Sleep respiratory disturbances and arousals at moderate altitude have overlapping electroencephalogram spectral signatures

Stadelmann, Katrin; Latshang, Tsogyal D.; Tarokh, Leila; Lo Cascio, Christian M.; Tesler, Noemi; Stoewhas, Anne-Christin; Kohler, Malcolm; Bloch, Konrad E.; Huber, Reto; Achermann, Peter (2014). Sleep respiratory disturbances and arousals at moderate altitude have overlapping electroencephalogram spectral signatures. Journal of sleep research, 23(4), pp. 463-468. Wiley-Blackwell 10.1111/jsr.12131

[img] Text
jsr12131.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (369kB) | Request a copy

An ascent to altitude has been shown to result in more central apneas and a shift towards lighter sleep in healthy individuals. This study employs spectral analysis to investigate the impact of respiratory disturbances (central/obstructive apnea and hypopnea or periodic breathing) at moderate altitude on the sleep electroencephalogram (EEG) and to compare EEG changes resulting from respiratory disturbances and arousals. Data were collected from 51 healthy male subjects who spent 1 night at moderate altitude (2590 m). Power density spectra of Stage 2 sleep were calculated in a subset (20) of these participants with sufficient artefact-free data for (a) epochs with respiratory events without an accompanying arousal, (b) epochs containing an arousal and (c) epochs of undisturbed Stage 2 sleep containing neither arousal nor respiratory events. Both arousals and respiratory disturbances resulted in reduced power in the delta, theta and spindle frequency range and increased beta power compared to undisturbed sleep. The similarity of the EEG changes resulting from altitude-induced respiratory disturbances and arousals indicates that central apneas are associated with micro-arousals, not apparent by visual inspection of the EEG. Our findings may have implications for sleep in patients and mountain tourists with central apneas and suggest that respiratory disturbances not accompanied by an arousal may, none the less, impact sleep quality and impair recuperative processes associated with sleep more than previously believed.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Tarokh, Leila


600 Technology > 610 Medicine & health








Nicole Jansen

Date Deposited:

29 Sep 2014 14:03

Last Modified:

16 Jul 2018 15:23

Publisher DOI:


PubMed ID:





Actions (login required)

Edit item Edit item
Provide Feedback