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Night-to-night sleep EEG variability over one year

Created on 09 Jul 2026

Authors

Rosenblum, Y., Bovy, L., Hemmsen, M. C., Duun-Henriksen, J., Ahrens, E., Dresler, M.

Abstract

This study aimed to explore night-to-night variability of multiscale sleep patterns by analyzing subcutaneous electroencephalography (sqEEG) from 20 healthy participants over one year (205-388 nights per participant, 6,429 nights in total). We utilized the time series of aperiodic slopes, sigma and slow-wave power as a new whole-night unit of sleep macrostructure. Using dynamic time warping, we calculated the distances (differences) between those time series to assess night-to-night sleep macrostructure dissimilarity. We found that the overall sleep macrostructural patterns were relatively similar across nights (20% dissimilarity), while their temporal alignment was quite variable (time series warped by ~60% for the best alignment). Lower variation in macrostructure dissimilarity was associated with better subjective sleep quality (r=-0.25). Then, we qualitatively compared yearlong variation in macroscale, microscale (sleep stage proportions, mean spectral power) and mesoscale (sleep cycle duration) metrics. We found that intra-individual night-to-night variation was '"low (coefficients of variation < 20%) for spectral power, sleep duration, N2 and REM sleep; ''medium'' (20-40%) - for N3 and macrostructure dissimilarity; and "high" (>40%) - for sleep cycle duration, wake and N1. In summary, different sleep metrics showed differential night-to-night variability, which was more metric-specific than scale-dependent. This might reflect a distinction between more trait-like versus more dynamically varying features of sleep, although this assumption needs further clarification.

Preprint server: bioRxiv
The authors list and abstract were imported from bioRxiv on 09 Jul 2026.

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