Loss of sleep can be an ‘early warning sign’ of Alzheimer’s disease

Sleep loss can be an early warning sign of Alzheimer’s, new research suggests.

The findings, from a study of apparently healthy volunteers, point the way to new methods of detecting and monitoring the disease, say scientists.

Evidence indicates that the link between sleep and Alzheimer’s runs in two directions. Alterations in the brain caused by the disease may disrupt sleep, and poor sleep also promotes the changes.

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Lead scientist Professor David Holtzmann, from Washington University School of Medicine in the US, said: “This link may provide us with an easily detectable sign of Alzheimer’s pathology.

“As we start to treat people who have markers of early Alzheimer’s, changes in sleep in response to treatments may serve as an indicator of whether the new treatments are succeeding.”

Sleep problems are common among people with full-blown Alzheimer’s. The new research suggests they may also be a sign of early-developing disease and symptoms to come. Previous animal studies conducted on mice have demonstrated a link between sleep loss and beta-amyloid plaques – lumps of protein in the brain that are a hallmark of Alzheimer’s disease.

The new research involved 145 volunteers aged 45 to 75 who were showing no signs of memory loss or other dementia symptoms when enrolled.

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Analysis of samples of the volunteers’ spinal fluid showed that 32 participants had molecular markers of pre-symptomatic Alzheimer’s.

The volunteers kept daily sleep diaries for two weeks, noting what time they went to bed and got up, the number of naps they took during the day, and other relevant information. Daytime activity was tracked using movement sensors worn on the wrist.

Participants who had pre-clinical Alzheimer’s had a “sleep efficiency” of 80.4 per cent, compared with an average 83.7 per cent for those without Alzheimer’s markers.