是时候重新审视慢波 (N3) 睡眠的评分了吗?
Shaun Davidson1, Rachel Sharman2, Simon D Kyle2
1Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford.
Sleep
|March 13, 2025
概括
慢波睡眠 (SWS) 的标准75微伏值可能会创造人工的性别差异. 新的自动化方法揭示了女性与年龄相关的SWS趋势可能与当前的视觉评分有所不同,这表明需要更新指南.
科学领域:
- 睡眠医学 睡眠医学
- 神经生理学 神经生理学
- 生物医学工程 生物医学工程
背景情况:
- 电脑电图 (EEG) 缓波睡眠 (SWS) 评分的固定75μV振幅值是有争议的,因为EEG振幅的年龄和性别变化.
- 当前的SWS评分指南可能不准确地反映了人口统计学中的生理差异.
研究的目的:
- 调查75μV振幅值对年龄和性别相关的SWS趋势的影响.
- 开发和比较自动化SWS标签方法与视觉注释.
- 评估 SWS 在大型队列中的人口变化.
主要方法:
- 开发使用数据驱动的值和振幅/频率输入的自动化SWS标签算法.
- 通过视觉评分和自动化方法来比较与年龄和性别相关的SWS趋势.
- 分析了2913名睡眠心脏健康研究参与者的数据.
主要成果:
- 自动标签通过视觉注释保留了男性观察到的SWS与年龄相关的下降.
- 女性在视觉和自动 (幅度与频率) 标签之间显示了不一致的年龄相关的SWS趋势.
- 基于频率的自动标签将女性的SWS降低到与男性相比的水平,与基于视觉或振幅的方法不同.
结论:
- 75微伏值可能会在SWS中引入人工性差异,而不是反映真正的生理变异.
- 在SWS中观察到的性别差异可能是当前幅度标准的工件,特别影响女性.
- 美国睡眠医学学会 (AASM) 的SWS评分指南的审查和更新对于平等的男性和女性表现是必要的.
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