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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
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Associations between sleep apnea and advanced brain aging in a large-scale population study
Antoine Weihs1, Stefan Frenzel1, Katharina Wittfeld1,2
1Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
Sleep
|October 5, 2020
Summary
Obstructive sleep apnea (OSA) is linked to advanced brain aging. Indices like apnea-hypopnea index (AHI) and oxygen desaturation index (ODI) correlate with increased brain age, suggesting inflammation plays a role.
Area of Science:
- Neurology
- Sleep Medicine
- Radiology
Background:
- Advanced brain aging is a risk factor for neurodegenerative diseases like Alzheimer's.
- Sleep disorders, particularly obstructive sleep apnea (OSA), are implicated in neurodegeneration.
- Brain age, a measure of age-related brain patterns, offers insights into brain health.
Purpose of the Study:
- To investigate the association between OSA severity indices (AHI and ODI) and brain age.
- To explore the mediating role of subclinical inflammation in the relationship between OSA and brain aging.
Main Methods:
- Utilized magnetic resonance imaging (MRI) and overnight polysomnography data from 690 participants.
- Calculated brain age across 169 brain regions.
- Employed causal mediation analysis to assess the role of inflammation (white blood cell count).
Main Results:
- Both apnea-hypopnea index (AHI) and oxygen desaturation index (ODI) were positively associated with brain age.
- These associations remained significant after adjusting for confounders like diabetes.
- White blood cell count partially mediated the link between OSA indices and brain age, indicating subclinical inflammation.
Conclusions:
- Obstructive sleep apnea is associated with advanced brain aging, characterized by subtle, widespread changes in brain structure.
- Subclinical inflammation, indicated by white blood cell count, partially explains this association.
- Findings highlight the importance of addressing OSA in the context of preventing neurodegenerative diseases.
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