Palpatzis, E;
Bass, N;
Jones, R;
Mukadam, N;
(2022)
Longitudinal association of apolipoprotein E and sleep with incident dementia.
Alzheimer's & Dementia
, 18
(5)
pp. 888-898.
10.1002/alz.12439.
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Abstract
Introduction: Few longitudinal studies have explored the association between apolipoprotein E gene (APOE) status, sleep disturbances, and incident dementia among middle-aged participants. / Methods: Cox regression analyses explored the association of sleep duration, insomnia, and daytime napping with incident all-cause dementia and their interaction with APOE genetic risk among 397,777 middle-aged adults. / Results: During a median of 10.8 years follow-up, sleeping more or fewer than 7 hours was associated with a higher dementia risk (hazard ratio [HR] for 5 vs 7 hours: 1.35, 95% confidence interval [CI] 1.11–1.64; HR for 9 vs 7 hours: 1.59; 95% CI 1.37–1.85) as was daytime napping (HR for often/all of the time vs never/rarely: 1.67; 95% CI 1.37–2.03). Stratified analyses revealed that the effects of sleep disturbances were similar across all APOE genetic risk groups. / Discussion: Short and long sleep duration and daytime napping in middle-aged individuals are associated with the development of dementia in later life. Sleep duration and quality are important for everyone regardless of their genetic risk by APOE genotype.
Type: | Article |
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Title: | Longitudinal association of apolipoprotein E and sleep with incident dementia |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1002/alz.12439 |
Publisher version: | http://dx.doi.org/10.1002/alz.12439 |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
Keywords: | APOE, Cox regression, daytime napping, dementia, insomnia, longitudinal design, sleep duration, UK Biobank |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health of Older People |
URI: | https://discovery.ucl.ac.uk/id/eprint/10134669 |
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