D'Atri · Sleep medicine 2018 · cross-sectional study · n=39

Different maturational changes of fast and slow sleep spindles in the first four years of life.

Cited 58 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional observational study

PubMed 29458750 · doi:10.1016/j.sleep.2017.11.1138 · record verified 2026-08-31

What was done

Researchers analyzed electroencephalographic (EEG) recordings from the first 60 minutes of nocturnal sleep in a cross-sectional sample of 39 infants and young children aged 0 to 48 months. They evaluated the antero-posterior topographical distribution and age trajectories of fast and slow sleep spindles, and tested whether these patterns could be explained by shifts in spindle peak frequency.

What was found

The abstract reports no numerical values, effect sizes, or confidence intervals. It qualitatively reports that slow spindle changes from birth to childhood primarily involved frontal areas, that fast and slow spindles showed opposing developmental trajectories across age groups (with slow spindles progressively increasing with age), that these changes were not reducible to shifts in peak frequency, and that mature slow spindles first emerged in anterior regions around 12 months of age.

Why it matters

This work clarifies the early developmental timeline of NREM sleep microarchitecture, pinpointing the emergence of anterior slow spindles at roughly one year of age as a potential marker of cortical maturation.

Limits

The study is limited by a small sample size (n = 39) distributed over a broad developmental range (0–48 months) and a cross-sectional design that cannot measure within-subject longitudinal trajectories. Sleep EEG was recorded only during the first 60 minutes of nocturnal sleep rather than across the entire night, and the abstract provides no exact quantitative metrics or statistical values.

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