REM-related obstructive sleep apnea: when does it matter? Effect on motor memory consolidation versus emotional
Ina Djonlagic1,2, Meng Guo1,3, Moroke Igue1
1Department of Neurology, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts.
Study Objectives:
The clinical importance of obstructive sleep apnea, which can be prevalent during rapid eye movement (REM) sleep, is unclear. The current study examines the effect of REM-related obstructive sleep apnea on motor memory consolidation as well as on mood states.
Methods:
We compared performance on the motor sequence task (MST), psychomotor vigilance test (PVT), Functional Outcomes of Sleep Questionnaire, and the Profile of Mood State (POMS) survey between 3 groups: healthy controls (n = 18), REM-exclusive OSA (n = 17), and patients with OSA with respiratory events throughout REM and non-rapid eye movement (NREM) sleep (n = 18).
Results:
As expected, performance on the MST improved overnight in the healthy control group. An improvement which was similar in magnitude was also observed in the REM-exclusive OSA group whereas patients with similar OSA during REM and NREM sleep showed reduced overnight memory consolidation. Consistent with these results, we found a correlation between overnight MST improvement and the apnea hypopnea index during NREM sleep (P = .041), but not during REM sleep (P = .424). However, patients with REM-exclusive apnea demonstrated the most negative emotions based on scoring highest on the POMS survey (P = .019).
Conclusions:
Our results provide evidence that although apneas occurring only during REM sleep do not have an effect on the encoding and stabilization of motor sequence memories, they are deleterious for emotional health.
Insights
Obstructive sleep apnea (OSA) during REM sleep does not impact motor memory consolidation. However, REM-exclusive OSA negatively affects emotional health, highlighting its clinical significance.
Area of Science:
- Sleep Medicine
- Neuroscience
- Psychology
Background:
- Obstructive sleep apnea (OSA) is common during rapid eye movement (REM) sleep, but its specific clinical impact remains unclear.
- Understanding the effects of REM-related OSA on cognitive and emotional functions is crucial for patient management.
Purpose of the Study:
- To investigate the influence of REM-exclusive OSA on motor memory consolidation.
- To assess the impact of REM-exclusive OSA on mood states.
- To compare these effects between healthy controls, REM-exclusive OSA patients, and patients with OSA throughout sleep.
Main Methods:
- A comparative study involving three groups: healthy controls (n=18), REM-exclusive OSA (n=17), and OSA during REM and non-rapid eye movement (NREM) sleep (n=18).
- Participants completed the motor sequence task (MST) for memory consolidation, psychomotor vigilance test (PVT), and mood assessments (Functional Outcomes of Sleep Questionnaire, Profile of Mood State - POMS).
Main Results:
- Motor sequence task performance improved overnight in healthy controls and REM-exclusive OSA groups, but was reduced in patients with OSA during both REM and NREM sleep.
- Overnight MST improvement correlated with the apnea-hypopnea index during NREM sleep, not REM sleep.
- Patients with REM-exclusive OSA reported the most negative emotions, scoring highest on the POMS survey.
Conclusions:
- Apneas occurring exclusively during REM sleep do not impair motor sequence memory encoding or stabilization.
- REM-exclusive OSA is associated with significant negative emotional health outcomes.
- These findings underscore the clinical importance of addressing REM-specific OSA for emotional well-being.
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