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睡眠障碍对认知功能障碍影响中的性别差异。

Sex differences in the effects of sleep disorders on cognitive dysfunction.

作者信息

Zhou Lv, Kong Jingting, Li Xiaoli, Ren Qingguo

机构信息

School of Medicine, Southeast University, Nanjing 210009, China.

School of Medicine, Southeast University, Nanjing 210009, China; Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, Nanjing 210009, China.

出版信息

Neurosci Biobehav Rev. 2023 Mar;146:105067. doi: 10.1016/j.neubiorev.2023.105067. Epub 2023 Jan 27.

Abstract

Sleep is an essential physiological function that sustains human life. Sleep disorders involve problems with the quality, duration, and abnormal behaviour of sleep. Insomnia is the most common sleep disorder, followed by sleep-disordered breathing (SDB). Sleep disorders often occur along with medical conditions or other mental health conditions. Of particular interest to researchers is the role of sleep disorders in cognitive dysfunction. Sleep disorder is a risk factor for cognitive dysfunction, yet the exact pathogenesis is still far from agreement. Little is known about how sex differences influence the changes in cognitive functions caused by sleep disorders. This narrative review examines how sleep disorders might affect cognitive impairment, and then explores the sex-specific consequences of sleep disorders as a risk factor for dementia and the potential underlying mechanisms. Some insights on the direction of further research are also presented.

摘要

睡眠是维持人类生命的一项基本生理功能。睡眠障碍涉及睡眠质量、时长及异常行为等问题。失眠是最常见的睡眠障碍,其次是睡眠呼吸紊乱(SDB)。睡眠障碍常与躯体疾病或其他心理健康状况同时出现。睡眠障碍在认知功能障碍中的作用尤其受到研究人员的关注。睡眠障碍是认知功能障碍的一个风险因素,但其确切发病机制仍远未达成共识。关于性别差异如何影响由睡眠障碍引起的认知功能变化,人们知之甚少。这篇叙述性综述探讨了睡眠障碍可能如何影响认知损害,接着探讨了睡眠障碍作为痴呆风险因素的性别特异性后果及其潜在的潜在机制。还提出了一些关于进一步研究方向的见解。

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