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Neuropsychological sequelae of obstructive sleep apnea-hypopnea syndrome: A critical review
Abstract
Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a well-recognized clinical sleep disorder that results in chronically fragmented sleep and recurrent hypoxemia. The primary daytime sequelae of the disorder include patient reports of excessive daytime sleepiness, depression, and attention and concentration problems. It has been well established that OSAHS negatively impacts certain aspects of cognitive functioning. The primary goals of this article are to (1) clarify the pattern of cognitive deficits that are specific to OSAHS; (2) identify the specific cognitive domains that improve with treatment; and (3) elucidate the possible mechanisms of cognitive dysfunction in OSAHS. At the conclusion of the paper, we propose a potential neurofunctional theory to account for the etiology of cognitive deficits in OSAHS. Thirty-seven peer-reviewed articles were selected for this review. In general, findings were equivocal for most cognitive domains. Treatment, however, was noted to improve attention/vigilance in most studies and consistently did not improve constructional abilities or psychomotor functioning. The results are discussed in the context of a neurofunctional theory for the effects of OSAHS on the brain.
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“The mechanisms for this association likely involve the return of comorbid medical conditions that adversely impact cognitive function (e.g., hypertension, diabetes, sleep apnea) or even from the independent effects of adiposity.28–31”
From Cognitive Function After Bariatric Surgery: Evidence for Improvement 3 Years After Surgery (2014) · cites this paper as [30]
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Büyükgök, D., Bingöl, Z., Tufan, A., Kıyan, E., Karan, M. A., & Bahat, G. (2023) · European Journal of Geriatrics and Gerontology · doi:10.4274/ejgg.galenos.2023.2023-1-2 · Cited by 2
Exposure to intermittent hypoxia impairs learning and memory ability in rats
Zhang, F., Tian, Z., Peng, S., Li, J., Yang, X., Mo, H., Tan, J., Yao, H., & Li, B. (2018) · Sleep and Biological Rhythms · doi:10.1007/s41105-018-0161-y · Cited by 2
Useful Field of View Impairments in Drivers with Obstructive Sleep Apnea
Tippin, J., Sparks, J., & Rizzo, M. (2009) · International Driving Symposium on Human Factors in Driver Assessment, Training and Vehicle Design (Driving Assessment Conference) · doi:10.17077/drivingassessment.1357 · Cited by 2
OSA – a risk factor for stroke
Ryan, C. M. (2011) · ChronoPhysiology and Therapy · doi:10.2147/cpt.s16490 · Cited by 2
The Brain in Obstructive Sleep Apnea: the Chickens Coming Home to Roost?
Hamilton, G. S., & O’Donoghue, F. J. (2013) · SLEEP · doi:10.5665/sleep.2616 · Cited by 2
Update on Obstructive Sleep Apnea: Implications for Neuropsychiatry
Baker, C. A., Hurley, R. A., & Taber, K. H. (2016) · Journal of Neuropsychiatry · doi:10.1176/appi.neuropsych.16060115 · Cited by 2
Driving Safety and Fitness to Drive in Sleep Disorders
Tippin, J., & Dyken, M. E. (2017) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/con.0000000000000490 · Cited by 2
Evaluation of Cognitive Functions in Obstructive Sleep Apnea Syndrome
Hamamcı, M., İntepe, Y. S., & Çiftçi, B. (2020) · Düzce Tıp Fakültesi Dergisi · doi:10.18678/dtfd.674962 · Cited by 2
An Overview and Management of Multiple Chronic Conditions
Akarsu, S. (2020) · IntechOpen eBooks · doi:10.5772/intechopen.83051 · Cited by 2
Obstructive Sleep Apnea Syndrome
Locke, D. E. C. (2017) · Springer eBooks · doi:10.1007/978-3-319-56782-2_261-2 · Cited by 2
Metadata
- Authors
- ALOIA, M. S., ARNEDT, J. T., DAVIS, J. D., RIGGS, R. L., & BYRD, D.
- Affiliations
- Brown University (US)
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-09
- Volume
- 10
- Issue
- 5
- Pages
- 772-785
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- OpenAlex
- W2030284843
- Cited by
- 391
- References
- 85
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 2 · 2023: 18 · 2022: 16 · 2021: 25 · 2020: 17 · 2019: 11 · 2018: 20 · 2017: 24 · 2016: 39 · 2015: 15 · 2014: 25 · 2013: 34 · 2012: 28
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R01HL067209, R01 HL67209)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- obstructive sleep apnea-hypopnea syndrome, cognitive impairment, neuropsychological sequelae, attention and vigilance, excessive daytime sleepiness, hypoxemia, sleep fragmentation, depression, constructional ability
- MeSH terms
- Attention, Cognition, Cognition Disorders, Diagnosis, Differential, Humans, Intelligence, Language, Memory, Neuropsychological Tests, Problem Solving, Psychomotor Performance, MEDLINE, Sleep Apnea, Obstructive
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