
Five Hours or Less of Sleep Associated With Increased Risk of Dementia, Death in Older Adults
Older adults who reported getting 5 hours or less of sleep per night exhibited a more than 2-fold increased risk of dementia than those who reported 7 to 8 hours of sleep, with sleep disturbance and deficiency additionally linked with overall risk of death.
Adults 65 years and older who reported getting 5 hours or less of
In examining the potential link between sleep and dementia, a
As the National Sleep Foundation finds that adults 65 years and older report more sleep disturbance than any other age group, researchers sought to further examine whether sleep quality and duration may be linked with dementia and all-cause mortality among these populations.
Using nationally representative data derived from older adults taking part in the
Respondents answered sleep questionnaires in 2013 and 2014 on several characteristics of sleep disturbance and deficiency, including alertness, nap frequency, time to sleep onset, sleep quality (indicated as very good, good, fair, poor, and very poor), sleep duration, and snoring.
Responses were analyzed over the following 5 years via Cox proportional hazard ratios (HR), adjusting for confounders such as marital status, chronic conditions, body weight, and depressive symptoms.
Compared with the reference point of 7 to 8 hours in sleep duration, participants who reported very short sleep duration of 5 hours or less were more than twice as likely to be associated with incident dementia in adjusted Cox models (HR, 2.04; 95% CI, 1.26-3.33). Additionally, respondents who reported taking 30 minutes or longer to fall asleep were at a 45% greater risk for incident dementia (HR, 1.45; 95% CI, 1.03-2.03) compared with those who took less than 15 minutes for sleep onset.
"Our findings illuminate a connection between sleep deficiency and risk of dementia and confirm the importance of efforts to help older individuals obtain sufficient sleep each night," said lead study author Rebecca Robbins, PhD, of the Division of Sleep and Circadian Disorders at Brigham and Women’s Hospital (BWH), in a
Several of the sleep disturbance and deficiency variables were found to be linked with all-cause mortality in adjusted Cox models:
- difficulty maintaining alertness (some days: HR, 1.49; 95% CI, 1.13-1.94; most/every day: HR, 1.65; 95% CI, 1.17-2.32)
- nap frequency (some days: HR, 1.38; 95% CI, 1.03-1.85; most/every day: HR, 1.73; 95% CI, 1.29-2.32)
- sleep quality (poor/very poor: HR, 1.75; 95% CI, 1.17-2.61)
- very short sleep duration of 5 hours or less (HR, 2.38; 95% CI, 1.44-3.92)
Senior study author Charles Czeisler, MD, PhD, FRCP, FAPS, chief of the Division of Sleep and Circadian Disorders at BWH, also noted in a
"These data add to the evidence that sleep is important for brain health and highlight the need for further research on the efficacy of improving sleep and treating sleep disorders on the risk of AD and mortality," said Czeisler.
Reference
Robbins R, Quan SF, Weaver MD, Bormes G, Barger LK, Czeisler CA. Examining sleep deficiency and disturbance and their risk for incident dementia and all-cause mortality in older adults across 5 years in the United States. Aging. Published online February 11, 2021. doi:10.18632/aging.202591
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