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Lifespan Changes in Sleep
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Children missing sleep

 

 

 

Lifespan changes

The amount that we sleep and also the pattern and quality of sleep varies as we get older.  These changing patterns of sleep may provide clues as to the purpose of sleep.

 

Age

 

Pattern of sleep

Newborn

18 hours of sleep (9 hours of which is REM)

In the first few months of life there is little in the way of a discernable

sleep pattern.  This doesn’t emerge until about 20 weeks when the NREM/REM cycle appears.  In the first few months the infant often goes straight into REM from the outset and this REM is often restless with lots of facial movements and unlike in later life arms and legs may move too

1 year

Total sleep time drops to about 13 to 14 hors a day and the ultradian sleep cycle takes about one hour (compared to the 90 minutes later in life).  The developing child remains awake most of the day (from 10am until 8pm) perhaps with one nap during that time.

5 to 10 years

Total sleep time is now 9 to 10 hours with an adult pattern of 75% NREM and 25% REM sleep. 

The bulk of NREM occurs in the first half of the night. 

The ultradian cycle is now extended to 70 minutes. 

10 to 12 years

Dement (1999) describes the sleep pattern at this age as ‘ideal.’ 

The  child typicallyhas plenty of energy during the day and can nod off quickly into deep, uninterrupted sleep waking the following morning totally refreshed! 

Adolescence

Ideally the child should still be spending 9 to 10 hours asleep but for the  first time the pattern is frequently disrupted due o late nights, schooling  etc. 

Sex and growth hormones are released for the first time and the increasingly sexual nature of dreams can result in wet dreams.

18 to 30 years

Again the body still requires as much sleep as early teens but this is rare  at this age. 

Most people this age are permanently sleep deprived.

Environmental factors such as babies, snoring, work patterns and anxieties keep us awake.

30 to 45 years

Sleep time continues to decrease and people in this age group experience  more tiredness. 

Amount of deep sleep, especially stage 4 sleep decreases.

Social factors such as less exercise, alcohol, caffeine interfere with the  sleep pattern.

45 to 60 years

Apparently hormone levels start to decrease (all down hill from here on in L ). 

The tendency is to go to bed earlier but quality of sleep begins to deteriorate. 

Total sleep time drops to around 7 hours but with little or no stage 4 sleep. 

REM however, remains at about 2 hours per night.

60 onwards

Following retirement when we have more time to sleep, the overall  quality of sleep deteriorates significantly. 

Dement estimates that in a typical night’s sleep at this age there could be up to 1000 brief awakenings per night each lasting just a few seconds. 

Although we are unaware of these ‘micro-arousals’ they do leave us tired the following day. 

 

Changes over a lifetime (more detail)

Infancy

The infant child sleeps much longer than an adult.  In the first year of life a child will typically spend about 16 hours asleep, half of this being in REM.  By the age of one this has dropped to about 12 hours of total sleep with about four hours of REM.  Lots of sleep in early life does seem to tie in with restoration theory, since this is a time of rapid growth both in the body and in the brain.  Early life is a steep learning curve so presumably the brain is working over time to assimilate all this new information by making new and ever more complex interconnections.  According to Oswald this would be facilitated by plenty of REM sleep.

Evolutionary sleep theorists suggest all this infant sleep is designed to take the pressure off of parents who can get on with essential chores such as finding food. 

Adolescence

By adolescence hormones seem to be playing an ever-increasing role in the sleep pattern.  Hormone production at night is disturbing sleep and leading to sleep deprivation.  Studies suggest that adolescents need more sleep that pre-adolescents not less.  However, schools usually expect the older age group to start earlier than the younger age group.  Recent research is suggesting that many adolescents have DSPS (mentioned in biorhythms) that results in later sleep onset and difficulty waking in the morning.  As a result some schools are now experimenting with a later start to the school day and are reporting improved performance and results. 

Adulthood

By the time we have reached maturity we usually sleep for 8 hours with only one quarter (2 hours) being spent in REM.  Note, people who sleep longer tend to spend much of the extra time in REM.  As a species, in the West we sleep less than we did a century ago.  It is estimated that in the UK we now spend only 7.5 hours asleep per night compared with 9 hours in Victorian times. 

Kripke et al (2002) report that sleeping longer is correlated with ill-health.  In a huge survey of over one million adults they found that those sleeping six or seven hours have a greater life expectancy than those sleeping eight hours longer.  However, you have probably noticed the weak link in this argument… the word ‘correlated!’  It would seem likely that people who are ill may need to sleep longer, so underlying health problems are causing the increase in mortality and the increased need for sleep. 

The wrinkly years

As we get older still there are further changes.  REM continues to decrease, and by the time we reach 60, stage 4 is non-existent.  As a result older people are more easily awoken and often complain of insomnia.  This loss of deep sleep may explain the deterioration seen in later life.  No deep sleep, no growth hormone for repairs.  As a result there is increased loss of muscle tone, lack of energy and increased risk of osteoporosis as bone density declines. 

 

 

Co-sleep

Most older people sleep with a partner.  Relatively little research has been carried out into the affect this has on sleep patterns. 

Kloesch et al (2006) found that the male sleep pattern seems to be most disrupted, to the extent where cognitive functioning is impaired. 

Eight unmarried, childless couples in their twenties were asked to spend ten nights sleeping together and ten nights sleeping apart.  They were given questionnaires and asked to complete a variety of tasks the next day.

The men reported sleeping better with a partner despite their sleep appearing to be more disturbed.  Co-sleeping also raised the levels of men’s stress hormones.  Women on the other hand were found to sleep more deeply. 

Dr Stanley believes that we are not designed to sleep together.  Few other species do, but modern human society sees it as the norm.  He describes it as ‘bizarre thing to do.’

 

 

 

 

 

Research into age lifespan changes

Van Cauter et al (2000) carried out a longitudinal sleep study on 149 male participants (aged 16 to 83) over a 14 year period (though I’m not sure how many of the 83 year olds would have seen the study through to the end!). 

Of particular interest was their finding that deep sleep and as a result production of growth hormone, deteriorates in two stages:

  • Between 16 and 35 years and then again
  • Between 35 and 50 years

Meaning that between these years the amount of repair to body tissues is reduced.  In fact by the age of 45 there is so little growth and repair that muscle tone begin to fade, exercise becomes more difficult and obesity is more likely. 

The researchers considered this from an evolutionary perspective. 

In our ancient past when we were still hunter-gatherers, our life expectancy would have been less than half of what it is in the Western World today.  Certainly 30 would have been getting on a bit and it’s unlikely that many would have ever reached 45.  As a result, with death so imminent what would have been the point of producing growth hormone and carrying out repairs to a decrepit body?  No growth hormone needed… no deep sleep needed. 

These findings are supported by other studies that suggest as we get older there are

  1. decreases in total sleep time, deep sleep time and REM sleep time
  2. increases in sleep latency (time taken to nod off) and stages 1 and 2 sleep time.

Dozing and depression in the elderly

In older people there may also be a link between dozing and depression.

Foley et al (2000) carried out a telephone poll and questioned people on their sleeping habits and mood.  A significant correlation was found.

However, telephone polls are a notoriously poor way of obtaining a sample since people are even less likely to be honest on the phone than they are face to face. 

Also being a correlation I’m sure you can also tell me we can’t prove a cause and effect relationship.  The assumption is that the depression results from the dozing but it is just as likely that being depressed is leading to dozing or even more likely that a third event such as bereavement or lack of job is causing both. 

However, in support of the theory it has been suggested that older women who report sleeping well suffer fewer problems with mood, memory and issues of attention and are less likely to suffer from physical disorders such as diabetes and CHD.  (Aneoli-Israel 2008)

 

Evaluation points to make on lifespan changes

The measures used for testing age differences are scientifically rigorous, use objective measures of sleep such as EEG, EMG and levels of breathing.  As such they are replicable and appear to be reliable. 

However most information is gathered in sleep labs which are very artificial and may affect sleep patterns.  Participants are wired to electrodes over large parts of their head, face and body.  They have straps to measure their breathing and sometimes even penile erections (not so widely used in women).  They are aware of being watched and expected to sleep in unfamiliar beds.  Research therefore lacks mundane realism so it is difficult to generalise the findings to real life!  That is ecological validity is low.

Self report methods used in dream research is subjective and may be open to researcher bias.

There is a big question mark over whether or not older people really do sleep so much less than younger adults.  There certainly appears to be less nocturnal sleep, however, some or all of tis could be made up by afternoon naps.  Borberley et al (1981) reported that 60% of 65 to 80 year olds regularly take naps in the afternoon.

There is also a big discrepancy in research into the different age groups.  In the past twenty years or so there has been a focus on infant sleep patterns and habits, largely due to research into sudden infant death syndrome (what the tabloids call ‘cot death).  In contrast to this relatively little research has been carried out on the middle aged.  Dement attributes this lack of information to practical reasons; namely the constraints on this age group such as pressures of work and families etc.  They simply don’t have the time to spend in sleep labs for weeks on end as the other age groups do.

Despite their being obvious average differences in the amount we sleep at different ages, research also points to there being huge individual age differences within each grouping.  So within my age group there will be those managing perfectly well on four hours of sleep whilst others will be suffering tiredness despite eight or nine hours.  It seems that individual differences are every bit as important as age differences when studying sleep. 

 

Cultural differences

In Northern and Central Europe, North America sleep is usually monophasic (one long period of nocturnal sleep, typically lasting 7 or 8 hours).  Text books seem to consider this to be the norm; yet another example of ethnocentricism, imposed etic and ‘West is Best’ attitude. 

Those travelling to southern Europe or South America may have noticed a different and more practical sleep pattern in these sunnier climes.  The afternoon siesta, often lasting two or three hours followed by a much later nocturnal sleep is considered the norm and appears to produce no additional deficits to monophasic sleep.

Hope you found this interesting.  I quite enjoyed writing this section on age differences in sleep.  As I said you could incorporate this information into a question on sleep research or a question on biorhythms.  Even if you have no opportunity to use it, I’m sure that you could bore friends with it endlessly at parties or adapt it as a source of chat up line

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