2009
DOI: 10.1016/j.clinph.2009.03.019
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The impact of chronic primary insomnia on the heart rate – EEG variability link

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Cited by 86 publications
(76 citation statements)
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“…Effect sizes for polysomnographically determined sleep were taken from the same meta-analysis [25•]. With respect to physiological variables, standardized mean effect sizes were calculated for NREM EEG beta activity [22,[26][27][28][29][30][31][32][33] and resting heart rate [34][35][36][37][38][39][40] as the two most frequently investigated putative physiological indicators of hyperarousal in insomnia. Effect sizes for daytime cognitive performance were taken from the meta-analysis of Fortier-Brochu et al [5].…”
Section: The Promise Of Neuroimagingmentioning
confidence: 99%
“…Effect sizes for polysomnographically determined sleep were taken from the same meta-analysis [25•]. With respect to physiological variables, standardized mean effect sizes were calculated for NREM EEG beta activity [22,[26][27][28][29][30][31][32][33] and resting heart rate [34][35][36][37][38][39][40] as the two most frequently investigated putative physiological indicators of hyperarousal in insomnia. Effect sizes for daytime cognitive performance were taken from the meta-analysis of Fortier-Brochu et al [5].…”
Section: The Promise Of Neuroimagingmentioning
confidence: 99%
“…For example, aging is associated with a reduction in delta activity and an increase in the LF/HF ratio during NREM sleep [8,30]. Similarly, a number of disorders have been identified that are characterized by low levels of delta activity and high sympathovagal balance, including insomnia [28], fibromyalgia [41], sleep apnea [29], and alcohol dependence [26]. Further, acute stress imposed before sleep has been shown to reduce the amount of delta activity and increase sympathovagal balance during sleep [21].…”
Section: The Effect Of Cardiovascular Activity On Sleepmentioning
confidence: 99%
“…Some studies have reported elevated sympathovagal balance and reduced delta activity in a population, such as older individuals, but not reduced coherence between the two measures [30], while other studies have not found differences in autonomic tone or delta activity, but have found differences in various measures derived from coherence analysis [27]. Further, in studies in which coherence analysis has revealed differences, the particular coherence measure has differed, some studies reporting differences in gain [27,29] and others differences in coherence [28]. Nevertheless, while these inconsistencies are troubling, the speculation that vagal activity during NREM sleep is necessary for the full development of EEG synchronization and that a shift to sympathetic dominance due to stress, or a sleep or medical disorder, will disrupt the development of EEG delta activity, is an intriguing hypothesis.…”
Section: The Effect Of Cardiovascular Activity On Sleepmentioning
confidence: 99%
“…Studies have shown that individuals with chronic insomnia produce fewer responses in a word category test [1], made more errors in a line-tracing test [2] and performed worse in a balance test [3]. Sateia & Nowell [4] suggested that chronic insomnia may heighten an individual's chances of developing other chronic medical disorders such as diabetes, arthritis and heart disease, whereas Jurysta et al [5] hypothesized that the altered interaction between heart rate variability (HRV) and delta sleep in insomnia patients could reflect the first step to a cardiac disorder. Other researchers have gone further and suggest that chronic insomnia is a risk factor for the onset of major depression, conferring a twofold increased risk [6,7].…”
Section: Introductionmentioning
confidence: 99%