Lecture 6: Sleep and biological rhythms Flashcards
How is sleep measured?
EEG-Electrical activity
EMG- Muscle activity
EOG-Eye movements
PSG-the whole system of assessment plus O2 levels, heart and breathing
Beta activity
Arousal
Irregular electrical activity of 13-30 Hz
Alpha activity
Relaxation
Smooth electrical activity of 8-12Hz
Theta activity
transition between wakefulness and sleep
EEG activity of 3.5-7.5 Hz
Delta activity
Regular, synchronous electrical activity less than 4Hz
Sleep stage 1
sleep is characterised by drowsiness, muscle activity slows, eye movement slows down, its not uncommon to experience hypnic myoclonia “Startle-like muscle jerks often preceded by the sensation of having to fall.”
Sleep stage 2
eye movement stops and brain activity slows down – k complexes and sleep spindles observed in eeg / definitely asleep but easy to wake up.
Sleep stage 3/4
sleep characterised by delta activity (v slow) and deep sleep. S3 30%, S4 50%. Very difficult to wake. Lose all muscle tone. Groggy if woken up. Number of sleep disorders occur during S4
REM sleep
brain activity becomes desynchronised and resembles alert state / breathing becomes irregular and shallow / eyes jerk rapidly in different directions (hence REM) / limb muscles become paralys ed (paradoxical sleep) / heart rate and blood pressure rises / erections and vaginal excretions occur / dreaming happens.
Sleep cycle
Sleep cycles through these stages approximately every 90 minutes. Most slow wave sleep (stages 3 and 4) occurs in the first half of the night. As the night draws on most of our sleep is stage 2 and we see that periods of REM become longer and stage 4 sleep becomes shorter.
Typical nights sleep
• 50% Stage 2 • 20% REM • 30% other stages • Sleep needs across species: Two-toed sloth – 20 hours Infants – 16 hours (50% REM) Teenagers – 9 hours Adults – 7-8 hours Elderly - <7 Horses – 2 hours
Prem babies 80% in REM
How many people suffer from sleep disorder?
33%
Insomnia
Occurrence - 25% of pop occasionally and 9% regularly
•Inability to fall asleep, sleep through the night, and / or fall back to sleep after early waking
Sleep apnea
Occurrence: 1-6% adults and 2% children
pauses in breathing or periods of shallow breathing during sleep. Pauses can last for a few seconds to a few minutes and occur many times a night
During sleep apnea, carbon dioxide in the blood stimulates chemoreceptors and person wakes up gasping for air. The oxygen levels return to normal, the person falls asleep and the cycle happens over again.
Narcolepsy
affects less than 1% of the population
-frequent and intense urges to sleep at inappropriate times
Sleep paralysis: inability to move just before sleep or just after waking while lying down