Department of Neurology, Xiangya Hospital, Central South University, Changsha,China.
Curr Alzheimer Res. 2021;18(11):858-875. doi: 10.2174/1567205018666211207095048.
The prevalence of sleep disorders and cognitive dysfunction has overwhelmingly increased, with insomnia and Alzheimer's disease (AD) being the most common form. A multitude of studies have linked the alterations in sleep continuity or sleep architecture with cognitive impairment bilaterally, but the management of disrupted sleep patterns in preclinical AD could be more beneficial since there is no cure for AD. This review mainly focuses on the altered sleep patterns in insomnia, and summarizes potential pathways underlying the relationship between insomnia and cognitive impairment, aiming to establish certain sleep pattern changes as biomarkers for cognitive decline and explore potential therapeutic targets based on evidence from research advances.
睡眠障碍和认知功能障碍的患病率呈压倒性增长,其中失眠和阿尔茨海默病(AD)最为常见。大量研究表明,睡眠连续性或睡眠结构的改变与双侧认知障碍有关,但在 AD 临床前期管理睡眠模式的紊乱可能更有益,因为目前尚无 AD 的治愈方法。本综述主要关注失眠症中的睡眠模式改变,并总结了失眠与认知障碍之间关系的潜在途径,旨在将某些睡眠模式变化确立为认知能力下降的生物标志物,并根据研究进展的证据探索潜在的治疗靶点。