Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep

Background: Sleep disturbance and autonomic dysfunction are often found in Parkinson’s disease (PD) patients, but little is known about changes in cyclic alternating patterns (CAPs) of electroencephalographic (EEG) activities and heart rate variability (HRV) during deep sleep in P...

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Main Authors: Zilin Cheng, Qi Li, Xueliang Zou, Zhijun Zhong, Qian Ouyang, Chunmei Gan, Fang Yi, Yaxing Luo, Yuhao Mao, Dongyuan Yao
Format: Article
Language:English
Published: IMR Press 2025-03-01
Series:Journal of Integrative Neuroscience
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Online Access:https://www.imrpress.com/journal/JIN/24/3/10.31083/JIN26397
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author Zilin Cheng
Qi Li
Xueliang Zou
Zhijun Zhong
Qian Ouyang
Chunmei Gan
Fang Yi
Yaxing Luo
Yuhao Mao
Dongyuan Yao
author_facet Zilin Cheng
Qi Li
Xueliang Zou
Zhijun Zhong
Qian Ouyang
Chunmei Gan
Fang Yi
Yaxing Luo
Yuhao Mao
Dongyuan Yao
author_sort Zilin Cheng
collection DOAJ
description Background: Sleep disturbance and autonomic dysfunction are often found in Parkinson’s disease (PD) patients, but little is known about changes in cyclic alternating patterns (CAPs) of electroencephalographic (EEG) activities and heart rate variability (HRV) during deep sleep in PD patients. Objectives: To investigate changes in EEG activities and HRV during CAPs and non-CAPs (NCAPs) of N3 sleep in PD patients. Methods: Polysomnographic (PSG) examinations were carried out on 18 PD patients and 18 healthy controls, and power spectral analysis of EEG activities and HRV during CAPs and NCAPs (the segment of sleep without CAPs for more than 60 seconds) of N3 sleep were carried out. Results: The percentages of N3 sleep with CAPs and CAP A1, as well as the CAP A1 index in the PD patients, were significantly smaller compared with the healthy controls. In addition, the power of α waves in NCAPs was significantly higher, while the powers of δ waves in Phase A and B of CAP A1 and A3, and NCAPs were significantly smaller. Furthermore, the durations of total δ waves and δ waves with an amplitude ≥75 μV were significantly shorter, and the low frequency (LF) power of HRV during CAPs and the LF/high frequency (HF) HRV ratio during both CAPs and NCAPs were significantly smaller. Conclusions: The changes documented in EEG activities and HRV in PD patients during CAPs and NCAPs of N3 sleep compared with healthy controls suggest that N3 sleep quality and sympathetic function are compromised in PD patients.
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spelling doaj-art-c6a3c56c7e7f482fb0e42e40f3a58d162025-08-20T02:48:28ZengIMR PressJournal of Integrative Neuroscience0219-63522025-03-012432639710.31083/JIN26397S0219-6352(24)00902-1Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep SleepZilin Cheng0Qi Li1Xueliang Zou2Zhijun Zhong3Qian Ouyang4Chunmei Gan5Fang Yi6Yaxing Luo7Yuhao Mao8Dongyuan Yao9Neurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaDepartment of Psychology, Jiangxi Mental Hospital, Nanchang University, 330029 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaNeurological Institute of Jiangxi Province and Department of Neurology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, and Xiangya Hospital of Central South University at Jiangxi, 330038 Nanchang, Jiangxi, ChinaBackground: Sleep disturbance and autonomic dysfunction are often found in Parkinson’s disease (PD) patients, but little is known about changes in cyclic alternating patterns (CAPs) of electroencephalographic (EEG) activities and heart rate variability (HRV) during deep sleep in PD patients. Objectives: To investigate changes in EEG activities and HRV during CAPs and non-CAPs (NCAPs) of N3 sleep in PD patients. Methods: Polysomnographic (PSG) examinations were carried out on 18 PD patients and 18 healthy controls, and power spectral analysis of EEG activities and HRV during CAPs and NCAPs (the segment of sleep without CAPs for more than 60 seconds) of N3 sleep were carried out. Results: The percentages of N3 sleep with CAPs and CAP A1, as well as the CAP A1 index in the PD patients, were significantly smaller compared with the healthy controls. In addition, the power of α waves in NCAPs was significantly higher, while the powers of δ waves in Phase A and B of CAP A1 and A3, and NCAPs were significantly smaller. Furthermore, the durations of total δ waves and δ waves with an amplitude ≥75 μV were significantly shorter, and the low frequency (LF) power of HRV during CAPs and the LF/high frequency (HF) HRV ratio during both CAPs and NCAPs were significantly smaller. Conclusions: The changes documented in EEG activities and HRV in PD patients during CAPs and NCAPs of N3 sleep compared with healthy controls suggest that N3 sleep quality and sympathetic function are compromised in PD patients.https://www.imrpress.com/journal/JIN/24/3/10.31083/JIN26397parkinson’s diseasecyclic alternating patternheart rate variabilityα wave intrusionnon-rapid eye movement sleepautonomic nervous system
spellingShingle Zilin Cheng
Qi Li
Xueliang Zou
Zhijun Zhong
Qian Ouyang
Chunmei Gan
Fang Yi
Yaxing Luo
Yuhao Mao
Dongyuan Yao
Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
Journal of Integrative Neuroscience
parkinson’s disease
cyclic alternating pattern
heart rate variability
α wave intrusion
non-rapid eye movement sleep
autonomic nervous system
title Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
title_full Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
title_fullStr Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
title_full_unstemmed Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
title_short Cyclic Alternating Pattern of EEG Activities and Heart Rate Variability in Parkinson’s Disease Patients during Deep Sleep
title_sort cyclic alternating pattern of eeg activities and heart rate variability in parkinson s disease patients during deep sleep
topic parkinson’s disease
cyclic alternating pattern
heart rate variability
α wave intrusion
non-rapid eye movement sleep
autonomic nervous system
url https://www.imrpress.com/journal/JIN/24/3/10.31083/JIN26397
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