Prevalence of Sleep Disturbances in Mild Cognitive Impairment and Dementing Disorders: A Multicenter Italian Clinical Cross-Sectional Study on 431 Patients

被引：323

作者：

Guarnieri, B. ^{[1
]}

Adorni, F. ^{[2
]}

Musicco, M. ^{[2
]}

Appollonio, I. ^{[3
]}

Bonanni, E. ^{[4
]}

Caffarra, P. ^{[5
]}

Caltagirone, C. ^{[6
]}

Cerroni, G. ^{[1
]}

Concari, L. ^{[5
]}

Cosentino, F. I. I. ^{[7
]}

Ferrara, S. ^{[13
]}

Fermi, S. ^{[3
]}

Ferri, R. ^{[7
]}

Gelosa, G. ^{[3
]}

Lombardi, G. ^{[8
]}

Mazzei, D. ^{[9
]}

Mearelli, S. ^{[10
]}

Morrone, E. ^{[11
]}

Murri, L. ^{[4
]}

Nobili, F. M. ^{[9
]}

Passero, S. ^{[12
]}

Perri, R. ^{[6
]}

Rocchi, R. ^{[12
]}

Sucapane, P. ^{[10
]}

Tognoni, G. ^{[4
]}

Zabberoni, S. ^{[6
]}

Sorbi, S. ^{[8
]}

机构：

[1] Villa Serena Hosp, Ctr Sleep Med, IT-65013 Citta S Angelo, Italy

[2] Bicocca Univ, S Gerardo Hosp Monza, Italian Natl Res Ctr ITB CNR, Milan, Italy

[3] Bicocca Univ, S Gerardo Hosp Monza, Dept Neurosci, Milan, Italy

[4] Univ Pisa, Dept Neurosci, Pisa, Italy

[5] Univ Parma, Dept Neurosci, I-43100 Parma, Italy

[6] Univ Roma Tor Vergata, S Lucia Fdn, IRCCS, Rome, Italy

[7] Oasi Inst IRCCS, Dept Neurol, Troina, Italy

[8] Univ Florence, Dept Neurol & Psychiat Sci, Florence, Italy

[9] Univ Genoa, Dept Neurosci Ophthalmol & Genet, Genoa, Italy

[10] Univ Aquila, Dept Neurol, I-67100 Laquila, Italy

[11] San Martino Hosp, Genoa, Italy

[12] Univ Siena, Dept Neurosci, I-53100 Siena, Italy

[13] Villa Serena Hosp, Dept Neurol, IT-65013 Citta S Angelo, Italy

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2012年 / 33卷 / 01期

关键词：

Sleep disorders; Excessive daytime sleepiness; Mild cognitive impairment; Alzheimer's disease; Frontotemporal dementia; Lewy body dementia; Parkinson's disease dementia; Vascular dementia; RESTLESS LEGS SYNDROME; ALZHEIMERS-DISEASE; BEHAVIOR DISORDER; DIAGNOSTIC-CRITERIA; PARKINSON DISEASE; LEWY BODIES; PATHOPHYSIOLOGY; RISK; EPIDEMIOLOGY; CONSORTIUM;

D O I：

10.1159/000335363

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Background/Aims: Sleep disturbances are common in the elderly and in persons with cognitive decline. The aim of this study was to describe frequency and characteristics of insomnia, excessive daytime sleepiness, sleep-disordered breathing, REM behavior disorder and restless legs syndrome in a large cohort of persons with mild cognitive impairment or dementia. Methods: 431 consecutive patients were enrolled in 10 Italian neurological centers: 204 had Alzheimer's disease, 138 mild cognitive impairment, 43 vascular dementia, 25 frontotemporal dementia and 21 Lewy body dementia or Parkinson's disease dementia. Sleep disorders were investigated with a battery of standardized questions and questionnaires. Results: Over 60% of persons had one or more sleep disturbances almost invariably associated one to another without any evident and specific pattern of co-occurrence. Persons with Alzheimer's disease and those with mild cognitive impairment had the same frequency of any sleep disorder. Sleep-disordered breathing was more frequent in vascular dementia. REM behavior disorder was more represented in Lewy body or Parkinson's disease dementia. Conclusion: A careful clinical evaluation of sleep disorders should be performed routinely in the clinical setting of persons with cognitive decline. Instrumental supports should be used only in selected patients. Copyright (C) 2012 S. Karger AG, Basel

引用

页码：50 / 58

页数：9

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