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The association between sleep spindles and cognitive function in middle-aged and older men from a community-based cohort study.
Parker, Jesse L; Appleton, Sarah L; Adams, Robert J; Melaku, Yohannes Adama; D'Rozario, Angela L; Wittert, Gary A; Martin, Sean A; Catcheside, Peter G; Lechat, Bastien; Teare, Alison J; Toson, Barbara; Vakulin, Andrew.
Affiliation
  • Parker JL; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: park0769@flinders.edu.au.
  • Appleton SL; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: sarah.appleton@flinders.edu.au.
  • Adams RJ; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia; Respiratory and Sleep Services, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia. Electronic address: robert.adams@flinders.edu.
  • Melaku YA; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: yohannes.melaku@flinders.edu.au.
  • D'Rozario AL; CIRUS, Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, University of Sydney, Sydney, New South Wales, Australia; The University of Sydney, Faculty of Science, School of Psychology, Sydney, New South Wales, Australia. Electronic address: angela.dorzario@sydney.edu.au.
  • Wittert GA; Australian Institute of Family Studies, Melbourne, Victoria, Australia; Freemasons Centre for Male Health and Wellbeing, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. Electronic address: gary.wittert@adelaide.edu.au.
  • Martin SA; Australian Institute of Family Studies, Melbourne, Victoria, Australia; Freemasons Centre for Male Health and Wellbeing, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia. Electronic address: sean.martin@aifs.gov.au.
  • Catcheside PG; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: peter.catcheside@flinders.edu.au.
  • Lechat B; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: bastien.lechat@flinders.edu.au.
  • Teare AJ; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: alison.teare@flinders.edu.au.
  • Toson B; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia. Electronic address: barbara.toson@flinders.edu.au.
  • Vakulin A; Flinders Health and Medical Research Institute, Adelaide Institute for Sleep Health, Flinders University, Adelaide, South Australia, Australia; CIRUS, Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, University of Sydney, Sydney, New South Wales, Australia. Electronic addr
Sleep Health ; 9(5): 774-785, 2023 Oct.
Article in En | MEDLINE | ID: mdl-37268483
OBJECTIVES: Previous studies examining associations between sleep spindles and cognitive function attempted to account for obstructive sleep apnea without consideration for potential moderating effects. To elucidate associations between sleep spindles, cognitive function, and obstructive sleep apnea, this study of community-dwelling men examined cross-sectional associations between sleep spindle metrics and daytime cognitive function outcomes following adjustment for obstructive sleep apnea and potential obstructive sleep apnea moderating effects. METHODS: Florey Adelaide Male Ageing Study participants (n = 477, 41-87 years) reporting no previous obstructive sleep apnea diagnosis underwent home-based polysomnography (2010-2011). Cognitive testing (2007-2010) included the inspection time task (processing speed), trail-making tests A (TMT-A) (visual attention) and B (trail-making test-B) (executive function), and Fuld object memory evaluation (episodic memory). Frontal spindle metrics (F4-M1) included occurrence (count), average frequency (Hz), amplitude (µV), and overall (11-16 Hz), slow (11-13 Hz), and fast (13-16 Hz) spindle density (number/minute during N2 and N3 sleep). RESULTS: In fully adjusted linear regression models, lower N2 sleep spindle occurrence was associated with longer inspection times (milliseconds) (B = -0.43, 95% confidence interval [-0.74, -0.12], p = .006), whereas higher N3 sleep fast spindle density was associated with worse TMT-B performance (seconds) (B = 18.4, 95% confidence interval [1.62, 35.2], p = .032). Effect moderator analysis revealed that in men with severe obstructive sleep apnea (apnea-hypopnea index ≥30/hour), slower N2 sleep spindle frequency was associated with worse TMT-A performance (χ2 = 12.5, p = .006). CONCLUSIONS: Specific sleep spindle metrics were associated with cognitive function, and obstructive sleep apnea severity moderated these associations. These observations support the utility of sleep spindles as useful cognitive function markers in obstructive sleep apnea, which warrants further longitudinal investigation.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Language: En Journal: Sleep Health Year: 2023 Document type: Article Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Language: En Journal: Sleep Health Year: 2023 Document type: Article Country of publication: Estados Unidos