Evidence map›Paper›PMID 38394454›Full record

ArticleSleep2024

Electroencephalographic slowing during REM sleep in older adults with subjective cognitive impairment and mild cognitive impairment.

Aaron Kin Fu Lam, James Carrick, Chien-Hui Kao, Craig L Phillips, Yi Zhong Zheng, Brendon J Yee, Jong Won Kim, Ronald R Grunstein, Sharon L Naismith, Angela L D'Rozario

Open access · hybridAbstract read
In one paragraph

Article in Sleep, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. A gradual and sustainable approach to diagnosing sleep and circadian disturbances in dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Sleep Abnormalities and Risk of Alzheimer's Disease.Current neurology and neuroscience reports · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Slow wave synchrony during NREM sleep tracks cognitive impairment in prodromal Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Aaron Kin Fu LamSchool of Psychology, University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0001-6087-3565
James CarrickSchool of Psychology, University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0003-1392-8919
Chien-Hui KaoWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.
Craig L PhillipsWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.
Yi Zhong ZhengWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.ORCID 0000-0001-6562-2693
Brendon J YeeWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.
Jong Won KimDepartment of Healthcare IT, Inje University, Gimhae, Gyeongsangnam-do, South Korea.
Ronald R GrunsteinWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.
Sharon L NaismithSchool of Psychology, University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0001-9076-2778
Angela L D'RozarioWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Glebe, NSW, Australia.ORCID 0000-0001-8564-796X
The University of Sydney · AUWoolcock Institute of Medical Research · AUInje University · KRRoyal Prince Alfred Hospital · AU

Funding

National Health and Medical Research Council-Australian Research Council Dementia Research Development Fellowship GNT1107716National Health and Medical Research Council Dementia Leadership Fellowship GNT1139625National Health and Medical Research Council Senior Principal Research GNT1106974
6 · The paper itself

Abstract

STUDY

objectivesIn older adults with Alzheimer's disease, slowing of electroencephalographic (EEG) activity during REM sleep has been observed. Few studies have examined EEG slowing during REM in those with mild cognitive impairment (MCI) and none have examined its relationship with cognition in this at-risk population.

methodsTwo hundred and ten older adults (mean age = 67.0, SD = 8.2 years) underwent comprehensive neuropsychological, medical, and psychiatric assessment and overnight polysomnography. Participants were classified as subjective cognitive impairment (SCI; n = 75), non-amnestic MCI (naMCI, n = 85), and amnestic MCI (aMCI, n = 50). REM EEG slowing was defined as (δ + θ)/(α + σ + β) power and calculated for frontal, central, parietal, and occipital regions. Analysis of variance compared REM EEG slowing between groups. Correlations between REM EEG slowing and cognition, including learning and memory, visuospatial and executive functions, were examined within each subgroup.

resultsThe aMCI group had significantly greater REM EEG slowing in the parietal and occipital regions compared to the naMCI and SCI groups (partial η2 = 0.06, p < 0.05 and 0.06, p < 0.05, respectively), and greater EEG slowing in the central region compared to SCI group (partial η2 = 0.03, p < 0.05). Greater REM EEG slowing in parietal (r = -0.49) and occipital regions (r = -0.38 [O1/M2] and -0.33 [O2/M1]) were associated with poorer visuospatial performance in naMCI.

conclusionsREM EEG slowing may differentiate older adults with memory impairment from those without. Longitudinal studies are now warranted to examine the prognostic utility of REM EEG slowing for cognitive and dementia trajectories.

Indexed as

Cognitive DysfunctionElectroencephalographyPolysomnographySleep, REMAgedExecutive FunctionFemaleHumansMaleMiddle AgedNeuropsychological Testsagingcognitiondementiaexecutive functionmemorymicro-architecturepolysomnographypower spectral analysisvisuospatial

Identifiers

PMID38394454
PMCPMC11168761
OpenAlexW4392093546

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.