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儿童期睡眠慢波的跨夜动态变化。

Across-night dynamics in traveling sleep slow waves throughout childhood.

机构信息

Pulmonary Clinic, University Hospital Zurich, Zurich, Switzerland.

Center for Sleep Medicine and Sleep Research, University of Wisconsin-Madison, Madison, WI.

出版信息

Sleep. 2018 Nov 1;41(11). doi: 10.1093/sleep/zsy165.

Abstract

STUDY OBJECTIVES

Sleep slow waves behave like traveling waves and are thus a marker for brain connectivity. Across a night of sleep in adults, wave propagation is scaled down, becoming more local. Yet, it is unknown whether slow wave propagation undergoes similar across-night dynamics in childhood-a period of extensive cortical rewiring.

METHODS

High-density electroencephalography (EEG; 128 channels) was recorded during sleep in three groups of healthy children: 2.0-4.9 years (n = 11), 5.0-8.9 years (n = 9) and 9.0-16.9 years (n = 9). Slow wave propagation speed, distance, and cortical involvement were quantified. To characterize across-night dynamics, the 20% most pronounced (highest amplitude) slow waves were subdivided into five time-based quintiles.

RESULTS

We found indications that slow wave propagation distance decreased across a night of sleep. We observed an interesting interaction of across-night slow wave propagation dynamics with age (p < 0.05). When comparing the first and last quintiles, there was a trend level difference between age groups: 2- to 4.9-year-old children showed an 11.9% across-night decrease in slow wave propagation distance, which was not observed in the older two age groups. Regardless of age, cortical involvement decreased by 10.4%-23.7% across a night of sleep. No across-night changes were observed in slow wave speed.

CONCLUSIONS

Findings provide evidence that signatures of brain connectivity undergo across-night dynamics specific to maturational periods. These results suggest that across-night dynamics in slow wave propagation distance reflect heightened plasticity in underlying cerebral networks specific to developmental periods.

摘要

研究目的

睡眠慢波表现为行波,因此是大脑连通性的标志。在成年人一整个晚上的睡眠中,波的传播被缩小,变得更加局部。然而,目前尚不清楚在儿童时期(大脑皮层广泛重塑的时期),慢波传播是否会经历类似的夜间变化。

方法

在三组健康儿童的睡眠中记录高密度脑电图(EEG;128 通道):2.0-4.9 岁(n=11)、5.0-8.9 岁(n=9)和 9.0-16.9 岁(n=9)。定量分析慢波传播速度、距离和皮质参与度。为了描述夜间动态变化,将 20%最明显(最高振幅)的慢波分为五个基于时间的五分位数。

结果

我们发现有迹象表明,慢波传播距离在整个晚上的睡眠中减少。我们观察到夜间慢波传播动态与年龄之间存在有趣的相互作用(p<0.05)。当比较前五分之一和最后五分之一时,年龄组之间存在趋势水平差异:2 至 4.9 岁儿童的慢波传播距离在夜间减少了 11.9%,而在较大的两个年龄组中没有观察到这种情况。无论年龄大小,皮质参与度在整个晚上的睡眠中减少了 10.4%-23.7%。在慢波速度方面没有观察到夜间变化。

结论

这些发现为大脑连通性的特征存在特定于成熟阶段的夜间动态变化提供了证据。这些结果表明,慢波传播距离的夜间动态变化反映了特定于发育阶段的基础大脑网络的高度可塑性。

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