A clinically defined state characterized by a quantifiable reduction in the duration or intensity of Slow Wave Sleep (SWS), also known as deep sleep or non-REM stage N3 sleep, as measured by polysomnography. SWS is the most restorative stage of the sleep cycle, critical for memory consolidation, hormonal pulsatility, and the clearance of metabolic waste from the brain via the glymphatic system. Chronic deficit in SWS leads to significant neurocognitive and endocrine impairment.
Origin
This term is a standard clinical descriptor in sleep medicine, rooted in the development of electroencephalography (EEG) and the formal staging of sleep cycles in the mid-20th century. The physiological and hormonal importance of SWS has been a central focus of chronobiology and endocrinology research ever since.
Mechanism
A deficit impairs the nocturnal surge of growth hormone, which primarily occurs during SWS and is essential for tissue repair and metabolic regulation. Furthermore, inadequate SWS impedes the efficient clearance of neurotoxic proteins, such as amyloid-beta, contributing to cognitive decline over time. The resultant sleep deprivation also increases sympathetic nervous system tone and elevates evening cortisol levels, driving a state of chronic metabolic stress.
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