{"id":43423,"date":"2017-01-31T12:23:48","date_gmt":"2017-01-31T17:23:48","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/camed\/?p=43423"},"modified":"2017-01-31T12:23:55","modified_gmt":"2017-01-31T17:23:55","slug":"physicians-should-consider-link-between-sleep-and-cognitive-impairment-in-elderly","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/camed\/2017\/01\/31\/physicians-should-consider-link-between-sleep-and-cognitive-impairment-in-elderly\/","title":{"rendered":"Physicians Should Consider Link between Sleep and Cognitive Impairment in Elderly"},"content":{"rendered":"<p><img loading=\"lazy\" src=\"\/camed\/files\/2017\/01\/ThinkstockPhotos-84611595-636x424.jpg\" alt=\"COM_Man napping on a couch\" class=\"aligncenter wp-image-43426\" height=\"233\" width=\"350\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/01\/ThinkstockPhotos-84611595-636x424.jpg 636w, https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/01\/ThinkstockPhotos-84611595.jpg 724w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/p>\n<p>In an editorial in the current issue of <em>Neurology<\/em>, a BUSM researcher stresses that it is now time for physicians to consider the association between these sleep conditions and cognitive impairment in the elderly.<\/p>\n<p>Daytime sleepiness is very common in the elderly with prevalence rates of up to 50 percent. Caused by sleep-disordered breathing (SDB), a disruption of normal breathing during sleep, these cause recurrent awakenings and subsequent excessive daytime sleepiness.<\/p>\n<p>In the same issue of the journal, researchers of the \u201cHypnoLaus Study\u201d investigated an older population (over the age of 65), with and without cognitive impairment. They performed sleep studies on these groups and found that the group with cognitive impairments had more sleep disturbances attributed to SDB.<\/p>\n<p><img loading=\"lazy\" src=\"\/camed\/files\/2017\/01\/Auerbach-Sanford-184x184.jpg\" alt=\"COM-Auerbach-Sanford\" class=\" wp-image-43427 alignleft\" height=\"125\" width=\"125\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/01\/Auerbach-Sanford-184x184.jpg 184w, https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/01\/Auerbach-Sanford-184x184-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/01\/Auerbach-Sanford-184x184-100x100.jpg 100w\" sizes=\"(max-width: 125px) 100vw, 125px\" \/>\u201cAlthough this does not necessarily mean that sleep apnea causes cognitive impairment in the elderly, it does highlight the association,\u201d explained corresponding author Sanford Auerbach, MD, associate professor of neurology and psychiatry at BUSM and director of the Sleep Disorders Center at Boston Medical Center.<\/p>\n<p>According to Auerbach the causal link between SDB\/obstructive sleep apnea (OSA) and cognitive impairment in the elderly is not entirely clear. \u201cNevertheless, it does raise the issue that clinicians evaluating OSA in the elderly should screen for cognitive impairments. Clinicians evaluating cognitive impairment in the elderly should also screen their patients for sleep disturbance and OSA.\u201d<\/p>\n<p>Even though it is not clear that treatment of OSA will delay or prevent the cognitive impairment and possible development of dementia, Auerbach believes that treatment of OSA will improve the quality of life for these patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sanford Auerbach, MD, stresses that it is now time for physicians to consider the association between these sleep conditions and cognitive impairment in the elderly.<\/p>\n","protected":false},"author":12772,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[91,126,90],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/43423"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/users\/12772"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/comments?post=43423"}],"version-history":[{"count":4,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/43423\/revisions"}],"predecessor-version":[{"id":43430,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/43423\/revisions\/43430"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media?parent=43423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/categories?post=43423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/tags?post=43423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}