中华老年多器官疾病杂志2024,Vol.23Issue(1) :68-71.DOI:10.11915/j.issn.1671-5403.2024.01.013

老年人群睡眠障碍与阿尔茨海默病相关性研究进展

Research progress in correlation between sleep disorders and Alzheimer's disease in the elderly

张源 姜季委 王艳丽 徐俊
中华老年多器官疾病杂志2024,Vol.23Issue(1) :68-71.DOI:10.11915/j.issn.1671-5403.2024.01.013

老年人群睡眠障碍与阿尔茨海默病相关性研究进展

Research progress in correlation between sleep disorders and Alzheimer's disease in the elderly

张源 1姜季委 1王艳丽 1徐俊1
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作者信息

  • 1. 首都医科大学附属北京天坛医院神经病学中心认知障碍性疾病科,北京 100070
  • 折叠

摘要

睡眠模式随衰老而变化,老年人群易合并入睡困难、睡眠碎片化、白日嗜睡、早醒等睡眠障碍.阿尔茨海默病(AD)是衰老背景下的神经系统退行性疾病,也是老年人最常见的痴呆原因.目前,越来越多的研究发现,睡眠障碍与AD之间存在显著的相关性,尤其是睡眠觉醒障碍,可通过影响脑内淋巴循环代谢,导致β-淀粉样蛋白清除率降低,进而影响AD发生发展.尽管有一定的研究基础,但是睡眠障碍究竟是AD发生发展的因还是果仍未可知,睡眠障碍影响AD发生发展的潜在机制仍不明确,AD相关认知障碍患者的睡眠干预及调节策略仍缺乏统一的指导意见.因此,本文综述了衰老与睡眠生理变化、睡眠障碍与AD相关性及睡眠障碍干预与认知改善的最新研究证据,旨在提高人们对睡眠障碍及睡眠调节重要性的认识,以期达到疾病的早期预防.

Abstract

Sleep patterns change with aging,and the elderly are prone to sleep disorders including difficulty in falling asleep,sleep fragmentation,daytime sleepiness,and early awakening.Alzheimer's disease(AD)is an age-related neurodegenerative disease and the most common cause of dementia in the elderly.More and more studies have shown a remarkable correlation between AD and sleep disorders,especially sleep-wake disorders.They may affect the metabolism of the brain's lymphatic system,reduce the clearance of amyloid β protein,and play a key role in the onset and progression of AD.Despite the previous studies,the causality between sleep disorders and AD as well as the underlying mechanism remains uncertain.Moreover,consensus is yet to be reached for a guidance on sleep regulation for patients with AD-related cognitive impairment.In this article,we reviewed the latest research evidence on aging and physiological changes in sleep,the correlation between sleep disorders and AD,and management strategies for sleep disorders and cognitive improvement,aiming to raise the awareness of the importance of sleep regulation for early prevention.

关键词

老年人/睡眠障碍/阿尔茨海默病/昼夜节律

Key words

aged/sleep disorders/Alzheimer's disease/circadian rhythm

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基金项目

国家自然科学基金(82071187)

国家自然科学基金(81870821)

出版年

2024
中华老年多器官疾病杂志
中国人民解放军总医院老年心血管病研究所

中华老年多器官疾病杂志

CSTPCD
影响因子:0.728
ISSN:1671-5403
参考文献量2
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