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睡眠与阿尔茨海默病之间的关联:一项系统综述。

The association between sleep and Alzheimer's disease: a systematic review.

作者信息

Gonzales Paul Nichol Galan, Villaraza Steven Gayoles, Rosa Joseree-Ann Catindig Dela

机构信息

Jose R. Reyes Memorial Medical Center, Department of Neurology, Sta. Cruz, Manila, Philippines.

出版信息

Dement Neuropsychol. 2024 Aug 26;18:e20230049. doi: 10.1590/1980-5764-DN-2023-0049. eCollection 2024.

DOI:10.1590/1980-5764-DN-2023-0049
PMID:39193464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11348879/
Abstract

UNLABELLED

It is estimated that 45% of individuals with cognitive impairment experience sleep disturbances prior to the onset of cognitive symptoms. Assessing sleeping problems and enhancing sleep quality are critical first steps to reduce the risk of cognitive impairment.

OBJECTIVE

To review existing literature based on predefined eligibility criteria to understand the connection between sleep disturbance and Alzheimer's disease.

METHODS

A thorough and systematic evaluation of numerous studies was carried out to assess one or more of the following epidemiological factors: (1) sleep disorders, (2) cognitive impairment, and (3) risk estimates for cognitive impairment due to sleep.

RESULTS

Studies suggest that individuals who experience memory loss may encounter sleep disturbances before noticing other symptoms. Numerous sleep disorders, such as excessive and inadequate sleep duration, poor sleep quality, circadian rhythm abnormalities, insomnia, and obstructive sleep apnea were found to increase the risk of cognitive dysfunction and dementia. Additionally, lower sleep quality and shorter sleep duration have been linked to higher cerebral-β-amyloid levels. Objective evidence for the development of cognitive impairment is provided by the architecture of sleep stages. Patients experiencing sleep problems may benefit from specific types of sleep medicine as a preventative measure against cognitive decline.

CONCLUSION

Sleep disorders can have adverse effects on cognitive health. The duration and quality of sleep are fundamental factors for maintaining a healthy brain as we age. Proper sleep can aid prevent cognitive impairment, particularly Alzheimer's disease and dementia.

摘要

未标注

据估计,45%的认知障碍患者在认知症状出现之前就经历睡眠障碍。评估睡眠问题并提高睡眠质量是降低认知障碍风险的关键第一步。

目的

根据预先确定的纳入标准回顾现有文献,以了解睡眠障碍与阿尔茨海默病之间的联系。

方法

对众多研究进行了全面系统的评估,以评估以下一个或多个流行病学因素:(1)睡眠障碍,(2)认知障碍,以及(3)因睡眠导致认知障碍的风险估计。

结果

研究表明,经历记忆丧失的个体在注意到其他症状之前可能会遇到睡眠障碍。发现许多睡眠障碍,如睡眠时间过长和过短、睡眠质量差、昼夜节律异常、失眠和阻塞性睡眠呼吸暂停,会增加认知功能障碍和痴呆的风险。此外,较低的睡眠质量和较短的睡眠时间与较高的脑β-淀粉样蛋白水平有关。睡眠阶段结构为认知障碍的发展提供了客观证据。经历睡眠问题的患者可能会从特定类型的睡眠药物中受益,作为预防认知衰退的措施。

结论

睡眠障碍会对认知健康产生不利影响。随着年龄增长,睡眠的时长和质量是维持大脑健康的基本因素。适当的睡眠有助于预防认知障碍,尤其是阿尔茨海默病和痴呆症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bde/11348879/2f914d71ae99/1980-5764-DN-18-e20230049-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bde/11348879/2f914d71ae99/1980-5764-DN-18-e20230049-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bde/11348879/2f914d71ae99/1980-5764-DN-18-e20230049-gf01.jpg

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JAMA Netw Open. 2021 Jul 1;4(7):e2117573. doi: 10.1001/jamanetworkopen.2021.17573.
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It's complicated: The relationship between sleep and Alzheimer's disease in humans.情况很复杂:人类的睡眠与阿尔茨海默病之间的关系。
Neurobiol Dis. 2020 Oct;144:105031. doi: 10.1016/j.nbd.2020.105031. Epub 2020 Jul 29.
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High prevalence of sleep disorders and behavioral and psychological symptoms of dementia in late-onset Alzheimer disease: A study in Eastern China.晚发性阿尔茨海默病患者睡眠障碍及痴呆行为和心理症状的高患病率:一项中国东部地区的研究
Medicine (Baltimore). 2019 Dec;98(50):e18405. doi: 10.1097/MD.0000000000018405.
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Arq Neuropsiquiatr. 2019 Nov;77(11):815-824. doi: 10.1590/0004-282X20190149.
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