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States and Stages of Sleep

Author: Sophia

what's covered
In this lesson, you will explore the distinct stages of sleep and what happens in the brain during these stages. Specifically, this lesson will cover the following:

Table of Contents

1. Stages of Sleep

From what you’ve learned so far about the importance of sleep and the biological processes and structures involved in sleep, it may be evident that sleep is not just a passive period for your brain and body to shut off. On the contrary, even though you are not conscious during sleep, your brain and body are still active and busy.

What we know about brain activity during sleep started from research decades ago. The image below shows an electroencephalogram (EEG), a test that measures electrical activity in the brain using small metal discs called electrodes that are attached to the scalp (Mayo Clinic Staff, 2022). In 1937, a researcher used an EEG to document brain waves that occur in different stages of sleep. In the 1950s, further research outlined specific cycles of sleep based on these brain waves (Shepard et al., 2005).

A cap holds electrodes in place while recording an EEG.

term to know
Electroencephalogram (EEG)
A test that measures electrical activity in the brain using small metal discs called electrodes that are attached to the scalp.

1a. Non-Rapid Eye Movement Sleep

When a person goes to sleep, they progress through four different sleep stages that occur in a cyclical pattern over the course of their sleep time. NREM (non-rapid eye movement) sleep has three stages that represent continually deeper sleep. Each stage has unique brain wave patterns (Altevogt & Colton, 2006). These stages are referred to as stage 1, stage 2, and stage 3.

Stage 1 sleep is also called N1 and is the first stage of NREM sleep. This stage occurs when you first fall asleep, and it lasts about 1–7 minutes (Suni & Vyas, 2023). For a normal adult, this stage will only comprise about 2–5% of your total sleep (Altevogt & Colton, 2006). In this stage, your body and brain start to slow down, evidenced by slower heart rate and breathing activity (Pacheco & Singh, 2023). However, you are not fully relaxed and can be easily woken up during this stage (Suni & Vyas, 2023).

When you are awake and your brain is mentally active, the output on an EEG would reflect beta waves. These show a high frequency of activity and demonstrate conscious thought, concentration, and focus (Priyanka et al., 2016). Alpha waves are slower than beta waves and occur when someone is awake but relaxed, as in meditation or sitting quietly (Summer, 2022). Alpha waves also occur as you start to enter stage 1 sleep and make the transition from alertness to drowsiness. Once you transition into sleep, your brain waves start to slow down even further. Your brain activity here on an EEG reflects theta waves, which are slower than alpha waves and are associated with deep relaxation (Patel et al., 2022).

EEG output of four types of normal brain waves are shown. Beta waves occur at 14–30 Hertz when the brain is awake with mental activity. Alpha waves occur at 9–13 Hertz when the brain is resting or relaxed. Theta waves occur at 4–8 Hertz when the brain is sleeping. Delta waves occur at 1–3 Hertz during deep sleep.

In stage 2 of sleep, also called N2, your breathing rate and heart rate start to slow down even more, your muscles relax, and your body temperature drops (Suni & Vyas, 2023). Initially, this stage lasts about 10–25 minutes, but you will cycle through this stage repeatedly over the course of your sleep time, and each N2 stage gets successively longer (Altevogt & Colton, 2006). You will spend about half of your total sleep time in stage 2.

There are two unique aspects of brain activity that regularly appear on an EEG in stage 2 of sleep. Sleep spindles occur every 3–6 seconds and represent brief bursts of brain activity (Pacheco & Singh, 2023). They are thought to be important for consolidating memories (Patel et al., 2022) along with helping us block out the external environment to maintain uninterrupted sleep (Summer & Rehman, 2022). K-complexes have a distinct, sharply peaked shape and are the largest type of waveform on an EEG (Gandhi, 2022). They last for about 1 second and are also associated with consolidating memories and maintaining restful sleep (Patel et al., 2022).

EEG output showing an example of a sleep spindle and a K-complex. The sleep spindle shows as a more rapid, high-frequency set of multiple waveforms. The K-complex shows as a large, sharp upward and then downward peaked waveform.

Stage 3 of NREM sleep marks another change in brain wave activity. An EEG reflects slow, wide waves called delta waves, and in fact, this stage is sometimes called slow-wave sleep (Altevogt & Colton, 2006). Your body processes like your heartbeat and breathing rate are also at their slowest in stage 3 sleep (Pachecho & Singh, 2023). You spend about 25% of your total sleep time in this stage, and this stage is when your body enacts processes of repair and restoration, such as building bone or muscle and strengthening your immune system (Patel et al., 2022).

term to know
NREM (Non-Rapid Eye Movement) Sleep
A grouping of three stages of sleep that represent continually deeper sleep, each stage with unique brain wave patterns.

1b. Rapid Eye Movement Sleep

REM (rapid eye movement) sleep is a stage of sleep characterized by bursts of rapid eye movements, dreaming, and highly active brain waves that are more like wakefulness (Altevogt & Colton, 2006). Compared to the other stages of sleep, your brain uses the most energy in REM sleep (Shaw, 2016). It is theorized that REM sleep is critical for consolidating memories. It also plays a role in learning and creativity (Suni & Vyas, 2023).

During REM sleep, your heart rate and blood pressure also rise and come close to the levels you would have when you are awake (Summer & Singh, 2023). While the muscles of your eyes are active in REM sleep, the rest of your muscles typically have reduced muscle tone (Patel et al., 2022).

REM sleep makes up about 25% of total sleep time, but typically, you do not reach REM sleep until about 90 minutes after falling asleep (Suni & Vyas, 2023). While dreams can occur in NREM sleep, most of your dreaming happens in REM sleep, and dreams in REM sleep are typically the most vivid (Summer & Singh, 2023).

There are multiple theories on the reasons for and benefits of dreaming. Some of these theories state that dreams help strengthen our memories and manage emotions by rehearsing situations. Some theories also state that dreams are used by the brain to clean up information (Suni & Dimitriu, 2023).

term to know
REM (Rapid Eye Movement) Sleep
A stage of sleep characterized by bursts of rapid eye movements, dreaming, and brain wave activity that is more like wakefulness.


2. Sleep Cycles

Now that you know about the different stages of sleep, let’s look further at how these stages unfold over the course of a typical circadian rhythm. Sleep architecture is the breakdown of a person’s sleep by cycles and stages (Suni & Vyas, 2023). If you were to have an EEG cap on while sleeping, it would reveal your sleep architecture based on brain activity.

During a typical sleep period of the circadian rhythm, a person will cycle through all four sleep stages within about 90 minutes (Pacheco & Singh, 2023). The cycles repeat, alternating between NREM and REM sleep but get progressively longer and can last around 120 minutes (Altevogt & Colton, 2006). In total, a typical person goes through the sleep stages 4 to 6 times. You will spend more time in NREM sleep during the first half of your total time sleeping. Most REM sleep occurs during the second half of your total time asleep (Suni & Callender, 2022).

An example of five sleep cycles depicted on a graph. The X-axis is in hours, and the Y-axis has stage 4, or the deepest sleep, at 0, preceded by stage 3, stage 2, stage 1, and fall asleep. The cycles descend from lightest sleep to deepest sleep in a stepwise manner, and the graph depicts a longer time spent in REM with each sleep cycle until awakening.

watch

term to know
Sleep Architecture
The breakdown of a person’s sleep by cycles and stages.


3. Napping

About one third of U.S. adults nap more than once a week, with the average nap lasting about an hour (Sommer, 2022). There are some best practices for napping, considering the sleep cycle and stages of sleep.

The best time for a nap is between 1 PM and 3 PM, coinciding with a drop in energy and alertness that typically occurs around that time as per our circadian rhythm (Sommer, 2022). Since our homeostatic sleep drive increases the longer we are awake, napping closer to bedtime will make us likely to sleep more deeply (Pacheco & Wright, 2022). This can disrupt restful sleep at night.

did you know
Research does not have an exact agreement on the ideal nap duration. One study comparing naps of 5, 10, 20, and 30 minutes found that the 10-minute nap was associated with the most benefits, like feeling less sleepy and having better cognitive performance (Brooks & Lack, 2006). Other sleep researchers say that 20 to 30 minutes is the most restorative (Sommer, 2022). Another study on older adults showed that napping for 30 to 90 minutes was associated with better recall and cognition (Johns Hopkins Medicine, 2023).

However, research on sleep seems to agree that sleeping longer than about 40 minutes is not ideal for naps. Naps like this can put a person into the deep, slow-wave sleep that characterizes stage 3 of NREM sleep. Moving into a deep sleep during a nap may mean that the person will feel groggy and less refreshed upon waking up (Johns Hopkins Medicine, 2023).

Naps have benefits beyond reducing sleepiness during waking hours. Naps can improve memory, prepare the brain to learn new things, and help with processing emotions (Mantua & Spencer, 2017). In cases of sleep deprivation or shift work, naps can also be helpful in decreasing levels of stress hormones and boosting immune system function (Faraut et al., 2017).

However, not all napping is beneficial. Frequent napping has been associated with increased risk of health conditions like hypertension, depression, diabetes, and cognitive decline (Mantua & Spencer, 2017). Napping for long periods frequently may mean that a person is not getting enough regular, restful sleep.

It may be tempting to consider naps to repay accumulated sleep debt. Naps can provide a short-term sense of feeling recovered, but it can take multiple days to recover from just a single hour of lost sleep (Kitamura et al., 2016). A study with more than 12,000 participants found that napping only helped offset severe sleep debt in 25% of participants (Leger et al., 2020). One perspective is that naps are like snacking between meals—naps can give you a boost of energy but should not be a substitute for getting adequate, restful sleep (Sommer, 2022).

summary
In this lesson, you learned about the four stages of sleep. Non-rapid eye movement sleep makes up three of the four stages, each with distinct brain waves that show deeper sleep with each successive stage. In rapid eye movement sleep, our brains are highly active, and the most vivid dreaming takes place. In typical sleep cycles, a person will progress through all four sleep stages multiple times in the course of a night. Napping can be beneficial for a boost of alertness at midday, but naps that are too long or too frequent can be detrimental.

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REFERENCES

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Brooks, A., & Lack, L. (2006). A brief afternoon nap following nocturnal sleep restriction: which nap duration is most recuperative?. Sleep, 29(6), 831–840. doi.org/10.1093/sleep/29.6.831

Faraut, B., Andrillon, T., Vecchierini, M.-F., & Leger, D. (2017). Napping: A public health issue. From epidemiological to laboratory studies. Sleep Medicine Reviews, 35, 85–100. doi.org/10.1016/j.smrv.2016.09.002

Gandhi, M.H., Emmady, P.D. (2023). Physiology, K Complex. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK557469/

Johns Hopkins Medicine (2023). Can a nap boost brain health? Johns Hopkins Medicine. www.hopkinsmedicine.org/health/wellness-and-prevention/can-a-nap-boost-brain-health

Kitamura, S., Katayose, Y., Nakazaki, K., Motomura, Y., Oba, K., Katsunuma, R., Terasawa, Y., Enomoto, M., Moriguchi, Y., Hida, A., & Mishima, K. (2016). Estimating individual optimal sleep duration and potential sleep debt. Scientific Reports, 6, 35812. doi.org/10.1038/srep35812

Leger, D., Richard, J. B., Collin, O., Sauvet, F., & Faraut, B. (2020). Napping and weekend catchup sleep do not fully compensate for high rates of sleep debt and short sleep at a population level (in a representative nationwide sample of 12,637 adults). Sleep Medicine, 74, 278–288. doi.org/10.1016/j.sleep.2020.05.030

Mantua, J., & Spencer, R. M. C. (2017). Exploring the nap paradox: are mid-day sleep bouts a friend or foe?. Sleep Medicine, 37, 88–97. doi.org/10.1016/j.sleep.2017.01.019

Mayo Clinic Staff (2022). EEG (electroencephalogram). Mayo Clinic. www.mayoclinic.org/tests-procedures/eeg/about/pac-20393875

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Patel, A.K., Reddy, V., Shumway, K.R. (2022). Physiology, Sleep Stages. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK526132/

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Shaw, B. (2016). Developments in the neuroscience of dreams. Activitas Nervosa Superior, 58, 45-50. doi.org/10.1007/bf03379951

Shepard, J. W., Jr, Buysse, D. J., Chesson, A. L., Jr, Dement, W. C., Goldberg, R., Guilleminault, C., Harris, C. D., Iber, C., Mignot, E., Mitler, M. M., Moore, K. E., Phillips, B. A., Quan, S. F., Rosenberg, R. S., Roth, T., Schmidt, H. S., Silber, M. H., Walsh, J. K., & White, D. P. (2005). History of the development of sleep medicine in the United States. Journal of Clinical Sleep Medicine: JCSM: official publication of the American Academy of Sleep Medicine, 1(1), 61–82. doi.org/10.5664/jcsm.26298

Sommer, C. (2022). Who’s napping, how long, and what does it mean for our health? Sleep Foundation. www.sleepfoundation.org/sleep-news/who-is-napping-and-how-long-are-naps

Summer, J. (2022). Alpha waves and sleep. Sleep Foundation. www.sleepfoundation.org/how-sleep-works/alpha-waves-and-sleep

Summer, J., & Rehman, A. (2022). Sleep spindles. Sleep Foundation. www.sleepfoundation.org/how-sleep-works/sleep-spindles

Summer, J., & Singh, A. (2023). What is REM sleep and how much do you need? Sleep Foundation. www.sleepfoundation.org/stages-of-sleep/rem-sleep

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Suni, E., & Dimitriu, A. (2023). Dreams. Sleep Foundation. www.sleepfoundation.org/dreams

Suni, E., & Vyas, N. (2023). Stages of sleep. Sleep Foundation. www.sleepfoundation.org/stages-of-sleep

Attributions
Terms to Know
Electroencephalogram (EEG)

A test that measures electrical activity in the brain using small metal discs called electrodes that are attached to the scalp.

NREM (Non-Rapid Eye Movement) Sleep

A grouping of three stages of sleep that represent continually deeper sleep, each stage with unique brain wave patterns.

REM (Rapid Eye Movement) Sleep

A stage of sleep characterized by bursts of rapid eye movements, dreaming, and brain wave activity that is more like wakefulness.

Sleep Architecture

The breakdown of a person’s sleep by cycles and stages.