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Sleep duration, cognitive decline, and dementia risk in older women
Journal article   Peer reviewed

Sleep duration, cognitive decline, and dementia risk in older women

Jiu-Chiuan Chen, Mark A Espeland, Robert L Brunner, Laura C Lovato, Robert B Wallace, Xiaoyan Leng, Lawrence S Phillips, Jennifer G Robinson, Jane M Kotchen, Karen C Johnson, …
Alzheimer's & dementia, Vol.12(1), pp.21-33
01/2016
DOI: 10.1016/j.jalz.2015.03.004
PMCID: PMC4679723
PMID: 26086180
url
http://doi.org/10.1016/j.jalz.2015.03.004View
Open Access

Abstract

Consistent evidence linking habitual sleep duration with risks of mild cognitive impairment (MCI) and dementia is lacking. We conducted a prospective study on 7444 community-dwelling women (aged 65–80 y) with self-reported sleep duration, within the Women's Health Initiative Memory Study in 1995–2008. Incident MCI/dementia cases were ascertained by validated protocols. Cox models were used to adjust for multiple sociodemographic and lifestyle factors, depression, cardiovascular disease (CVD), and other clinical characteristics. We found a statistically significant (P = .03) V-shaped association with a higher MCI/dementia risk in women with either short (≤6 hours/night) or long (≥8 hours/night) sleep duration (vs. 7 hours/night). The multicovariate-adjusted hazard for MCI/dementia was increased by 36% in short sleepers irrespective of CVD, and by 35% in long sleepers without CVD. A similar V-shaped association was found with cognitive decline. In older women, habitual sleep duration predicts the future risk for cognitive impairments including dementia, independent of vascular risk factors.
Dementia Cognitive decline Mild cognitive impairment Cohort studies Longitudinal analysis Cognition Elderly Sleep duration

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