Sleep

Age and gender-related neurophysiological changes in sleep and wake states during childhood.

TL;DR

These findings suggest an earlier onset of brain maturation in girls, reflected by less deep sleep, faster sleep spindles, frontal shift in delta power, and greater cortical excitability during wakefulness, challenging the notion that developmental modifications of sleep are minimal during childhood.

Key Findings

N3 (slow-wave sleep) and REM sleep durations decreased with age in girls but not in boys.

  • Sample included 61 healthy children (30 boys and 31 girls) aged 5-12 years old
  • Large age-related associations were found specifically in girls for N3 and REM durations
  • These age-related patterns in N3 and REM duration were not observed in boys
  • Children underwent one night of polysomnography at home

Sleep spindle frequency during N2 sleep increased with age in girls but not in boys.

  • Sleep spindle frequency during N2 showed a large age-related association in girls
  • This developmental pattern in spindle frequency was not observed in boys
  • The increase in spindle frequency in girls was correlated with morning accuracy on the SART
  • The correlation between spindle frequency and SART accuracy was described as large

Delta power topography shifted from posterior to anterior brain regions in girls compared to boys.

  • A significant interaction was found showing a shift in delta power topography
  • The shift was from posterior to anterior (frontal) regions specifically in girls relative to boys
  • This frontal shift in delta power is interpreted as a marker of earlier brain maturation in girls
  • This topographic difference was identified as one of several gender-differentiated sleep neurophysiology findings

Girls exhibited greater cortical excitability during wakefulness as evidenced by a reduction in resting EEG slope.

  • Girls showed a predominant excitatory pattern of brain activity during wakefulness
  • This was evidenced by a reduction in resting EEG slope in girls
  • The resting EEG slope reduction is interpreted as reflecting greater cortical excitability
  • This waking neurophysiological pattern was considered alongside sleep changes as part of a broader maturation profile

Overnight memory consolidation did not vary with age or gender.

  • Children completed a visual memory task before and after one night of polysomnography
  • No significant age-related or gender-related differences were found in overnight memory consolidation
  • This null finding contrasts with the robust age and gender effects observed for sleep architecture and spindles
  • The sustained attention to response task (SART) and visual memory task were both administered pre- and post-sleep

The study design involved home-based polysomnography combined with pre- and post-sleep cognitive testing in 61 children aged 5-12.

  • 61 healthy children participated: 30 boys and 31 girls
  • Age range was 5-12 years old
  • Polysomnography was conducted at home for one night
  • Cognitive tasks included a visual memory task and a sustained attention to response task (SART), administered before and after sleep
  • Resting EEG was also recorded to assess waking brain activity

What This Means

This research suggests that the brains of girls and boys develop along different timelines during childhood, and that these differences are visible in how they sleep. In a study of 61 children aged 5 to 12, researchers recorded brain activity overnight at home and measured attention and memory before and after sleep. They found that girls showed several signs of earlier brain maturation: they had less deep sleep and less REM sleep as they got older, their sleep spindles (brief bursts of brain activity during sleep thought to be important for learning) became faster with age, the location of slow brain waves shifted toward the front of the brain, and their brains appeared more active and excitable during waking hours. None of these age-related patterns were observed in boys during this same age window. One practical implication is that faster sleep spindles in girls were linked to better attention performance the morning after sleep, suggesting the maturing sleep brain may support cognitive functioning differently in girls and boys. Interestingly, memory consolidation overnight — how well children remembered information learned before sleep — did not differ by age or gender, suggesting that at least some sleep-related cognitive benefits are relatively stable across this developmental window. This research suggests that the common assumption that sleep changes very little during childhood may need to be reconsidered, at least for girls. The findings point toward puberty or its timing as a possible driver of these differences, though the study was cross-sectional and could not directly test this. Future longitudinal studies tracking the same children over time will be needed to understand how these sleep and brain maturation changes unfold and whether they are tied to the timing of puberty.

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Citation

Mammeri K, Legendre G, Journal F, Fernandez N, Ruppen-Maret H, Combey J, et al.. (2026). Age and gender-related neurophysiological changes in sleep and wake states during childhood.. Developmental cognitive neuroscience. https://doi.org/10.1016/j.dcn.2026.101681