阻塞性睡眠呼吸暂停和痴呆风险:丹麦基于人口的队列研究
Sigrid Bjerge Gribsholt1,2,3, Erzsébet Horváth-Puhó1, Holly Elser1,4
1Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
BMJ neurology open
|August 6, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 与包括阿尔茨海默病在内的痴呆风险的适度增加有关. 早期发现OSA可能有助于缓解痴呆症的发展.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与各种不良健康结果有关.
- 需要进一步调查OSA和痴呆症 (包括阿尔茨海默病) 之间的关系.
研究的目的:
- 调查阻塞性睡眠呼吸暂停与全因痴呆和阿尔茨海默病的发病率之间的联系.
- 探索潜在的改变因素,如性别,年龄,肥胖,高血压和CPAP治疗.
主要方法:
- 在全国范围内,使用丹麦卫生登记册 (1995-2018) 进行基于人口的队列研究.
- 倾向性得分匹配用于创建OSA患者的比较队列.
- 针对痴呆症结果计算出发病率和危险比率,并进行了子组分析.
主要成果:
- 分析了62,928名OSA患者和62,928名匹配的对照组.
- 在OSA患者中,观察到所有原因痴呆 (1.10) 和阿尔茨海默病 (1.16) 的风险比略有增加.
- 超重/肥胖个体的痴呆风险降低 (HR 0.71),而CPAP治疗减轻了观察到的关联.
结论:
- 结果表明OSA和痴呆症之间存在温和的关联,强调OSA是潜在的可修改风险因素.
- 在超重/肥胖个体中降低痴呆风险的意外发现,需要进一步研究潜在机制.
- 早期发现和管理OSA对于痴呆症预防策略至关重要.
更多相关视频
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
5.5K
04:53Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
Published on: October 18, 2024
898
相关概念视频
Sleep Apnea
220
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
220
Dementia
165
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
165
Insufficient Sleep and Sleep Deprivation
214
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...
214
Substance Use Disorders Affecting Sleep
217
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,...
217
Other Pulmonary Disorders
911
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
911
Alzheimer's Disease: Overview
669
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
669
