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老年人前一晚睡眠时间与认知功能的关联:芬兰三个队列的汇总分析

The association of previous night's sleep duration with cognitive function among older adults: a pooled analysis of three Finnish cohorts.

作者信息

Teräs Tea, Myllyntausta Saana, Salminen Marika, Viikari Laura, Pahkala Katja, Muranen Olli, Hutri-Kähönen Nina, Raitakari Olli, Rovio Suvi, Stenholm Sari

机构信息

Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.

Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.

出版信息

Eur J Ageing. 2023 Aug 3;20(1):32. doi: 10.1007/s10433-023-00779-6.

Abstract

STUDY OBJECTIVES

Sleep duration has been shown to associate with cognitive function, but little is known about the short-term effect of sleep duration on the previous night. This study examines how usual sleep duration and previous night's sleep duration are associated with cognitive function in older adults.

METHODS

The study population consisted of 2949 adults aged 59-92 years (mean 72.6, SD 5.7) derived from three Finnish cohorts. Participants' self-reported usual sleep duration was categorized into short (< 7 h, 19%), mid-range (7- < 9 h, 64%), and long (≥ 9 h, 17%). Self-reported sleep duration on the night prior to cognitive testing was categorized into shorter (59%), same (35%), and longer (5.9%) than usual sleep duration. Computerized Cambridge Neuropsychological Test Automated Battery (CANTAB®) was used to assess: (1) learning and memory, (2) working memory, (3) information processing, and (4) reaction time.

RESULTS

Participants with self-reported long, but not short, usual sleep duration had poorer learning and memory (p = .004), information processing (p = .003), and reaction time (p = .006) when compared to those with mid-range sleep duration. Those who slept more than usually the night prior to cognitive testing had poorer information processing (p = .019) than those sleeping the same as usually, while sleeping less than usually was not associated with cognitive function.

CONCLUSIONS

This study suggests that while long sleep duration was associated with worse cognitive function, sleeping more than usually the night prior to cognitive testing was only associated with information processing, and sleeping less than usually is not associated with cognitive function.

摘要

研究目的

睡眠时间已被证明与认知功能有关,但对于前一晚睡眠时间的短期影响知之甚少。本研究探讨了老年人的通常睡眠时间和前一晚睡眠时间如何与认知功能相关。

方法

研究人群包括来自三个芬兰队列的2949名59至92岁的成年人(平均72.6岁,标准差5.7)。参与者自我报告的通常睡眠时间分为短(<7小时,19%)、中等(7至<9小时,64%)和长(≥9小时,17%)。认知测试前一晚自我报告睡眠时间分为比通常睡眠时间短(59%)、相同(35%)和长(5.9%)。使用计算机化剑桥神经心理测试自动成套系统(CANTAB®)评估:(1)学习和记忆,(2)工作记忆,(3)信息处理,以及(4)反应时间。

结果

与中等睡眠时间的参与者相比,自我报告通常睡眠时间长但不是短的参与者在学习和记忆(p = 0.004)、信息处理(p = 0.003)和反应时间(p = 0.006)方面较差。在认知测试前一晚睡眠时间比平时长的参与者在信息处理方面(p = 0.019)比睡眠时间与平时相同的参与者差,而睡眠时间比平时少与认知功能无关。

结论

本研究表明,虽然睡眠时间长与较差的认知功能有关,但认知测试前一晚睡眠时间比平时长仅与信息处理有关,而睡眠时间比平时少与认知功能无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f26b/10400735/c91334994149/10433_2023_779_Fig1_HTML.jpg

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