ОБСТРУКТИВНОЕ АПНОЭ СНА КАК МОДИФИЦИРУЕМЫЙ ФАКТОР РИСКА ЦЕРЕБРОВАСКУЛЯРНЫХ ЗАБОЛЕВАНИЙ: ИНТЕГРАТИВНЫЙ ПОДХОД К ИХ ПРОФИЛАКТИКЕ И ТЕРАПИИ

Авторы

  • Касимова Оксана Олеговна
  • Рахимбаева Гульнора Саттаровна
  • Даминова Хилола Маратовна
  • Мусаева Юлдуз Алписовна

Ключевые слова:

обструктивное апноэ сна, нейродегенерация, когнитивные нарушения, инсульт, глимфатическая система, нейровоспаление, СИПАП-терапия, биомаркеры

Аннотация

Обструктивное апноэ сна (ОАС) является независимым фактором риска развития когнитивных нарушений. Согласно последним исследованиям (Andreu et al., Sleep Medicine Reviews, 2024) [1]., интермиттирующая гипоксемия при ОАС приводит к структурным изменениям головного мозга. Патогенетическая роль обструктивного апноэ сна (ОАС) в развитии неврологической патологии остается недостаточно подтвержденными в клинической практике.

Библиографические ссылки

American Academy of Sleep Medicine. International Classification of Sleep Disorders, 3rd ed. 2023.

Heinzer R, et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2023;11(3):285-297.

Osorio RS, et al. Sleep-disordered breathing advances cognitive decline in the elderly. Neurology. 2024;102(5):e892-e904.

Lee JJ, et al. Obstructive sleep apnea and risk of stroke: an updated systematic review and meta-analysis. Stroke. 2024;55(4):1019-1031.

Daulatzai MA. Evidence of neurodegeneration in obstructive sleep apnea: Relationship between obstructive sleep apnea and cognitive decline in the elderly. J Neurosci Res. 2023;101(4):443-465.

Nedergaard M, Goldman SA. Glymphatic failure as a final common pathway to dementia. Science. 2023;380(6640):eabb1849.

Lavie L. Oxidative stress in obstructive sleep apnea and intermittent hypoxia–revisited–the bad ugly and good: implications to the heart and brain. Sleep Med Rev. 2023;68:101746.

Zhang SX, et al. Sleep fragmentation promotes neuroinflammation and accelerates neurodegeneration in a mouse model of Alzheimer's disease. Brain Behav Immun. 2024;118:345-358.

Wen Q, et al. Association between sleep disorder and depression in stroke in the National Health and Nutrition Examination Surveys (NHANES) 2005 to 2014. Sleep Med. 2024;124:201-208.

Liguori C, et al. Obstructive Sleep Apnea is associated with early but not late amyloid-β deposition: A PET study. Ann Neurol. 2024;95(2):321-332.

Gitay A, et al. Spinocerebellar Ataxia-6 Associated with Sleep Behavior Disorder. J Assoc Physicians India. 2024;72(12):e62- e64.

Kim TJ, et al. Association of Obstructive Sleep Apnea with White Matter Integrity and Cognitive Profile. J Alzheimers Dis. 2023;94(1):245-256.

Henson J, et al. Sleep disorders in younger and middle-older age adults with newly diagnosed type 2 diabetes mellitus: A retrospective cohort study in >1million individuals. Diabetes Res Clin Pract. 2024;217:111887.

Lutsey PL, et al. Sleep-disordered breathing and midlife cognitive impairment: The Atherosclerosis Risk in Communities (ARIC) study. JAMA Neurol. 2023;80(8):844-853.

Bubu OM, et al. Obstructive sleep apnea, cognition and Alzheimer's disease: A systematic review integrating three decades of multidisciplinary research. Sleep Med Rev. 2024;71:101823.

Küçükali Cİ, et al. Distinctive sleep complaints and polysomnographic findings in antibody subgroups of autoimmune limbic

encephalitis. Neurol Sci. 2024;45(11):5429-5439.

Stefani A, Högl B. Sleep in Parkinson's disease: the role of OSA and RBD. Lancet Neurol. 2023;22(6):552-562.

Giannini G, et al. Early onset sleep disorders predict severity, progression and death in multiple system atrophy. J Neurol. 2025;272(3):239.

Castronovo V, et al. The effect of CPAP on cognition in OSA patients: a systematic review and meta-analysis. Sleep. 2024;47(2):zsad280.

Dalmases M, et al. Effect of CPAP on Neurocognitive Function in Patients with Mild Cognitive Impairment and Obstructive Sleep Apnea: A Randomized Clinical Trial. Am J Respir Crit Care Med. 2023;207(12):1597-1606.

Barnes KA. Delayed sleep-wake phase disorder. JAAPA. 2025;38(5):e7-e11.

Kim J, et al. ChatGPT vs. sleep disorder specialist responses to common sleep queries: Ratings by experts and laypeople. Sleep Health. 2024;10(6):665-670.

Ren J, et al. Longitudinal decline in DAT binding in Parkinson's disease: connections with sleep disturbances. BMC Med. 2024;22(1):550.

Загрузки

Опубликован

2025-11-19