Sex differences in the effects of sleep disorders on cognitive dysfunction

Neurosci Biobehav Rev. 2023 Mar:146:105067. doi: 10.1016/j.neubiorev.2023.105067. Epub 2023 Jan 27.

Abstract

Sleep is an essential physiological function that sustains human life. Sleep disorders involve problems with the quality, duration, and abnormal behaviour of sleep. Insomnia is the most common sleep disorder, followed by sleep-disordered breathing (SDB). Sleep disorders often occur along with medical conditions or other mental health conditions. Of particular interest to researchers is the role of sleep disorders in cognitive dysfunction. Sleep disorder is a risk factor for cognitive dysfunction, yet the exact pathogenesis is still far from agreement. Little is known about how sex differences influence the changes in cognitive functions caused by sleep disorders. This narrative review examines how sleep disorders might affect cognitive impairment, and then explores the sex-specific consequences of sleep disorders as a risk factor for dementia and the potential underlying mechanisms. Some insights on the direction of further research are also presented.

Keywords: Cognitive dysfunction; Mechanisms; Sex differences; Sleep disorders.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognitive Dysfunction* / complications
  • Female
  • Humans
  • Male
  • Sex Characteristics
  • Sleep Apnea Syndromes* / etiology
  • Sleep Initiation and Maintenance Disorders* / complications
  • Sleep Wake Disorders* / complications