Changes in electroencephalographic microstates between evening and morning are associated with overnight sleep slow waves in healthy individuals

Sleep. 2024 Feb 28:zsae053. doi: 10.1093/sleep/zsae053. Online ahead of print.

Abstract

Study objectives: Microstates are semi-stable voltage topographies that account for most of electroencephalogram (EEG) variance. However, the impact of time of the day and sleep on microstates has not been examined. To address this gap, we assessed whether microstates differed between the evening and morning and whether sleep slow waves correlated with microstate changes in healthy participants.

Methods: Forty-five healthy subjects were recruited. Each participant underwent six minutes of resting state EEG recordings in the evening and morning, interleaved by sleep EEGs. Evening-to-morning changes in microstate duration, coverage, and occurrence were assessed. Furthermore, correlation between microstate changes and sleep slow-wave activity (SWA) and slow-wave density (SWD) were performed.

Results: Two-way ANOVAs with Microstate Class (A, B, C, and D) and Time (evening and morning) revealed significant Microstate Class*Time interaction for duration (F(44) = 5.571, p = 0.002), coverage (F(44) = 6.833, p = 0.001), and occurrence (F(44) = 5.715, p = 0.002). Post-hoc comparisons showed significant effects for microstate C duration (padj=0.048, Cohen's d = -0.389), coverage (padj=0.002, Cohen's d = -0.580), and occurrence (padj=0.002, Cohen's d= -0.606). Topographic analyses revealed inverse correlations between SWD, but not SWA, and evening-to-morning changes in microstate C duration (r = - 0.51, padj = 0.002), coverage (r = - 0.45, padj = 0.006), and occurrence (r = - 0.38, padj = 0.033).

Conclusion: Microstate characteristics showed significant evening-to-morning changes associated with, and possibly regulated by, sleep slow-waves. These findings suggest that future microstate studies should control for time of day and sleep effects.

Keywords: Microstate C; Microstates; Resting state EEG; Sleep slow wave.