Transitions from Wakefulness to Sleep at Different Times of Day: Old vs. Young Subjects

• Published in: Biological rhythm research 1998-02, Vol.29 (1), p.105-117
• Main Authors: Kramer, Corrine C.J., Kerkhof, Gerard G.A., Hofman, Winni W.F.
• Format: Article
• Language: English
• ISSN: 0929-1016; 1744-4179
• DOI: 10.1076/brhm.29.1.105.3038

In order to assess age effects upon the daytime level of alertness, both subjective and objective measures of alertness were obtained in 19 healthy elderly males (mean age 65 years) and 19 healthy young males (mean age 21 years). Subjects were recorded during a Multiple Sleep Latency Test (MSLT), administered at 5 different times of day (9 a.m., 12 a.m., 3 p.m., 6 p.m., 9 p.m.). Before each test, subjects filled out an alertness questionnaire. During the entire 20 minutes of each test electroencephalographic (EEG) recordings were made and transformed into 40 averaged spectra, one for each 30 s epoch. For the delta, theta, alpha, sigma and beta bands of the EEG 6 consecutive values were averaged to obtain 1 value per 3 minutes. On the basis of the visually guided detection of the first spindle, sleep onset was determined. The elderly subjects obtained a higher overall level of subjective alertness than the young subjects. No age effect was observed for sleep latency, which followed a U-shaped diurnal trend. Overall, the mean relative EEG energy values followed a diurnal trend that was the reverse of that for sleep latency. The mean relative delta EEG energy gradually increased, and the mean relative alpha EEG energy gradually decreased across the MSLT. For the young subjects the respective ranges of variation of these EEG bands were very similar, while for the elderly subjects the range of variation of the alpha values was less than half of that for the delta band. Apparently, alpha EEG activity during the wake-sleep transition does not simply covary with delta EEG activity. Moreover, age appears to have a significant effect upon the dynamics of alpha EEG activity during the wake-sleep transition.