Abstract

Human brain aging is characterized by the gradual deterioration of its function and structure, affected by the interplay of a multitude of causal factors. The sleep, a periodically repeating state of reversible unconsciousness characterized by distinct electrical brain activity, is crucial for maintaining brain homeostasis. Indeed, insufficient sleep was associated with accelerated brain atrophy and impaired brain functional connectivity. Concurrently, alteration of sleep-related transient electrical events in senescence was correlated with structural and functional deterioration of brain regions responsible for their generation, implying the interconnectedness of sleep and brain structure. This review discusses currently available data on the link between human brain aging and sleep derived from various neuroimaging and neurophysiological methods. We advocate the notion of a mutual relationship between the sleep structure and age-related alterations of functional and structural brain integrity, pointing out the position of high-quality sleep as a potent preventive factor of early brain aging and neurodegeneration. However, further studies are needed to reveal the causality of the relationship between sleep and brain aging.

Highlights

  • Aging is accompanied by a gradual loss of function and structural degeneration in all organ systems (López-Otín et al, 2013)

  • Filling the void in the currently available literature, this review focuses on the link between brain aging and sleep—one of the key modifiable risk factors—through the viewing glass of various neuroimaging and neurophysiological methods

  • The current review presents and attempts to synthetize the following conclusions: (1) Brain atrophy and disruption of functional neuronal connectivity are hallmarks of brain aging

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Summary

Bidirectional Association Between Sleep and Brain Atrophy in Aging

Reviewed by: Aarti Mishra, AbbVie, United States Arcady A. Human brain aging is characterized by the gradual deterioration of its function and structure, affected by the interplay of a multitude of causal factors. Insufficient sleep was associated with accelerated brain atrophy and impaired brain functional connectivity. Alteration of sleep-related transient electrical events in senescence was correlated with structural and functional deterioration of brain regions responsible for their generation, implying the interconnectedness of sleep and brain structure. This review discusses currently available data on the link between human brain aging and sleep derived from various neuroimaging and neurophysiological methods. We advocate the notion of a mutual relationship between the sleep structure and age-related alterations of functional and structural brain integrity, pointing out the position of high-quality sleep as a potent preventive factor of early brain aging and neurodegeneration.

INTRODUCTION
Sleep and Brain Aging
NEUROIMAGING CORRELATES OF BRAIN AGING
NEUROIMAGING PARAMETERS RELATED TO SLEEP
DISCUSSION
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