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Advanced Neurology





                                        ORIGINAL RESEARCH ARTICLE
                                        Polysomnographic sleep parameters in young

                                        adult males with poor subjective sleep quality:
                                        A cross-sectional comparative study against

                                        normative values



                                                                                                       4
                                                     1
                                        Tarushi Tanwar * , Mosab Aldabbas 2,3  , Iram Iram 4  , and Zubia Veqar *
                                        1 Department of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher
                                        Education, Manipal, India
                                        2 Department of Physical Therapy, Faculty of Applied Medical Sciences, Al-Azhar University, Gaza,
                                        Palestine
                                        3 Department of Physiotherapy, International Committee of the Red Cross, Gaza, Palestine
                                        4 Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India



                                        Abstract

                                        Sleep quality significantly affects cognitive capacities, metabolic functions, and
                                        overall well-being in young adult males. However, most studies on sleep disruption
                                        in this population rely on self-reported surveys rather than objective assessments,
            *Corresponding authors:
            Tarushi Tanwar              limiting understanding of actual sleep architecture. This cross-sectional comparative
            (tarushi.tanwar@manipal.edu)   study aimed to examine polysomnographic sleep characteristics of young adult
            Zubia Veqar                 males with poor subjective sleep quality compared to established normative values
            (zveqar@jmi.ac.in)
                                        of healthy groups. Sleep quality was assessed using the Pittsburgh sleep quality index,
            Citation: Tanwar T, Aldabbas M,   and polysomnography (PSG) was conducted in a controlled laboratory environment.
            Iram I, Veqar Z. Polysomnographic
            sleep parameters in young   Comprehensive sleep parameters analyzed included total sleep time (TST), sleep
            adult males with poor subjective   efficiency (SE), sleep onset latency (SOL), rapid eye movement (REM) onset latency
            sleep quality: A cross-sectional   (ROL), wakefulness (WK), and sleep stages N1, N2, N3, and REM sleep. Independent
            comparative study against
            normative values. Adv Neurol.   t-tests were used for PSG data comparison. The study found that young adult males
            2025;4(4):66-76.            with poor subjective sleep quality had significantly lower TST (t = −7.04, p<0.001), WK
            doi: 10.36922/an.8614       (t = −2.721, p=0.01), N2 (t = −5.993, p<0.001), and REM sleep (t = −21.532, p<0.001).
            Received: January 20, 2025  Conversely, SE (t = 19.50, p<0.001), SOL (t = 4.75, p<0.001), ROL (t = 3.61, p=0.001),
                                        N1 (t = 18.98, p<0.001), and N3 (t = 11.119, p<0.001) were significantly higher. These
            Revised: July 7, 2025
                                        findings indicate that young adult males with poor subjective sleep quality exhibited
            Accepted: August 1, 2025    significantly different architecture. Notably, their high SE despite perceived poor sleep
            Published online: August 25, 2025  highlights a discrepancy between subjective perception and objective sleep metrics.
            Copyright: © 2025 Author(s).
            This is an Open-Access article   Keywords: Sleep; Polysomnography; Young adult male; Sleep quality; Pittsburgh Sleep
            distributed under the terms of the
            Creative Commons Attribution   Quality Index
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: AccScience
            Publishing remains neutral with   Sleep is a fundamental physiological process essential for optimal human functioning,
            regard to jurisdictional claims in
            published maps and institutional   with poor sleep quality significantly impacting cognitive performance, metabolic
                                                                                      1
            affiliations.               processes, immune function, and overall health outcomes.  The importance of adequate

            Volume 4 Issue 4 (2025)                         66                               doi: 10.36922/an.8614
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