Measurement of sleep microarchitecture and neural oscillations is an increasingly popular technique for quantifying EEG sleep activity. Many studies have examined sleep spindle oscillations in sleep-disordered adults; however reviews of this literature are scarce. As such, our overarching aim was to critically review experimental studies examining sleep spindle activity between adults with and without different sleep disorders. Articles were obtained using a systematic methodology with a priori criteria. Thirty-seven studies meeting final inclusion criteria were reviewed, with studies grouped across three categories: insomnia, hypersomnias, and sleep-related movement disorders (including parasomnias). Studies of patients with insomnia and sleep-disordered breathing were more abundant relative to other diagnoses. All studies were cross-sectional. Studies were largely inconsistent regarding spindle activity differences between clinical and nonclinical groups, with some reporting greater or less activity, while many others reported no group differences. Stark inconsistencies in sample characteristics (e.g., age range and diagnostic criteria) and methods of analysis (e.g., spindle bandwidth selection, visual detection versus digital filtering, absolute versus relative spectral power, and NREM2 versus NREM3) suggest a need for greater use of event-based detection methods and increased research standardization. Hypotheses regarding the clinical and empirical implications of these findings, and suggestions for potential future studies, are also discussed.

Heart rate variability (HRV), an established index of autonomic cardiovascular modulation, is associated with health outcomes (e.g., obesity, diabetes) and mortality risk. Time-and frequencydomain HRV measures are commonly reported in longitudinal adult and pediatric studies of health. While test-retest reliability has been established among adults, less is known about the psychometric properties of HRV among infants, children, and adolescents. The objective was to conduct a meta-analysis of the test-retest reliability of time-and frequency-domain HRV measures from infancy to adolescence. Electronic searches (PubMed, PsycINFO; January 1970-December 2014 identified studies with nonclinical samples aged ≤ 18 years; ≥ 2 baseline HRV recordings separated by ≥ 1 day; and sufficient data for effect size computation. Forty-nine studies (N = 5,170) met inclusion criteria. Methodological variables coded included factors relevant to study protocol, sample characteristics, electrocardiogram (ECG) signal acquisition and preprocessing, and HRV analytical decisions. Fisher's Z was derived as the common effect size. Analyses were age-stratified (infant/toddler < 5 years, n = 3,329; child/adolescent 5-18 years, n = 1,841) due to marked methodological differences across the pediatric literature. Meta-analytic results revealed HRV demonstrated moderate reliability; child/adolescent studies (Z = 0.62, r = 0.55) had significantly higher reliability than infant/toddler studies (Z = 0.42, r = 0.40). Relative to other reported measures, HF exhibited the highest reliability among infant/toddler studies (Z = 0.42, r = 0.40), while rMSSD exhibited the highest reliability among child/adolescent studies (Z = 1.00, r = 0.76). Moderator analyses indicated greater reliability with shorter test-retest interval length, reported exclusion criteria based on medical illness/condition, lower proportion of males, prerecording acclimatization period, and longer recording duration; differences were noted across age groups. HRV is reliable among pediatric samples. Reliability is sensitive to pertinent methodological decisions that require careful consideration by the researcher. Limited methodological reporting precluded several a priori moderator analyses. Suggestions for future research, including standards specified by Task Force Guidelines, are discussed. Keywordspediatric; heart rate variability; reliability; respiratory sinus arrythmia; psychometric CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptHeart rate variability (HRV) reflects the variance in time between consecutive sinoatrial depolarizations (i.e., NN-intervals) and is an established index of autonomic cardiovascular modulation. Commonly reported time-and frequency-domain HRV measures, typically derived using continuous electrocardiogram (ECG) recordings and specialized analysis software programs, each provide a unique and nuanced perspective of autonomic functioning (Ernst, 2014;Kleiger, Stein, & Bigger, 2005).Mathematically derived time-domain measures inc...

Cross‐frequency coupling (CFC) between brain oscillations during non‐rapid‐eye‐movement (NREM) sleep (e.g. slow oscillations [SO] and spindles) may be a neural mechanism of overnight memory consolidation. Declines in CFC across the lifespan might accompany coinciding memory problems with ageing. However, there are few reports of CFC changes during sleep after learning in older adults, controlling for baseline effects. Our objective was to examine NREM CFC in healthy older adults, with an emphasis on spindle activity and SOs from frontal electroencephalogram (EEG), during a learning night after a declarative learning task, as compared to a baseline night without learning. Twenty‐five older adults (M [SD] age = 69.12 [5.53] years; 64% female) completed a two‐night study, with a pre‐ and post‐sleep word‐pair associates task completed on the second night. SO‐spindle coupling strength and a measure of coupling phase distance from the SO up‐state were both examined for between‐night differences and associations with memory consolidation. Coupling strength and phase distance from the up‐state peak were both stable between nights. Change in coupling strength between nights was not associated with memory consolidation, but a shift in coupling phase towards (vs. away from) the up‐state peak after learning predicted better memory consolidation. Also, an exploratory interaction model suggested that associations between coupling phase closer to the up‐state peak and memory consolidation may be moderated by higher (vs. lower) coupling strength. This study supports a role for NREM CFC in sleep‐related memory consolidation in older adults.

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