scholarly journals Microglia and the Aging Brain: Are Geriatric Microglia Linked to Poor Sleep Quality?

2021 ◽  
Vol 22 (15) ◽  
pp. 7824
Author(s):  
Mohammed E. Choudhury ◽  
Kazuya Miyanishi ◽  
Haruna Takeda ◽  
Junya Tanaka

Poor sleep quality and disrupted circadian behavior are a normal part of aging and include excessive daytime sleepiness, increased sleep fragmentation, and decreased total sleep time and sleep quality. Although the neuronal decline underlying the cellular mechanism of poor sleep has been extensively investigated, brain function is not fully dependent on neurons. A recent antemortem autographic study and postmortem RNA sequencing and immunohistochemical studies on aged human brain have investigated the relationship between sleep fragmentation and activation of the innate immune cells of the brain, microglia. In the process of aging, there are marked reductions in the number of brain microglial cells, and the depletion of microglial cells disrupts circadian rhythmicity of brain tissue. We also showed, in a previous study, that pharmacological suppression of microglial function induced sleep abnormalities. However, the mechanism underlying the contribution of microglial cells to sleep homeostasis is only beginning to be understood. This review revisits the impact of aging on the microglial population and activation, as well as microglial contribution to sleep maintenance and response to sleep loss. Most importantly, this review will answer questions such as whether there is any link between senescent microglia and age-related poor quality sleep and how this exacerbates neurodegenerative disease.

2020 ◽  
Vol 4 (2) ◽  
pp. 125
Author(s):  
Yosi Maria Wijaya ◽  
Fransiskus Xaverius Widiantoro

Introduction: The widely used social media by mobile-platform, which makes communication easier, faster, enhance effective flow of information. However, it may have the potential negative effect in quality of sleep in nursing students. The purpose of this study was to examined the impact of using social media and identified predictors of poor sleep quality among nursing students. Methods: A school-based survey design was conducted. Totally, 264 students at school of health sciences in West Java with usage social media platform were participated in this study. The extensive self-administered questionnaires were used to assess extent of using social media and the Pittsburgh Sleep Quality Index. Logistic regression analysis by a backward-stepwise technique was used to determine predictors of poor sleep quality. Results: One out of two nursing students (59.5 %) used both Instagram and WhatsApp, mostly at nights (59.8%), and more than 4-hour daily (19.3%). Majority nursing students (94.3%) have poor quality of sleep. Quality of sleep was differed significantly in bachelor students (p=0.03) in 8th semester (p = 0.006). Younger nursing students (β = 0.025, p = 0.021, 95% CI 0.001-0.566) who use social media less than 3-month (β = .019, p = 0.001, 95% CI 0.002-0.212), mostly during weekends and in 8th semester (β = 41.32, p = 0.018, 95% CI 1.902-897.73) were predictor of poorer sleep quality. Conclusion: Findings indicated a strong need for integrating sleep quality education and provide health-education to promote correct and effective use of social networks to minimize possible side effects in nursing students.


Author(s):  
Yanlin Wang ◽  
Ping Jiang ◽  
Shi Tang ◽  
Lu Lu ◽  
Xuan Bu ◽  
...  

Abstract Anxiety and depressive symptoms may predispose individuals to sleep disturbance. Understanding how these emotional symptoms affect sleep quality, especially the underlying neural basis, could support the development of effective treatment. The aims of the present study were therefore to investigate potential changes in brain morphometry associated with poor sleep quality and whether this structure played a mediating role between the emotional symptoms and sleep quality. One hundred and forty-one healthy adults (69 women, mean age = 26.06 years, SD = 6.36 years) were recruited. A structural magnetic resonance imaging investigation was performed, and self-reported measures of anxiety, depressive symptoms and sleep quality were obtained for each participant. Whole-brain regression analysis revealed that worse sleep quality was associated with thinner cortex in left superior temporal sulcus (STS). Furthermore, the thickness of left STS mediated the association between the emotional symptoms and sleep quality. A subsequent commonality analysis showed that physiological component of the depressive symptoms had the greatest influence on sleep quality. In conclusion, thinner cortex in left STS may represent a neural substrate for the association between anxiety and depressive symptoms and poor sleep quality and may thus serve as a potential target for neuromodulatory treatment of sleep problems.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A435-A435
Author(s):  
T J Braley ◽  
A L Kratz ◽  
D Whibley ◽  
C Goldstein

Abstract Introduction The majority of sleep research in persons with multiple sclerosis (PwMS) has been siloed, restricted to evaluation of one or a few sleep measures in isolation. To fully characterize the impact of sleep disturbances in MS, multifaceted phenotyping of sleep is required. The objective of this study was to more comprehensively quantify sleep in PwMS, using a recently developed multi-domain framework of duration, continuity, regularity, sleepiness/alertness, and quality. Methods Data were derived from a parent study that examined associations between actigraphy and polysomnography-based measures of sleep and cognitive function in MS. Actigraphy was recorded in n=55 PwMS for 7-12 days (Actiwatch2®, Philips Respironics). Sleep metrics included: duration=mean total sleep time (TST, minutes); continuity=mean wake time after sleep onset (minutes), and regularity=stddev wake-up time (hours). ‘Extreme’ values for continuity/regularity were defined as the most extreme third of the distributions. ‘Extreme’ TST values were defined as the lowest or highest sixth of the distributions. Sleepiness (Epworth Sleepiness Scale score) and sleep quality [Pittsburgh Sleep Quality Index (PSQI) sleep quality item] were dichotomized by accepted cutoffs (>10 and >1, respectively). Results Sleep was recorded for a mean of 8.2 days (stddev=0.95). Median (1st, 3rd quartile) values were as follows: duration 459.79 (430.75, 490.60), continuity 37.00 (23.44, 52.57), regularity 1.02 (0.75, 1.32), sleepiness/alertness 8 (4, 12), and sleep quality 1.00 (1.00, 2.00). Extreme values based on data distributions were: short sleep <=426.25 minutes (18%), long sleep >515.5 minutes (16%), poor sleep continuity ≥45 minutes (33%), and poor sleep regularity ≥1.17 hours (33%). Sleepiness and poor sleep quality were present in 36% and 40% respectively. For comparison, in a historical cohort of non-MS patients, the extreme third of sleep regularity was a stddev of 0.75 hours, 13% had ESS of >10, and 16% had poor sleep quality. Conclusion In this study of ambulatory sleep patterns in PwMS, we found greater irregularity of sleep-wake timing, and higher prevalence of sleepiness and poor sleep quality than published normative data. Efforts should be made to include these measures in the assessment of sleep-related contributions to MS outcomes. Support The authors received no external support for this work.


2021 ◽  
Author(s):  
Jiaojiao Lu ◽  
Yan An ◽  
Jun Qiu

Abstract Background To evaluate the impact of pre-competition sleep quality on the mood and performance of elite air-rifle shooters. Methods This study included 23 elite air-rifle shooters who participated in an air-rifle shooting-competition from April 2019 to October 2019. Sleep time, sleep efficiency, sleep latency, and wake-up time after sleep onset were monitored using actigraphy. The Pittsburgh sleep quality index and Profile of Mood State were used to assess sleep quality. Competitive State Anxiety Inventory-2 was used to evaluate mood state. Results The average time to fall asleep, sleep time, sleep efficiency, and subjective sleep quality were 20.6 ± 14.9 min, 7.0 ± 0.8 h, 85.9 ± 5.3%, and 5.2 ± 2.2, respectively. Sleep quality decreased as the competition progressed. Pre-competition sleep time in female athletes was significantly higher than that on the competition day (P = 0.05). Pre-competition sleep latency was significantly longer in women than in men (P = 0.021). During training and pre-competition, the tension, fatigue, depression, and emotional disturbance were significantly lower in athletes with good sleep quality than in athletes with poor sleep quality. Athletes with good sleep quality had significantly more energy. The PSQI total score was positively correlated with positive emotion, TMD, cognitive anxiety, and somatic anxiety POMS scores, and negatively correlated with energy and self-confidence scores. Race scores and depression and somatic anxiety scores were negatively correlated. Conclusion Poor sleep quality negatively impacted the mood of athletes; however, sleep indices and competition performance of athletes during competitions were not significantly correlated.


2020 ◽  
Vol 10 (1) ◽  
pp. 11-17
Author(s):  
Khaled Suleiman ◽  
Tarek Al-Khaleeb ◽  
Mahmoud Al-Kaladeh ◽  
Loai Abu Sharour

Introduction: Sleep Quality disturbances are common among nurses especially those working in stressful situations such as emergency room. Additionally, sleep quality disturbances were found to interfere with nurses’ quality of life and work performance. No studies have found the effect of fluctuated shifts on sleep quality among nurses. Objectives: To examine the impact of shift fluctuations on sleep quality among nurses working in the emergency room. Methods: A cross-sectional, descriptive design was employed. Five emergency rooms were selected from public and private hospitals located in Amman, Jordan. The selected hospitals were also referral sites with capacity of more than 200 beds. A convenient sample of nurses who had a minimum of six months experience in the emergency room and working on rotating shifts were eligible for participation. Nurses with known chronic respiratory problems and sleep apnea were excluded. A self-administered questionnaire including a demographic and work-related questions, and the Arabic version of the Pittsburgh Sleep Quality Index were provided. Shift fluctuations were clustered based on interchanging between morning, evening and night shifts. Results: A total of 179 emergency nurses working in rotating shifts participated in the study. The majority of the nurses were poor sleepers. The study found no significant differences between different shifts interchange and sleep quality. However, interchange between morning and evening shift reported the highest sleep disturbance. Sleep quality was positively correlated with the length of experience, while negatively correlated with the age and the number of monthly shifts. Nurses who declared higher satisfaction and ability to work under pressure revealed better sleep quality. Conclusion: Emergency room nurses showed poor sleep quality. While there was no specific shift interchange cluster inducing poor sleep quality, some demographical and work-related characteristics indicated their influence on sleep quality.


2020 ◽  
Vol 41 (2) ◽  
pp. 183-192
Author(s):  
Lorna Flores-Villa ◽  
Jemima Unwin ◽  
Peter Raynham

Due to our social behaviours, people spend at least 80% of their time indoors, mostly under artificial light. In research and building design, daylight is considered a valuable asset because it is the primary source of free, good quality light and it is suggested that it has a positive influence on human performance, health and sleep quality. There is a tendency in the population for increasingly poor sleep quality with age, and this affects at least 50% of the elderly population. Research on sleep disruption has found that especially in the elderly population, interrupted sleep can affect alertness, cognitive performance and mood. This increases the risk of falls, increases fatigue and reduces some other mental functions. Exposure to daylight (indoors and outdoors) is expected to reduce sleep disruption. Physical activities and sleep quality were assessed using 32 participants living independently in the UK, aged between 65 and 95 years old. The study was divided into two seasons due to a considerable difference in daylight availability in summer and winter. In each season participants completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Morningness–Eveningness Questionnaire (MEQ) and a seven-day sleep diary/log activity; where time spent outdoors was identified. It was expected that participants who reported less exposure to daylight during summer and winter would report worse sleep quality. However, this was not the case; subjective sleep quality did not differ greatly between summer and winter, even though exposure to daylight varies greatly between seasons. This study explores the relationship between exposure to daylight throughout two different seasons and people’s chronotypes, physical activities and sleep quality (between and within participants). This information is essential to find means of supporting an ageing population. Practical applications: In the built environment, daylight is an important feature to consider for the occupant’s health and wellbeing. This research provides real-world insight into the amount of daylight that active aged people are exposed to during two seasons in London, and how this could impact their overall sleep quality. The findings suggest that exposure to daylight could benefit people over 65 years old with poor sleep quality by reducing the number of awakenings during the night. This research provides a step towards understanding how daylight exposure effects people, and can be used to inform housing design for the ageing population.


2020 ◽  
Vol 2 (1) ◽  
pp. 86-98
Author(s):  
Kerrie-ann I. Wilson ◽  
Sally A. Ferguson ◽  
Amanda Rebar ◽  
Kristie-Lee Alfrey ◽  
Grace E. Vincent

Fly in Fly out/Drive in Drive out (FIFO/DIDO) is a prevalent work arrangement in the Australian mining industry and has been associated with adverse outcomes such as psychological stress, sleep disturbances, fatigue, and work/life interference. FIFO/DIDO work arrangements have the potential to not only impact the FIFO/DIDO worker, but also the partner of the FIFO/DIDO worker. However, there is sparse empirical evidence on the impact of FIFO/DIDO work arrangements on partners’ sleep and subsequent performance. Therefore, the primary aim of this study was to describe and compare partners’ sleep quality, sleep duration, sleepiness, and loneliness when the FIFO/DIDO workers were at home (off-shift) and away (on-shift). A secondary aim of this study was to examine whether differences in partners’ sleep quality and sleep duration as a result of FIFO/DIDO worker’s absence could be partially explained through the presence of dependents in the home, relationship duration, chronotype, duration in a FIFO/DIDO role, and loneliness. Self-reported questionnaires were completed by 195 female and 4 male participants, mostly aged between 18 and 44 years and who had been in a relationship with a FIFO/DIDO mining worker for more than five years. Of note, most participants subjectively reported poor sleep quality, insufficient sleep duration, excessive sleepiness, and moderate to extreme loneliness compared to the general population regardless of whether the FIFO/DIDO workers were at home or away. Compared to when the FIFO/DIDO workers were at home, partners experienced reduced sleep quality and increased loneliness when the FIFO/DIDO workers were away. Secondary analyses revealed that loneliness may partially underpin the negative effect that FIFO/DIDO workers’ absence has on sleep quality. Further research is needed to understand the factors that contribute to poor sleep quality, insufficient sleep duration, excessive sleepiness, and loneliness of FIFO/DIDO partners to inform appropriate strategies to support FIFO/DIDO partners’ health and wellbeing not only in the mining population, but other industries that incorporate similar FIFO/DIDO work arrangements (e.g., emergency services, offshore drilling, and transport).


SLEEP ◽  
2022 ◽  
Author(s):  
Matthew D Baird ◽  
Tamara Dubowitz ◽  
Jonathan Cantor ◽  
Wendy M Troxel

Abstract Study Objectives African Americans have faced disproportionate socioeconomic and health consequences associated with the COVID-19 pandemic. The current study examines employment and its association with sleep quality during the initial months of the pandemic in a low-income, predominantly African American adult sample. Methods In the early months of COVID-19 (March to May 2020), we administered a survey to an ongoing, longitudinal cohort of older adults to assess the impact of COVID-related changes in employment on self-reported sleep quality (N=460; 93.9% African American). Participants had prior sleep quality assessed in 2018 and a subset also had sleep quality assessed in 2013 and 2016. Primary analyses focused on the prevalence of poor sleep quality and changes in sleep quality between 2018 and 2020, according to employment status. Financial strain and prior income were assessed as moderators of the association between employment status and sleep quality. We plotted trend lines showing sleep quality from 2013 to 2020 in a subset (n=339) with all four waves of sleep data available. Results All participants experienced increases in poor sleep quality between 2018 and 2020, with no statistical differences between the employment groups. However, we found some evidence of moderation by financial strain and income. The trend analysis demonstrated increases in poor sleep quality primarily between 2018 and 2020. Conclusions Sleep quality worsened during the pandemic among low-income African American adults. Policies to support the financially vulnerable and marginalized populations could benefit sleep quality.


2021 ◽  
Vol 26 (4) ◽  
pp. 1457-1466
Author(s):  
Luiz Felipe Ferreira de Souza ◽  
Laisa Liane Paineiras-Domingos ◽  
Maria Eduarda de Souza Melo-Oliveira ◽  
Juliana Pessanha-Freitas ◽  
Eloá Moreira-Marconi ◽  
...  

Abstract This article aims to evaluate the sleep quality in individuals during the COVID-19 pandemic by Pittsburgh Sleep Quality Index (PSQI). Searches were conducted in the PubMed, Embase, Web of Science, and PEDro databases, on May 22, 2020. In the publications, 208 articles were found and, considering the eligibility criteria, 10 articles were included at the end, showing the effects on sleep quality during the pandemic, in populations hospitalized, quarantined, and in frontline health professionals. The PSQI measured sleep disorders and a higher score indicated poor sleep quality. Nine articles were classified with evidence level IV and one as level III-2. Eight studies present a “serious” risk of bias and two in “moderate”. The studies investigated different populations and described the results as “poor” sleep quality, considering the PSQI on quarantined individuals and frontline health professionals as the most committed. A poor sleep quality was found in the populations evaluated in the selected publications, probably, due to the COVID-19 to contribute as a risk factor for mental health. Psychological interventions must be made to minimize the consequences through social support and social capital.


2021 ◽  
Author(s):  
Jivesh Ramduny ◽  
Matteo Bastiani ◽  
Robin Huedepohl ◽  
Stamatios Sotiropoulos N Sotiropoulos ◽  
Magdalena Chechlacz

The ageing brain undergoes widespread gray (GM) and white matter (WM) degeneration. But numerous studies indicate large heterogeneity in the age-related brain changes, which can be attributed to modifiable lifestyle factors, including sleep. Inadequate sleep has been previously linked to GM atrophy and WM changes. However, the reported findings are highly inconsistent. By contrast to previous research independently characterizing patterns of either the GM or the WM changes, we used here linked independent component analysis (FLICA) to examine covariation in GM and WM in a group of older adults. Next, we employed a novel technique to estimate the brain age delta (i.e. difference between chronological and apparent brain age assessed using neuroimaging data) and study its associations with sleep quality and sleep fragmentation, hypothesizing that poor sleep accelerates brain ageing. FLICA revealed a number of multimodal (including both GM and WM) neuroimaging components, associated with age, but also with sleep quality and sleep fragmentation. Brain age delta estimates were highly sensitive in detecting the effects of sleep problems on the ageing brain. Specifically, we show significant associations between brain age delta and poor sleep quality, suggesting two years deviation above the chronological age. Our findings indicate that sleep problems in healthy older adults should be considered a risk factor for accelerated brain ageing.


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