Non-Rapid Eye Movement (NREM) is the initial, deeper phase of the sleep cycle, comprising three distinct stages, characterized by progressively slower brain waves, reduced muscle tone, and the absence of rapid eye movements. NREM sleep is physiologically crucial as it is the period dominated by physical restoration, growth hormone release, and the most significant drops in metabolic rate and core body temperature. The deep stages of NREM are essential for metabolic regulation and immune system function.
Origin
The term originates from the electrophysiological classification of sleep stages, established through electroencephalogram (EEG) monitoring, which differentiates sleep based on brain wave patterns and ocular activity. NREM is etymologically descriptive, literally meaning “not rapid eye movement,” contrasting it with the later, paradoxical REM phase. This classification is foundational to modern sleep medicine and clinical staging.
Mechanism
NREM sleep is initiated by a reduction in activity from wake-promoting neurotransmitter systems, allowing for the dominance of inhibitory, GABAergic neurons. The deepest stages, often referred to as slow-wave sleep, are characterized by high-amplitude, low-frequency delta waves on the EEG. During this phase, the pituitary gland releases the majority of the daily growth hormone, a potent anabolic signal for tissue repair and cellular regeneration throughout the body.
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