Changes in phasic events in the elderly are reviewed. Such phasic even
ts may in part be determined by the macrostructure of sleep (sleep sta
ges). Therefore, a brief description of sleep architecture and EEG mor
phology in the aged person is given. Second, there is a marked variabi
lity among individuals in the number of spindles and K-complexes and m
ore so in older individuals than in younger. However, there is an over
all decrease in these events with age. The characteristics of these ev
ents (amplitude, frequency content, and distribution) change simultane
ously. Third, the number of rapid eye movement occurring during REM sl
eep decreases with aging, but important gender differences exist, in t
hat women generally maintain a higher REM density. The degree of chang
es in phasic events might correlate with mental deterioration (sleep c
ognition theory), but physical factors might also be the underlying re
ason for the observed changes. Whether these changes are indicative of
the individual's ability to maintain sleep remains to be determined.