REM sleep is associated with white matter integrity in cognitively healthy, older adults.

There is increasing awareness that self-reported sleep abnormalities are negatively associated with brain structure and function in older adults. Less is known, however, about how objectively measured sleep associates with brain structure. We objectively measured at-home sleep to investigate how sle...

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Main Authors: Marie Altendahl, Devyn L Cotter, Adam M Staffaroni, Amy Wolf, Paige Mumford, Yann Cobigo, Kaitlin Casaletto, Fanny Elahi, Leslie Ruoff, Samirah Javed, Brianne M Bettcher, Emily Fox, Michelle You, Rowan Saloner, Thomas C Neylan, Joel H Kramer, Christine M Walsh
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0235395
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author Marie Altendahl
Devyn L Cotter
Adam M Staffaroni
Amy Wolf
Paige Mumford
Yann Cobigo
Kaitlin Casaletto
Fanny Elahi
Leslie Ruoff
Samirah Javed
Brianne M Bettcher
Emily Fox
Michelle You
Rowan Saloner
Thomas C Neylan
Joel H Kramer
Christine M Walsh
author_facet Marie Altendahl
Devyn L Cotter
Adam M Staffaroni
Amy Wolf
Paige Mumford
Yann Cobigo
Kaitlin Casaletto
Fanny Elahi
Leslie Ruoff
Samirah Javed
Brianne M Bettcher
Emily Fox
Michelle You
Rowan Saloner
Thomas C Neylan
Joel H Kramer
Christine M Walsh
author_sort Marie Altendahl
collection DOAJ
description There is increasing awareness that self-reported sleep abnormalities are negatively associated with brain structure and function in older adults. Less is known, however, about how objectively measured sleep associates with brain structure. We objectively measured at-home sleep to investigate how sleep architecture and sleep quality related to white matter microstructure in older adults. 43 cognitively normal, older adults underwent diffusion tensor imaging (DTI) and a sleep assessment within a six-month period. Participants completed the PSQI, a subjective measure of sleep quality, and used an at-home sleep recorder (Zeo, Inc.) to measure total sleep time (TST), sleep efficiency (SE), and percent time in light sleep (LS), deep sleep (DS), and REM sleep (RS). Multiple regressions predicted fractional anisotropy (FA) and mean diffusivity (MD) of the corpus callosum as a function of total PSQI score, TST, SE, and percent of time spent in each sleep stage, controlling for age and sex. Greater percent time spent in RS was significantly associated with higher FA (β = 0.41, p = 0.007) and lower MD (β = -0.30, p = 0.03). Total PSQI score, TST, SE, and time spent in LS or DS were not significantly associated with FA or MD (p>0.13). Percent time spent in REM sleep, but not quantity of light and deep sleep or subjective/objective measures of sleep quality, positively predicted white matter microstructure integrity. Our results highlight an important link between REM sleep and brain health that has the potential to improve sleep interventions in the elderly.
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spelling doaj.art-2708130bbd1c46e49e90854d084e82b82022-12-21T20:06:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023539510.1371/journal.pone.0235395REM sleep is associated with white matter integrity in cognitively healthy, older adults.Marie AltendahlDevyn L CotterAdam M StaffaroniAmy WolfPaige MumfordYann CobigoKaitlin CasalettoFanny ElahiLeslie RuoffSamirah JavedBrianne M BettcherEmily FoxMichelle YouRowan SalonerThomas C NeylanJoel H KramerChristine M WalshThere is increasing awareness that self-reported sleep abnormalities are negatively associated with brain structure and function in older adults. Less is known, however, about how objectively measured sleep associates with brain structure. We objectively measured at-home sleep to investigate how sleep architecture and sleep quality related to white matter microstructure in older adults. 43 cognitively normal, older adults underwent diffusion tensor imaging (DTI) and a sleep assessment within a six-month period. Participants completed the PSQI, a subjective measure of sleep quality, and used an at-home sleep recorder (Zeo, Inc.) to measure total sleep time (TST), sleep efficiency (SE), and percent time in light sleep (LS), deep sleep (DS), and REM sleep (RS). Multiple regressions predicted fractional anisotropy (FA) and mean diffusivity (MD) of the corpus callosum as a function of total PSQI score, TST, SE, and percent of time spent in each sleep stage, controlling for age and sex. Greater percent time spent in RS was significantly associated with higher FA (β = 0.41, p = 0.007) and lower MD (β = -0.30, p = 0.03). Total PSQI score, TST, SE, and time spent in LS or DS were not significantly associated with FA or MD (p>0.13). Percent time spent in REM sleep, but not quantity of light and deep sleep or subjective/objective measures of sleep quality, positively predicted white matter microstructure integrity. Our results highlight an important link between REM sleep and brain health that has the potential to improve sleep interventions in the elderly.https://doi.org/10.1371/journal.pone.0235395
spellingShingle Marie Altendahl
Devyn L Cotter
Adam M Staffaroni
Amy Wolf
Paige Mumford
Yann Cobigo
Kaitlin Casaletto
Fanny Elahi
Leslie Ruoff
Samirah Javed
Brianne M Bettcher
Emily Fox
Michelle You
Rowan Saloner
Thomas C Neylan
Joel H Kramer
Christine M Walsh
REM sleep is associated with white matter integrity in cognitively healthy, older adults.
PLoS ONE
title REM sleep is associated with white matter integrity in cognitively healthy, older adults.
title_full REM sleep is associated with white matter integrity in cognitively healthy, older adults.
title_fullStr REM sleep is associated with white matter integrity in cognitively healthy, older adults.
title_full_unstemmed REM sleep is associated with white matter integrity in cognitively healthy, older adults.
title_short REM sleep is associated with white matter integrity in cognitively healthy, older adults.
title_sort rem sleep is associated with white matter integrity in cognitively healthy older adults
url https://doi.org/10.1371/journal.pone.0235395
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