Evidence map›Paper›PMID 30448611›Full record

ArticleNeurobiology of aging2019

Brain age from the electroencephalogram of sleep.

Haoqi Sun, Luis Paixao, Jefferson T Oliva, Balaji Goparaju, Diego Z Carvalho, Kicky G van Leeuwen, Oluwaseun Akeju, Robert J Thomas, Sydney S Cash, Matt T Bianchi and 1 more

Abstract read
In one paragraph

Article in Neurobiology of aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. [Research progress in electroencephalogram-based brain age prediction].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Review
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Haoqi SunDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Luis PaixaoDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Jefferson T OlivaDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; Bioinspired Computing Laboratory, Computer Science Department, University of São Paulo, Brazil.
Balaji GoparajuDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Diego Z CarvalhoDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Kicky G van LeeuwenDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; University of Twente, Enschede, the Netherlands.
Oluwaseun AkejuDepartment of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Robert J ThomasDepartment of Medicine, Division of Pulmonary, Critical Care & Sleep, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sydney S CashDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Matt T BianchiDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
M Brandon WestoverDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA. Electronic address: mwestover@mgh.harvard.edu.

Funding

Multimodal Network Connectivity Architecture (MOCA) of the Brain and its Role in the Recovery of Consciousness in Comatose Cardiac Arrest PatientsR01NS102574 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GREER, DAVID MATTHEW, WU, ONA · 2018 to 2022
$3.4M
Investigation of Sleep in the Intensive Care Unit (ICU-SLEEP)R01NS102190 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2018 to 2022
$3.2M
Big Data and Deep Learning for the Interictal-Ictal-Injury ContiuumR01NS107291 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2018 to 2022
$2.8M
Quantitative Monitoring and Control of Sedation and Pain in the ICU EnvironmentK23NS090900 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2014 to 2018
$988k
NINDS NIH HHS K23 NS090900NINDS NIH HHS R01 NS102190NINDS NIH HHS R01 NS102574NINDS NIH HHS R01 NS107291
6 · The paper itself

Abstract

The human electroencephalogram (EEG) of sleep undergoes profound changes with age. These changes can be conceptualized as "brain age (BA)," which can be compared to chronological age to reflect the degree of deviation from normal aging. Here, we develop an interpretable machine learning model to predict BA based on 2 large sleep EEG data sets: the Massachusetts General Hospital (MGH) sleep lab data set (N = 2532; ages 18-80); and the Sleep Heart Health Study (SHHS, N = 1974; ages 40-80). The model obtains a mean absolute deviation of 7.6 years between BA and chronological age (CA) in healthy participants in the MGH data set. As validation, a subset of SHHS containing longitudinal EEGs 5.2 years apart shows an average of 5.4 years increase in BA. Participants with significant neurological or psychiatric disease exhibit a mean excess BA, or "brain age index" (BAI = BA-CA) of 4 years relative to healthy controls. Participants with hypertension and diabetes have a mean excess BA of 3.5 years. The findings raise the prospect of using the sleep EEG as a potential biomarker for healthy brain aging.

Indexed as

AdultBiomarkersBrainDiabetes MellitusElectroencephalographyFemaleHealthy AgingHumansHypertensionMachine LearningMaleMiddle AgedSleepTime FactorsBiomarkersBrain ageEEGMachine learningSleep

Identifiers

PMID30448611
PMCPMC6478501

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.