Disturbed sleep and diabetes: A potential nexus of dementia risk.

Disturbed sleep and diabetes: A potential nexus of dementia risk.
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睡眠和糖尿病受到干扰:痴呆症风险的潜在联系。

DOI:
10.1016/j.metabol.2018.01.021
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发表时间:
2018-07
期刊:
Metabolism: clinical and experimental
影响因子:
--
通讯作者:
Spira AP
Spira AP
中科院分区:
其他
文献类型:
--
作者:
Holingue C;Wennberg A;Berger S;Polotsky VY;Spira AP

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2 型糖尿病 (T2D) 和睡眠障碍(例如失眠、睡眠呼吸障碍)是老年人中常见的疾病,与认知能力下降和痴呆症(包括阿尔茨海默病 (AD))相关。重要的是,睡眠障碍与胰岛素敏感性和葡萄糖代谢的改变有关,可能会增加患 T2D 的风险,而 T2D 相关并发症(例如疼痛、夜尿)会对睡眠产生负面影响。尽管存在这些关联,但人们对 T2D 和睡眠障碍之间的相互作用如何改变认知轨迹或痴呆症背后的病理变化知之甚少。在此,我们回顾了 T2D、睡眠障碍、认知能力下降和痴呆(包括临床前和临床 AD)之间的联系,并找出文献中的空白,如果解决这些空白,可能会对预防不良认知结果产生重大影响。
Type 2 diabetes (T2D) and sleep disturbance (e.g., insomnia, sleep-disordered breathing) are prevalent conditions among older adults that are associated with cognitive decline and dementia, including Alzheimer's disease (AD). Importantly, disturbed sleep is associated with alterations in insulin sensitivity and glucose metabolism, and may increase the risk of T2D, and T2D-related complications (e.g., pain, nocturia) can negatively affect sleep. Despite these associations, little is known about how interactions between T2D and sleep disturbance might alter cognitive trajectories or the pathological changes that underlie dementia. Here, we review links among T2D, sleep disturbance, cognitive decline and dementia—including preclinical and clinical AD—and identify gaps in the literature, that if addressed, could have significant implications for the prevention of poor cognitive outcomes.
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