title: Insomnia and risk of dementia in older adults: Systematic review and meta-analysis.
abstract: There are cross-sectional evidences of an association between sleep disorders and cognitive impairment on older adults. However, there are no consensus by means of longitudinal studies data on the increased risk of developing dementia related to insomnia. We conduct a systematic review and meta-analysis to evaluate the risk of incident all-cause dementia in individuals with insomnia in population-based prospective cohort studies. Five studies of 5.242 retrieved references were included in the meta-analysis. We used the generic inverse variance method with a random effects model to calculate the pooled risk of dementia in older adults with insomnia. We assessed heterogeneity in the meta-analysis by means of the Q-test and I2 index. Study quality was assessed with the Newcastle-Ottawa Scale The results showed that Insomnia was associated with a significant risk of all-cause dementia (RR = 1.53 CI95% (1.07-2.18), z = 2.36, p = 0.02). There was evidence for significant heterogeneity in the analysis (q-value = 2.4, p < 0.001 I2 = 82%). Insomnia is associated with an increased risk for dementia. This results provide evidences that future studies should investigate dementia prevention among elderly individuals through screening and proper management of insomnia.
authors.affiliation: Department of Psychology, Federal University of Rio Grande do Norte, Brazil. Electronic address: katie.almondes@gmail.com.
authors.forename: Katie Moraes
authors.initials: KM
authors.lastname: de Almondes
authors.affiliation: Laboratory of Investigations in Clinical Neurosciences, Federal University of Minas Gerais, School of Medicine, Belo Horizonte, MG, Brazil. Electronic address: monicavie@gmail.com.
authors.forename: Mônica Vieira
authors.initials: MV
authors.lastname: Costa
authors.affiliation: Laboratory of Investigations in Clinical Neurosciences, Federal University of Minas Gerais, School of Medicine, Belo Horizonte, MG, Brazil; Department of Mental Health, Federal University of Minas Gerais School of Medicine, Belo Horizonte, MG, Brazil. Electronic address: malloy.diniz@gmail.com.
authors.forename: Leandro Fernandes
authors.initials: LF
authors.lastname: Malloy-Diniz
authors.affiliation: Laboratory of Investigations in Clinical Neurosciences, Federal University of Minas Gerais, School of Medicine, Belo Horizonte, MG, Brazil; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, TX, USA. Electronic address: brenosatler@gmail.com.
authors.forename: Breno Satler
authors.initials: BS
authors.lastname: Diniz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000150:complications* / Q000453:epidemiology*; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000453:epidemiology*
keywords: Dementia; Elderly; Insomnia; Sleep disorders