{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T23:41:22Z","timestamp":1793144482319,"version":"4.5.0"},"reference-count":51,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Good sleep is essential for health, yet associations between sleep and dementia risk remain incompletely understood. The Sleep and Dementia Consortium was established to study associations between polysomnography (PSG)\u2013derived sleep and the risk of dementia and related cognitive and brain magnetic resonance imaging endophenotypes.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To investigate association of sleep architecture and obstructive sleep apnea (OSA) with cognitive function in the Sleep and Dementia Consortium.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n The Sleep and Dementia Consortium curated data from 5 population-based cohorts across the US with methodologically consistent, overnight, home-based type II PSG and neuropsychological assessments over 5 years of follow-up: the Atherosclerosis Risk in Communities study, Cardiovascular Health Study, Framingham Heart Study (FHS), Osteoporotic Fractures in Men Study, and Study of Osteoporotic Fractures. Sleep metrics were harmonized centrally and then distributed to participating cohorts for cohort-specific analysis using linear regression; study-level estimates were pooled in random effects meta-analyses. Results were adjusted for demographic variables, the time between PSG and neuropsychological assessment (0-5 years), body mass index, antidepressant use, and sedative use. There were 5946 participants included in the pooled analyses without stroke or dementia. Data were analyzed from March 2020 to June 2023.<\/jats:p>\n <\/jats:sec>\n \n Exposures<\/jats:title>\n Measures of sleep architecture and OSA derived from in-home PSG.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n \n The main outcomes were global cognitive composite\n z<\/jats:italic>\n scores derived from principal component analysis, with cognitive domains investigated as secondary outcomes. Higher scores indicated better performance.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Across cohorts, 5946 adults (1875 females [31.5%]; mean age range, 58-89 years) were included. The median (IQR) wake after sleep onset time ranged from 44 (27-73) to 101 (66-147) minutes, and the prevalence of moderate to severe OSA ranged from 16.9% to 28.9%. Across cohorts, higher sleep maintenance efficiency (pooled \u03b2 per 1% increase, 0.08; 95% CI, 0.03 to 0.14;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.01) and lower wake after sleep onset (pooled \u03b2 per 1-min increase, \u22120.07; 95% CI, \u22120.13 to \u22120.01 per 1-min increase;\n P<\/jats:italic>\n \u2009=\u2009.02) were associated with better global cognition. Mild to severe OSA (apnea-hypopnea index [AHI] \u22655) was associated with poorer global cognition (pooled \u03b2, \u22120.06; 95% CI, \u22120.11 to \u22120.01;\n P<\/jats:italic>\n \u2009=\u2009.01) vs AHI less than 5; comparable results were found for moderate to severe OSA (pooled \u03b2, \u22120.06; 95% CI, \u22120.11 to \u22120.01;\n P<\/jats:italic>\n \u2009=\u2009.02) vs AHI less than 5. Differences in sleep stages were not associated with cognition.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n This study found that better sleep consolidation and the absence of OSA were associated with better global cognition over 5 years of follow-up. These findings suggest that the role of interventions to improve sleep for maintaining cognitive function requires investigation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.25152","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T11:27:24Z","timestamp":1689679644000},"page":"e2325152","source":"Crossref","is-referenced-by-count":132,"title":["Sleep Architecture, Obstructive Sleep Apnea, and Cognitive Function in Adults"],"prefix":"10.1001","volume":"6","author":[{"given":"Matthew P.","family":"Pase","sequence":"first","affiliation":[{"name":"Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"},{"name":"Harvard T.H. 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Boston, Massachusetts"},{"name":"Glenn Biggs Institute for Alzheimer\u2019s and Neurodegenerative Diseases, University of Texas Health Science Center San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa","family":"Beiser","sequence":"additional","affiliation":[{"name":"Framingham Heart Study, Framingham, Massachusetts"},{"name":"Department of Neurology, Boston University School of Medicine, Boston, Massachusetts"},{"name":"Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca F.","family":"Gottesman","sequence":"additional","affiliation":[{"name":"National Institute of Neurological Disorders and Stroke Intramural Research Program, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Redline","sequence":"additional","affiliation":[{"name":"Division of Sleep and Circadian Disorders, Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"Department of Medicine, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Lopez","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Pittsburgh, Pittsburgh, Pennsylvania"},{"name":"Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela L.","family":"Lutsey","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota, Minneapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Yaffe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California, San Francisco"},{"name":"Department of Neurology, University of California, San Francisco"},{"name":"Department of Epidemiology, University of California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie L.","family":"Stone","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center, Research Institute, San Francisco"},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun M.","family":"Purcell","sequence":"additional","affiliation":[{"name":"Division of Sleep and Circadian Disorders, Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"Department of Psychiatry, Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayandra J.","family":"Himali","sequence":"additional","affiliation":[{"name":"Framingham Heart Study, Framingham, Massachusetts"},{"name":"Department of Neurology, Boston University School of Medicine, Boston, Massachusetts"},{"name":"Department of Biostatistics, Boston 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