Sleep

Sleep


Sleep stages

Sleep is divided into two distinct states called rapid eye movement (REM) and non-rapid eye movement (NREM). NREM is subdivided into four stages. 

Sleep stage% of time spent in stageEEG findings
I5%Theta waves
II45%K complexes and sleep spindles
III12%<50% Delta waves
IV13%>50% Delta waves

It takes the average person 15-20 minutes to fall asleep, this is called sleep latency (characterised by the onset of stage I sleep). Once asleep one descends through stages I-II and then III-IV (deep stages). After about 90 minutes of sleep one enters REM. The rest of the sleep comprises of cycles through the stages. As the sleep progresses the periods of REM become greater and the periods of NREM become less. During an average night's sleep one spends 25% of the sleep in REM and 75% in NREM.

REM sleep has certain characteristics that separate it from NREM

Characteristics of REM sleep
- Autonomic instability (variability in heart rate, respiratory rate, and BP)
- Loss of muscle tone
- Dreaming
- Rapid eye movements
- Penile erection
- Deafness