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轻度认知障碍中的睡眠障碍

Sleep Disorders in Mild Cognitive Impairment.

作者信息

Randhi Bhawna, Gutlapalli Sai Dheeraj, Pu Jingxiong, Zaidi Maheen F, Patel Maithily, Atluri Lakshmi Malvika, Gonzalez Natalie A, Sakhamuri Navya, Athiyaman Sreekartthik, Hamid Pousette

机构信息

Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Internal Medicine, Mayo Clinic, Rochester, USA.

出版信息

Cureus. 2023 Mar 15;15(3):e36202. doi: 10.7759/cureus.36202. eCollection 2023 Mar.

Abstract

We have an increasingly aging population and, therefore, cognitive impairment and dementia are becoming more common. Similarly, sleep disorders are also more common among the older population. There is a bidirectional relationship between mild cognitive impairment and sleep disorders. Additionally, both of these issues are underdiagnosed. By identifying and treating sleep disturbances early, we may delay the onset of dementia. Sleep helps in clearing metabolites like amyloid-beta (A-beta) lipoprotein. Clearance leads to decreased fatigue and proper functioning of the brain. A-beta lipoprotein and tau aggregates lead to neurodegeneration. Slow-wave sleep that decreases with aging is important for memory consolidation. In the initial stages of Alzheimer's disease, A-beta lipoprotein and tau deposits were linked to lower slow-wave activity in non-rapid eye movement sleep. Improvement in sleep decreases oxidative stress which in turn leads to decreased A-beta lipoprotein accumulation.

摘要

我们的人口老龄化日益严重,因此认知障碍和痴呆症正变得越来越普遍。同样,睡眠障碍在老年人群中也更为常见。轻度认知障碍和睡眠障碍之间存在双向关系。此外,这两个问题都未得到充分诊断。通过早期识别和治疗睡眠障碍,我们或许可以延缓痴呆症的发病。睡眠有助于清除代谢产物,如β-淀粉样蛋白(A-β)脂蛋白。清除代谢产物可减轻疲劳并使大脑正常运作。A-β脂蛋白和tau蛋白聚集体会导致神经退行性变。随着年龄增长而减少的慢波睡眠对记忆巩固很重要。在阿尔茨海默病的初始阶段,A-β脂蛋白和tau蛋白沉积与非快速眼动睡眠中较低的慢波活动有关。睡眠改善可降低氧化应激,进而减少A-β脂蛋白的积累。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c407/10103826/6047784dae6b/cureus-0015-00000036202-i01.jpg

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