During sleep, the brain moves through five different stages. One of these stages is rapid eye movement (REM) sleep. During this phase, the eyes move rapidly in various directions. The other four phases are referred to as non-REM (NREM) sleep.
People enter REM sleep within the first 90 minutes of falling asleep and, as the sleep cycle repeats throughout the night, REM sleep occurs several times nightly. It accounts for approximately 20 to 25 percent of an adult's sleep cycle, and over 50 percent of an infant's.
Most dreams occur during REM sleep, and it is thought to play a role in learning, memory, and mood.
Fast facts on REM sleep
- During REM sleep, our brain is almost as active as it is when we are awake.
- In this phase of sleep, breathing can become fast and irregular.
- REM sleep is thought to help consolidate memories.
- Drinking alcohol before bed reduces the amount of REM sleep we have.
- People with REM sleep behavior disorder act out their dreams.
The sleep cycle begins with non-REM sleep, before moving into the REM sleep stage.
The first phase of REM usually lasts for 10 minutes, with each phase getting progressively longer.
The final phase of REM sleep may last for up to an hour.
During REM sleep, the body and brain go through several changes, including:
- Rapid movement of the eyes.
- Fast and irregular breathing.
- Increased heart rate (to near waking levels).
- Changes in body temperature.
- Increased blood pressure.
- Brain activity similar to that seen while awake.
- Increased oxygen consumption by the brain.
- Sexual arousal in both men and women.
- Twitching of the face and limbs.
In most people, a state of temporary paralysis is experienced as the brain signals the spinal cord to cease movement of the arms and legs. This lack of muscle activity is known as atonia, and it may be a protective mechanism to prevent injury that might be caused by acting out our dreams.
REM sleep is often associated with very vivid dreams due to the increase in brain activity. Because the muscles are immobilized yet the brain is very active, this stage of sleep is sometimes called paradoxical sleep.
Before entering the REM sleep phase, the body goes through each of the stages of non-REM sleep. Each stage of NREM lasts for 5-15 minutes.
Stage 1 non-REM sleep - a person in this stage is between being awake and asleep or is in a state of very light sleep.
Stage 2 non-REM sleep - this stage is characterized by a slightly deeper sleep. Body temperature drops and heart rate slows down.
Stages 3 and 4 non-REM sleep - a state of deep and restorative sleep known as slow-wave sleep, or delta sleep. The muscles relax, the supply of blood to the muscles increases, and the body repairs and grows tissue. Hormones are released and energy stores are replenished.
As people age, they tend to get less NREM sleep. Those under 30 usually experience 2 hours of restorative sleep nightly while older adults may get just 30 minutes.
According to the National Sleep Foundation, REM sleep is believed to benefit learning, memory, and mood. It is also thought to contribute to brain development in infants. A lack of REM sleep may have adverse implications for physical and emotional health.
Learning and memory
Research suggests that when people are unable to enter REM sleep, they have difficulty remembering what they were taught before falling asleep.
It is likely that a combination of both REM and non-REM sleep is important for learning and memory.
Central nervous system (CNS) development
REM sleep may be especially important for brain development in infants. Some research indicates that this sleep stage is responsible for the neural stimulation necessary to develop mature neural connections.
These findings may help explain why infants require higher levels of REM sleep each night, with the number of minutes of REM sleep falling as people age.
Consequences of a lack of REM sleep
A lack of REM sleep has been linked to:
Reduced coping skills -
Overweight - a University of Pittsburgh study found that short sleep times and reduced REM sleep was associated with excess weight in children and adolescents.
While drinking alcohol may help some people fall asleep quicker, research suggests that it reduces REM sleep.
The more alcohol consumed before sleep, the more REM sleep is impacted.
A 2013 review of 27 studies on alcohol and sleep found that total nightly REM sleep was decreased at moderate and high intakes of alcohol, although no clear trend was seen at low levels of alcohol intake.
The onset of the first REM sleep period - which usually occurs 90 minutes after falling asleep - was "significantly delayed at all doses."
Alcohol affects sleep in other ways, too. It contributes to sleep apnea and snoring, causes an increase in bathroom visits, and interrupts the body's circadian rhythm - the internal clock that regulates sleep and wake times.
Some people are affected by REM sleep behavior disorder (RBD), a condition where the muscle paralysis normally experienced during REM sleep does not occur. This causes the person to act out vivid dreams. For example, they may kick, yell, or flail their arms about.
Onset of REM sleep behavior disorder tends to be gradual, with symptoms worsening over time.
RBD is caused by malfunctioning nerve pathways in the brain. Risk factors for its development include:
- Being male.
- Being over 50.
- Taking certain medications, including some types of antidepressants.
- Withdrawal from drugs or alcohol.
- Having a neurodegenerative disorder, such as Parkinson's disease or Lewy body dementia.
- Having narcolepsy, a sleep disorder characterized by excessive daytime sleepiness and hallucinations.
Treatment for REM sleep behavior disorder includes medication and making changes to the sleep environment to increase safety for the person with the condition and their sleeping partner.
There are several ways to enhance both REM and NREM sleep to reap the benefits of a good night's sleep. The following tips may help improve REM sleep:
Establish a bedtime routine
Following the same bedtime routine every night prepares the body and mind for sleep. A regular bedtime routine may help to maximize the amount of time asleep, potentially increasing the number of REM sleep phases experienced.
Reduce night time waking
Loud sounds, warm temperatures, and bright lights can interrupt sleep. For optimal sleeping conditions, switch off cell phones and other sources of noise, and remove light sources from the bedroom. Keep temperatures between 60 and 67 degrees Fahrenheit.
Get enough sleep
A healthy adult requires 7-9 hours of sleep a night. Sleeping less than this reduces the number of REM sleep phases experienced.
Address medical conditions
Certain medical conditions, such as sleep apnea, can affect sleep quality and impact REM sleep.
Avoid alcohol before bedtime
As moderate to high levels of alcohol intake before bed can reduce the number of REM sleep phases experienced, and any amount delays entering the first REM phase, it is advisable to avoid alcohol consumption in the hours before bed.