TABLE 1.
Sleep dynamics across lifespan | Perinatal | Childhood | Adulthood | Elderly |
---|---|---|---|---|
Sleep macrostructure | AS evolves into REM sleep and QS evolves in NREM sleep (0–4/6 months) | Decline of TST/WASO/SWS/REM sleep stage/number of sleep cycles | Decrease in sleep duration, SE, SWS and REM sleep stages | Higher sample entropy in NREM N2 and REM sleep stages |
Short ultradian cycle (30–70 min) | Increase of 1) mean cycle duration; 2) number of stage shift,; 3) N2 stage percentage | Increase in light sleep stages of NREM sleep; increase of SE | Decrease of SE/higher rate of sleeps disorders (e.g., OSA and insomnia) | |
Mean sleep duration: 12.8 h | Mean sleep duration: 11.7 (toddler) 10.4 (3–5 years old) | Every 10 years reduction of total sleep time by 10 min and sleep efficiency by 1%–2% | ||
Sleep microstructure | Alternating periods of short-duration, high-voltage activity separated by lower-voltage activity (TA); appearance of sleep spindles (3 months); High levels of CAP fluctuations (mainly subtypes A1) | Increase density and coherence of sleep spindles; persistence of high levels of CAP oscillations | Gradual increase of CAP rate (subtypes A2 and A3; decrease of subtypes A1) | Decline in K-complex and spindles amplitude and density; Steeper increase of CAP rate (subtypes A2 and A3; decrease of subtypes A1) |
AS, active sleep; QS, quiet sleep; TST, total sleep time; WASO, wake after sleep onset; SWS, slow wave sleep; SE, sleep efficiency; OSA, obstructive sleep apnea; TA, trace alternant; CAP, Cyclic alternating pattern.