non-rapid eye movement sleep (QS/NREMS) increased with age, whereas the percentage of active sleep or rapid eye movement sleep (AS/REMS) decreased. Spectral power of the sleep EEG was higher in QS/NREMS than in AS/REMS over a large part of the 0.75- to 25-Hz frequency range. In both QS/NREMS and AS/REMS, EEG power increased with age in the frequency range <10 Hz and >17 Hz. The largest rise occurred between 2 and 6 mo. A salient feature of the QS/NREMS spectrum was the emergence of a peak in the sigma band (12-14 Hz) at 2 mo that corresponded to the appearance of sleep spindles. Between 2 and 9 mo, low-frequency delta activity (0.75-1.75 Hz) showed an alternating pattern with a high level occurring in every other QS/NREMS episode. At 6 mo, sigma activity showed a similar pattern. In contrast, theta activity (6.5-9 Hz) exhibited a monotonic decline over consecutive QS/NREMS episodes, a trend that at 9 mo could be closely approximated by an exponential function. The results suggest that 1) EEG markers of sleep homeostasis appear in the first postnatal months, and 2) sleep homeostasis goes through a period of maturation. Theta activity and not delta activity seems to reflect the dissipation of sleep propensity during infancy.
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