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How non-rapid eye movement sleep and Alzheimer pathology are linked

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WORLD JOURNAL OF PSYCHIATRY
卷 11, 期 11, 页码 1027-1038

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BAISHIDENG PUBLISHING GROUP INC
DOI: 10.5498/wjp.v11.i11.1027

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Alzheimer's disease; Mild cognitive impairment; Sleep; Non-rapid eye movement sleep; Amyloid beta-peptides; Tau proteins; Electroencephalography

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Alzheimer's disease is a neurodegenerative disorder characterized by plaques and tangles. Research suggests that changes in NREM sleep may be linked to both AD pathology and increased risk of developing the disease. Studies indicate that NREM sleep deficiency could potentially be a causal factor in the development of AD, highlighting the importance of understanding the relationship between sleep and Alzheimer's disease.
Alzheimer's disease (AD) is a multifactorial neurodegenerative disorder characterized by the presence of senile plaques and neurofibrillary tangles. Research attempts to identify characteristic factors that are associated with the presence of the AD pathology on the one hand and that increase the risk of developing AD on the other. Changes in non-rapid eye movement (NREM) sleep may meet both requirements for various reasons. First, NREM-sleep is important for optimal memory function. In addition, studies report that the presence of AD pathology is associated with NREM-sleep changes. Finally, more and more results appear to suggest that sleep problems are not only a symptom of AD but can also increase the risk of AD. Several of these studies suggest that it is primarily a lack of NREM-sleep that is responsible for this increased risk. However, the majority investigated sleep only through subjective reporting, as a result of which NREM-sleep could not be analyzed separately. The aim of this literature study is therefore to present the results of the studies that relate the AD pathology and NREM-sleep (registered by electroencephalography). Furthermore, we try to evaluate whether NREM-sleep analysis could be used to support the diagnosis of AD and whether NREM-sleep deficiency could be a causal factor in the development of AD.

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