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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

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Manifestaciones Clínicas

Yi Fang1, Allysa Quick2, Sasha Milton1

  • 1University of California, San Francisco, San Francisco, CA, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

En adultos mayores, la duración prolongada del sueño y el tiempo excesivo en la cama se asocian con un mayor riesgo de deterioro cognitivo. La dificultad para permanecer dormido puede reducir este riesgo, lo que sugiere que el monitoreo del sueño ayuda en la detección en el envejecimiento avanzado.

Palabras clave:
duración del sueñotiempo en camadeterioro cognitivoadultos mayoresmonitoreo del sueño

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Área de la Ciencia:

  • Gerontología
  • Medicina del Sueño
  • Neurología

Sus antecedentes:

  • El envejecimiento afecta el sueño y la función cognitiva.
  • El sueño alterado se asocia con el declive cognitivo.
  • La relación de las características subjetivas del sueño con el deterioro cognitivo en los más ancianos está poco estudiada.

Objetivo del estudio:

  • Investigar la asociación entre las características subjetivas del sueño y el deterioro cognitivo incidente.
  • Examinar estas asociaciones en diferentes grupos de edad, particularmente en los más ancianos (mayores de 90 años).

Principales métodos:

  • Se analizaron datos armonizados de cuatro cohortes de EE. UU. (MAP, MARS, MrOS, SOF).
  • Las medidas del sueño incluyeron duración, tiempo en cama, calidad, somnolencia diurna y dificultades para dormir.
  • Se utilizó la regresión de Poisson para examinar las asociaciones con el deterioro cognitivo (MCI/demencia) en grupos estratificados por edad, ajustando por covariables.

Principales resultados:

  • La duración prolongada del sueño (>8 horas) se asoció con un mayor riesgo de deterioro cognitivo en el grupo de 90+ años (RR=2.167).
  • El tiempo excesivo en la cama (>8 horas) se asoció con un mayor riesgo de deterioro cognitivo en el grupo de 80-90 años (RR=1.201).
  • La dificultad para permanecer dormido (>=3 veces/semana) se asoció con un menor riesgo en el grupo de 80-90 años (RR=0.831).

Conclusiones:

  • La duración prolongada del sueño y el tiempo excesivo en la cama predicen un mayor riesgo de deterioro cognitivo en adultos mayores de 80 años.
  • Estos patrones de sueño pueden servir como marcadores potenciales de deterioro cognitivo en el envejecimiento avanzado.
  • El monitoreo personalizado del sueño podría ayudar en la detección temprana del declive cognitivo.