{"id":11433,"date":"2013-03-15T08:39:49","date_gmt":"2013-03-15T12:39:49","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=11433"},"modified":"2013-03-16T01:07:47","modified_gmt":"2013-03-16T05:07:47","slug":"study-suggests-sleep-loss-precedes-alzheimers-symptoms","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2013\/03\/study-suggests-sleep-loss-precedes-alzheimers-symptoms\/","title":{"rendered":"Study suggests sleep loss precedes Alzheimer&#8217;s symptoms"},"content":{"rendered":"<p>From the Washington University School of Medicine press release via EurekAlert!:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/sleeping_older_couple.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-9619\" alt=\"sleeping older couple\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/sleeping_older_couple.jpg\" width=\"300\" height=\"200\" \/><\/a><strong>Sleep is disrupted in people who likely have early Alzheimer&#8217;s disease but do not yet have the memory loss or other cognitive problems<\/strong> characteristic of full-blown disease, researchers at Washington University School of Medicine in St. Louis report March 11 in <i>JAMA Neurology<\/i>.<\/p>\n<p>The finding confirms earlier observations by some of the same researchers. <strong>Those studies showed a link in mice between sleep loss and brain plaques, a hallmark of Alzheimer&#8217;s disease<\/strong>. Early evidence tentatively suggests the connection may work in both directions: Alzheimer&#8217;s plaques disrupt sleep, and lack of sleep promotes Alzheimer&#8217;s plaques.<\/p>\n<p>&#8220;<strong>This link may provide us with an easily detectable sign of Alzheimer&#8217;s pathology<\/strong>,&#8221; says senior author David M. Holtzman, MD, the Andrew B. and Gretchen P. Jones Professor and head of Washington University&#8217;s Department of Neurology. &#8220;As we start to treat people who have markers of early Alzheimer&#8217;s, changes in sleep in response to treatments may serve as an indicator of whether the new treatments are succeeding.&#8221;<\/p>\n<p>Sleep problems are common in people who have symptomatic Alzheimer&#8217;s disease, but scientists recently have begun to suspect that they also may be an indicator of early disease.<strong> The new paper is among the first to connect early Alzheimer&#8217;s disease and sleep disruption in humans.<\/strong><\/p>\n<p>For the new study, researchers recruited <strong>145 volunteers<\/strong> from the University&#8217;s Charles F. and Joanne Knight Alzheimer&#8217;s Disease Research Center. All of the volunteers were 45 to 75 years old and cognitively normal when they enrolled.<\/p>\n<p>As a part of other research at the center, scientists already had analyzed samples of the volunteers&#8217; spinal fluids for markers of Alzheimer&#8217;s disease.<strong> The samples showed that 32 participants had preclinical Alzheimer&#8217;s disease, meaning they were likely to have amyloid plaques present in their brains but were not yet cognitively impaired<\/strong>.<\/p>\n<p>Participants kept daily sleep diaries for two weeks, noting the time they went to bed and got up, the number of naps taken on the previous day, and other sleep-related information.<\/p>\n<p>The researchers tracked the participants&#8217; activity levels using sensors worn on the wrist that detected the wearer&#8217;s movements.<\/p>\n<p>&#8220;Most people don&#8217;t move when they&#8217;re asleep, and we developed a way to use the data we collected as a marker for whether a person was asleep or awake,&#8221; says first author Yo-El Ju, MD, assistant professor of neurology. &#8220;<strong>This let us assess sleep efficiency, which is a measure of how much time in bed is spent asleep<\/strong>.&#8221;<\/p>\n<p>Participants who had preclinical Alzheimer&#8217;s disease had poorer sleep efficiency (80.4 percent) than people without markers of Alzheimer&#8217;s (83.7 percent). On average, those with preclinical disease were in bed as long as other participants, but they spent less time asleep. They also napped more often.<\/p>\n<p>&#8220;<strong>When we looked specifically at the worst sleepers, those with a sleep efficiency lower than 75 percent, they were more than five times more likely to have preclinical Alzheimer&#8217;s disease<\/strong> than good sleepers,&#8221; Ju says.<\/p>\n<p>Ju and her colleagues are following up with studies in younger participants who have sleep disorders.<\/p>\n<p>&#8220;We think this may help us get a better feel for the way this connection flows \u2014 <strong>does sleep loss drive Alzheimer&#8217;s, does Alzheimer&#8217;s lead to sleep loss, or is it a combination?<\/strong>&#8221; Ju says. &#8220;That will help us determine whether we can change the course of disease with pharmaceuticals or other treatments.&#8221;<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Washington University School of Medicine press release via EurekAlert!: Sleep is disrupted in people who likely have early Alzheimer&#8217;s disease but do not yet have the memory loss&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2013\/03\/study-suggests-sleep-loss-precedes-alzheimers-symptoms\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,6],"tags":[195,42,18,194,362],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11433"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=11433"}],"version-history":[{"count":4,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11433\/revisions"}],"predecessor-version":[{"id":11549,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11433\/revisions\/11549"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=11433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=11433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=11433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}