老年人睡眠和认知虚弱之间的关系:系统性审查和元分析
Xuehan Ma1, Gengxin Yao1, Xinyu Wan1
1School of Nursing, Jilin University, Changchun, China.
Journal of advanced nursing
|May 28, 2025
概括
睡眠质量差,睡眠时间长,失眠与老年人的认知脆弱有关. 需要进一步的研究来了解睡眠与认知健康之间的因果关系.
科学领域:
- 老年学是指老年学的学科.
- 睡眠医学 睡眠医学
- 认知神经科学 认知神经科学
背景情况:
- 认知虚弱在老年人群中越来越令人担忧.
- 睡眠障碍在老年人中很常见,可能会影响认知功能.
研究的目的:
- 系统地审查和元分析睡眠参数与老年人认知脆弱之间的关系.
主要方法:
- 来自多个数据库 (科学网,科克莱恩图书馆,CINAHL,Embase,PsycINFO,PubMed) 的研究的系统审查和元分析.
- 包括13篇文章与14223名参与者;10项研究被纳入了元分析.
- 根据PRISMA指南,使用Joanna Briggs研究所的批判性评估工具和纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 在包括的研究中,认知虚弱的总体患病率为25%.
- 睡眠质量差,睡眠时间长,失眠与认知脆弱有显著的相关性.
- 睡眠时间短暂与认知脆弱没有显著的关联.
结论:
- 睡眠参数,包括长时间的睡眠时间,失眠和睡眠质量差,都与认知脆弱有关.
- 强调需要将睡眠评估和干预措施纳入老年人的护理计划.
- 建议未来的研究应该利用纵向设计和验证的仪器来澄清因果关系.
更多相关视频
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
8.1K
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
6.1K
相关概念视频
Cognitive Development During Adulthood
932
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
932
Insufficient Sleep and Sleep Deprivation
963
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
963
Understanding Sleep
1.6K
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
1.6K
Substance Use Disorders Affecting Sleep
463
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
463
Pharmacodynamics in Geriatric Patients: Effects of Age
242
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
242
Insomnia
507
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
507
