SPAVANJE KOD STARIJIH: ZDRAVO SPAVANJE ZA ZDRAVО STARЕNJЕ
Ključne reči:
spavanje, zdravo starenje, starije osobe, kvalitet spavanja, kardiovaskularne bolesti, neurodegenerativni poremećaji, Alzheimerova bolest, Parkinsonova bolest, dugovečnost
Sažetak
Spavanje je vitalan fiziološki proces u kojem ljudi provode gotovo jednu trećinu svog života. Savremeni stilovi života, rad u smenama, društveni jet lag i zagađenje plavom svetlošću iz okoline značajno kompromituju kvalitet spavanja kod svih starosnih grupa, posebno kod radno aktivnih i starijih osoba. Loš kvalitet spavanja pokazao se kao faktor rizika za niz bolesti, od kardiovaskularnih do neuroloških, uključujući malignitete.
Starenje je povezano s lošim kvalitetom spavanja, što starije ljude čini podložnijim razvoju raznih somatskih i mentalnih poremećaja. Nizak kvalitet spavanja kod starijih osoba ubrzava proces starenja i povećava rizik od razvoja različitih oboljenja. Društvo sve više nastoji da održi blagostanje i očuva zdravlje starije populacije, pri čemu se koncept zdravog starenja široko promoviše i prihvata.
Zdravo spavanje prepoznato je kao jedan od stubova zdravog starenja, posebno u svim politikama vezanim za Deceniju zdravog starenja. Jedan od glavnih problema povezanih sa spavanjem kod starijih je teškoća u razlikovanju fizioloških efekata starenja na obrasce spavanja od onih poremećaja spavanja koji su uzrokovani primarnim poremećajima spavanja, drugim bolestima ili lekovima. Loš kvalitet spavanja i narušena higijena spavanja povezani su sa povećanim rizikom od raznih hroničnih kardiovaskularnih bolesti. Pored toga, zdravo spavanje je od suštinskog značaja za kognitivne funkcije i prevenciju kognitivnog opadanja i oštećenja pamćenja kod starijih osoba. Odnos između neurodegenerativnih poremećaja i lošeg kvaliteta spavanja čini se da je bidirekcionalan, što se intenzivno proučava kod Parkinsonove bolesti. Redovna fizička aktivnost bi trebalo da bude sastavna komponenta strategija za upravljanje kvalitetom spavanja kod starijih, ali i kao preventivna strategija za očuvanje zdravog spavanja i zdravog starenja.
Reference
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2. Lee J, Kim HJ. Normal Aging Induces Changes in the Brain and Neurodegeneration Progress: Review of the Structural, Biochemical, Metabolic, Cellular, and Molecular Changes. Front Aging Neurosci. 2022;14:931536.
3. Michel JP, Sadana R. "Healthy Aging" Concepts and Measures. J Am Med Dir Assoc. 2017;18(6):460-4.
4. Feinsilver SH. Normal and Abnormal Sleep in the Elderly. Clin Geriatr Med. 2021;37(3):377-86.
5. Besedovsky L, Lange T, Haack M. The Sleep-Immune Crosstalk in Health and Disease. Physiol Rev. 2019;99(3):1325-80.
6. Wunderlin M, Züst MA, Fehér KD, Klöppel S, Nissen C. The role of slow wave sleep in the development of dementia and its potential for preventative interventions. Psychiatry Res Neuroimaging. 2020;306:111178.
7. Dodet, P., Houot, M., Leu-Semenescu, S. et al. Sleep disorders in Parkinson’s disease, an early and multiple problem. npj Parkinsons Dis. 10, 46 (2024).
8. Alnawwar MA, Alraddadi MI, Algethmi RA, Salem GA, Salem MA, Alharbi AA. The Effect of Physical Activity on Sleep Quality and Sleep Disorder: A Systematic Review. Cureus. 2023;15(8):e43595.
9. Zhao H, Lu C, Yi C. Physical Activity and Sleep Quality Association in Different Populations: A Meta-Analysis. Int J Environ Res Public Health. 2023;20(3):1864.
10. Hrnčić D. Sleep, nutrition and physical activity in regulation of brain hyperexcitability: translational aspects. Andrejević Ed, Beograd, 2015.
11. Tatineny P, Shafi F, Gohar A, Bhat A. Sleep in the Elderly. Mo Med. 2020;117(5):490-5.
12. Keenan SA. Normal human sleep. Respir Care Clin N Am. 1999;5(3):319-31,
13. Kumar VM. Physiology of normal sleep: from young to old. Ann Natl Acad Med Sci (India) 2013; 49: 81–89.
14. Miner B, Kryger MH. Sleep in the Aging Population. Sleep Med Clin. 2020;15(2):311-8.
15. Winegar R. Promoting healthy sleep among older adults. Geriatr Nurs. 2024;58:298-303.
16. Cooke JR, Ancoli-Israel S. Normal and abnormal sleep in the elderly. Handb Clin Neurol 2011; 98: 653–65.
17. Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255-73.
18. Mattis J, Sehgal A. Circadian rhythms, sleep, and disorders of aging. Trends Endocrinol Metab 2016; 27: 192–203.
19. Hofman MA, Swab DF. Living by the clock: the circadian pacemaker in older people. Ageing Res Rev 2006; 5: 33–51.
20. Gulia KK, Kumar VM. Sleep disorders in the elderly: a growing challenge. Psychogeriatrics. 2018;18(3):155-65.
21. Besedovsky L, Lange T, Haack M. The Sleep-Immune Crosstalk in Health and Disease. Physiol Rev. 2019;99(3):1325-80.
22. Miller MA, Howarth NE. Sleep and cardiovascular disease. Emerg Top Life Sci. 2023;7(5):457-66.
23. Khan MS, Aouad R. The Effects of Insomnia and Sleep Loss on Cardiovascular Disease. Sleep Med Clin. 2022;17(2):193-203.
24. Grubac Z, Sutulovic N, Ademovic A, Velimirovic M, Rasic-Markovic A, Macut D, Petronijevic N, Stanojlovic O, Hrncic D. Short-term sleep fragmentation enhances anxiety-related behavior: The role of hormonal alterations. PLoS One. 2019;14(7):e0218920.
25. Yeghiazarians Y, Jneid H, Tietjens JR, Redline S, Brown DL, El-Sherif N, Mehra R, Bozkurt B, Ndumele CE, Somers VK. Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021;144(3):e56-e67.
26. Rüger M, Scheer FA. Effects of circadian disruption on the cardiometabolic system. Rev Endocr Metab Disord. 2009;10(4):245-60.
27. Pan Z, Huang M, Huang J, Yao Z, Lin Z. Association of napping and all-cause mortality and incident cardiovascular diseases: a dose-response meta analysis of cohort studies. Sleep Med. 2020; 74:165-72.
28. Wunderlin M, Züst MA, Fehér KD, Klöppel S, Nissen C. The role of slow wave sleep in the development of dementia and its potential for preventative interventions. Psychiatry Res Neuroimaging. 2020;306:111178.
29. Wang C, Holtzman DM. Bidirectional relationship between sleep and Alzheimer's disease: role of amyloid, tau, and other factors. Neuropsychopharmacology. 2020;45(1):104-20.
30. Lucey BP, Hicks TJ, McLeland JS, Toedebusch CD, Boyd J, Elbert DL, et al. Effect of sleep on overnight cerebrospinal fluid amyloid beta kinetics. Ann Neurol. 2018;83:197–204.
31. Tractenberg RE, Singer CM, Kaye JA. Symptoms of sleep disturbance in persons with Alzheimer's disease and normal elderly. J Sleep Res. 2005;14:177–85.
32. Ju YE, McLeland JS, Toedebusch CD, Xiong C, Fagan AM, Duntley SP, et al. Sleep quality and preclinical Alzheimer disease. JAMA Neurol. 2013;70:587–93.
33. Kim RT, Zhou L, Li Y, et al. Impaired sleep is associated with tau deposition on 18F-flortaucipir PET and accelerated cognitive decline, accounting for medications that affect sleep. J Neurol Sci. 2024;458:122927.
34. A. Nadjar, T. Blutstein, A. Aubert, S. Laye, P.G. Haydon. Astrocyte-derived adenosine modulates increased sleep pressure during inflammatory response. Glia. 2013;61:724-31.
35. Choudhury ME, Miyanishi K, Takeda H, et al. Phagocytic elimination of synapses by microglia during sleep. Glia. 2020;68(1):44-59.
36. Grubač Ž, Šutulović N, Šuvakov S, Jerotić D, Puškaš N, Macut D, Rašić-Marković A, Simić T, Stanojlović O, Hrnčić D. Anxiogenic Potential of Experimental Sleep Fragmentation Is Duration-Dependent and Mediated via Oxidative Stress State. Oxid Med Cell Longev. 2021; 2021:2262913.
37. Bubu OM, Andrade AG, Umasabor-Bubu OQ, et al. Obstructive sleep apnea, cognition and Alzheimer's disease: A systematic review integrating three decades of multidisciplinary research. Sleep Med Rev. 2020;50:101250.
38. Schapira, A., Chaudhuri, K. & Jenner, P. Non-motor features of Parkinson disease. Nat Rev Neurosci 18, 435–50 (2017).
39. Oerlemans WG, de Weerd AW. The prevalence of sleep disorders in patients with Parkinson’s disease: A self-reported, community-based survey. Sleep Med. 2002; 3:147–49.
40. Menza M, Dobkin RD, Marin H, Bienfait K. Sleep disturbances in Parkinson's disease. Mov Disord. 2010;25 Suppl 1(Suppl 1): S117-22.
41. Dodet, P., Houot, M., Leu-Semenescu, S. et al. Sleep disorders in Parkinson’s disease, an early and multiple problem. npj Parkinsons Dis. 10, 46 (2024).
42. Di Laudo F, Baldelli L, Mainieri G, Loddo G, Montini A, Pazzaglia C, Sala M, Mignani F and Provini F (2023) Daytime sleepiness in Parkinson's disease: a multifaceted symptom. Front. Sleep 2:1302021
43. Mahmood Z, Van Patten R, Nakhla MZ, Twamley EW, Filoteo JV, Schiehser DM. REM Sleep Behavior Disorder in Parkinson's Disease: Effects on Cognitive, Psychiatric, and Functional outcomes. J Int Neuropsychol Soc. 2020 Oct;26(9):894-905.
44. Ferini-Strambi L, Carli G, Casoni F and Galbiati A (2018) Restless Legs Syndrome and Parkinson Disease: A Causal Relationship Between the Two Disorders? Front. Neurol. 9:551.
45. Hwang SR, Hwang SW, Chen JC, Hwang JH. Association of periodic limb movements during sleep and Parkinson disease: A retrospective clinical study. Medicine (Baltimore). 2019 Dec;98(51): e18444
46. Salsone M and Ferini-Strambi L (2023) Editorial: Sleep disturbances in Parkinson's disease. Front. Neurosci. 17:1133296.
47. Leng Y, Blackwell T, Cawthon PM et al (2020) Association of circadian abnormalities in older adults with an increased risk of developing Parkinson disease. JAMA Neurol 77:1270–8.
48. Duan, X., Liu, H., Hu, X. et al. Insomnia in Parkinson’s Disease: Causes, Consequences, and Therapeutic Approaches. Mol Neurobiol (2024). https://doi.org/10.1007/s12035-024-04400-4
49. Kalaitzakis ME, Gentleman SM, Pearce RKB (2013) Disturbed sleep in Parkinson’s disease: anatomical and pathological correlates. Neuropathol Appl Neurobiol 39:644–53.
50. Giguère N, Burke Nanni S, Trudeau L-E (2018) On cell loss and selective vulnerability of neuronal populations in Parkinson’s disease. Front Neurol 9:455.
51. Calabresi, P., Mechelli, A., Natale, G. et al. Alpha-synuclein in Parkinson’s disease and other synucleinopathies: from overt neurodegeneration back to early synaptic dysfunction. Cell Death Dis 14, 176 (2023).
52. Forloni, G. Alpha Synuclein: Neurodegeneration and Inflammation. Int. J. Mol. Sci. 2023, 24, 5914.
53. Yoo G, Shin YK, Lee NK. The Role of α-Synuclein in SNARE-mediated Synaptic Vesicle Fusion. J Mol Biol 2023; 435 (1): 167775.
54. Segura-Aguilar, J., Paris, I. (2022). Mechanisms of Dopamine Oxidation and Parkinson’s Disease. In: Kostrzewa, R.M. (eds) Handbook of Neurotoxicity. Springer, Cham. pp. 1-30. https://doi.org/10.1007/978-3-030-71519-9_16-1
55. Sai Y, Zou Z, Peng K, Dong Z. The Parkinson's disease-related genes act in mitochondrial homeostasis, Neuroscience & Biobehavioral Reviews, 2012; 36 (9): 2034-43.
56. Jan A, Gonçalves NP, Vaegter CB, Jensen PH, Ferreira N. The Prion-Like Spreading of Alpha-Synuclein in Parkinson's Disease: Update on Models and Hypotheses. Int J Mol Sci. 2021;22(15):8338.
57. MacMahon Copas AN, McComish SF, Fletcher JM and Caldwell MA (2021) The Pathogenesis of Parkinson's Disease: A Complex Interplay Between Astrocytes, Microglia, and T Lymphocytes? Front. Neurol. 12:666737.
58. Xie, L., Kang, H., Xu, Q., Chen, M. J., Liao, Y., Thiyagarajan, M., et al. (2013). Sleep drives metabolite clearance from the adult brain. Science 342, 373–7.
59. Mattis, J., and Sehgal, A. (2016). Circadian rhythms, sleep, and disorders of aging. Trends Endocrinol. Metab. 27, 192–203.
60. Sohail, S., Yu, L., Schneider, J. A., Bennett, D. A., Buchman, A. S., and Lim, A. S. P. (2017). Sleep fragmentation and Parkinson’s disease pathology in older adults without Parkinson’s disease. Mov. Disord. 32, 1729–37.
61. Yang Z, Zhang X, Li C, Chi S, Xie A (2021) Molecular Mechanisms Underlying Reciprocal Interactions Between Sleep Disorders and Parkinson’s Disease. Front. Neurosci. 14:592989.
62. Blondell SJ, Hammersley-Mather R, Veerman JL. Does physical activity prevent cognitive decline and dementia? A systematic review and meta-analysis of longitudinal studies. BMC Public Health. 2014; 14:510.
63. Atkinson G, Davenne D. Relationships between sleep, physical activity and human health. Physiol Behav. 2007;90(2–3):229–35.
64. Driver HS, Taylor SR. Exercise and sleep. Sleep Med Rev. 2000;4(4):387–402.
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