Sleep disturbances and dementia risk: A multicenter study

被引:104
作者
Sindi, Shireen [1 ,2 ,3 ,4 ]
Kareholt, Ingemar [1 ,2 ,5 ]
Johansson, Lena [4 ]
Skoog, Johan [6 ,7 ]
Sjoberg, Linnea [1 ,2 ]
Wang, Hui-Xin [1 ,2 ,8 ]
Johansson, Boo [7 ]
Fratiglioni, Laura [1 ,2 ,9 ]
Soininen, Hilkka [10 ,11 ]
Solomon, Alina [3 ,10 ]
Skoog, Ingmar [6 ]
Kivipelto, Miia [3 ,4 ,10 ,12 ]
机构
[1] Karolinska Inst, Aging Res Ctr, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
[2] Stockholm Univ, Stockholm, Sweden
[3] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Clin Geriatr, Stockholm, Sweden
[4] Imperial Coll London, Sch Publ Hlth, Neuroepidemiol & Ageing Res Unit, London, England
[5] Jonkoping Univ, Sch Hlth & Welf, Inst Gerontol, Aging Res Network,Jonkoping ARN J, Jonkoping, Sweden
[6] Univ Gothenburg, Sahlgrenska Acad, Ctr Hlth & Ageing AGECAP, Inst Neurosci & Physiol, Gothenburg, Sweden
[7] Univ Gothenburg, Ctr Hlth & Ageing AGECAP, Dept Psychol, Gothenburg, Sweden
[8] Stockholm Univ, Stress Res Inst, Stockholm, Sweden
[9] Stockholm Gerontol Res Ctr, Stockholm, Sweden
[10] Univ Eastern Finland, Inst Clin Med, Neurol, Kuopio, Finland
[11] Kuopio Univ Hosp, Neuroctr, Neurol, Kuopio, Finland
[12] Natl Inst Hlth & Welf, Dept Chron Dis Prevent, Helsinki, Finland
基金
芬兰科学院; 瑞典研究理事会;
关键词
Sleep disturbances; Insomnia; Sleep duration; Dementia; SELF-REPORTED SLEEP; ALZHEIMERS-DISEASE; DAYTIME SLEEPINESS; COGNITIVE DECLINE; INCIDENT DEMENTIA; HEART-DISEASE; DURATION; DISORDERS;
D O I
10.1016/j.jalz.2018.05.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Few longitudinal studies assessed whether sleep disturbances are associated with dementia risk. Methods: Sleep disturbances were assessed in three population-based studies (H70 study and Kungsholmen Project [Sweden]; Cardiovascular Risk Factors, Aging and Dementia study [Finland]). Late-life baseline analyses (3-10 years follow-up) used all three studies (N = 1446). Baseline ages 70 years (Cardiovascular Risk Factors, Aging and Dementia, H70), and approximate to 84 years (Kungsholmen Project). Midlife baseline (age approximate to 50 years) analyses used Cardiovascular Risk Factors, Aging and Dementia (21 and 32 years follow-up) (N = 1407). Results: Midlife insomnia (fully adjusted hazard ratio = 1.24, 95% confidence interval = 1.02-1.50) and late-life terminal insomnia (fully adjusted odds ratio = 1.94, 95% confidence interval = 1.08-3.49) were associated with a higher dementia risk. Late-life long sleep duration (>9 hours) was also associated with an increased dementia risk (adjusted odds ratio = 3.98, 95% confidence interval = 1.87-8.48). Discussion: Midlife insomnia and late-life terminal insomnia or long sleep duration were associated with a higher late-life dementia risk. (C) 2018 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1235 / 1242
页数:8
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