公共卫生 公共卫生
Cheng-Yun Hsu1, Yen-Ching Chen1, Jeng-Min Chiou2,3
1Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
过度白天嗜睡 (EDS) 和特定的嗜睡情况对老年人的认知有混合影响. 虽然有些情况会恶化记忆力和全球认知能力,但其他情况与随着时间的推移更好的执行功能有关.
科学领域:
- 老年流行病学 老年流行病学
- 认知神经科学 认知神经科学
- 睡眠医学 睡眠医学
背景情况:
- 之前的研究将过度的白天嗜睡 (EDS) 与痴呆风险联系起来.
- 有限的研究探讨了EDS对特定认知领域或爱普沃思睡眠度量表 (ESS) 情况的影响.
研究的目的:
- 调查EDS,各种ESS嗜睡情况和社区老年人的认知功能之间的关联.
主要方法:
- 对377名没有痴呆症的老年人进行了长度研究 (2015-2022年).
- 使用台湾蒙特利尔认知评估和特定领域测试 (记忆,注意力,执行功能,语言) 评估认知功能.
- 通过ESS测量EDS (截止值11);特定的嗜睡情况通过在ESS单个项目上得分1来定义. 使用了一般化的线性混合模型.
主要成果:
- 随着时间的推移,ESS得分的增加与记忆力差,但执行功能更好相关.
- 在休息或说话时打睡与全球认知和记忆分别较差有关.
- 在被动情况下 (阅读,看电视,乘坐汽车) 打睡与改善的执行功能有关.
结论:
- 在老年人中,EDS和特定的嗜睡情况与认知领域具有复杂,混合的关联.
- 某些睡眠情况可能会对全球认知和记忆产生负面影响.
- 矛盾的是,其他睡眠状况与随着时间的推移增强的执行功能有关.
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