2001
DOI: 10.1046/j.1532-5415.2001.t01-1-49271.x
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Daytime Sleepiness Is Associated with 3-Year Incident Dementia and Cognitive Decline in Older Japanese-American Men

Abstract: Daytime sleepiness in older adults may be an early indicator of decline in cognitive functioning and onset of dementia.

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Cited by 141 publications
(149 citation statements)
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References 28 publications
(37 reference statements)
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“…Contrary to previous cross-sectional23 and prospective31 studies, we did not observe a statistically significant relationship between daytime tiredness and dementia in the adjusted multivariate analysis. Daytime tiredness can occur as a primary condition,57 or secondarily due to periodic limb movement disorder, insomnia, depression, and cardiovascular or pulmonary disease 1 58 59…”
Section: Discussioncontrasting
confidence: 99%
“…Contrary to previous cross-sectional23 and prospective31 studies, we did not observe a statistically significant relationship between daytime tiredness and dementia in the adjusted multivariate analysis. Daytime tiredness can occur as a primary condition,57 or secondarily due to periodic limb movement disorder, insomnia, depression, and cardiovascular or pulmonary disease 1 58 59…”
Section: Discussioncontrasting
confidence: 99%
“…The heterogeneity of results between these studies could be due to a number of methodological differences, including age [14], [26] and sex [3], [44] of participants, duration of follow-up [41][43], population culture or ethnicity [45], [46], cognitive assessments or sleep measures [41], [47], and statistical adjustments made for various potential confounders. There are two recent prospective studies, which are most pertinent to our line of enquiry [14], [26].…”
Section: Discussionmentioning
confidence: 99%
“…Foley et al 24 also studied the prediction of dementia by sleep disturbances in a cohort of 2346 men aged 71 to 93 years. Three years after base-line the men were re-assessed and 191 (8%) were judged to have dementia and a further 21% to have cognitive decline without dementia.…”
Section: Discussionmentioning
confidence: 99%