Announcement

Collapse
No announcement yet.

The Sleep Cycle (Information)

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • The Sleep Cycle (Information)

    The stages of sleep can be separated into two categories: non-rapid eye movement (NREM) and rapid eye movement (REM).

    NREM is further divided into four stages of sleep increasing in depth and intensity: Stage 1 NREM, Stage 2 NREM, Stage 3 NREM and Stage 4 NREM.Stages 3 and 4 together make up what’s called Slow Wave Sleep (SWS). Slow Wave Sleep is characterized by slow undulating brain waves originating from the cerebral cortex

    REM is the stage of sleep associated with dreaming, it’s characterized by lateral movement of the eyes. The brain becomes much more active than the NREM phases of sleep.

    While sleeping, your brain goes through each stage of sleep beginning at NREM-1, then to NREM-2, NREM-3, NREM-4 and finally to REM sleep. One cycle of sleep generally takes around 90 minutes to complete.

    Lets take a closer look at each individual stage of sleep:

    Stage 1 NREM
    This is the most shallow stage of sleep, and as a result, we may be awaken easily. Our eyes also slowly roll back in their sockets during this stage as well. During sleep onset many people experience vivid hallucinations, not unlike dreaming, this phenomenon is called hypnogogic hallucinations.

    Stage 2 NREM
    Our brain waves slow down, resulting in a lower frequency but higher amplitude measurement. Stage 2 NREM sleep is characterized by K-complexes and sleep spindles which have unknown origins and functions. K-complexes are termed as such because they would look like the letter ‘K’ if stretched out. The appearance of K-complexes could be due to the brain suppressing itself to maintain sleep. Sleep spindles are a rapid burst of activity that lasts about one to two seconds before returning to normal activity.

    Our core body temperature experiences a drop during Stage 2 NREM



    [Learn how to read a polysomnograph here]

    Stage 3 NREM
    In this stage, Delta waves begin to emerge, which are characterized by slow (low frequency) and large (high amplitude) brain waves. Stage 3 and 4 together make up Slow Wave Sleep (SWS). Stage 3 can be considered a transition between light and deep sleep.

    Stage 4 NREM
    The final and deepest stage of NREM sleep, the brain continuously registers low-frequency, high-amplitude delta waves. These delta waves indicate that massive regions of the brain are giving the same signal, this type of activity can be compared to everybody in a classroom chanting in harmony, creating a large, synchronous signal.



    [Learn how to read a polysomnograph here]

    REM sleep
    Dreaming occurs during REM (Rapid Eye Movement) sleep, during REM sleep, the eyes dart back and forth laterally, the brain becomes very active and registers high frequency, low amplitude waves accordingly.



    [Learn how to read a polysomnograph here]

    As you can see from the comparable polysomnographs, the brain doesn’t look much different in REM than it does while awake. The EMG is a flat line indicating complete paralysis of the body, preventing us from acting out our dreams.

  • #2
    Part 2 Measuring Sleep

    Measuring Sleep

    Sleep researchers measure sleep physiology by observing the electrical changes of the brain and body. Three key measurements are taken:
    • EEG (electroencephalogram) Measures electrical activity of the brain (i.e brainwaves). Electrodes are placed across the top of the head at various points around the skull to take measurements across the entire brain.

    • EOG (electrooculogram) Measures electrical activity of the muscles controlling eye movements. Electrodes are placed above and below the eyes.
    • EMG (electromyogram) Measures electrical activity of the skeletal muscles. Electrodes are usually places below the chin
    Using these three monitoring systems scientists have a relatively accurate measure of human sleep. Taken together, these measurements are called a Polysomnography.

    But what does a polysomnograph look like?
    This is a polysomnograph of a person awake:

    The eyes are open, with blinks (EOG), the brain is giving off high frequency, low amplitude waves (EEG) and finally there is strong muscle tone (EMG).
    Next we’ll take a look at what sleep looks like.
    This is a polysomnograph of a person in Stage 2 sleep:

    Eye movements stop (EOG), the brain is giving off lower frequency, high amplitude waves (EEG) and finally there is lowered muscle tone (EMG).
    We can see the brain is much less active compared to when the subject was awake.
    This is a polysomnograph of a person in Stage 4 sleep:

    In reality there is no eye movement (EOG), but contamination from the EEG is what the graph is showing. We can see the brain is giving off VERY low frequency and VERY high amplitude waves (EEG), the brain waves are also synchronous. Finally, there is lowered muscle tone (EMG).
    This is a polysomnograph of a person in REM sleep:



    The eyes are closed but there is horizontal movement (EOG), the brain is giving off high frequency, low amplitude desynchronized waves, very similar to what the brain looks like when it’s awake (EEG). Finally there is is absent muscle tone (EMG).

    Comment


    • #3
      Changes in Sleeping Patterns

      Even sleep exhibits drastic change over time. Here we’ll be presenting how sleep changes over the period of one lifespan.





      The graph above shows daily sleeping patterns of people at different periods of their life. The ares of white shading represent time spent sleeping. An overarching trend is easy to see, as we get older, we spend less time sleeping.


      As shown in the graph above, infants exhibit a highly polyphasic sleep schedule. cumulatively they spend well over 14 hours a day sleeping.
      As an infant grows, their periods of wakefulness increase. We can see from the graph one-year-olds are beginning to have a more consolidated sleep schedule during the night, but still require hours of sleep during the day.
      Four-year-olds have more biphasic sleep, in which they have consolidated sleep at night, and an added afternoon nap. It it usually policy to have an afternoon nap in kindergarten classes to meet their needs.
      Ten-year-olds have generally established a monophasic sleep cycle, in which they have one, long, consolidated period of sleep. Similar to adults, but they may require more sleep.
      Adults also have a monophasic sleep cycle that typically lasts for eight hours.



      Wake:REM:NREM ratio changes across lifespan


      The graph above shows how REM and NREM change in relation to wakefulness. The kicks and punches that happen in utero are typically due to the inadequate paralysis of REM sleep established in the womb. After about two months of life, REM sleep starts to drop while NREM sleep starts to increase. The total amount of sleep starts to decrease overall. Greater REM sleep is seen in the first few months of life. During adolescence (10-20 year range) we start to establish the basic REM:NREM ratio that we keep throughout our middle years. As the graph shows, the total amount of sleep decreases over the course of one lifespan. Comparing the 70-80 year range, we get about 6 hours of sleep compared to the 12 hours of sleep we used to get at age 2.
      Now that we established that we sleep less as we age, lets take a look at the quality of sleep as we age.


      Lets refer back to the hypnogram of a young adult (~25 years old)



      Young adults experience more awakening during the night. They typically wake up after each bout of REM sleep. However, these awakenings are called arousals because they are never committed to memory and usually wont’ be recalled in the morning. Though sometimes these arousals last longer in which case the sleeper may commit the event to memory.
      Below is a hypnogram of a child (~7 years old)



      Notice the longer bouts of SWS (stages NREM 3 & 4). Children have strongly consolidated sleep, they will sleep for longer and spend more time in the deeper stages of sleep and will also spend more time in REM sleep.
      Below is a hypnogram of an elderly individual (~75 years old)



      The elderly experience an absence of SWS (stages NREM 3 & 4). We can see that sleep is highly disturbed with a large number of arousals and a greatly reduced amount of REM sleep. This is one reason why the elderly tend to nap more during the day, they’re unable to get quality sleep!

      Comment


      • #4
        Too much info!
        It is 3.30am and having read that with interest I am still puzzled and can't see why I should wake up every 45 mins. Can you figure it out?

        Cheers
        Lorraine
        APAP: F & P Iconaax auto
        Masks: Resmed Swift FX, Sleep Weaver, Mirage Liberty and most other makes and models.

        Comment


        • #5
          Baffled!

          Im the same, my sleep is all over the place and my readings are a joke, one night my AHI is 3.0 and last night it was 11.00 ??? Every bloody night it changes. I read TF's post of other Tech heads and its all beyond me, I just want to know why its up and down so much? "Layman Wanted"

          Spart.

          Comment


          • #6
            Hi Sparticus,
            Great post, very informative threat and helpful polysomnograph link so thanks for sharing with others also. Bookmarked the link and will share with others also as it might help someone in curing their sleeping issue. Keep sharing useful information and thanks in advance for any input.

            Comment


            • #7
              Any bloody sleep would be nice...

              ....thanks for the info Sparticus!
              ResMed S9 Autoset with humidifier and ClimateLine
              ResMed Mirage Liberty and Quattro Air masks
              Sinupulse

              Comment


              • #8
                Can't sleep , get on fitness bike, exhaust self ....... sleep cycle.

                Never sleep in a field, you might disturb the bull dozer.....

                Chest infection at min, coughing, spluttering and masks aren't a great combination but it does seem to keep my lungs going better through the night.

                Comment


                • #9
                  Originally posted by martin View Post
                  Can't sleep , get on fitness bike, exhaust self ....... sleep cycle.

                  Never sleep in a field, you might disturb the bull dozer.....

                  Chest infection at min, coughing, spluttering and masks aren't a great combination but it does seem to keep my lungs going better through the night.
                  If you use a humidi. take it off, it will dry up your cough and runny nose

                  Comment


                  • #10
                    Ta Sparti, emptied the humidifier (the empty pot still reduces my noise), suspect i just picked up a bug in the lungs that likes breeding green chunky stuff (gotta have a hobby). Just because we are hoseheads doesn't mean we can't get ill. First lung wipeout since starting Cpap and it's much better with my wee machine as regards sleep, seems to keep breathing easier than the old days, must be forcing the crud somewhere else, don't like to think where.

                    Comment


                    • #11
                      Originally posted by martin View Post
                      Ta Sparti, emptied the humidifier (the empty pot still reduces my noise), suspect i just picked up a bug in the lungs that likes breeding green chunky stuff (gotta have a hobby). Just because we are hoseheads doesn't mean we can't get ill. First lung wipeout since starting Cpap and it's much better with my wee machine as regards sleep, seems to keep breathing easier than the old days, must be forcing the crud somewhere else, don't like to think where.
                      Also try some olbas oil or vics on a tissue near your intake but not too much just a drop or two will do this will help your breathing. If all else fails, a large scotch before bed

                      Comment


                      • #12
                        (yawn)

                        Why did I read all that? Can't say I am any the wiser, have to read it when the brain is turned on.
                        As Arnie would say "I'll be back".
                        S2S - Sleep2Snore

                        Comment

                        Working...
                        X