Tracing infant sleep neurophysiology longitudinally from 3 to 6 months: EEG insights into brain development

Sleep is critical for brain plasticity during early development, yet the individual maturation of sleep neurophysiology in infancy remains poorly characterized. In particular, slow wave activity (SWA) has emerged as a key marker of both cortical maturation and experience-dependent plasticity. Understanding the regional dynamics of sleep neurophysiology early in life could yield critical insights into neurodevelopmental health. We conducted a longitudinal high-density EEG study in 11 healthy infants (3-6 months) assessing non-rapid eye movement (NREM) sleep. We analyzed the maturation of SWA (0.75-4.25 Hz), theta power (4.5-7.5 Hz), and sigma power (9.75-14.75 Hz) across scalp regions and examined their association with behavioral development. From 3 to 6 months, SWA increased maximally in occipital regions, while theta power exhibited a global increase. Sigma power, initially concentrated centrally, dispersed towards frontal regions. Greater power increases over frontal regions correlated with higher motor (theta) and personal-social skill scores (sigma) at 6 months. These findings establish a framework for typical infant sleep EEG maturation, highlighting frequency-specific and regionally distinct developmental patterns. This study provides the first longitudinal evidence that early changes in sleep EEG topography reflect individual developmental trajectories, supporting its utility as a non-invasive and yet precise biomarker for early identification of atypical neurodevelopment at preverbal ages.