{"id":23292,"date":"2020-01-27T10:50:04","date_gmt":"2020-01-27T10:50:04","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=23292"},"modified":"2020-01-27T10:50:04","modified_gmt":"2020-01-27T10:50:04","slug":"parasympathetic-activity-is-reduced-during-slow-wave-sleep-but-not-resting-wakefulness-in-patients-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/parasympathetic-activity-is-reduced-during-slow-wave-sleep-but-not-resting-wakefulness-in-patients-with-cfs\/","title":{"rendered":"Parasympathetic activity is reduced during slow-wave sleep, but not resting wakefulness, in patients with CFS"},"content":{"rendered":"<h3><a href=\"https:\/\/jcsm.aasm.org\/doi\/abs\/10.5664\/jcsm.8114\" target=\"_blank\" rel=\"noopener noreferrer\">Parasympathetic activity is reduced during slow-wave sleep, but not resting wakefulness, in patients with chronic fatigue syndrome<\/a>, by Scott J Fatt, Jessica E Beilharz, Michael Joubert, Chloe Wilson, Andrew R Lloyd,\u00a0Ut\u00e9 Vollmer-Conna, Erin Cvejic <span style=\"text-decoration: underline;\">in<\/span> <em>Clin Sleep Med.<\/em> Vol 16, no. 1\u00a0\u00a0Jan 2020 [https:\/\/doi.org\/10.5664\/jcsm.8114]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:<\/strong><\/h3>\n<p><strong>Study objectives:<\/strong><br \/>\n<a href=\"https:\/\/wames.org.uk\/cms-english\/august-8th-2018-understanding-remembrance-day-for-severe-me\/pixabay-cfs-me-sleep-bed-1024x620\/\" rel=\"attachment wp-att-17635\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-17635 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/08\/pixabay-CFS-ME-sleep-bed-1024x620.jpg?resize=300%2C182&#038;ssl=1\" alt=\"\" width=\"300\" height=\"182\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/08\/pixabay-CFS-ME-sleep-bed-1024x620.jpg?resize=300%2C182&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/08\/pixabay-CFS-ME-sleep-bed-1024x620.jpg?resize=150%2C91&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/08\/pixabay-CFS-ME-sleep-bed-1024x620.jpg?resize=768%2C465&amp;ssl=1 768w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/08\/pixabay-CFS-ME-sleep-bed-1024x620.jpg?resize=1024%2C620&amp;ssl=1 1024w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/182;\" \/><\/a><a href=\"https:\/\/dictionary.apa.org\/physiological-arousal\" target=\"_blank\" rel=\"noopener noreferrer\">Physiological dearousal <\/a>characterized by an increase in <a href=\"https:\/\/en.wikipedia.org\/wiki\/Parasympathetic_nervous_system\" target=\"_blank\" rel=\"noopener noreferrer\">parasympathetic nervous system<\/a> activity is important for good-quality sleep. Previous research shows that nocturnal parasympathetic activity (reflected by <a href=\"https:\/\/www.firstbeat.com\/en\/blog\/what-is-heart-rate-variability-hrv\/\" target=\"_blank\" rel=\"noopener noreferrer\">heart rate variability<\/a> [HRV]) is diminished in individuals with chronic fatigue syndrome (CFS), suggesting <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hypervigilance\" target=\"_blank\" rel=\"noopener noreferrer\">hypervigilant sleep<\/a>. This study investigated differences in nocturnal autonomic activity across sleep stages and explored the association of parasympathetic activity with sleep quality and self-reported physical and psychological wellbeing in individuals with CFS.<\/p>\n<p><strong>Methods:<\/strong><br \/>\nTwenty-four patients with medically diagnosed CFS, and 24 matched healthy control individuals participated. <a href=\"https:\/\/en.wikipedia.org\/wiki\/Electroencephalography\" target=\"_blank\" rel=\"noopener noreferrer\">Electroencephalography<\/a> and HRV were recorded during sleep in participants&#8217; homes using a minimally invasive ambulatory device. Questionnaires were used to measure self-reported wellbeing and sleep quality.<\/p>\n<p><strong>Results:<\/strong><br \/>\nSleep architecture in patients with CFS differed from that of control participants in slower sleep onset, more awakenings, and a larger proportion of time spent in slow-wave sleep (SWS). Linear mixed-model analyses controlling for age revealed that HRV reflecting parasympathetic activity (normalized high frequency power) was reduced in patients with CFS compared to control participants, particularly during deeper stages of sleep.<\/p>\n<p>Poorer self-reported wellbeing and sleep quality was associated with reduced\u00a0 during deeper sleep, but not during wake before sleep, rapid eye movement sleep, or with the proportion of time spent in SWS.<\/p>\n<p><strong>Conclusions:<\/strong><br \/>\nAutonomic <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hypervigilance\" target=\"_blank\" rel=\"noopener noreferrer\">hypervigilance<\/a> during the deeper, recuperative stages of sleep is associated with poor quality sleep and self-reported wellbeing. Causal links need to be confirmed but provide potential intervention opportunities for the core symptom of unrefreshing sleep in CFS.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parasympathetic activity is reduced during slow-wave sleep, but not resting wakefulness, in patients with chronic fatigue syndrome, by Scott J Fatt, Jessica E Beilharz, Michael Joubert, Chloe Wilson, Andrew R Lloyd,\u00a0Ut\u00e9 Vollmer-Conna, Erin Cvejic in Clin Sleep Med. Vol 16, &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/parasympathetic-activity-is-reduced-during-slow-wave-sleep-but-not-resting-wakefulness-in-patients-with-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[4115,5541,5537,4111,291,292,5539,5538,5542,5540,663,1473,4116],"class_list":["post-23292","post","type-post","status-publish","format-standard","hentry","category-news","tag-andrew-r-lloyd","tag-autonomic-hypervigilance","tag-chloe-wilson","tag-erin-cvejic","tag-heart-rate-variability","tag-hrv","tag-jessica-e-beilharz","tag-michael-joubert","tag-reduced-parasympathetic-signaling","tag-scott-j-fatt","tag-sleep-dysfunction","tag-slow-wave-sleep","tag-ute-vollmer-conna"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-63G","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=23292"}],"version-history":[{"count":6,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23292\/revisions"}],"predecessor-version":[{"id":24023,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23292\/revisions\/24023"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=23292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=23292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=23292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}