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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
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Sleep Characteristics and Cognitive Function in Older Adults Without Dementia: The CABLE Study
Yan Fu1, Zuo-Teng Wang2, Yi Qu1
1Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China.
Journal of Alzheimer'S Disease : JAD
|October 4, 2021
Summary
Poor sleep quality and duration are linked to cognitive decline. Alzheimer's disease (AD) pathologies, like tau and amyloid-beta, may mediate this connection, highlighting sleep's role in brain health.
Area of Science:
- Neuroscience
- Gerontology
- Sleep Medicine
Background:
- Sleep disturbances are increasingly recognized as potential contributors to cognitive decline.
- Alzheimer's disease (AD) pathologies, including amyloid-beta (Aβ) and tau proteins, are known to interact with sleep.
- Understanding the intricate relationship between sleep and cognition is crucial for developing preventative strategies.
Purpose of the Study:
- To investigate the associations between various sleep characteristics and cognitive function in a Chinese cohort.
- To examine the extent to which Alzheimer's disease (AD) core pathologies mediate the relationship between sleep duration and cognitive performance.
- To explore both linear and non-linear associations between sleep habits and cognitive outcomes.
Main Methods:
- Utilized data from 974 participants in the Chinese Alzheimer's Biomarker and Lifestyle (CABLE) study.
- Employed linear and non-linear regression analyses to assess sleep-cognition relationships.
- Conducted causal mediation analyses to evaluate the role of cerebrospinal fluid (CSF) biomarkers (Aβ, P-tau, T-tau) in mediating sleep-cognition associations.
Main Results:
- Poorer sleep quality (higher PSQI scores) correlated with lower cognitive function (MoCA scores).
- Long sleep latency, low sleep efficiency, and habitual napping were associated with cognitive impairment.
- U-shaped associations were found between sleep habits (bedtime, nocturnal sleep duration) and cognition.
- Causal mediation analysis revealed that phosphorylated tau (P-tau) and amyloid-beta 42 (Aβ42) mediated the association between sleep duration and cognitive function.
Conclusions:
- Sleep characteristics are significantly associated with cognitive function.
- Sleep habits, including duration and bedtime, exhibit non-linear, U-shaped relationships with cognition.
- Alzheimer's disease core pathologies (P-tau/Aβ42) may partially mediate the detrimental effects of altered sleep duration on cognitive health.
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