Key result
Adaptive partitioning best estimates transfer entropy, revealing stronger cardio-respiratory interactions during deep sleep.
Why the study?
Different methods exist to estimate transfer entropy to quantify interactions between physiological systems, but there is no consensus on which method performs best in specific applications.
Adaptive partitioning is the optimal method for estimating transfer entropy to study cardio-respiratory interactions, revealing increased interactions during deep sleep.
Adaptive partitioning may optimize transfer entropy analyses of sleep interactions; leaves open prospective clinical validation.
Transfer entropy (TE) has been used to identify and quantify interactions between physiological systems. Different methods exist to estimate TE, but there is no consensus about which one performs best in specific applications. In this study, five methods (linear, k-nearest neighbors, fixed-binning with ranking, kernel density estimation and adaptive partitioning) were compared. The comparison was made on three simulation models (linear, nonlinear and linear + nonlinear dynamics). From the simulations, it was found that the best method to quantify the different interactions was adaptive partitioning. This method was then applied on data from a polysomnography study, specifically on the ECG and the respiratory signals (nasal airflow and respiratory effort around the thorax). The hypothesis that the linear and nonlinear components of cardio-respiratory interactions during light and deep sleep change with the sleep stage, was tested. Significant differences, after performing surrogate analysis, indicate an increased TE during deep sleep. However, these differences were found to be dependent on the type of respiratory signal and sampling frequency. These results highlight the importance of selecting the appropriate signals, estimation method and surrogate analysis for the study of linear and nonlinear cardio-respiratory interactions.
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Rozo et al. (2021) studied Healthy sleep (Apnea-hypopnea index < 5) (n=26). Deep sleep (NREM3) vs. Light sleep (NREM1) was evaluated on Linear and nonlinear Transfer Entropy (TE) cardio-respiratory interactions between sleep stages. Adaptive partitioning was identified as the best method for Transfer Entropy estimation, revealing significantly increased cardio-respiratory interactions during deep sleep compared to light sleep.
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