Reactivating vocabularies in the elderly

Abstract Quality of memory and sleep decline with age, but the mechanistic interactions underlying the memory function of sleep in older adults are still unknown. It is widely assumed that the beneficial effect of sleep on memory relies on reactivation during Non-rapid eye movement (NREM) sleep, and targeting these reactivations by cue re-exposure reliably improves memory in younger participants. Here we tested whether the reactivation mechanism during sleep is still functional in old age by applying targeted memory reactivation (TMR) during NREM sleep in healthy adults over 60 years. In contrast to previous studies in young participants, older adults’ memories do not generally benefit from TMR during NREM sleep. On an individual level, a subgroup of older adults still profited from cueing during sleep. These improvers tended to have a better sleep efficiency than non-improvers. In addition, the oscillatory results resembled those obtained in younger participants, involving increases in theta (~6Hz) and spindle (~13 Hz) power for remembered and gained words in a later time windows. In contrast, non-improvers showed no increases in theta activity and even strongly reduced spindle power for later gained vs. lost words. Our results suggest that reactivations during sleep might lose their functionality for memory in some older adults, while this mechanism is still intact in a subgroup of participants. Further studies need to examine more closely the determinants of preserving the memory function of sleep during healthy aging. Grant informationThe study was supported by grant of the Swiss National Science Foundation (SNSF) No. 100014_162388. T.S. is supported by a grant of the Swiss National Science Foundation (SNSF) No. P2ZHP1_164994. AbbreviationsN1 and N2Stage 1 and 2 sleepSWSSlow-wave sleepSWAslow-wave activityREMRapid eye movement sleepTSTTotal sleep timeTMRtargeted memory reactivation