A sysÂtemÂatÂic review of sleep data from more than 100,000 peoÂple in the UnitÂed KingÂdom has revealed 16 disÂtinct ways we snooze. The clusÂters could one day allow experts to betÂter diagÂnose insomÂnia and preinÂsomÂnia in individuals.
The research is based on data from smart wristÂbands, used by the UnitÂed KingÂdom Biobank to deterÂmine our patÂterns of wakeÂfulÂness and sleep. This was done by meaÂsurÂing the arm moveÂments and twitchÂes of parÂticÂiÂpants over the course of sevÂerÂal days.
The result of the long-term study was a âreal-world sleepÂscapeâ that showed quite the diverÂsiÂty of sleep cycle patterns.
OverÂall, the clusÂters are split into five broad catÂeÂgories (1 to 5). Those that fall in the first catÂeÂgoÂry genÂerÂalÂly expeÂriÂence insomÂnia with long sleep duraÂtion and âmidawakeâ, which is when you wake up in the midÂdle of the night.
On the othÂer end of the specÂtrum, peoÂple who fall in catÂeÂgoÂry five sleep all the way through the night withÂout takÂing naps in the day.
ClusÂters 2 to 4 are furÂther split into aâs and bâs. 2a, for instance, is a clusÂter of those who show irregÂuÂlar sleep schedÂules, probÂaÂbly as an indiÂcaÂtion of shift work.
2b, meanÂwhile, is defined by the authors as âfragÂmentÂed sleep with short sleep duraÂtionâ overall.
3a is a clusÂter of those who expeÂriÂence insomÂnia with norÂmal sleep duraÂtion, and 4a includes those who sufÂfer from insomÂnia with short sleep duration.
To make things more comÂpliÂcatÂed, the clusÂters 3b and 4b are furÂther split into eight subÂcatÂeÂgories of fragÂmentÂed sleep.
3bâ1 is a large clusÂter and includes those who sleep deeply but canÂnot fall asleep easÂiÂly once they wake up. 3bâ2 includes short-duraÂtion sleepÂers who show a mix of short wake-ups and some longer hours spent starÂing at the ceiling.
4bâ1 is anothÂer large clusÂter and feaÂtures long sleepÂers. 4bâ2 housÂes all the mornÂing peoÂple and 4bâ6 housÂes all the night people.
4bâ4 and 4bâ5 is defined by the authors as âpreinÂsomÂniaâ. Both clusÂters show norÂmal wake-up duraÂtions in the midÂdle of the night, but those in the forÂmer clusÂter wake and fall asleep repeatÂedÂly and freÂquentÂly, which sugÂgests they strugÂgle to mainÂtain sleep. ClusÂter 4bâ5, meanÂwhile, shows less fragÂmentÂed sleep as a whole.
4bâ3 genÂerÂalÂly has a shortÂer 24 hour periÂodÂic sleep-wake cycle that gets out of sync with the usuÂal cirÂcaÂdiÂan cycle dependÂing on whether someÂone is workÂing or on holÂiÂday. This is also known as âsocial jet lagâ.
The clusÂters idenÂtiÂfied in the curÂrent research are comÂpliÂcatÂed and diverse, and they werenât just put togethÂer for fun. They could very well prove clinÂiÂcalÂly meanÂingÂful with future research.
Past studÂies, for instance, sugÂgest that insomÂnia marked by short sleep duraÂtion is linked to impaired neuÂrocogÂniÂtive funcÂtion, while insomÂnia marked by norÂmal sleep duraÂtion is linked to an anxÂious-rumiÂnaÂtive profile.
Data recordÂed from peoÂple movÂing their arms durÂing sleep could not only help idenÂtiÂfy those with insomÂnia, it could also help reveal those most at risk of develÂopÂing menÂtal or physÂiÂcal health issues.
To get to that stage, howÂevÂer, we need a lot more research. While othÂer forms of brain and musÂcle meaÂsureÂments durÂing sleep are too short-term to idenÂtiÂfy the nuances of âsocial jet lagâ or âmorning/evening typesâ, the clusÂters idenÂtiÂfied in this research still need to be verÂiÂfied further.
The authors hope the âsysÂtemÂatÂic and unbiÂased clusÂterÂing methodâ theyâve develÂoped can one day be linked with othÂer perÂsonÂal inforÂmaÂtion, like present illÂness, past medÂical hisÂtoÂry, medÂicaÂtions, eduÂcaÂtion occuÂpaÂtions and lifestyle habits to help us betÂter underÂstand the staÂtus of an indiÂvidÂuÂalâs health.
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