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睡眠障碍影响成年人的认知功能:系统评价与荟萃分析综述

Sleep disorders affect cognitive function in adults: an overview of systematic reviews and meta-analyses.

作者信息

Kong Jingting, Zhou Lv, Li Xiaoli, Ren Qingguo

机构信息

School of Medicine, Southeast University, No. 87 Dingjiaqiao, Gulou District, Nanjing, 210009 Jiangsu China.

Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, No. 87 Dingjiaqiao, Gulou District, Nanjing, 210009 China.

出版信息

Sleep Biol Rhythms. 2023 Jan 12;21(2):133-142. doi: 10.1007/s41105-022-00439-9. eCollection 2023 Apr.

Abstract

UNLABELLED

Sleep disorders frequently result in poor memory, attention deficits, as well as a worse prognosis for neurodegenerative changes, such as Alzheimer's disease. The purpose of this study is to investigate the impact of sleep disorders on cognition. We screened four databases for all meta-analyses and systematic reviews from the establishment through March 2022. We have carried out quality evaluation and review the eligible systematic reviews. Evidence grading and quality assessment were performed on 22 eligible articles. Sleep deprivation primarily affects simple attention, complex attention, and working memory in cognition and alertness. The moderate-to-high-quality evidence proves optimal sleep time as 7-8 h. Sleep time outside this range increases the risk of impaired executive function, non-verbal memory, and working memory. Sleep-related breathing disorders is more likely to cause mild cognitive impairment and affects several cognitive domains. In older adults, insomnia primarily affects working memory, episodic memory, inhibitory control, cognitive flexibility, problem-solving, operational ability, perceptual function, alertness, and complex attention, and maintaining sensitivity. Sleep disturbances significantly impair cognitive function, and early detection and intervention may be critical steps in reducing poor prognosis. A simple neuropsychological memory test could be used to screen people with sleep disorders for cognitive impairment.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s41105-022-00439-9.

摘要

未标注

睡眠障碍经常导致记忆力差、注意力缺陷,以及神经退行性变化(如阿尔茨海默病)的预后更差。本研究的目的是调查睡眠障碍对认知的影响。我们检索了四个数据库,获取从建库至2022年3月的所有荟萃分析和系统评价。我们进行了质量评估并审查了符合条件的系统评价。对22篇符合条件的文章进行了证据分级和质量评估。睡眠剥夺主要影响认知和警觉性方面的简单注意力、复杂注意力及工作记忆。中高质量证据证明最佳睡眠时间为7 - 8小时。超出此范围的睡眠时间会增加执行功能、非言语记忆和工作记忆受损的风险。睡眠相关呼吸障碍更易导致轻度认知障碍,并影响多个认知领域。在老年人中,失眠主要影响工作记忆、情景记忆、抑制控制、认知灵活性、解决问题能力、操作能力、感知功能、警觉性和复杂注意力,以及维持敏感性。睡眠障碍会显著损害认知功能,早期检测和干预可能是降低不良预后的关键步骤。一个简单的神经心理学记忆测试可用于筛查睡眠障碍患者的认知损伤。

补充信息

网络版包含可在10.1007/s41105 - 022 - 00439 - 9获取的补充材料。

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