4.5 Review

Sleep Duration and Executive Function in Adults

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SPRINGER
DOI: 10.1007/s11910-023-01309-8

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Sleep duration; Sleep quality; Executive function; Dementia

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This review examines the relationship between sleep and cognition, particularly focusing on the sub-domain of executive function. It explores the impact of sleep deprivation and optimal sleep duration on cognitive performance, and highlights the importance of sleep quality. It also discusses the potential biological mechanisms underlying the relationship between sleep and cognition, such as changes in brain structure and function.
Purpose of ReviewTo review the literature examining the relationship between sleep and cognition, specifically examining the sub-domain of executive function. We explore the impact of sleep deprivation and the important question of how much sleep is required for optimal cognitive performance. We consider how other sleep metrics, such as sleep quality, may be a more meaningful measure of sleep. We then discuss the putative mechanisms between sleep and cognition followed by their contribution to developing dementia.Recent FindingsSleep duration and executive function display a quadratic relationship. This suggests an optimal amount of sleep is required for daily cognitive processes. Poor sleep efficiency and sleep fragmentation are linked with poorer executive function and increased risk of dementia during follow-up. Sleep quality may therefore be more important than absolute duration. Biological mechanisms which may underpin the relationship between sleep and cognition include brain structural and functional changes as well as disruption of the glymphatic system.SummarySleep is an important modifiable lifestyle factor to improve daily cognition and, possibly, reduce the risk of developing dementia. The impact of optimal sleep duration and sleep quality may have important implications for every ageing individual.

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