Journal
JOURNAL OF CLINICAL NEUROPHYSIOLOGY
Volume 26, Issue 4, Pages 257-266Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/WNP.0b013e3181b2f1e3
Keywords
Elderly; Polysomnography; Women
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Funding
- National Institutes of Health and the Kentucky Science and Engineering Foundation [KSEF-148-502-05-138]
- Kentucky, Science and Technology Corporation
- National Heart, Lung, and Blood Institute
- University of Washington [U01HL53940]
- Boston University [U01HL53941]
- Universilv of Arizona [U01HL53938]
- University of California, Davis [U01HL53916]
- University of Minnesota [U01HL53934]
- New York University [U01HL53931]
- Johns Hopkins University [U01HL53937, U01HL64360]
- Case Western Reserve University [U0HL63463]
- Missouri Breaks Research [U01HL63429]
- National Institutes of Health [AG029304]
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The regularity of electroencephalogram signals was compared between middle-aged (47.2 +/- 2.0 years,) and elderly (78.4 +/- 3.8 years) female subjects in wake, nonrapid eye movement stages 2 and 3 (S-2, S-3). and rapid eve movement sleep. Signals front C3A2 leads of healthy subjects. acquired front polysomnograms obtained front the Sleep Heart Health Study. were analyzed Using both sample entropy (SaEn) and power spectral analysis (delta theta, alpha, and beta frequency hand powers). SaEn changed systematically and significantly (P < 0.001) with sleep state in both age groups, following the relationships wake > rapid eye movement > S-2 > S-3. SaEn Was found to be negatively correlated with delta power and positively correlated with beta power. Small changes in SaEn seem to reflect changes in spectral content rather than changes in regularity of the signal. A better predictor of SaEn than the Frequency band powers was the logarithm of the power ratio (alpha + betat/(delta + theta). Thus, SaEn seems to reflect the balance between sleep-promoting and alertness-promoting mechanisms. SaEn of the elderly was larger than that of middle-aged subjects in S-2 (P = 0.029) and rapid eye movement (P = 0.001). suggesting that Cortical state is shifted toward alertness in elderly subjects in these Sleep states compared with the middle-aged subjects.
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