
Alzheimer's risk could rise with specific sleep pattern, experts warn
The research from China, published in the journal Alzheimer's & Dementia by the Alzheimer's Association, analyzed the sleep cycles of 128 adults in varying states of cognition.
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The study found that the highest occurrence of REM latency — which is when it takes longer for someone to reach the first REM period after drifting off to sleep — was associated with the highest risk of Alzheimer's.
The researchers concluded that prolonged REM latency may serve as a 'novel marker of risk factor' for Alzheimer's disease and related dementias.
Dr. Wendy Troxel, senior behavioral scientist at the RAND Corporation in California, said this study adds to 'growing evidence' that specific sleep features, like prolonged REM sleep, are linked to Alzheimer's biomarkers.
'REM sleep is the stage of sleep when dreams mostly occur, and is critically important for memory consolidation and emotional processing,' Utah-based Troxel, who is also author of 'Sharing the Covers: Every Couple's Guide to Better Sleep,' told Fox News Digital.
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This new research aligns with findings from Troxel's own lab, which have shown that other signs of poor sleep health — like shorter duration and poor quality — are associated with worse cognitive function.
'Sleep disruptions may contribute to the buildup of amyloid and tau proteins, key features of Alzheimer's pathology,' the sleep expert said.
5 A new study has found a link between rapid eye movement (REM) sleep and Alzheimer's disease.
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'But it's also important to note that the Alzheimer's disease process itself can disrupt sleep, suggesting a bidirectional association between sleep problems and cognitive decline.'
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Dr. Giulio Taglialatela, vice president and research institute director of the Brain Health Institute at the University of Texas Medical Branch, reacted to these findings in a separate interview with Fox News Digital.
Taglialatela said it's been 'long understood' that getting a good night's sleep is associated with a lower risk of developing dementia.
'Our brains use sleep to clear out toxic proteins, like those associated with Alzheimer's, and these results show that the cleaning mechanism is less effective when it takes someone longer to enter the REM cycle,' he noted.
5 The study found that the highest occurrence of REM latency was associated with the highest risk of Alzheimer's.
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'Unfortunately, there is nothing an individual can do to control how long it takes to enter REM sleep,' the expert.'
However, the expert said, the findings provide a 'promising avenue' for predicting the likelihood of someone eventually developing dementia.
'Early intervention in Alzheimer's is essential for delaying its progression, and measuring REM sleep could be a marker to indicate who may be a candidate for treatment even before they start to show impaired cognitive function,' Taglialatela said.
Potential limitations
5 'Our brains use sleep to clear out toxic proteins, like those associated with Alzheimer's, and these results show that the cleaning mechanism is less effective when it takes someone longer to enter the REM cycle,' Dr. Giulio Taglialatela noted.
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The study did have some limitations, the researchers acknowledged – primarily that it was cross-sectional, 'and thus the direction of the association cannot be determined.'
The sample size was also relatively small, and the researchers only focused on one specific type of tau protein.
There is also the possibility that monitoring sleep in a clinical setting may introduce 'environmental disturbances,' impacting sleep measurement accuracy, the researchers noted. 'Future studies will benefit from research in real-world home settings,' they wrote.
Tips for sleep improvements
5 The study did have some limitations, the researchers acknowledged – primarily that it was cross-sectional, 'and thus the direction of the association cannot be determined.'
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While these findings are important, Troxel said, she encourages individuals to not allow the information to be 'another source of worry that keeps you awake at night.'
'Avoid the tendency to become overly fixated on metrics like REM sleep percentage or latency from consumer sleep trackers, as they have limited accuracy in determining sleep architecture,' she cautioned. 'Obsessing on such data can increase anxiety, which is a powerful sleep disruptor.'
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The best approach is to focus on the foundations of good sleep health, the expert said.
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Adults should strive for seven to nine hours of shuteye and should maintain consistent sleep and wake times, according to Troxel.
5 Adults should strive for seven to nine hours of shuteye and should maintain consistent sleep and wake times, according to experts.
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'Minimize common disruptors such as excessive caffeine and alcohol, which are known to fragment REM sleep, [as well as] screen use before bedtime,' she added.
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'Focusing on these core sleep habits is the most effective and evidence-based way to support the brain and overall health.'
Taglialatela also encourages individuals to focus on creating an 'ideal sleep environment' while maintaining 'good bedtime habits' to reduce the risk of developing Alzheimer's.
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'They're very useful in the right context,' he says, adding that he would like to see their use increase in primary care, since memory clinics are 'overloaded' with patients. In Kansas, for instance, there's only one such clinic in the state. If the blood test is positive, patients can go for an insurance-approved PET scan or spinal fluid testing to determine if they are eligible for the new drugs. If the amyloid diagnosis is confirmed, patients can be prescribed one of two monoclonal antibodies, both FDA-approved in 2023, that can slow disease progression by targeting and removing pathological amyloid deposits in the brain. 'It's the first time we can actually alter the trajectory of disease,' Cooper says. A Patient Story Jerry Klauer, 83, is living proof of this remarkable paradigm shift. Several years ago, his wife Jana, a retired physician, began noticing a troubling change in his memory. He was forgetting dates and plans, though he had been impeccably on time before. 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Early Intervention Matters Jerry's Alzheimer's disease was not very advanced when he started the monoclonal antibody. That is when the medicine can be most effective. 'In the past,' says Greg Cooper, 'although wrong, people had a nihilistic approach, saying why should I be in a hurry to get a diagnosis? Now the urgency for a diagnosis is compelling.' A major question the field is seeking to answer is just how early does it pay to get diagnosed? The pathological changes in the brain from Alzheimer's start 15 to 20 years before symptoms begin. Current clinical trials that read out in 2027 are testing whether patients who have confirmed amyloid, but zero cognitive decline, stand to benefit from the monoclonal antibodies. Burns predicts that if a benefit is substantiated, there will be a major paradigm shift in screening for Alzheimer's disease. 'It could be coming quickly if the trials of the new drugs work to reduce risk in this population. And if they do, then we will be in a whole different world. Then everyone over 65 should be screened.' That said, amyloid is not the whole story on preventing or delaying Alzheimer's onset. It's an early feature, but removing amyloid only slows, not stops, the disease. 'The focus now is can we stop or slow tau from accumulating?' Burns explains. Tau is a protein that builds up in dead or dying neurons in Alzheimer's disease, and it spreads through the brain. First the amyloid buildup starts, and appears to accelerate the tau. 'So pulling the amyloid out looks like it slows the tau accumulation, but doesn't stop it,' says Burns. An experimental drug in phase 2 clinical trials uses a new approach to reduce the accumulation of tau. 'The tau comes much later than the amyloid,' explains Donna Wilcock, Director of the Center for Neurodegenerative Disorders at Indiana University School of Medicine. 'Amyloid usually precedes the detection of tangle pathology by maybe 10 years. So we may have a 10-year window of catching that amyloid before it starts downstream tau.' In the last decade, researchers have learned that there is a tipping point at which the tau pathology is self-propagating, and the presence or absence of amyloid doesn't affect the tau – dubbed the 'cataustrophe.' 'It seems as though the earlier we can get these amyloid-lowering therapies into patients,' Wilcock says, 'the better the outcome.' What You Can Do To Lower Risk All the experts interviewed for this article stressed the importance of healthy lifestyle habits, which may prevent up to 45.3% of all dementia cases according to the Lancet Commission. These factors are essential: controlling hypertension, blood sugar, and cholesterol, getting regular exercise and seven to eight hours of quality sleep, having an active social life, and eating a largely plant-based Mediterranean diet. 'Controlling a lot of these factors in the mid-life period has the biggest impact on how they affect your risk for dementia later in life,' says Wilcock. 'Mid-life untreated hypertension greatly increases your risk for dementia later in life.' Her own blood pressure started rising in her 40s, and she pushed her primary care doctor to manage it aggressively, noting that she had to 'self-advocate' to get her doctor to take it seriously. 'Through better brain health and attention to modifiable risk factors, how can we eliminate half of dementia before it ever starts?' asks Greg Cooper. 'And for other half, how can we identify it and successfully intervene before we ever have symptoms? It may sound hyperbolic, but I can at least imagine that day.' Jeff Burns concurs that it's an optimistic time for the field, with a broader array of approaches in development than ever before. As of 2023, there were over 140 drugs in clinical trials for Alzheimer's. For patients like Jerry Klauer, breakthrough science is already a clinical reality. Such encouraging experiences and the rapid pace of advancements over the last few years gives me great hope that one day, this terrible disease itself will be long you to Kira Peikoff for additional research and reporting on this article.