Waking up to Sleep (Scientist view)

Our bodies require sleep in order to maintain proper function and health. In

fact, we are programmed to sleep each night as a means of restoring our

bodies and minds. Two interacting systems—the internal biological clock

and the sleep-wake homeostat—largely determine the timing of our

transitions from wakefulness to sleep and vice versa. These two factors

also explain why, under normal conditions, we typically stay awake during

the day and sleep at night. But what exactly happens when we drift off to

sleep?

 Prior to the era of modern sleep research in the early 1920s, scientists

regarded sleep as an inactive brain state. It was generally accepted that as

night fell and sensory inputs from the environment diminished, so too did

brain function. In essence, scientists thought that the brain simply shut

down during sleep, only to restart again when morning came.

In 1929, an invention that enabled scientists to record brain activity

challenged this way of thinking. From recordings known as

electroencephalograms (EEGs), researchers could see that sleep was a

dynamic behavior, one in which the brain was highly active at times, and

not turned off at all. Over time, sleep studies using EEGs and other

instruments that measured eye movements and muscle activity would

reveal two main types of sleep. These were defined by characteristic

electrical patterns in a sleeping person's brain, as well as the presence or

absence of eye movements.

The two main types of sleep are rapid-eye-movement (REM) sleep and

non-rapid-eye-movement (NREM) sleep. On an EEG, REM sleep, often

called "active sleep," is identifiable by its characteristic low- amplitude

(small), high-frequency (fast) waves and alpha rhythm, as well as the eye

movements for which it is named. Many sleep experts think that these eye

movements are in some way related to dreams. Typically, when people are

awakened from REM sleep, they report that they had been dreaming, often

extremely vivid and sometimes bizarre dreams. In contrast, people report

dreaming far less frequently when awakened from NREM sleep.

Interestingly, during REM sleep muscles in the arms and legs are

temporarily paralyzed. This is thought to be a neurological barrier that

prevents us from "acting out" our dreams.

NREM sleep can be broken down into three distinct stages: N1, N2, and

N3. In the progression from stage N1 to N3, brain waves become slower

and more synchronized, and the eyes remain still. In stage N3, the deepest

stage of NREM, EEGs reveal high-amplitude (large), low-frequency (slow)

waves and spindles. This stage is referred to as "deep" or "slow-wave"

sleep.

Cycling at Night

In healthy adults, sleep typically begins with NREM sleep. The pattern of

clear rhythmic alpha activity associated with wakefulness gives way to N1,

the first stage of sleep, which is defined by a low-voltage, mixed-frequency

pattern. The transition from wakefulness to N1 occurs seconds to minutes

after the start of the slow eye movements seen when a person first begins

to nod off. This first period of N1 typically lasts just one to seven minutes.

The second stage, or N2, which is signaled by sleep spindles and/or K

complexes in the EEG recording, comes next and generally lasts 10 to 25

minutes. As N2 sleep progresses, there is a gradual appearance of the

high-voltage, slow-wave activity characteristic of N3, the third stage of

NREM sleep. This stage, which generally lasts 20 to 40 minutes, is referred

to as "slow-wave," " delta," or "deep" sleep. As NREM sleep progresses, the

brain becomes less responsive to external stimuli, and it becomes

increasingly difficult to awaken an individual from sleep.

Following the N3 stage of sleep, a series of body movements usually

signals an "ascent" to lighter NREM sleep stages. Typically, a 5- to 10-

minute period of N2 precedes the initial REM sleep episode. REM sleep

comprises about 20 to 25 percent of total sleep in typical healthy adults.

NREM sleep and REM sleep continue to alternate through the night in a

cyclical fashion. Most slow-wave NREM sleep occurs in the first part of the

night; REM sleep episodes, the first of which may last only one to five

minutes, generally become longer through the night. During a typical night,

N3 sleep occupies less time in the second cycle than the first and may

disappear altogether from later cycles. The average length of the first

NREM-REM sleep cycle is between 70 and 100 minutes; the average length

of the second and later cycles is about 90 to 120 minutes. The reason for

such a specific cycling pattern of NREM and REM sleep across the night is

unknown. Some scientists speculate that specific sequences of NREM and

REM sleep optimize both physical and mental recuperation as well as some

aspects of memory consolidation that occur during sleep, but this has not

been confirmed.

Shifting Sleep Patterns

Sleep patterns can be affected by many factors, including age, the amount

of recent sleep or wakefulness, the time of the day or night relative to an

individual’s internal clock, other behaviors prior to sleep such as exercise,

stress, environmental conditions such as temperature and light, and various

chemicals.

For example, for the first year of life, sleep often begins in the REM state.

The cyclical alternation of NREM-REM sleep in newborns is present from

birth but at 50 to 60 minutes is much shorter than the 90-minute cycles

that occur in adults. Consolidated nocturnal sleep and fully developed EEG

patterns of the NREM sleep stages emerge only after two to six months.

Slow-wave sleep is greatest in young children and it decreases steadily

with age, even if sleep duration does not change. This may be related to

changes in the structure and function of the brain.

Sleep history—the quantity and quality of an individual’s sleep in recent

days—can also have dramatic effects on sleep patterns. Repeatedly

missing a night’s sleep, an irregular sleep schedule, or frequent disturbance

of sleep can result in a redistribution of sleep stages, for instance,

prolonged and deeper periods of slow-wave NREM sleep. Drugs may affect

sleep stages as well. For example, alcohol before sleep tends to suppress

REM sleep early in the night. As the alcohol is metabolized later in the

night, REM sleep rebounds. However, awakenings also become more

frequent during this time.

Daytime Napping

Although it is common for people in many western societies to sleep in a

single consolidated block of about eight hours during the night, this is by

no means the only sleep pattern. In fact, following this schedule and

foregoing an afternoon nap would seem highly abnormal to many people

around the world.

In many cultures, particularly those with roots in tropical regions, afternoon

napping is commonplace and is built into daily routines. And although the

exact timing of naps is not officially scheduled, it is not uncommon for

stores and government offices to close and for many activities to stop for

an hour or two every afternoon.

Afternoon naptime typically coincides with a brief lag in the body's internal

alerting signal. This signal, which increases throughout the day to offset

the body's increasing drive to sleep, wanes slightly in mid-afternoon, giving

sleep drive a slight edge. Napping also typically happens during the

warmest period of the day and generally follows a large mid-day meal,

which explains why afternoon sleepiness is so often associated with warm

afternoon sun and heavy lunches.

Afternoon naps for most people typically last between 30 and 60 minutes.

Any longer and there is a risk of falling into deep sleep and having a

difficult time waking. Following a nap, having dissipated some of the

accumulated sleep drive, many people report feeling better able to stay

awake and alert in the late afternoon and evening. This increased alertness

typically causes people to go to bed later and generally to sleep less at

night than people who do not take naps.

According to sleep experts, napping can be a good way for people who do

not sleep well at night to catch up. They do caution, however, that people

with insomnia may make their nighttime sleep problem worse by sleeping

during the day. Otherwise, they generally recommend naps for people who

feel they benefit from them.