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Association between slow-wave activity from multi-night at-home wireless EEG records and cognitive performance in older adults.

Overview

Authors: Shuo Qin1, Ju Lynn Ong1, Kian Foong Wong1, Tian Liang1, Eric Kwun Kai Ng1, Woon-Puay Koh2,3, Juan Helen Zhou1, Michael W L Chee1
  1. Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
  2. Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
  3. Institute for Human Development and Potential (IHDP), Agency for Science Technology and Research (A*STAR), Singapore
Journal: Sleep, volume 49, issue 3, article zsaf329
Dates: received 27 June 2025; accepted 10 October 2025; published online 22 October 2025; in print March 2026
Type: Research article · Language: English
License: CC BY-NC
Identifiers: DOI 10.1093/sleep/zsaf329 · PMID 41123541 · PMCID PMC13016729 · OpenAlex W4415469206
Open access: hybrid, a free copy (OpenAlex)
Status: code on request
Categories: EEG (modality), human (organism), cognitive (subfield)
Methods: Spectral & time-frequency, Preprocessing, Machine learning
Keywords: multi-night PSG, wireless headband, slow-wave activity, SWA, aging, cognition, sleep variability
MeSH: Cognition*, Electroencephalography*, Sleep, Slow-Wave*, Aged, Aged, 80 and over, Female, Humans, Independent Living, Male, Polysomnography (* major topic)
Topic: EEG and Brain-Computer Interfaces (Cognitive Neuroscience, Neuroscience), according to OpenAlex
Funding: NUS School of Medicine; Singapore National Medical Research Council (CSA-SI (MOH-000434)); Lee Foundation; Yong Loo Lin School of Medicine; Center funds for the Center for Sleep and Cognition
Citations: cited by 2 papers (Europe PMC); 47 references in the paper

Abstract

Study Objectives: Evidence for the association between slow-wave sleep and cognitive function in older adults has been inconsistent. We measured the variability in-home electroencephalography (EEG) recordings over multiple nights to determine its impact on the association between sleep slow wave measures and cognition.

Methods: Participants were 49 (26 females) community-dwelling older adults (median age 75.3 years) who were functionally independent and without cognitive impairment or self-reported sleep disorders. Each contributed eight nights of at-home EEG headband sleep recordings (Dreem Headband, Beacon Biosignals, Boston, USA). Night-to-night variability in sleep stage percentage and spectral power in SWA (0.8–4.5 Hz), Theta (4.5–7.5 Hz), Alpha (8–12 Hz), and Sigma (11–15 Hz) was determined using the coefficient of variation (CV). CV of <20% was considered stable. Correlation between stable sleep metrics and multi-domain cognitive performance was assessed.

Results: Most older adults independently operated the Dreem band with good acceptability. Night-to-night variability in the current sample (n = 49; 302 nights) was high for N3% (CV = 47%), moderate for rapid eye movement (REM)% (CV = 22%), and low for N2% and relative power from all frequency bands (CV = 3%–17%). Only relative slow-wave activity (SWA) (0.8–4.5 Hz) was significantly associated with global cognition, when considering both averaged (r = 0.55, p < .001) and single-night (r = 0.2–0.5) assessments.

Conclusions: Wearable EEG can reliably collect at-home, multi-night sleep data in older adults. SWA but not N3 duration showed high night-to-night stability within each participant and was the only measure significantly and robustly associated with cognitive function.

Reproduced under the paper's license (CC BY-NC), from the paper cited above.

Code

The paper says that its authors' code is available on request: it was not published with the paper, so there is nothing to verify.

The paper's code and data availability statement is in the Data section.

Tracing map

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Data

No dataset and no data link were found in the paper.

Data availability

The analytic methods and codes for analyses are available upon request. Data collected for the current study can be made available upon request.

Reproduced under the paper's license (CC BY-NC), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 8 authors, 7 keywords, 10 MeSH terms, 5 funders, 47 references.

Cite

This paper

Qin, S., Ong, J. L., Wong, K. F., Liang, T., Ng, E. K. K., Koh, W.-P., Zhou, J. H., & Chee, M. W. L. (2026). Association between slow-wave activity from multi-night at-home wireless EEG records and cognitive performance in older adults. Sleep, 49(3), zsaf329. https://doi.org/10.1093/sleep/zsaf329

BibTeX

@article{qin2026association,
author = {Qin, Shuo and Ong, Ju Lynn and Wong, Kian Foong and Liang, Tian and Ng, Eric Kwun Kai and Koh, Woon-Puay and Zhou, Juan Helen and Chee, Michael W L},
title = {{Association between slow-wave activity from multi-night at-home wireless EEG records and cognitive performance in older adults}},
journal = {Sleep},
year = {2026},
month = mar,
volume = {49},
number = {3},
pages = {zsaf329},
publisher = {Oxford University Press},
issn = {0161-8105},
doi = {10.1093/sleep/zsaf329},
url = {https://doi.org/10.1093/sleep/zsaf329},
pmid = {41123541},
pmcid = {PMC13016729}
}

RIS

TY - JOUR
AU - Qin, Shuo
AU - Ong, Ju Lynn
AU - Wong, Kian Foong
AU - Liang, Tian
AU - Ng, Eric Kwun Kai
AU - Koh, Woon-Puay
AU - Zhou, Juan Helen
AU - Chee, Michael W L
TI - Association between slow-wave activity from multi-night at-home wireless EEG records and cognitive performance in older adults
T2 - Sleep
J2 - Sleep
PY - 2026
DA - 2026/03/01
VL - 49
IS - 3
SP - zsaf329
SN - 0161-8105
PB - Oxford University Press
DO - 10.1093/sleep/zsaf329
UR - https://doi.org/10.1093/sleep/zsaf329
LA - en
ER -

CSL-JSON

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