Obstructive sleep apnea and cognitive functioning in the older general population: The moderating effect of age, sex, ApoE4, and obesity.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_C41B06EA3FAB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Obstructive sleep apnea and cognitive functioning in the older general population: The moderating effect of age, sex, ApoE4, and obesity.
Journal
Journal of sleep research
Author(s)
Marchi N.A., Berger M., Solelhac G., Bayon V., Haba-Rubio J., Legault J., Thompson C., Gosselin N., Vollenweider P., Marques-Vidal P., von Gunten A., Strippoli M.F., Preisig M., Draganski B., Heinzer R.
ISSN
1365-2869 (Electronic)
ISSN-L
0962-1105
Publication state
Published
Issued date
02/2024
Peer-reviewed
Oui
Volume
33
Number
1
Pages
e13938
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Research on the relationship between obstructive sleep apnea and cognitive functioning has yielded conflicting results, particularly in the older population, and moderators of this association have rarely been studied. Here we investigated the cross-sectional association between obstructive sleep apnea and cognitive functioning as well as the moderating effect of age, sex, apolipoprotein E4, and obesity on this association among community-dwelling older people. We analysed data from 496 participants (71.4 ± 4.4 years; 45.6% men) of the HypnoLaus study who underwent polysomnography and a battery of neuropsychological tests. The sample was categorised as no-to-mild obstructive sleep apnea (apnea-hypopnea index 0-14.9/h; reference), moderate obstructive sleep apnea (apnea-hypopnea index 15.0-29.9/h), or severe obstructive sleep apnea (apnea-hypopnea index ≥30/h). Regression and moderation analyses were performed with adjustment for confounders. Apolipoprotein E4 and obesity moderated the association between severe obstructive sleep apnea and processing speed, whereas no moderating effects were found for age and sex. In apolipoprotein E4 carriers only, severe obstructive sleep apnea was associated with lower performance in Stroop condition 1 (B = 3.13, p = 0.024). In obese participants only, severe obstructive sleep apnea was associated with lower performance in Stroop condition 1 (B = 3.02, p = 0.025) and Stroop condition 2 (B = 3.30, p = 0.034). Severe obstructive sleep apnea was also associated with lower executive function in the whole sample according to Stroop condition 3 (B = 3.44, p = 0.020) and Stroop interference score (B = 0.24, p = 0.006). Our findings support associations of severe obstructive sleep apnea (but not moderate obstructive sleep apnea) with lower performance in processing speed and executive function in the older general population. Apolipoprotein E4 and obesity appear to be vulnerability factors that strengthen the association between severe obstructive sleep apnea and lower performance in processing speed.
Keywords
Male, Humans, Aged, Female, Apolipoprotein E4/genetics, Cross-Sectional Studies, Sleep Apnea, Obstructive/complications, Sleep Apnea, Obstructive/epidemiology, Cognition, Obesity/complications, Obesity/epidemiology, ageing, cognitive impairment, dementia, interaction, moderation analysis, sleep-disordered breathing
Pubmed
Web of science
Open Access
Yes
Create date
15/06/2023 17:48
Last modification date
21/01/2024 8:25
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