Rapid eye movement
Rapid eye movement (REM) is a unique phase of sleep in mammals and birds, characterized by random and rapid movement of the eyes, accompanied by low muscle tone and vivid dreaming. REM sleep is one of the two basic states of sleep, the other being non-rapid eye movement sleep (NREM). REM sleep is cyclic and occurs multiple times during a normal night’s sleep, with episodes becoming longer and more intense toward morning.
History
REM sleep was first identified in the early 1950s by Nathaniel Kleitman and his student Eugene Aserinsky at the University of Chicago. In 1953, they published their findings linking rapid eye movements during sleep to the experience of vivid dreaming. Later researchers, including William Dement and Michel Jouvet, expanded upon this work and helped to establish REM sleep as a fundamental stage in the sleep cycle.
Characteristics of REM Sleep
REM sleep is marked by:
- Rapid movement of the eyes under closed eyelids
- Brain activity similar to wakefulness, as measured by electroencephalography (EEG)
- Temporary paralysis of most voluntary muscles (atonia), preventing the body from acting out dreams
- Elevated heart rate, respiration, and variable blood pressure
- Vivid and often memorable dreams
REM sleep typically occurs every 90–110 minutes during sleep, with 4 to 6 cycles per night. Each REM episode can last from 5 to over 30 minutes, increasing in duration through the night.
Sleep Cycles
A typical sleep cycle consists of the following stages:
- Stage I – Light sleep or drowsiness
- Stage II – Light sleep; body temperature and heart rate decrease
- Stage III – Deep sleep; also known as slow-wave sleep (SWS)
- Stage IV – (Sometimes combined with Stage III)
- REM sleep – Brain activity increases, and most dreams occur
Each cycle transitions through these stages, culminating in REM sleep. After REM sleep, the body usually returns to Stage I or II before beginning a new cycle.
NREM Sleep
Non-rapid eye movement sleep (NREM) encompasses stages I to III (or IV, depending on the classification system). During these stages:
- Eye movement slows or stops
- Muscles remain active (except during REM)
- Dreaming is less common and less vivid
- Physical restoration and growth hormone secretion occur during deep sleep
REM and Dreams
REM sleep is closely linked to dreaming. Awakening individuals during REM sleep frequently results in dream reports, with up to 80% of awakenings yielding descriptions of dream content. REM dreams tend to be longer, more detailed, emotionally intense, and story-like compared to NREM dreams.
Lucid dreaming—when the dreamer becomes aware that they are dreaming—occurs most frequently during REM sleep. Mental activity during REM is marked by high levels of brain activation, particularly in visual and emotional centers.
Evolutionary Perspective
The presence of both REM and NREM sleep in birds and mammals suggests that these sleep stages evolved before the divergence of these lineages. This implies that REM sleep is evolutionarily ancient and may play a critical role in neurological functions like memory consolidation and emotional regulation.
Disorders Associated with REM Sleep
One significant disorder related to REM is:
- REM sleep behavior disorder (RBD): A type of parasomnia where the usual muscle paralysis of REM sleep is absent, causing individuals to physically act out their dreams. This can lead to injury to the sleeper or their partner.
See Also
External Links
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Contributors: Prab R. Tumpati, MD