Associations of self‐reported obstructive sleep apnea with cognition and dementia risk in cognitively unimpaired middle‐aged adults
Year: 2026
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: Obstructive sleep apnea (OSA) is a potential risk factor for cognitive impairment and dementia; however, its contribution in midlife and interactions with APOE ε4 remain unclear. METHODS: Participants were 2795 cognitively unimpaired, middle-aged adults enrolled in the Healthy Brain Project. OSA status was determined by self-report. Cognition was assessed using the Cogstate Brief Battery, and dementia risk using the Cardiovascular Risk Factors, Ageing, and Incidence of Dementia (CAIDE) score. RESULTS: Participants with OSA demonstrated poorer memory than those without OSA, although this association was attenuated after adjusting for vascular risk. Individuals with OSA (with or without APOE ε4) had significantly higher CAIDE scores than those with neither risk factor. APOE ε4 did not moderate OSA-cognition associations. DISCUSSION: OSA may be associated with poorer memory and greater dementia risk, irrespective of APOE ε4 carriage. These findings highlight the need for early OSA screening to identify individuals at elevated dementia risk.
Source: Alzheimer s & Dementia
DOI: 10.1002/alz.71553
Institution: Monash University
Language: English
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,200
Awards: Effects of Poor Sleep on Alzheimer’s Disease Pathogenesis: Extending the Glymphatic Flow Hypothesis, G1326976986, What can tau deposition tell us about the appearance of subjective and objective cognitive decline in older adults?, A multi-cohort investigation of the effects of BDNF Val66Met on tau, neurodegeneration and cognition in preclinical Alzheimer’s disease, Vascular Cognitive Risk Score: quantifying the vascular burden in Alzheimer's Disease, BetterBrains: Person-Centred, Multi-Domain, Primary Prevention Strategies to Delay Memory Decline, Genetic mechanisms that moderate effects of Aß accumulation in preclinical Alzheimer's disease
OpenAlex ID: W7166536244
