Unveiling the Shadows: The Alarming Link Between Sleep Irregularity and Dementia

Riffat Mehboob
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Abstract

Nature has beautifully planned nocturnal hours during which neurobiological processes critical for the preservation of cognitive health and prevention of dementia take place. Irregular sleeping may interfere with the brain’s function of eliminating neurotoxic, and results in onset of neurodegeneration. Studies have revealed a surprising relationship between irregular sleeping and dementia.  Dementia is known to be major cause of disability and mortality worldwide. According to WHO, estimated 55 million  individual suffering with dementia globally and this number is expected to raise up to 140 million in 2050 [1]. A variety of neurodegenerative diseases comes under dementia, and they are all characterized by a loss of cognitive abilities including memory, language, problem-solving, and the capacity to carry out daily tasks. Alzheimer disease is the most common form and may contribute to 60–70% of all cases. It is due to accumulation of beta-amyloid.  Irregular sleeping has become a widespread problem that is silently draining millions of people's cognitive capacities and may even be the precursor to dementia. Findings have shown U-shaped relationship between sleep regularity and dementia risk. Very irregular and overly consistent sleep patterns, both are linked to a higher risk of dementia.  Previous studies have shown the association between irregular sleeping and dementia but does not prove that dementia is caused by irregular sleep. Future studies, including longer follow-up periods and inquiries into the underlying molecular mechanisms, are required to better understand the complicated link between sleep regularity and dementia. It would be helpful to conduct further intervention trials aimed at improving irregular sleep in individuals with highly variable sleep patterns in order to ascertain whether restoring regular sleep patterns actually enhances brain health.   Currently, there is no treatment available for any of the prevalent form of dementia, including frontotemporal dementia, Alzheimer's disease, vascular dementia, and Lewy body dementia. Individual with dementia can preserve the quality of life and well-being by engaging in physical activity and by maintaining the social connections that stimulate brain functioning. Some tips can be followed to improve sleep, such as maintaining a regular sleep schedule or abstaining from caffeine and stimulating screen time 1-2 hours before bed or by consulting your doctor for assistance and to discuss your sleep issues, habits, and general health.  In summary, the connection between sleep disorders and dementia serves as a warning, drawing attention to a frequently overlooked aspect that may be essential to prevent a wave of subsequent cognitive deterioration. 
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揭开阴影睡眠不规律与痴呆症之间的惊人联系
大自然精心安排了夜间时间,在这些时间里,神经生物学过程对保持认知健康和预防痴呆症至关重要。不规律的睡眠会干扰大脑清除神经毒素的功能,导致神经变性。研究发现,睡眠不规律与痴呆症之间有着惊人的关系。 众所周知,痴呆症是全球残疾和死亡的主要原因。据世界卫生组织估计,全球有 5 500 万人患有痴呆症,预计到 2050 年,这一数字将增至 1.4 亿[1]。痴呆症包括多种神经退行性疾病,其特征都是认知能力的丧失,包括记忆、语言、解决问题和完成日常任务的能力。阿尔茨海默病是最常见的一种,可能占所有病例的 60-70%。它是由于β-淀粉样蛋白的积累造成的。 睡眠不规律已成为一个普遍问题,正在悄无声息地消耗着数百万人的认知能力,甚至可能是痴呆症的前兆。研究结果表明,睡眠规律与痴呆症风险呈 "U "型关系。极不规律的睡眠模式和过于稳定的睡眠模式,都与痴呆症的高风险有关。 以往的研究表明睡眠不规律与痴呆症之间存在联系,但并不能证明痴呆症是由睡眠不规律引起的。为了更好地了解睡眠规律与痴呆症之间的复杂联系,未来的研究,包括更长的跟踪期和对潜在分子机制的调查,都是必要的。进一步开展干预试验,旨在改善睡眠模式极不稳定的人的睡眠不规律状况,以确定恢复规律的睡眠模式是否真的能增强大脑健康,这将很有帮助。 目前,还没有针对额颞叶痴呆症、阿尔茨海默病、血管性痴呆症和路易体痴呆症等痴呆症的治疗方法。痴呆症患者可以通过参加体育活动和保持社会联系来提高生活质量和幸福感,从而促进大脑功能。可以遵循一些改善睡眠的建议,如保持规律的睡眠时间,或在睡前 1-2 小时戒掉咖啡因和刺激性的屏幕时间,或向医生寻求帮助,讨论自己的睡眠问题、习惯和总体健康状况。 总之,睡眠障碍与痴呆症之间的联系是一个警示,它提醒人们注意一个经常被忽视的方面,这对于防止随后出现的认知功能衰退至关重要。
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