Sleep, 15(6):556-561 © 1992 American Sleep Disorders Association and Sleep Research Society Distribution of Period,·Analyzed Delta Activity During Sleep Roseanne Armitage and Howard P. Roffwarg University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, US.A, Summary: The distribution of delta EEG activity was evaluated during sleep in eight healthy adults. Digital period analysis, including an amplitude measurement, was used to quantify delta activity. The average percentages of delta half- and full-wave zero-crosses, mean delta power, and mean total power were computed for each nonrapid eye movement (NREM) period. The distribution of these de:lta measures was examined across NREM periods (NREMPs). No significant linear trends were evident in the zero-cross or power measures. Four subjects showed the highest delta power and greatest incidence of delta in the second rather than first NREMP. Regression analyses of individual delta incidence data revealed that only 62.5% of recording nights could be described with an exponential equation. Exponential regressions described 81 % of delta amplitude cases. Further, delta activity in some subjects could be described by either linear or exponential regression. The findings suggest that the temporal changes of delta activity may not be entirely systematic across NREMPs and are variable across subjects. Key Words: Computer-analyzed EEG-Period analysis-REM-NREM sleep cycle-Slow wave sleep. It is widely held that delta activity, assessed eitht~r by visual scoring or by a variety of computer quantification techniques, decreases from the first to last nOflrapid eye movement period (NREMP) of sleep (14,13). It is debatable, however, whether the suggested distribution of delta shows an exponential decay, linear decline, or bimodal change throughout the night (4).. U sing power density estimates from spectral or fast Fourier analyses (FFTs), Dijk et al. (3) have described delta changes in both slow-wave sleep and recovery from extended sleep with an exponential function. However, Feinberg (4), using period-amplitude analysis, claims that an exponential decay in delta is only evident in peak-amplitude delta activity, corresponding to visually scored stage 4 sleep. Kupfer et al. (11) have also reported that normals consistently show counts of7 5-fJ, V delta to be greater in the first NREMP, and secondly, that more delta in the second NREMP may be associated with psychopathology. Howeve:r, Feinberg (5) has also reported anecdotally that normal young adults often show more delta activity in the second NREMP than in the first. He suggests a more apt description of delta change may be a decrease from the first half to the second half of the night. Accepted for publication July 1992. Address correspondence and reprint requests to Roseanne Armitage, Ph.D., University of Texas Southwestern Medical Center, Dallas Department of Psychiatry, 5323 Harry Hines Blvd., Dallas, Texas 75235-9070, U.S.A. Spectral analysis, yielding power density measures, cannot distinguish low-amplitude, high-incidence electroencephalographic (EEG) from high-amplitude, lowincidence activity (6). Accordingly, it is not possible to determine whether it is the amplitude and/or the incidence of delta activity that show a linear change across the night. This report presents the distribution of period-analyzed delta amplitude and incidence during nocturnal sleep in healthy adults. METHODS Subjects Six females and two males with an average age of 32.0 ± 7.1 years spent two consecutive nights in the Sleep Study Unit at UT Southwestern. All subjects were medically fit and had no personal or family history of drug or alcohol abuse, depression, or other major psychopathology. Subjects maintained a 5-day sleep diary prior to participating in the study to ensure regularity of sleep habits. Procedure EEG, electrooculogram (EOG), annd electromyogram (EMG) data were recorded simultaneously on FM tape and polygraphic paper (GRASS Model 78 556 557 PERIOD-ANALYZED DELTA polygraph) on each subject during two consecutive nights in the laboratory. The FM tapes were digitized and analyzed off-line at a sampling rate of 256 Hz. The EEG was recorded from the left central (C3) site, which was referenced to right mastoid on GRASS P511 AC amplifiers at a sensitivity of 5. The half-amp low- and high-bandpass filters were set at 0.3 and 30 Hz (24 dB/ octave). A 60-Hz notch filter attenuated electrical noise. The digital period analysis (DPA) algorithm and procedures used here have been described in detail previously (7-9). The algorithm evaluates the length of time between successive zero-cross and first-derivative EEG events in five conventional frequency categories: delta (0.5 to <4 Hz); theta (4 to <8 Hz); alpha (8 to < 12 Hz); sigma (12 to < 16 Hz); and beta (16-32 Hz). After analog-to-digital (AID) conversion, four different analyses are performed on the EEG data: full-wave zero-cross, half-wave zero-cross, first-derivative, and power. First-derivative analyses are not included here as they preferentially quantify fast-frequency EEG. A zero-cross event is a polarity shift in the signal voltage. Half-wave zero-crosses evaluate both negative-to-positive and positive-to-negative signal changes, whereas full-wave zero-crosses evaluate only negative inflections. The algorithm for both the half-wave and full-wave zero-cross analyses computes the time interval between successive zero-voltage crossings, thereby determining the frequency of each wave. A time-in-frequency category accumulator is incremented and, at the end of each 30-second epoch, the percentage of total zero-cross time in each frequency is computed. A power measure is also derived for each frequency category based on the sum of the squared amplitude of the corresponding half-waves. This analysis produces power estimates that are roughly equivalent to FFT power in slower frequencies (4,10) and perhaps in some faster frequencies as well (10). A total power value for all frequencies is also calculated. Polygraph paper speed may drift more than 5 minutes per night, prohibiting the use of stage scores from paper records to identify epochs ofDPA data for analysis by NREMP unless a synchronizing event marker is available. Because the data were quantified from FM tape without such an event marker, definitions of NREM periods were based on visual scoring of computerized, "paperless" polygraph displays of EEG in 30-second epochs. We have previously questioned the propriety of ineluding stage 1 and low-amplitude stage 2 sleep in NREM averages intended for contrast with REM sleep (8). In keeping with this viewpoint, stage 1 sleep was excluded from our analysis. Epochs of movement or wakefulness were also excluded. No minimum REM period (REMP) duration criterion was used for the first or later REMPs. A REMP was considered ended at the last REM epoch of the period if no additional REM epochs supervened within a half hour. The first NREMP was defined as the interval between stage 2 onset and the first REM epoch. Subsequent NREMPs were defined as the time interval between REMPs, minus stage 1, movement time, and wakefulness. All NREMPs were terminated by REM, except for the last NREMP, which was directly succeeded by REM sleep or a morning awakening. The means and standard deviations were computed by NREMP for delta half-wave zero-cross (DHZ), delta full-wave zero-cross (DFZ), delta power (DP), and total power (TOTP). Following computation, separate repeated-measures ANOVAs were conducted on each DPA measure (NREMP as a four-level, within-subject factor), using BMDP-4V statistical routines. Night-instudy was treated as a two-level, between-subject variable. ANOV As were used to determine linear changes in de1ta activity (16). Exponential regression analyses, using SAS NUN procedures, were also conducted on the delta percentages and power values for each individual subject, with time of night as the predictor variable. These analyses evaluated nonlinear changes in the distribution of delta. Individual, rather than group, regressions were chosen because a substantial number of sleep measures, such as total sleep time and the number and length of NREMPs, varied among subjects. RESULTS Seven of the eight subjects had four NREMPs on both nights. The remaining subject had three distinct NREMPs. The average NREMP length, excluding stage 1 sleep and wakefulness (53.6 ± 18.2 minutes), did not change significantly during the night (F = 1.20, df = 3,21, p = 0.31), although a very small linear decrease in period length was evident. The average interval between NREMPs was 56.5 ± 28.3 minutes. The average total sleep time was 418 ± 32.4 minutes. Only one subject demonstrated a visually discernable linear decrease in the DPA data that was evident in both DHZ and DP from the first to the fourth NREMP, and only on the first night of study. The largest DP and also the highest incidence of delta were found in the second NREMP on both nights in four subjects. One subject had the largest amount of delta in the third NREMP. The remaining two subjects showed no difference between NREMP 1 and 2. Repeated-measures ANOVA indicated that none of the delta percentages or power measures revealed either a significant main effect for NREMP or night-instudy or significant interactions. The largest F ratio was obtained for DHZ by NREMP (F = 1.89; df = 3,21; p = 0.28). The means and standard deviations Sleep. Vol. 15. No.6. 1992 558 R. ARMITAGE AND H. P. ROFFWARG DELTA CHANGES BY NREM PERIODS DELTA CHANGES BY NREM PERIODS DELTA MEASURE DELTA MEASURE _ DELTA HALF-ZERO D _ DELTA FULL-ZERO DELTA POWER D TOTAL POWER 500 % 400 P D E L T A 60 0 300 40 W E R 200 20 100 o FIG. 1. Average percentages of delta half-wave zero-cross (DELTA HALF-ZERO) and delta full-wave zero-cross (DELTA FULL-WAVE) by NREM period, averaged across nights. Error bars denote standard deviations. for each NREMP are illustrated in Figs. 1 and 2. Neither DHZ nor DFZ showed evidence oflinear changes across NREMPs. The means for total power and delta power did show very slight evidence of a decline during the night, although no significant effects were obtained. Comparing the absolute amounts of delta power among subjects is somewhat problematic insofar as the variability of this measure is usually quite large. To explore whether intersubject variability obscured potential trends, we created a relative index of delta power by computing the ratio of delta power to total power for each NREM epoch. The average ratios and standard deviations were then compared across NREMPs. Analyses were also conducted on the standard deviations in delta ratios to determine shifts in the distribution of delta variances. A repeated-measures ANOVA was conducted on this variable, yielding results that did not achieve statistical significance (F = 1.07, df= 3,21, p = 0.38). The means were very similar for all NREMPs (0.60, 0.57, 0.56, and 0.60; standard deviations were on the order of 0.08 for each NREMP). A ratio was also derived within DP alone: from DP in the first NREMP relative to DP in all other NREMPs. This ratio was computed on the chance that changes in total power might obscure trends in DP across NREMPs. A repeated-measures ANOVA was also computed on this ratio, producing a nonsignificant effect (F = 1.69, df = 3,21, p = 0.20). Nonlinear, exponential regression analyses were also computed on delta measures, using epoch (i.e. continuous time) as the predictor variable, based on the equation y = b*exp(c*time), where parameter b is the estimated delta value at time 0 and parameter c is the exponent rate of decay multiplied by time. All reported Sleep, Vol. 15, No.6, 1992 FIG. 2. Average delta power and total power values by NREM period, averaged across nights. Error bars denote standard deviations. r2 values are based on the asymptotic correlation coefficients determined by the nonlinear regressions. Note that r 2 statistics obtained from linear regression cannot be interpreted as the proportion of variance attributable to the effect (20). It is the statistic that is used to determine the significance of exponential fits beyond chance probabilities. None of the DFZ regression analyses was significant, indicating no exponential decline in this delta measure (average r2 = 0.08 ± 0.23). For DHZ, 10 of the 16 exponential regression equations were significant (average r2 = 0.71 ± 0.05). Two of the regression equations were significant in the opposite direction, indicating an increase in DHZ across NREMPs (r2 = 0.77 ± 0.15). Four of the exponential regressions did not reach significance (r2 = 0.19 ± 0.13). It should be noted that the data from four subjects who demonstrated significant exponential regressions could also be described by a linear equation (r 2 = 0.81 ± 0.16). The parameters from the regression analyses of DP data are presented in Table 1. Exponential regression equations were significant (r2 = 0.64 ± 0.05) in 13 of 16 cases, although the rate of decay was considerably faster than showed by the DHZ regressions. Thus, maximal exponential change in DP may occur after the second NREMP. Two of the subjects-one on both nights-showed no exponential decline in delta power. The exponential rate of decay can be solved from the formula above, with a rate of 0.1 % per minute, approximately 50 minutes. The time at which delta activity is '12 the initial value is approximately 350 minutes into the night. Previous comparisons of the distribution of delta have been conducted without regard to amplitude, PERIOD-ANALYZED DELTA TABLE 1. Average parameters from significant exponential regression analyses of delta power. Seven subjects exhibited 13 nights with significant trends, based on the model (delta power = b·exp(c·time of night)], where b is the expected delta power value at time = 0, and c is exponential change. A negative value of c represents an exponential decay, whereas a positive value ref/ects exponential growth PARAMETERS FROM EXPONENTIAL REGRESSIONS OF DELTA POWER PARAMETER ESTIMATE ST!;1 ERROR B 113.6 99.7 C -0.001 0.0004 ASYMPTQTIQ 25 % QQNFIDENQE INTEBVAL upper lower 156.5 64.5 -0.002 -0.001 ASYMPTOTIC CORRELATION -0.80 +/- 0.22 n-13 nights. 7 S8 with significant regressions whereas other analyses have evaluated temporal changes only in delta waves >75 /lV. Although we did not use a minimum-voltage excursion for delta waves, an approximation of high-amplitude delta was obtained by restricting the analysis to epochs in which 40% or more delta half-wave zero-crosses occurred (2). Repeated-measures ANOV As were also computed on these delta measures, resulting in nonsignificant differences. The biggest trend was a main effect for night on the DHZ measure (F = 2.45; df = 1,7, p = 0.16), but not for NREMP. The final analysis of the delta data compared changes from the first to second half of the night. Three independent repeated-measures ANOV As were performed on the average DHZ, DFZ and DP, and TOTP values across halves of the night. A marginally significant effect was obtained for DHZ (F = 5.77; df = 1,6; p = 0.06), indicating a lower percentage of DHZ in the second half of the night. None of the remaining measures showed any indication of a significant trend in delta across the night. DISCUSSION Neither the incidence nor the amplitude of delta activity across NREMPs showed strong group evidence ofa linear decline. Delta amplitude showed only a trivial tendency to decrease in the second half of the night compared to the first half. Delta incidence, as measured by the DHZ variable, did show a trend toward less delta in the second half of the night that approached significance. In contrast to the findings of Borbely et al. (2) and Dijk et al. (3), we found no 559 evidence of a systematic decline in delta across NREMPs. However, in the exponential regression analyses of individual subject data, 62.5% of DHZ regressions showed a decline across NREMPs. Although these findings provide some support for Dijk and Boberly's data, we question the robustness of the exponential trends in delta. Changes in delta activity appear to be considerably more variable and less replicable than earlier data suggest. Further, four subjects' data could be described with either a linear or an exponential equation. Dijk et al. (3) have acknowledged that exponential changes may not be evident in all subjects. The delta power measures, reflecting amplitude, did show an overall exponential decay in 81 % of cases, but with a rate of about 50 minutes. Further, the time at which delta was 1/2 the initial amplitude was nearly 350 minutes into the night. The data from Borbely's group suggest a decay rate more on the order of 100 minutes. It is somewhat difficult to reconcile the disparate findings from ANOVA, nonlinear regressions and time series analysis. One possibility is that trends in delta change from the first to second half of the night. Perhaps the change in delta in the first half of the night is a sharper exponential decline than in NREMPs in the second half of the night, whereas changes in delta in the latter half of the night may be more linear. Such an effect could result in a marginally significant timeof-night effect as well as significant linear and exponential regressions. The observation that all subjects showed rhythmic, sinusoidal variation in delta through the use of time series analysis (18) does not, however, argue in favor of a shift in the distribution of delta from the first to the second half of the night. This possibility can't be excluded, however, especially in light of the weak time-of-night effect. These issues are discussed in more detail below. Nevertheless, it continues to be critical to distinguish between delta amplitude and delta incidence, as the nonlinear changes in delta appear to be more consistent for power measures than for delta zero-cross analyses. None of the full-wave delta regressions were significant, suggesting that temporal changes in delta incidence may be more prevalent at the faster end of the delta band (2-4 Hz). It is known that the distribution of delta activity may be modified by sleep deprivation or fragmentary sleep, and recovery from slow-wave deprivation may produce a more stable exponential change in delta activity due to slow-wave rebound in recovery sleep. It is also possible that some subjects who do not demonstrate strong temporal variation in delta have more sleep disruption or perhaps less slow wave sleep in general, though no support for this speculation is evident in our data. Differences in subjects' sleep quality Sleep. Vol. 15. No.6. 1992 560 R. ARMITAGE AND H. P. ROFFWARG just prior to the study can also contribute to tempoml variability in delta. For example, studies showing stronger exponential changes in delta may have used subjects who had irregular sleep/wake habits or were mildly sleep deprived. In a recent follow-up study, exponential trends in delta were stronger and had a slower rate of decay in university students, who did not maintain as rigid a sleep schedule as the eight subjects reported here (19). It should be noted, however, that our findings are based on an amplitude-independent algorithm that quantifies all delta waves, not just those in excess of 75 J.N. Peak-amplitude delta, corresponding to stage 4 sleep, may, in fact, decrease systematically ov~:r NREM periods (1). Inasmuch as we did not utilize a specific amplitude criterion for the period analysis, we cannot evaluate this suggestion. In a previous study, however, the number of delta waves (>75 p,V) per minute did not show a significant decrease from the first to the second NREMP (15). Further, restricting analysis to those epochs with greater than 40% delta activity did not enhance the linear trend. The exponential regression results imply a relatively sharp plateau in delta amplitude without recovery, whereas rhythmic data from time series analysis suggest that both delta amplitude and incidence recur ev~ry 100 minutes, although the rhythm is stronger in DHZ. There are few data to suggest divergent distributions of delta amplitude and incidence across the night, although few studies separate these two delta events. Our data support divergent trends. That is, delta amplitude appears to be better described as an exponential change, whereas the percentage of delta is better characterized by ultradian trends. Alternatively, one or the other statistical technique has produced artifactual trends in delta across the night. A comparison of actual DPA data to the two statistical treatments may address these issues. In several previouspublications, we have shown that delta incidence shows a recurrent increase about every 80-120 minutes, in agreement with the spectral analysis. The recurrence of delta, especially later in the night, does not support a linear or exponential decline in either amplitude or incidence. It is possible, although unlikely, that methodological differences in EEG quantification contributed to the discrepant findings of this study and the work of other groups. Several laboratories have noted that the delta zero-cross power measure, derived from period analysis, is virtually identical to delta power from FFTs (4,5,7,9,10). The two quantification techniques show their maximal overlap in the slow frequencies. It seems unlikely that the distribution of delta activity across the night would differ depending on whether FFTs lOr period analysis were used. Further, Dijk et al. (3) have Sleep, Vol. 15, No.6, 1992 plotted the time course of delta power in two subjects at baseline. Only one showed reduced power across successive NREMPs. In the second subject, there was virtually no difference between the first two NREMPs and considerably less delta in the second half of the night, as in our results. These findings suggest considerable individual differences in the distribution of delta activity across NREMPs. The Dijk et al. study, however, included only young male subjects. Because age and gender have been suggested to moderate both the periodicity and phase of ultradian rhythms (14), the amount of delta activity (4,13), and other sleep macroarchitectural characteristics (l, 13), these factors have to be taken into account with respect to the divergent results in several studies of slow-wave sleep. Too few subjects were included in this study to evaluate age and gender effects. A follow-up study is currently underway. Factors that are likely to produce discrepancies among studies include definitions of REM and NREMPs, inclusion or exclusion of stage 1 sleep in NREM averages, and the demographic characteristics of samples. Kupfer's group routinely uses a 3-minute minimum first REMP criterion (11). Borbely et al. and Dijk et al. use a minimum 5-minute REM duration, but only for middle REMPs and not for the first and last cycles (2,3). Our laboratory does not use any minimum REM criterion, which conforms with the standard scoring criteria of Rechtschaffen and Kales (17). If, for example, a REMP was 1 minute in length, we would delineate two NREMPs about it, whereas Kupfer would consider it a single NREMP and Borbely's group would identify two NREMPs only if it occurred in the first or last cycle. These differences result in an altered delta distribution based on period definition. Whether stage 1 sleep is included or excluded affects delta distributions in a similar manner. In terms of demographic characteristics of sample populations, family or personal history of alcohol or drug abuse and psychiatric illness, for example, if not used specifically as exclusion criteria, may contribute to the differences among studies. Depression is usually associated with a decrease in delta activity, among other sleep abnormalities, and perhaps an alteration in the distribution of delta across NREMPs (11). Inasmuch as sleep abnormalities have been uncovered in first-degree relatives of depressed patients (12), if such subjects are not excluded from study on the basis of family history, they may bias the sleep EEG data in a way that is not characteristic of normal controls. Beyond the considerations already mentioned, sleep hygiene, i.e. the regularity of sleep habits prior to laboratory evaluation, may also influenc~ the outcome of research. The subjects in our study maintained regular sleep habits for 1 week before sleeping in the labora- PERIOD-ANALYZED DELTA tory, and few awakenings occurred during the recording night. We strongly recommend that normal control subjects be chosen with explicit and detailed exclusion criteria and normalized sleep so as to minimize uncontrolled influences on sleep EEG. 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