The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study

IntroductionSleep is a restorative behavior and is critical for overall health, but differences in sleep patterns between men and women can be seen over the years.AimTo prospectively analyze the polysomnographic findings of adults and older adults who participated in two editions of EPISONO, accordi...

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Main Authors: Mayra dos Santos Silva, Priscila Farias Tempaku, Monica Levy Andersen, Sergio Tufik, Dalva Poyares
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Sleep
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Online Access:https://www.frontiersin.org/articles/10.3389/frsle.2025.1422169/full
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author Mayra dos Santos Silva
Priscila Farias Tempaku
Priscila Farias Tempaku
Monica Levy Andersen
Monica Levy Andersen
Sergio Tufik
Sergio Tufik
Dalva Poyares
Dalva Poyares
author_facet Mayra dos Santos Silva
Priscila Farias Tempaku
Priscila Farias Tempaku
Monica Levy Andersen
Monica Levy Andersen
Sergio Tufik
Sergio Tufik
Dalva Poyares
Dalva Poyares
author_sort Mayra dos Santos Silva
collection DOAJ
description IntroductionSleep is a restorative behavior and is critical for overall health, but differences in sleep patterns between men and women can be seen over the years.AimTo prospectively analyze the polysomnographic findings of adults and older adults who participated in two editions of EPISONO, according to sex.MethodsThe population-based prospective longitudinal study included 688 individuals. Of these, there were 389 women and 299 men. All examinations and tests were undertaken using the same protocols at both times, at baseline and 8 years later. All participants completed an institutional questionnaire and a range of other questionnaires on health and sleep parameters. They also underwent full-night polysomnography (PSG) and peripheral blood collection for biochemical and hematological measurements. In both editions (2007 and 2015), physical and anthropometric assessments were also assessed. Exclusion criteria: pregnant or lactating women, individuals with self-care limitations (physical or mental), and night-shift workers.ResultsWe observed that adult women showed a greater REM latency, adult and older adult women spent more time in N3 than men, and an increased periodic leg movement index in older adult women. Men (adults and older adults) remained longer in N1, had a higher number of awakenings, and of apnea-hypopnea index. Age was shown to be an influencing factor for changes in arousal index and apnea-hypopnea index. This study prospectively evaluated, with full-night PSG, the sleep of the general population and reported significant findings according to sex and age, suggesting that some sleep parameters change differently in men and women, as we age.
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spelling doaj-art-87dd6e4ad9934d2a9b4a892224f970bb2025-02-10T11:42:20ZengFrontiers Media S.A.Frontiers in Sleep2813-28902025-02-01410.3389/frsle.2025.14221691422169The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep studyMayra dos Santos Silva0Priscila Farias Tempaku1Priscila Farias Tempaku2Monica Levy Andersen3Monica Levy Andersen4Sergio Tufik5Sergio Tufik6Dalva Poyares7Dalva Poyares8Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, BrazilDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, BrazilSleep Institute, São Paulo, SP, BrazilDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, BrazilSleep Institute, São Paulo, SP, BrazilDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, BrazilSleep Institute, São Paulo, SP, BrazilDepartamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, BrazilSleep Institute, São Paulo, SP, BrazilIntroductionSleep is a restorative behavior and is critical for overall health, but differences in sleep patterns between men and women can be seen over the years.AimTo prospectively analyze the polysomnographic findings of adults and older adults who participated in two editions of EPISONO, according to sex.MethodsThe population-based prospective longitudinal study included 688 individuals. Of these, there were 389 women and 299 men. All examinations and tests were undertaken using the same protocols at both times, at baseline and 8 years later. All participants completed an institutional questionnaire and a range of other questionnaires on health and sleep parameters. They also underwent full-night polysomnography (PSG) and peripheral blood collection for biochemical and hematological measurements. In both editions (2007 and 2015), physical and anthropometric assessments were also assessed. Exclusion criteria: pregnant or lactating women, individuals with self-care limitations (physical or mental), and night-shift workers.ResultsWe observed that adult women showed a greater REM latency, adult and older adult women spent more time in N3 than men, and an increased periodic leg movement index in older adult women. Men (adults and older adults) remained longer in N1, had a higher number of awakenings, and of apnea-hypopnea index. Age was shown to be an influencing factor for changes in arousal index and apnea-hypopnea index. This study prospectively evaluated, with full-night PSG, the sleep of the general population and reported significant findings according to sex and age, suggesting that some sleep parameters change differently in men and women, as we age.https://www.frontiersin.org/articles/10.3389/frsle.2025.1422169/fullsexsleeppolysomnographyadultolder adults
spellingShingle Mayra dos Santos Silva
Priscila Farias Tempaku
Priscila Farias Tempaku
Monica Levy Andersen
Monica Levy Andersen
Sergio Tufik
Sergio Tufik
Dalva Poyares
Dalva Poyares
The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
Frontiers in Sleep
sex
sleep
polysomnography
adult
older adults
title The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
title_full The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
title_fullStr The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
title_full_unstemmed The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
title_short The influence of sex on sleep characteristics in the adult and older adult population: findings from the EPISONO sleep study
title_sort influence of sex on sleep characteristics in the adult and older adult population findings from the episono sleep study
topic sex
sleep
polysomnography
adult
older adults
url https://www.frontiersin.org/articles/10.3389/frsle.2025.1422169/full
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