학술논문

Macro and micro sleep architecture and cognitive performance in older adults
Document Type
article
Source
Nature Human Behaviour. 5(1)
Subject
Biological Psychology
Psychology
Basic Behavioral and Social Science
Sleep Research
Clinical Research
Neurosciences
Aging
Behavioral and Social Science
Age Factors
Aged
Aged
80 and over
Case-Control Studies
Cognition
Electroencephalography
Humans
Male
Metabolic Syndrome
Middle Aged
Sleep
Sleep
REM
Biomedical and clinical sciences
Health sciences
Language
Abstract
We sought to determine which facets of sleep neurophysiology were most strongly linked to cognitive performance in 3,819 older adults from two independent cohorts, using whole-night electroencephalography. From over 150 objective sleep metrics, we identified 23 that predicted cognitive performance, and processing speed in particular, with effects that were broadly independent of gross changes in sleep quality and quantity. These metrics included rapid eye movement duration, features of the electroencephalography power spectra derived from multivariate analysis, and spindle and slow oscillation morphology and coupling. These metrics were further embedded within broader associative networks linking sleep with aging and cardiometabolic disease: individuals who, compared with similarly aged peers, had better cognitive performance tended to have profiles of sleep metrics more often seen in younger, healthier individuals. Taken together, our results point to multiple facets of sleep neurophysiology that track coherently with underlying, age-dependent determinants of cognitive and physical health trajectories in older adults.