Sleep apnea linked to changes in the brain's wiring that may raise risk of dementia, stroke

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Sleep apnea linked to changes in the brain's wiring that may raise risk of dementia, stroke
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Sleep apnea and a lack of deep sleep may be linked to abnormalities in the brain's white matter.

The study, published Wednesday in the journal Neurology , looked at people with obstructive sleep apnea , a condition where the upper throat muscles relax during sleep and block the airway. The researchers used magnetic resonance imaging and sleep studies to examine if sleep apnea and altered sleep were associated with two kinds of unusual patterns in the brain's white matter — the insulated wires that extend from brain cells.

The researchers found"a pretty significant association between slow-wave sleep duration, or deep sleep time, and these white matter measures," said Bryce Mander , an assistant professor of psychiatry and human behavior at the University of California, Irvine, who was not involved in the study.The study included 140 people with OSA whose average age was about 73 years old.

The second biomarker, called"fractional anisotropy of the genu of the corpus callosum," is related to how water flows through brain cells' wires, or axons. Changes in this water flow, wrote Carvalho, are related to axon damage and can be an early sign of vascular disease. The corpus callosum is a bundle of nerve fibers that connect the two hemispheres of the brain and contains the organ's densest white matter.

The research reveals associations between sleep apnea, deep sleep, and white matter abnormalities, but it can't say whether these sleep differences caused the abnormalities, or if differences in white matter could be interfering with sleep. It also could be that sleep and white matter abnormalities impact one another, said Mander, contributing to a vicious cycle of poor sleep quality and worse brain health.

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