Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night

Abstract We developed a cross-over study design with two interventions in randomized order to compare the effects of sleep fragmentation and partial sleep restriction on cardiac autonomic tone. Twenty male subjects (40.6 ± 7.5 years old) underwent overnight polysomnography during 2 weeks, each week...

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Main Authors: Julia Schlagintweit, Naima Laharnar, Martin Glos, Maria Zemann, Artem V. Demin, Katharina Lederer, Thomas Penzel, Ingo Fietze
Format: Article
Language:English
Published: Nature Portfolio 2023-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-33013-5
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author Julia Schlagintweit
Naima Laharnar
Martin Glos
Maria Zemann
Artem V. Demin
Katharina Lederer
Thomas Penzel
Ingo Fietze
author_facet Julia Schlagintweit
Naima Laharnar
Martin Glos
Maria Zemann
Artem V. Demin
Katharina Lederer
Thomas Penzel
Ingo Fietze
author_sort Julia Schlagintweit
collection DOAJ
description Abstract We developed a cross-over study design with two interventions in randomized order to compare the effects of sleep fragmentation and partial sleep restriction on cardiac autonomic tone. Twenty male subjects (40.6 ± 7.5 years old) underwent overnight polysomnography during 2 weeks, each week containing one undisturbed baseline night, one intervention night (either sleep restriction with 5 h of sleep or sleep fragmentation with awakening every hour) and two undisturbed recovery nights. Parameters of heart rate variability (HRV) were used to assess cardiac autonomic modulation during the nights. Sleep restriction showed significant higher heart rate (p = 0.018) and lower HRV-pNN50 (p = 0.012) during sleep stage N1 and lower HRV-SDNN (p = 0.009) during wakefulness compared to the respective baseline. For HR and SDNN there were recovery effects. There was no significant difference comparing fragmentation night and its baseline. Comparing both intervention nights, sleep restriction had lower HRV high frequency (HF) components in stage N1 (p = 0.018) and stage N2 (p = 0.012), lower HRV low frequency (LF) (p = 0.007) regarding the entire night and lower SDNN (p = 0.033) during WASO during sleep. Sleep restriction increases sympathetic tone and decreases vagal tone during night causing increased autonomic stress, while fragmented sleep does not affect cardiac autonomic parameters in our sample.
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spelling doaj.art-7a63e85eb678426b85ab1625b51ac4722023-04-23T11:18:12ZengNature PortfolioScientific Reports2045-23222023-04-0113111010.1038/s41598-023-33013-5Effects of sleep fragmentation and partial sleep restriction on heart rate variability during nightJulia Schlagintweit0Naima Laharnar1Martin Glos2Maria Zemann3Artem V. Demin4Katharina Lederer5Thomas Penzel6Ingo Fietze7Interdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinInterdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinInterdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinInterdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinInstitute of Biomedical Problems, Russian Academy of ScienceAdvanced Sleep Research GmbHInterdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinInterdisciplinary Center of Sleep Medicine, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu BerlinAbstract We developed a cross-over study design with two interventions in randomized order to compare the effects of sleep fragmentation and partial sleep restriction on cardiac autonomic tone. Twenty male subjects (40.6 ± 7.5 years old) underwent overnight polysomnography during 2 weeks, each week containing one undisturbed baseline night, one intervention night (either sleep restriction with 5 h of sleep or sleep fragmentation with awakening every hour) and two undisturbed recovery nights. Parameters of heart rate variability (HRV) were used to assess cardiac autonomic modulation during the nights. Sleep restriction showed significant higher heart rate (p = 0.018) and lower HRV-pNN50 (p = 0.012) during sleep stage N1 and lower HRV-SDNN (p = 0.009) during wakefulness compared to the respective baseline. For HR and SDNN there were recovery effects. There was no significant difference comparing fragmentation night and its baseline. Comparing both intervention nights, sleep restriction had lower HRV high frequency (HF) components in stage N1 (p = 0.018) and stage N2 (p = 0.012), lower HRV low frequency (LF) (p = 0.007) regarding the entire night and lower SDNN (p = 0.033) during WASO during sleep. Sleep restriction increases sympathetic tone and decreases vagal tone during night causing increased autonomic stress, while fragmented sleep does not affect cardiac autonomic parameters in our sample.https://doi.org/10.1038/s41598-023-33013-5
spellingShingle Julia Schlagintweit
Naima Laharnar
Martin Glos
Maria Zemann
Artem V. Demin
Katharina Lederer
Thomas Penzel
Ingo Fietze
Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
Scientific Reports
title Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
title_full Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
title_fullStr Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
title_full_unstemmed Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
title_short Effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
title_sort effects of sleep fragmentation and partial sleep restriction on heart rate variability during night
url https://doi.org/10.1038/s41598-023-33013-5
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