Abstract

BackgroundDespite the common experience that interrupted sleep has a negative impact on waking function, the features of human sleep-wake architecture that best distinguish sleep continuity versus fragmentation remain elusive. In this regard, there is growing interest in characterizing sleep architecture using models of the temporal dynamics of sleep-wake stage transitions. In humans and other mammals, the state transitions defining sleep and wake bout durations have been described with exponential and power law models, respectively. However, sleep-wake stage distributions are often complex, and distinguishing between exponential and power law processes is not always straightforward. Although mono-exponential distributions are distinct from power law distributions, multi-exponential distributions may in fact resemble power laws by appearing linear on a log-log plot.Methodology/Principal FindingsTo characterize the parameters that may allow these distributions to mimic one another, we systematically fitted multi-exponential-generated distributions with a power law model, and power law-generated distributions with multi-exponential models. We used the Kolmogorov-Smirnov method to investigate goodness of fit for the “incorrect” model over a range of parameters. The “zone of mimicry” of parameters that increased the risk of mistakenly accepting power law fitting resembled empiric time constants obtained in human sleep and wake bout distributions.Conclusions/SignificanceRecognizing this uncertainty in model distinction impacts interpretation of transition dynamics (self-organizing versus probabilistic), and the generation of predictive models for clinical classification of normal and pathological sleep architecture.

Highlights

  • It has been understood for decades that sleep is comprised of transitions among sub-stages of rapid eye movement (REM) and non-REM (NREM) sleep, whether the temporal dynamics of these transitions is important for restorative functions remains obscure

  • Several groups have reported mono-exponential fitting to observed bouts of sleep across species, we have recently demonstrated that the distribution of human sleep sub-stages (REM and NREM) is not captured by a mono-exponential model

  • Two (REM) or three (NREM) exponential terms were required to fit these distributions, suggesting multiple distinct stage transition time scales [2]. This is of potential interest for statistical as well as biological reasons: 1) mono-exponential fitting of multiexponential distributions is biased towards brief bout lengths, which dominate frequency distribution histograms, 2) long duration bouts may represent more stable sleep bouts, and 3) the multi-exponential pattern suggests multiple control points, possibly consistent with neuro-anatomic data suggesting that there are multiple wake- and sleep-promoting nuclei in the mammalian brain

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Summary

Introduction

It has been understood for decades that sleep is comprised of transitions among sub-stages of rapid eye movement (REM) and non-REM (NREM) sleep, whether the temporal dynamics of these transitions is important for restorative functions remains obscure. Recent analysis demonstrates that standard metrics used to summarize sleep architecture in clinical studies (sleep efficiency, percentages of each stage) fails to identify differences in fragmentation caused by medically severe sleep apnea [1,2]. Despite the common experience that interrupted sleep has a negative impact on waking function, the features of human sleep-wake architecture that best distinguish sleep continuity versus fragmentation remain elusive. In this regard, there is growing interest in characterizing sleep architecture using models of the temporal dynamics of sleepwake stage transitions. Monoexponential distributions are distinct from power law distributions, multi-exponential distributions may resemble power laws by appearing linear on a log-log plot

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