In view of the hypothesis that adenosine is involved in sleep regulati
on, the effects of the adenosine antagonist caffeine on sleep and slee
p EEG were investigated in eight young males. Compared to the placebo
condition, caffeine (100 mg) administered at bedtime prolonged sleep l
atency and reduced sleep efficiency and stage 4 of non-rapid eye movem
ent sleep (NREMS). Electroencephalographic slow-wave activity (SWA, sp
ectral power density in the 0.75-4.5-Hz band) was reduced, whereas pow
er density in the spindle frequency range was slightly enhanced. The s
uppression of SWA was limited to the first NREMS episode. Caffeine red
uced the power density mainly in the lowest delta band, in contrast to
the changes during physiological sleep that encompass both the delta
and theta bands. Caffeine levels in saliva, assessed in a separate exp
eriment, decreased from 7.5 mu mol/l in the first hour of sleep to 3.5
mu mol/l in the seventh hour. In the night following caffeine adminis
tration, stage 4 sleep had reverted to the baseline level, but sleep l
atency was still increased, and stage 2 sleep, as well as SWA in the f
irst NREMS episode, were reduced. The data show that even a low dose o
f caffeine affects the sleep EEG. However, the effects of caffeine did
not completely mimic the spectral changes observed during physiologic
al sleep.