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Sleep apnea puts strain on the brain

Sleep apnea puts strain on the brain

 


Symptoms of sleep apnea, such as snoring, gasping for breath, and pauses in breathing during sleep, are associated with a significantly higher risk of cognitive and memory problems, a large study has shown.

Data from a representative sample of U.S. adults shows that those who report sleep apnea are approximately 50% more likely to also report cognitive problems compared to adults without such symptoms. has been shown to be high.

“For clinicians, these findings suggest the potential benefit of considering sleep apnea as a potential contributing or exacerbating factor in individuals experiencing memory and cognitive problems. This may prompt further evaluation for sleep apnea, particularly in at-risk individuals,” said study investigator Dominic Roe. said MPH, MD, Department of Neurology, Boston Medical Center, Boston, Massachusetts. Medscape Medical News.

The results of this study will be presented at the American Academy of Neurology (AAN) 2024 Annual Meeting on April 17, 2024.

need to raise awareness

The findings are based on 4,257 adults who participated in the 2017-2018 National Health and Nutrition Examination Survey and completed questionnaires covering sleep, memory, cognition, and decision-making ability.

People who reported sniffling, gasping for breath, or stopping breathing during sleep were classified as having symptoms of sleep apnea. Those who reported memory impairment, periods of confusion, difficulty concentrating, and problems with decision-making were classified as having memory or cognitive symptoms.

Overall, 1,079 participants reported symptoms of sleep apnea. Compared to people without sleep apnea, people with the condition were more likely to have cognitive problems (33% vs. 20%), even after adjusting for age, gender, race, and education. They were more likely to experience memory impairment or cognitive symptoms (adjusted odds) ratio, 2.02. P < .001).

“Although this study did not establish a causal relationship, the results suggest the importance of raising awareness of the potential link between sleep and cognitive function. Early detection and treatment are important. It can improve your overall health and potentially lead to a better quality of life,'' Lowe said.

Limitations of this study include self-report data from one survey on sleep apnea symptoms and cognitive problems.

consistent data

When asked for comment, Dr. Matthew Pace of the Turner Institute for Brain and Mental Health at Monash University in Melbourne, Australia, said the results were similar to previous studies that found an association. obstructive sleep apnea (OSA) and cognition.

for example, recent researchused overnight to identify the presence of mild to severe OSA sleep polygraphy In five community-based cohorts including more than 5,900 adults, it was associated with poorer performance on cognitive tests, Perse said. Medscape Medical News.

“These results and others highlight the importance of healthy sleep for optimal brain health. Whether treating OSA and other sleep disorders can reduce the risk of cognitive impairment Future studies are needed to test this,” Parce said.

However, in their latest statement on the matter, Medscape Medical Newsthe U.S. Preventive Services Task Force concluded that there is not yet sufficient evidence to weigh the benefits and harms of screening for OSA in asymptomatic adults and adults with unrecognized symptoms.

This study received no specific funding. Low and Pase had no relevant disclosures.

Sources

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2/ https://www.medscape.com/viewarticle/sleep-apnea-hard-brain-2024a10004b7

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