Iole Zilli

Yawning in morning and evening types

Yawning occurs more frequently in the early morning and in the late evening, close to sleep onset and after the awakening, and it might be linked to sleep propensity. We aimed to study yawning and its temporal distribution in morning and evening subjects who display different sleep-wake and sleepiness rhythms. Sixteen healthy young adults (8 evening-types and 8 morning-types, matched for age and gender) have been selected and instructed to keep their habitual sleep schedules and to signal every yawning occurrence for three consecutive days. Results show that evening-types yawn more frequently than morning-types, particularly during morning hours. Yawning frequency decreases across daytime in evening-types reaching its lowest level in the early evening and increases thereafter. Instead, in morning-types, yawning frequency remains quite low during daytime and increases in the evening. Moreover, both morning and evening types show a progressive increase of yawning frequency in the hours preceding sleep onset, whereas they differ after the awakening. Evening-types show a higher yawning frequency that remains quite stable in the hours following the awakening, while morning-types display a decline in yawning frequency. Our findings show that the temporal distribution of yawning frequency differs between chronotypes, supporting the hypothesis that differences in sleep-wake rhythm affect yawning, which could represent a behavioural sign of sleep propensity.

Yawning and subjective sleepiness in the elderly

Yawning is related to sleep/wake transitions and time of day, probably reflecting the time course of sleepiness. As aging modifies sleep–wake and sleepiness rhythms, we suppose that yawning frequency and its time course vary as a function of age. Thirteen aged healthy subjects (77.15 ± 4.09 years) and 12 young adults (24.41 ± 3.31 years) were instructed to keep their habitual sleep schedules for three consecutive work‐days, during which they were required to signal every yawning occurrence and to evaluate hourly their sleepiness level. Results showed that aged subjects yawn less frequently than young adults, particularly during morning and mid‐afternoon hours. The time course of yawning was different between the two age groups: aged subjects showed earlier morning peak and evening rise compared with young adults; in addition, aged subjects showed two minor peaks in‐between. Differences as a function of age in the time course of yawning were associated with differences in the time course of sleepiness. The only exception pertained to the early morning yawning peak, which was close to the awakening but it was not associated with high sleepiness in aged subjects. Our study discloses that aging modifies yawning frequency and its time course. Furthermore, as in the elderly yawning after the awakening is not associated with high sleepiness level as in young adult, we put forward that sleepiness level and the proximity of sleep/wake transitions could separately affect yawning.

The daily time course of contagious and spontaneous yawning among humans

Yawning, besides being a spontaneous behavior, can also be evoked by observing others yawn. However, contagious yawning does not always occur, depending possibly on several factors, such as one’s propensity to spontaneously yawn and a heightened level of sleepiness. The aim of this study is to investigate in young adults whether contagious yawning frequency varies throughout the day, and if it is related to the daily time course of spontaneous yawning frequency and level of sleepiness. For the study, 22 subjects were instructed to log hourly, throughout wakefulness, the number of spontaneous yawns and sleepiness level. Subjects were required to continue this procedure for 3 consecutive days, after which they underwent five experimental sessions occurring at regular intervals throughout the same day. During each experimental session, subjects observed others yawn (stimulus condition) and smile (control condition). Our findings show that the contagious effect of yawning is always present throughout the daytime. Both contagious and spontaneous yawning peaked in the early morning and in the late evening, according to the sleepiness time course. However, the frequency of spontaneous yawns was remarkably lower than the frequency of contagious yawns around 19:00. This difference suggests that different mechanisms control spontaneous and contagious yawning.

Sleep, sleepiness and yawning.

This chapter will discuss the relationship between yawning, sleep onset, awakening and sleepiness. Models concerning wake-sleep regulation will be discussed in relation to yawning. Yawning close to sleep, before and after, will be examined in several conditions and populations. Also, the time course of yawning and sleepiness assessed by subjective estimates will be described.

Daytime course of sleepiness in de novo Parkinson's disease patients.

Normal subjects show an increase of sleepiness in the morning, early afternoon and before sleep. In the advanced stages of Parkinsons disease (PD) the mean level of sleepiness is quite high, while with respect to healthy subjects it seems to be unchanged in the early stages. The aim of this study was to evaluate the time–course of the sleepiness level during the wakefulness period in untreated patients with early‐stage Parkinsons disease. Eighteen Parkinsons disease patients who had never been treated before with dopaminergic drugs (male = 9, female = 9, age: 68.39 ± 1.89, mean ± standard error) and 18 healthy subjects (male = 9, female = 9, age: 67.22 ± 1.98) were recruited for this study. All subjects underwent continuous actigraphic recording for three consecutive days, during which they also completed the Karolinska Sleepiness Scale (KSS) once an hour throughout wakefulness. Our results showed a higher level of sleepiness in the patients than the controls in the hours following awakening and in the early afternoon, specifically at 08:00 and 14:00 hours (08:00 hours, PD patients, KSS: 3 ± 0.3 versus healthy subjects, KSS: 2 ± 0.2, P < 0.05; 14:00 hours, PD patients, KSS: 4.4 ± 0.5 versus healthy subjects, KSS: 3 ± 0.3, P < 0.05). We suggest that some daytime hours are sensitive windows showing the first increase of sleepiness which will spread later to the whole daytime.

Music in dreams

Music in dreams is rarely reported in scientific literature, while the presence of musical themes in dreams of famous musicians is anecdotally reported. We did a systematic investigation to evaluate whether the occurrence of musical dreams could be related to musical competence and practice, and to explore specific features of dreamt pieces. Thirty-five professional musicians and thirty non-musicians filled out a questionnaire about the characteristics of their musical activity and a structured dream log on the awakening for 30 consecutive days. Musicians dream of music more than twice with respect to non-musicians; musical dreams frequency is related to the age of commencement of musical instruction, but not to the daily load of musical activity. Nearly half of the recalled music was non-standard, suggesting that original music can be created in dreams.

Good and Bad Sleep in Childhood: A Questionnaire Survey amongst School Children in Southern Italy

Despite its clinical importance, the issue of subjective sleep quality in children remains unexplored. Here we investigate, in school-aged children, the prevalence of bad sleep perception and its relationships with sleep habits and daytime functioning, to provide hints on its possible determinants. Subjective sleep perception, sleep habits, and daytime functioning were studied through a questionnaire survey in a sample of 482 children (6–12 yrs.). Being “bad sleeper” was reported by 6.9% of the sample. Compared to the “good sleepers”, these subjects displayed shorter sleep duration on schooldays, longer sleep latencies, and a more pronounced evening preference, beyond more frequent insufficient sleep. Though no differences emerged in sleepiness, bad sleepers showed higher impairments in daytime functioning, indicated by more frequent depressed mood and impulsivity. These distinctive features might be very important to precociously detect those children who are possibly more vulnerable to sleep disturbances and whose sleep-wake rhythms evolution should be paid particular attention thereafter. “The good people sleep much better at night than the bad people. Of course, the bad people enjoy the waking hours much more” Woody Allen

Sleep perception in caregivers of people with Alzheimer's disease

FTLD-TAU, hyperphosphorylated forms of tau are the major constituent of lesions, while in FTLD-TDP the TAR-DNA-binding Protein 43 (TDP-43) deposits, and in FTLD-FUS it is the protein fused in sarcoma (FUS, also known as translocated in liposarcoma (TLS) or heterogenous ribonuclear protein (hnRNP)) that forms inclusions. Similarly, FUS deposits are found in amyotrophic lateral sclerosis (ALS), the most common form of motor neuron degeneration. A pathogenic role of FUS in neurodegeneration is further supported by the identification of mutations in FUS in ALS. As a transcription factor, FUS is mainly localized to the nucleus, where it interacts with other transcription factors and regulates RNA-expression. Furthermore, FUS contributes to the regulation of actin cytoskeleton in the cytoplasm. Methods: Here we use lentiviral MISSIONTM siRNA driven knock-down to study the effects of FUS reduction in SH-SY5Y neuroblastoma and HeLa cervical cancer cells. Cells were analyzed by fluorescenceactivated-cell-sorting (FACS), Western blotting and immunocytochemistry (ICC). Results: Levels of knock-down of FUS were determined by Western Blots, FACS and ICC. FUS levels were reduced by 30 to 90% in different stably selected lines. Reduction of FUS resulted in increased numbers of apoptotic cell death as determined by Annexin-V and Sytox labeling. In addition, FUS reduction is associated with increased amount of cleaved caspase 3. Conclusions: Loss of FUS is associated with an increase in apoptotic cell death in both SH-SY5Y and HeLa-cells. Hence in disease, loss-of-physiological-function of FUS associated with its aggregation in the cytoplasm may contribute to neurodegeneration in FTLD and ALS.