Nature Aging

Older adults had weaker brain fluid flow waves during sleep

Nighttime scans of 31 young and 41 older adults linked reduced fluid flow to weaker waves of brain activity and blood-volume change.

Paper by Sydney M. Bailes, Stephanie D. Williams, Baarbod Ashenagar, +9 more authorsLaura D. Lewis
Figure 1. Multimodal imaging of neural, hemodynamic and CSF flow dynamics in NREM sleep.
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Figure 1. Multimodal imaging of neural, hemodynamic and CSF flow dynamics in NREM sleep.Multimodal imaging of neural, hemodynamic and CSF flow dynamics in NREM sleep.Bailes et al., CC BY

Our read

Mechanisms
Studied:
Cross-sectional study of young and older adults, against younger adults
What changed:
Brain fluid wave power rose less from wakefulness to sleep in older adults: 1.15 dB against 3.82 dB in younger adults
The catch:
Blood pressure, hydration and sleep deprivation history were unmeasured and could affect fluid flow

Editor of record: Boris Djordjevic · AgingResearch.News

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Adults aged 18–39 (31 people) and 60–84 (41 people) underwent nighttime brain scans and recordings of brain electrical activity in an age-group comparison. The scans measured cerebrospinal fluid, the liquid around the brain and spinal cord, flowing into the scanned area. Separate daytime experiments used a flickering checkerboard and breath-holding to probe fluid flow responses.

Older adults had weaker fluid flow waves during sleep without rapid eye movements. Reduced flow was linked to weaker slow brain-wave activity, smaller waves of blood-volume change and less gray matter, brain tissue rich in nerve cell bodies. The age difference in flow was greater during sleep than during wakefulness.

Why it matters

Sleep disruption predicts cognitive decline. Changes in brain fluid circulation offer a possible link between sleep loss and poorer brain health with age.

Caveats

The nighttime scans compared age groups rather than following people as they aged, leaving individual changes over time unresolved. The study excluded people with cognitive impairment or neurological or sleep disorders.

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The paper

The aging human brain exhibits reduced hemodynamic and cerebrospinal fluid flow waves during sleep

Sydney M. Bailes, Stephanie D. Williams, Baarbod Ashenagar, +9 more authorsLaura D. Lewis

Nature Aging, Nov 13, 2026, Open access, CC BY

doi.org/10.1038/s43587-026-01270-4