Objectives In older adults, traditional metrics derived from polysomnography (PSG) are not well correlated with subjective sleep quality. Little is known about whether the association between PSG and subjective sleep quality changes with age, or whether quantitative assessment of EEG (qEEG) is associated with sleep quality. We therefore examined the relationship between subjective sleep quality and objective sleep characteristics (standard polysomnography and qEEG) across middle to older adulthood. Methods Using a cross-sectional analyses of 3,173 community-dwelling men and women ages 39–90 participating in the Sleep Heart Health Study, we examined the relationship between a morning rating of the prior night’s sleep quality (Sleep Depth and Restfulness) and polysomnographic and qEEG descriptors of that single night of sleep, along with clinical and demographic measures. Multivariable models were constructed using two machine learning methods, lasso penalized regressions and random forests. Results Little variance was explained across models. Greater objective sleep efficiency, reduced wake after sleep onset and fewer sleep to wake stage transitions were each associated with higher sleep quality; qEEG variables contributed little explanatory power. The oldest adults reported the highest sleep quality even as objective sleep deteriorated, such that they would rate their sleep better given the same level of sleep efficiency. Despite this, there were no major differences in the predictors of subjective sleep across the age span. Conclusion Standard metrics derived from polysomnography, including qEEG, contribute little to explaining subjective sleep quality in middle-aged to older adults. The objective correlates of subjective sleep quality do not appear to systematically change with age, despite a change in the relationship between subjective sleep quality and objective sleep efficiency.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.