Sleep architecture in idiopathic hypersomnia: the influence of age, sex, and body mass index.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 Jul 2024
Historique:
received: 01 03 2024
accepted: 09 07 2024
medline: 17 7 2024
pubmed: 17 7 2024
entrez: 16 7 2024
Statut: epublish

Résumé

This study aimed to progress the understanding of idiopathic hypersomnia (IH) by assessing the moderating influence of individual characteristics, such as age, sex, and body mass index (BMI) on sleep architecture. In this retrospective study, 76 IH participants (38.1 ± 11.3 years; 40 women) underwent a clinical interview, an in-laboratory polysomnography with a maximal 9-h time in bed and a multiple sleep latency test (MSLT). They were compared to 106 healthy controls (38.1 ± 14.1 years; 60 women). Multiple regressions were used to assess moderating influence of age, sex, and BMI on sleep variables. We used correlations to assess whether sleep variables were associated with Epworth Sleepiness Scale scores and mean sleep onset latency on the MSLT in IH participants. Compared to controls, IH participants had shorter sleep latency (p = 0.002), longer total sleep time (p < 0.001), more time spent in N2 sleep (p = 0.008), and showed trends for a higher sleep efficiency (p = 0.023) and more time spent in rapid eye movement (REM) sleep (p = 0.022). No significant moderating influence of age, sex, or BMI was found. More severe self-reported sleepiness in IH patients was correlated with shorter REM sleep latency and less N1 sleep in terms of proportion and duration (ps < 0.01). This study shows that, when compared to healthy controls, patients with IH had no anomalies in their sleep architecture that can explain their excessive daytime sleepiness. Moreover, there is no moderating influence of age, sex, and BMI, suggesting that the absence of major group differences is relatively robust.

Identifiants

pubmed: 39013985
doi: 10.1038/s41598-024-67203-6
pii: 10.1038/s41598-024-67203-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

16407

Subventions

Organisme : American Academy of Sleep Medicine Foundation
ID : #227-SR-20

Informations de copyright

© 2024. The Author(s).

Références

Anderson, K. N., Pilsworth, S., Sharples, L. D., Smith, I. E. & Shneerson, J. M. Idiopathic hypersomnia: A study of 77 cases. Sleep 30, 1274–1281 (2007).
doi: 10.1093/sleep/30.10.1274 pubmed: 17969461 pmcid: 2266276
Billiard, M. & Sonka, K. Idiopathic hypersomnia. Sleep Med. Rev. 29, 23–33. https://doi.org/10.1016/j.smrv.2015.08.007 (2016).
doi: 10.1016/j.smrv.2015.08.007 pubmed: 26599679
Roth, B., Nevsimalova, S. & Rechtschaffen, A. Hypersomnia with “sleep drunkenness”. Arch. Gen. Psychiatry 26, 456–462 (1972).
doi: 10.1001/archpsyc.1972.01750230066013 pubmed: 5019884
American Academy of Sleep Medicine. The International Classification of Sleep Disorders 3rd edn. (American Academy of Sleep Medicine, 2014).
Billiard, M. & Sonka, K. Idiopathic hypersomnia: Historical account, critical review of current tests and criteria, diagnostic evaluation in the absence of biological markers and robust electrophysiological diagnostic criteria. Nat. Sci. Sleep 14, 311–322. https://doi.org/10.2147/NSS.S266090 (2022).
doi: 10.2147/NSS.S266090 pubmed: 35450222 pmcid: 9017389
Bayon, V., Leger, D. & Philip, P. Socio-professional handicap and accidental risk in patients with hypersomnias of central origin. Sleep Med. Rev. 13, 421–426. https://doi.org/10.1016/j.smrv.2009.02.001 (2009).
doi: 10.1016/j.smrv.2009.02.001 pubmed: 19493688
Jennum, P., Ibsen, R., Avlund, K. & Kjellberg, J. Health, social and economic consequences of hypersomnia: A controlled national study from a national registry evaluating the societal effect on patients and their partners. Eur. J. Health Econ. 15, 303–311. https://doi.org/10.1007/s10198-013-0491-2 (2014).
doi: 10.1007/s10198-013-0491-2 pubmed: 23757094
Plante, D. T. Nocturnal sleep architecture in idiopathic hypersomnia: A systematic review and meta-analysis. Sleep Med. 45, 17–24. https://doi.org/10.1016/j.sleep.2017.10.005 (2018).
doi: 10.1016/j.sleep.2017.10.005 pubmed: 29680423
Bassetti, C. & Aldrich, M. S. Idiopathic hypersomnia. A series of 42 patients. Brain 120(Pt 8), 1423–1435 (1997).
doi: 10.1093/brain/120.8.1423 pubmed: 9278632
Billiard, M. & Dauvilliers, Y. Idiopathic Hypersomnia. Sleep Med. Rev. 5, 349–358. https://doi.org/10.1053/smrv.2001.0168 (2001).
doi: 10.1053/smrv.2001.0168 pubmed: 12530998
Harris, S. F., Monderer, R. S. & Thorpy, M. Hypersomnias of central origin. Neurol. Clin. 30, 1027–1044. https://doi.org/10.1016/j.ncl.2012.08.002 (2012).
doi: 10.1016/j.ncl.2012.08.002 pubmed: 23099128
Masri, T. J., Gonzales, C. G. & Kushida, C. A. Idiopathic hypersomnia. Sleep Med. Clin. 7, 283–289. https://doi.org/10.1016/j.jsmc.2012.03.012 (2012).
doi: 10.1016/j.jsmc.2012.03.012
Plante, D. T., Hagen, E. W., Barnet, J. H., Mignot, E. & Peppard, P. E. Prevalence and course of idiopathic hypersomnia in the Wisconsin sleep cohort study. Neurology 102, e207994. https://doi.org/10.1212/WNL.0000000000207994 (2024).
doi: 10.1212/WNL.0000000000207994 pubmed: 38165322
American Academy of Sleep Medicine. International Classification of Sleep Disorders. Diagnostic and Coding Manual (2005).
Vernet, C. & Arnulf, I. Idiopathic hypersomnia with and without long sleep time: A controlled series of 75 patients. Sleep 32, 753–759 (2009).
doi: 10.1093/sleep/32.6.753 pubmed: 19544751 pmcid: 2690562
Evangelista, E. et al. Alternative diagnostic criteria for idiopathic hypersomnia: A 32-hour protocol. Ann. Neurol. 83, 235–247. https://doi.org/10.1002/ana.25141 (2018).
doi: 10.1002/ana.25141 pubmed: 29323727
Bassetti, C. L. & Dauvilliers, Y. In Principles and Practice of Sleep Medicine (Fifth Edition) (eds Kryger, M. H. et al.) 969–979 (W. B. Saunders, 2011).
doi: 10.1016/B978-1-4160-6645-3.00086-4
Billiard, M. In Encyclopedia of Sleep (ed. Kushida, C. A.) 367–371 (Academic Press, 2013).
doi: 10.1016/B978-0-12-378610-4.00214-X
Barateau, L., Lopez, R., Franchi, J. A. & Dauvilliers, Y. Hypersomnolence, hypersomnia, and mood disorders. Curr. Psychiatry Rep. 19, 13. https://doi.org/10.1007/s11920-017-0763-0 (2017).
doi: 10.1007/s11920-017-0763-0 pubmed: 28243864
El-Khatib, H. et al. Towards a better understanding of increased sleep duration in the chronic phase of moderate to severe traumatic brain injury: An actigraphy study. Sleep Med. 59, 67–75. https://doi.org/10.1016/j.sleep.2018.11.012 (2019).
doi: 10.1016/j.sleep.2018.11.012 pubmed: 30578112
Evangelista, E. et al. Characteristics associated with hypersomnia and excessive daytime sleepiness identified by extended polysomnography recording. Sleep https://doi.org/10.1093/sleep/zsaa264 (2021).
doi: 10.1093/sleep/zsaa264 pubmed: 33249509
Mombelli, S. et al. Are unrefreshing naps associated with nocturnal sleep architecture specificities in idiopathic hypersomnia?. Sleep https://doi.org/10.1093/sleep/zsad175 (2023).
doi: 10.1093/sleep/zsad175 pubmed: 37392083 pmcid: 10636245
O’Reilly, C., Gosselin, N., Carrier, J. & Nielsen, T. Montreal Archive of Sleep Studies: An open-access resource for instrument benchmarking and exploratory research. J. Sleep Res. 23, 628–635. https://doi.org/10.1111/jsr.12169 (2014).
doi: 10.1111/jsr.12169 pubmed: 24909981
Robillard, R., Bouchard, M., Cartier, A., Nicolau, L. & Carrier, J. Sleep is more sensitive to high doses of caffeine in the middle years of life. J. Psychopharmacol. 29, 688–697. https://doi.org/10.1177/0269881115575535 (2015).
doi: 10.1177/0269881115575535 pubmed: 25759402
Drapeau, C. & Carrier, J. Fluctuation of waking electroencephalogram and subjective alertness during a 25-hour sleep-deprivation episode in young and middle-aged subjects. Sleep 27(1), 55–60 (2004).
doi: 10.1093/sleep/27.1.55 pubmed: 14998238
Bouchard, M. et al. Sleeping at the switch. Elife https://doi.org/10.7554/eLife.64337 (2021).
doi: 10.7554/eLife.64337 pubmed: 34448453 pmcid: 8452310
Carrier, J. et al. Sleep slow wave changes during the middle years of life. Eur. J. Neurosci. 33, 758–766. https://doi.org/10.1111/j.1460-9568.2010.07543.x (2011).
doi: 10.1111/j.1460-9568.2010.07543.x pubmed: 21226772
Beck, A. T., Rial, W. Y. & Rickels, K. Short form of depression inventory: Cross-validation. Psychol. Rep. 34, 1184–1186 (1974).
doi: 10.1177/003329417403403s01 pubmed: 4424377
Beck, A. T., Steer, R. A. & Brown, G. Beck depression inventory–II. Psychological Assessment (1996).
Johns, M. W. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep 14, 540–545. https://doi.org/10.1093/sleep/14.6.540 (1991).
doi: 10.1093/sleep/14.6.540 pubmed: 1798888
Beck, A. T., Epstein, N., Brown, G. & Steer, R. A. An inventory for measuring clinical anxiety: Psychometric properties. J. Consult. Clin. Psychol. 56, 893–897. https://doi.org/10.1037/0022-006x.56.6.893 (1988).
doi: 10.1037/0022-006x.56.6.893 pubmed: 3204199
Carskadon, et al. Guidelines for the multiple sleep latency test (MSLT): A standard measure of sleepiness. Sleep 9, 519–524. https://doi.org/10.1093/sleep/9.4.519 (1986).
doi: 10.1093/sleep/9.4.519 pubmed: 3809866
Troester, M. M. Q. et al. The AASM Manual for the Scoring of Sleep and Associated Events: Rules Terminology and Technical Specifications (American Academy of Sleep Medicine, 2023).
Berry, R. B. et al. The AASM manual for the scoring of sleep and associated events. Rules Terminol. Techn. Spec. Darien Ill. Am. Acad. Sleep Med. 176, 2012 (2012).
Hayes, A. F. Introduction to Mediation, Moderation, and Conditional Process Analysis, Second Edition: A Regression-Based Approach (Guilford Publications, 2017).
Park, K., Jaekal, E., Yoon, S., Lee, S. H. & Choi, K. H. Diagnostic utility and psychometric properties of the beck depression inventory-II among Korean adults. Front. Psychol. 10, 2934. https://doi.org/10.3389/fpsyg.2019.02934 (2019).
doi: 10.3389/fpsyg.2019.02934 pubmed: 32038360
Sforza, E., Roche, F., Barthelemy, J. C. & Pichot, V. Diurnal and nocturnal cardiovascular variability and heart rate arousal response in idiopathic hypersomnia. Sleep Med. 24, 131–136. https://doi.org/10.1016/j.sleep.2016.07.012 (2016).
doi: 10.1016/j.sleep.2016.07.012 pubmed: 27810179
Pizza, F. et al. Polysomnographic study of nocturnal sleep in idiopathic hypersomnia without long sleep time. J. Sleep Res. 22, 185–196. https://doi.org/10.1111/j.1365-2869.2012.01061.x (2013).
doi: 10.1111/j.1365-2869.2012.01061.x pubmed: 23061443
Buysse, D. J. Sleep health: Can we define it? Does it matter?. Sleep 37, 9–17. https://doi.org/10.5665/sleep.3298 (2014).
doi: 10.5665/sleep.3298 pubmed: 24470692 pmcid: 3902880
Trotti, L. M. Idiopathic hypersomnia. Sleep Med. Clin. 12, 331–344. https://doi.org/10.1016/j.jsmc.2017.03.009 (2017).
doi: 10.1016/j.jsmc.2017.03.009 pubmed: 28778232 pmcid: 5558858
Mohammadi, S., Moosaie, F., Saghazadeh, A., Mahmoudi, M. & Rezaei, N. Metabolic profile in patients with narcolepsy: A systematic review and meta-analysis. Sleep Med. 81, 268–284. https://doi.org/10.1016/j.sleep.2021.02.040 (2021).
doi: 10.1016/j.sleep.2021.02.040 pubmed: 33740593
Dhafar, H. O. & BaHammam, A. S. Body weight and metabolic rate changes in narcolepsy: Current knowledge and future directions. Metabolites https://doi.org/10.3390/metabo12111120 (2022).
doi: 10.3390/metabo12111120 pubmed: 36422261 pmcid: 9693066
Dauvilliers, Y. et al. Clinical considerations for the diagnosis of idiopathic hypersomnia. Sleep Med. Rev. 66, 101709. https://doi.org/10.1016/j.smrv.2022.101709 (2022).
doi: 10.1016/j.smrv.2022.101709 pubmed: 36401976
Lopez, R. et al. Test-retest reliability of the multiple sleep latency test in central disorders of hypersomnolence. Sleep https://doi.org/10.1093/sleep/zsx164 (2017).
doi: 10.1093/sleep/zsx164 pubmed: 29099966 pmcid: 5806580
Torstensen, E. W. et al. Repeated polysomnography and multiple sleep latency test in narcolepsy type 1 and other hypersomnolence disorders. Sleep Med. 110, 91–98. https://doi.org/10.1016/j.sleep.2023.07.029 (2023).
doi: 10.1016/j.sleep.2023.07.029 pubmed: 37544279
Olson, L., Cole, M. & Ambrogetti, A. Correlations among Epworth Sleepiness Scale scores, multiple sleep latency tests and psychological symptoms. J. Sleep Res. 7, 248–253. https://doi.org/10.1046/j.1365-2869.1998.00123.x (1998).
doi: 10.1046/j.1365-2869.1998.00123.x pubmed: 9844851
Johns, M. W. Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the epworth sleepiness scale: Failure of the MSLT as a gold standard. J. Sleep Res. 9, 5–11. https://doi.org/10.1046/j.1365-2869.2000.00177.x (2000).
doi: 10.1046/j.1365-2869.2000.00177.x pubmed: 10733683
Trotti, L. M., Staab, B. A. & Rye, D. B. Test-retest reliability of the multiple sleep latency test in narcolepsy without cataplexy and idiopathic hypersomnia. J. Clin. Sleep Med. 9, 789–795. https://doi.org/10.5664/jcsm.2922 (2013).
doi: 10.5664/jcsm.2922 pubmed: 23946709 pmcid: 3716670
Lopez, R., Barateau, L., Evangelista, E. & Dauvilliers, Y. Depression and hypersomnia: A complex association. Sleep Med. Clin. 12, 395–405. https://doi.org/10.1016/j.jsmc.2017.03.016 (2017).
doi: 10.1016/j.jsmc.2017.03.016 pubmed: 28778237
Wichniak, A., Wierzbicka, A., Walęcka, M. & Jernajczyk, W. Effects of antidepressants on sleep. Curr. Psychiatry Rep. 19, 63. https://doi.org/10.1007/s11920-017-0816-4 (2017).
doi: 10.1007/s11920-017-0816-4 pubmed: 28791566 pmcid: 5548844
Steiger, A. & Pawlowski, M. Depression and sleep. Int. J. Mol. Sci. https://doi.org/10.3390/ijms20030607 (2019).
doi: 10.3390/ijms20030607 pubmed: 30708948 pmcid: 6386825
Hoxha, O. et al. Association of periodic limb movements with medication classes: A retrospective cohort study. Neurology https://doi.org/10.1212/WNL.0000000000200012 (2022).
doi: 10.1212/WNL.0000000000200012 pubmed: 35131908
Pizza, F. et al. Daytime continuous polysomnography predicts MSLT results in hypersomnias of central origin. J. Sleep Res. 22, 32–40. https://doi.org/10.1111/j.1365-2869.2012.01032.x (2013).
doi: 10.1111/j.1365-2869.2012.01032.x pubmed: 22716477
Le Bon, O. et al. The first-night effect may last more than one night. J. Psychiatr. Res. 35, 165–172. https://doi.org/10.1016/S0022-3956(01)00019-X (2001).
doi: 10.1016/S0022-3956(01)00019-X pubmed: 11461712
Agnew, H. W. Jr., Webb, W. B. & Williams, R. L. The first night effect: An EEG study of sleep. Psychophysiology 2, 263–266. https://doi.org/10.1111/j.1469-8986.1966.tb02650.x (1966).
doi: 10.1111/j.1469-8986.1966.tb02650.x pubmed: 5903579
Baumann, C. R. et al. Challenges in diagnosing narcolepsy without cataplexy: A consensus statement. Sleep 37, 1035–1042. https://doi.org/10.5665/sleep.3756 (2014).
doi: 10.5665/sleep.3756 pubmed: 24882898 pmcid: 4015377
Maski, K., Mignot, E., Plazzi, G. & Dauvilliers, Y. Disrupted nighttime sleep and sleep instability in narcolepsy. J. Clin. Sleep Med. 18, 289–304. https://doi.org/10.5664/jcsm.9638 (2022).
doi: 10.5664/jcsm.9638 pubmed: 34463249 pmcid: 8807887
Roth, T. et al. Disrupted nighttime sleep in narcolepsy. J. Clin. Sleep Med. 9, 955–965. https://doi.org/10.5664/jcsm.3004 (2013).
doi: 10.5664/jcsm.3004 pubmed: 23997709 pmcid: 3746724

Auteurs

Anne-Sophie Deshaies-Rugama (AS)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Psychology, Université de Montréal, Montreal, Canada.

Samantha Mombelli (S)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada.

Hélène Blais (H)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.

Zoran Sekerovic (Z)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.

MiaClaude Massicotte (M)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Psychology, Université de Montréal, Montreal, Canada.

Cynthia Thompson (C)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.

Milan Nigam (M)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Neuroscience, Université de Montréal, Montreal, Canada.

Julie Carrier (J)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Psychology, Université de Montréal, Montreal, Canada.

Alex Desautels (A)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Neuroscience, Université de Montréal, Montreal, Canada.

Jacques Montplaisir (J)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada.
Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada.

Nadia Gosselin (N)

Center for Advanced Research in Sleep Medicine, Research Center of the Centre Intégré Universitaire de Santé et de Services Sociaux du Nord de l'Île-de-Montréal, Montreal, Canada. nadia.gosselin@umontreal.ca.
Department of Psychology, Université de Montréal, Montreal, Canada. nadia.gosselin@umontreal.ca.
Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Cœur de Montréal, 5400 Boul. Gouin Ouest, Office J-5135, Montréal, Québec, H4J 1C5, Canada. nadia.gosselin@umontreal.ca.

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