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Updated: Apr 29, 2026

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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
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Variability in self-reported normal sleep across the adult age span
Haley R Dillon1, Kenneth L Lichstein2, Natalie D Dautovich2
1Department of Psychology, University of Alabama, Tuscaloosa. hrdillon@crimson.ua.edu.
Summary
Individual sleep patterns show more night-to-night variation than differences between people. This sleep variability decreases with age, but is influenced by sex and race.
Area of Science:
- Gerontology
- Sleep Science
- Psychology
Background:
- Understanding sleep variability is crucial for assessing sleep health across adulthood.
- Previous research often focused on average sleep, overlooking day-to-day fluctuations.
Purpose of the Study:
- To examine within- and between-person differences in sleep parameters.
- To investigate how sleep variability changes across the adult lifespan.
Main Methods:
- Analysis of two-week sleep diary data from 592 healthy adults (ages 20-96).
- Utilized multilevel models and multiple regression to assess variability in total sleep time (TST), nighttime awakenings (NWAK), sleep-onset latency (SOL), and wake-time after sleep onset (WASO).
- Examined variability by age, sex, and race.
Main Results:
- Within-person variability in TST, SOL, and WASO generally exceeded between-person differences.
- Intraindividual variability in TST and NWAK decreased with increasing age.
- Age-related reduction in TST variability was moderated by sex and race, with young Black females exhibiting the highest variability.
- Females generally showed greater intraindividual variability in SOL and NWAK than males.
Conclusions:
- Night-to-night sleep variability is a critical factor in understanding individual sleep differences, especially in older adults.
- Future research should incorporate intraindividual sleep variability alongside average sleep measures for a comprehensive assessment.
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