Abstract

It is becoming increasingly apparent that sleep plays an important role in the maintenance, disease prevention, repair, and restoration of both mind and body. The sleep and wake cycles are controlled by the pacemaker activity of the superchiasmic nucleus in the hypothalamus but can be disrupted by diseases of the nervous system causing disordered sleep. A lack of sleep has been associated with an increase in all-cause mortality. Likewise, sleep disturbances and sleep disorders may disrupt neuronal pathways and have an impact on neurological diseases. Sleep deprivation studies in normal subjects demonstrate that a lack of sleep can cause attention and working memory impairment. Moreover, untreated sleep disturbances and sleep disorders such as obstructive sleep apnoe (OSA) can also lead to cognitive impairment. Poor sleep and sleep disorders may present a significant risk factor for the development of dementia. In this review, the underlying mechanisms and the role of sleep and sleep disorders in the development of neurocognitive disorders [dementia and mild cognitive impairment (MCI)] and how the presence of sleep disorders could direct the process of diagnosis and management of neurocognitive disorders will be discussed.

Highlights

  • The worldwide prevalence of neurocognitive disorders [dementia and mild cognitive impairment (MCI)] is increasing

  • Our studies have shown that sleep duration is associated with an increase in all-cause mortality [3]

  • In a recent study, looking at 3,968 male and 4,821 female white participants, aged 50 years and over, from the English Longitudinal Study of Ageing (ELSA), we demonstrated that the relationship between sleep and cognition may vary with age

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Summary

BACKGROUND

The worldwide prevalence of neurocognitive disorders [dementia and mild cognitive impairment (MCI)] is increasing. Alzheimer’s disease (AD) is a neurodegenerative disorder in which there is a progressive decline in cognitive function. It is the most common cause of dementia. In 2010, the worldwide prevalence of AD was estimated to be 35.6 million [1]. While the worldwide prevalence for those aged 60 or above is estimated between 5 and 7%, a higher prevalence in Latin America (8.5%) and a distinctively lower prevalence in the four sub-Saharan African regions (2–4%) are reported. The relationship between sleep and cognitive function and the role sleep and sleep disorders may have in the prevention, development, and treatment of neurocognitive disorders. Sleep and neurocognitive disorders will be considered. Underlying mechanisms are briefly examined along with the public health importance

Sleep Architecture
Sleep and Aging
Sleep Quantity and Cognition
Sleep Quality and Cognition
Sleep and Cognitive Decline with Age
Melatonin Levels
ROLE OF SLEEP DISORDERS IN DEVELOPMENT OF NEUROCOGNITIVE DISORDERS
Sleep Apnea
Insomnia and Hypersomnia
Circadian Rhythm Sleep Disorders
Circadian Rhythm Disorders
REM Sleep Behavioral Disorder
Pharmacological Sleep Intervention in Dementia
Improving Sleep Quality
POLICY IMPLICATIONS
Findings
CONCLUSION

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