Sleep-Disordered Breathing and Cognitive Impairment in Elderly Japanese-American Men
Autor: | Lon R. White, Emma K. Larkin, Kamal Masaki, Andrew A. Monjan, Daniel J. Foley, Susan Redline |
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Rok vydání: | 2003 |
Předmět: |
Male
Aging medicine.medical_specialty Polysomnography Neuropsychological Tests Cognitive Abilities Screening Instrument Cohort Studies Sleep Apnea Syndromes Physical medicine and rehabilitation Japan Physiology (medical) medicine Humans Dementia Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test Epworth Sleepiness Scale Sleep apnea medicine.disease United States Cognitive test Cross-Sectional Studies Breathing Physical therapy Neurology (clinical) Cognition Disorders Psychology Body mass index |
Zdroj: | Sleep. 26:596-599 |
ISSN: | 1550-9109 0161-8105 |
Popis: | To assess the association between sleep-disordered breathing and cognitive functioning in an elderly cohort of Japanese-American men.Cross-sectional study.The Honolulu-Asia Aging Study of Sleep Apnea, Oahu, Hawaii.718 men between 79 and 97 years of age examined in 1999 and 2000.Apnea-hypopnea index from in-home overnight polysomnography, performance on the Cognitive Abilities Screening Instrument, body mass index, neck circumference, Epworth Sleepiness Scale, snoring, Center for Epidemiologic Studies Depression 11-item depression scale, physical disability, and history of heart disease, stroke, hypertension, diabetes, and dementia.Less than 30% of the men had no sleep-disordered breathing (apnea-hypopnea index5) and nearly one-fifth (19%) had severe sleep-disordered breathing (apnea-hypopnea indexor = 30). Severe sleep-disordered breathing was associated with higher body mass index, habitual snoring, and daytime drowsiness. No association was found between sleep-disordered breathing and cognitive functioning, including measures of memory function, concentration, and attention.Sleep-disordered breathing was associated with more drowsiness but not with poor performance on standardized cognitive tests used to screen for Alzheimer disease and other dementias in older persons. Because a healthy-participant effect may have contributed to this finding, more extensive cognitive testing may be necessary to reveal more subtle deficits from sleep-disordered breathing. |
Databáze: | OpenAIRE |
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