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Lifespan EEG Reference Charts Reveal Aperiodic Confounds in Beta-Band Biomarkers Across Neurological and Neuropsychiatric Disorders

TL;DR

Beta oscillations measured by scalp electroencephalography (EEG) are among the most prominent neural rhythms, implicated in motor control, cognition, and multiple neurological disorders, yet the absence of large-scale normative data and methodological inconsistency across studies has hindered the development of reliable reference frameworks necessary for clinical translation. These inconsistencies stem from two unresolved challenges: age-dependent neurophysiological changes that produce inherent

Credibility Assessment Preliminary — 34/100
Study Design
Rigor of the research methodology
5/20
Sample Size
Whether the study was sufficiently powered
7/20
Peer Review
Review status and journal reputation
4/20
Replication
Has this finding been independently reproduced?
6/20
Transparency
Funding disclosure and data availability
12/20
Overall
Sum of all five dimensions
34/100

Beta oscillations measured by scalp electroencephalography (EEG) are among the most prominent neural rhythms, implicated in motor control, cognition, and multiple neurological disorders, yet the absence of large-scale normative data and methodological inconsistency across studies has hindered the development of reliable reference frameworks necessary for clinical translation. These inconsistencies stem from two unresolved challenges: age-dependent neurophysiological changes that produce inherently non-linear beta trajectories across the lifespan, and the confounding influence of aperiodic 1/f activity in conventional beta analyses which changes independently with maturation and pathology. In this paper, we establish the first comprehensive lifespan reference charts for beta oscillations (N = 22,094, ages: 1-100 years) using complementary analytic approaches that isolate periodic oscillations from aperiodic background activity. We further quantify disorder-specific deviations in beta power and frequency across seven neuro-logical and neuropsychiatric disorders. Beta power showed a non-linear, tri-phasic trajectory, increasing through childhood and adolescence, peaking around age ~50 years, and declining in later life. Unadjusted and aperiodic-adjusted beta frequency showed opposing developmental trajectories; adjusted frequency revealed a previously uncharacterized adolescent dip, reaching minimum around ages 12-13 years, consistent across all brain lobes and both sexes. Beta power was reduced across most clinical groups, with effect sizes varying by disorder and brain lobe; schizophrenia spectrum disorders were a notable exception, showing reduced absolute but increased aperiodic-adjusted beta power -- a distinction undetectable without aperiodic decomposition. These reference charts demonstrate that aperiodic 1/f activity does not merely scale beta measurements but reverses their apparent developmental trajectory -- a systematic bias that, left unaccounted for, fundamentally misrepresents how beta frequency matures across the lifespan and obscures disorder-specific oscillatory signatures in clinical populations.

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