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Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Impaired declarative memory consolidation in children with REM sleep-related obstructive sleep apnea
Yufen Tang1, Chao Yang2, Changming Wang3
1Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Insights
Children with obstructive sleep apnea (OSA) during REM sleep show impaired memory consolidation. This highlights the importance of identifying specific OSA subtypes in pediatric memory development.
Area of Science:
- Pediatric Sleep Medicine
- Neuroscience
- Cognitive Psychology
Background:
- Obstructive sleep apnea (OSA) is prevalent in children and can affect cognitive functions.
- Rapid eye movement (REM) sleep plays a crucial role in memory consolidation.
- The impact of different OSA subtypes on declarative memory consolidation in children remains unclear.
Purpose of the Study:
- To investigate declarative memory consolidation in children with REM sleep-related OSA (REM-OSA).
- To compare memory consolidation across different OSA subtypes and healthy controls.
- To examine correlations between memory consolidation and specific sleep-related respiratory parameters.
Main Methods:
- Polysomnography and declarative memory testing were conducted in children aged 6-14 years.
- Participants with snoring were classified into primary snoring (PS), NREM-OSA, SI-OSA, and REM-OSA groups.
- Declarative memory consolidation was assessed using recall and recognition rates.
Main Results:
- Children with REM-OSA exhibited lower recall consolidation compared to controls and NREM-OSA.
- No significant correlations were found between memory consolidation and overall apnea-hypopnea index (OAHI) or NREM OAHI.
- Recognition consolidation was negatively correlated with OAHI during REM sleep (OAHIREM).
Conclusions:
- Declarative memory consolidation is impaired in children with REM-OSA.
- Specific OSA subtypes, particularly REM-OSA, require attention due to their impact on memory.
- Understanding OSA subtypes is crucial for addressing cognitive deficits in affected children.
Study Objectives:
We explored whether declarative memory consolidation is impaired in children with rapid eye movement sleep-related obstructive sleep apnea (REM-OSA) and investigated the correlation between memory consolidation and sleep-related respiratory parameters.
Methods:
Participants were children with habitual snoring aged 6-14 years and control children. Participants underwent polysomnography and declarative memory testing. Participants with snoring were categorized as primary snoring (PS), non-rapid eye movement sleep-related obstructive sleep apnea (NREM-OSA), stage-independent (SI)-OSA, and REM-OSA according to obstructive apnea-hypopnea index (OAHI), OAHI in REM sleep (OAHIREM), and OAHI in NREM sleep (OAHINREM). Declarative memory consolidation level was assessed by recall and recognition rates.
Results:
There were 34 controls and 228 children with sleep-disordered breathing: 73 PS, 48 NREM-OSA, 59 SI-OSA, and 48 REM-OSA. Total arousal index was lower in the REM-OSA group than in the NREM-OSA group. In all groups, retest scores were higher than immediate test scores. Recall consolidation in PS, SI-OSA, and REM-OSA groups was lower than for controls and lower in REM-OSA than in NREM-OSA. There were no correlations between recall consolidation or recognition consolidation and OAHI, OAHINREM, oxygen desaturation index in REM sleep, total arousal index, or REM sleep percent. Recognition consolidation was negatively correlated with OAHIREM.
Conclusions:
Memory consolidation is impaired in children with REM-OSA compared with NREM-OSA and controls. There was no significant correlation between memory consolidation and OAHI, and recognition consolidation was negatively correlated with OAHIREM. It is important to pay attention to the OSA subtype in children.
Citation:
Tang Y, Yang C, Wang C, Wu Y, Xu Z, Ni X. Impaired declarative memory consolidation in children with REM sleep-related obstructive sleep apnea. J Clin Sleep Med. 2024;20(3):417-425.
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