Can weekend catch-up sleep decrease the risk of cognitive dysfunction in older adults?

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-10-01 Epub Date: 2024-06-15 DOI:10.1007/s11325-024-03074-5

Chi Hsiao, Wan-Chi Huang, Ming-Chun Hsueh, Chih-Ching Chang, Yung Liao, Kun-Pei Lin

{"title":"Can weekend catch-up sleep decrease the risk of cognitive dysfunction in older adults?","authors":"Chi Hsiao, Wan-Chi Huang, Ming-Chun Hsueh, Chih-Ching Chang, Yung Liao, Kun-Pei Lin","doi":"10.1007/s11325-024-03074-5","DOIUrl":null,"url":null,"abstract":"Purpose: This study investigated whether weekend catch-up sleep was related to a decreased risk of cognitive dysfunction in older Taiwanese adults by using self-reported diaries and objective accelerometer measurements.Methods: This cross-sectional study enrolled participants who were aged ≥ 65 years and had the capability to walk independently from a medical center in Taipei City, Taiwan, between September 2020 and December 2022. Self-reported sleep diaries and tri-axial accelerometers were used to record and measure sleep-related data for 7 consecutive nights. Weekend catch-up sleep was defined as the mean of weekend sleep time minus the mean of weekdays sleep time. Mini-Mental State Examination (MMSE) was evaluated the risk of cognitive dysfunction. The association between weekend catch-up sleep and the MMSE score was examined using a binary logistic regression model.Results: A total of 215 older adults (53.0% female; 80.5 ± 7.1 years old; 11.6% at risk of cognitive dysfunction) were included. In the adjusted model (adjusted for sex, education level, moderate-to-vigorous physical activity and total accelerometer wear time), both the self-reported sleep diaries (odds ratio [OR] = 0.26, 95% confidence interval [CI] = 0.09-0.69, P = 0.007) and the accelerometer data (OR = 0.27, 95% CI = 0.10-0.70, P = 0.007) indicated that weekend catch-up sleep could decrease the risk of cognitive dysfunction by 73-74%.Conclusion: The study findings suggest that there is an association between weekend catch-up sleep and lower risk for cognitive decline. The causal relationship between weekend catch-up sleep and cognitive function in older adults should be further investigated in a study with longitudinal design.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":" ","pages":"2303-2310"},"PeriodicalIF":2.1000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep and Breathing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11325-024-03074-5","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This study investigated whether weekend catch-up sleep was related to a decreased risk of cognitive dysfunction in older Taiwanese adults by using self-reported diaries and objective accelerometer measurements.

Methods: This cross-sectional study enrolled participants who were aged ≥ 65 years and had the capability to walk independently from a medical center in Taipei City, Taiwan, between September 2020 and December 2022. Self-reported sleep diaries and tri-axial accelerometers were used to record and measure sleep-related data for 7 consecutive nights. Weekend catch-up sleep was defined as the mean of weekend sleep time minus the mean of weekdays sleep time. Mini-Mental State Examination (MMSE) was evaluated the risk of cognitive dysfunction. The association between weekend catch-up sleep and the MMSE score was examined using a binary logistic regression model.

Results: A total of 215 older adults (53.0% female; 80.5 ± 7.1 years old; 11.6% at risk of cognitive dysfunction) were included. In the adjusted model (adjusted for sex, education level, moderate-to-vigorous physical activity and total accelerometer wear time), both the self-reported sleep diaries (odds ratio [OR] = 0.26, 95% confidence interval [CI] = 0.09-0.69, P = 0.007) and the accelerometer data (OR = 0.27, 95% CI = 0.10-0.70, P = 0.007) indicated that weekend catch-up sleep could decrease the risk of cognitive dysfunction by 73-74%.

Conclusion: The study findings suggest that there is an association between weekend catch-up sleep and lower risk for cognitive decline. The causal relationship between weekend catch-up sleep and cognitive function in older adults should be further investigated in a study with longitudinal design.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

周末补觉能否降低老年人认知功能障碍的风险？

目的：本研究通过使用自我报告的日记和客观加速度计测量，调查周末补觉是否与台湾老年人认知功能障碍风险的降低有关：这项横断面研究在2020年9月至2022年12月期间，从台湾台北市的一家医疗中心招募了年龄≥65岁、具有独立行走能力的参与者。研究人员使用自我报告的睡眠日记和三轴加速度计来记录和测量连续 7 个晚上的睡眠相关数据。周末补觉的定义是周末睡眠时间的平均值减去平日睡眠时间的平均值。迷你精神状态检查（MMSE）评估了认知功能障碍的风险。采用二元逻辑回归模型研究了周末补觉与 MMSE 分数之间的关系：共纳入 215 名老年人（53.0% 为女性；80.5 ± 7.1 岁；11.6% 有认知功能障碍风险）。在调整模型中（调整了性别、教育水平、中到剧烈运动和加速度计总佩戴时间），自我报告的睡眠日记（几率比[OR] = 0.26，95% 置信区间[CI] = 0.09-0.69，P = 0.007）和加速度计数据（OR = 0.27，95% CI = 0.10-0.70，P = 0.007）均表明，周末补觉可将认知功能障碍的风险降低 73-74%：研究结果表明，周末补觉与降低认知功能衰退风险之间存在关联。周末补觉与老年人认知功能之间的因果关系应在纵向研究中进一步探讨。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.