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Published in: Neurological Sciences 5/2019

01-05-2019 | Dementia | Original Article

Multi-angles of smoking and mild cognitive impairment: is the association mediated by sleep duration?

Authors: Mingyue Hu, Huiru Yin, Xinhui Shu, Yong Jia, Minmin Leng, Li Chen

Published in: Neurological Sciences | Issue 5/2019

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Abstract

Although the association between cigarette smoking and risk of mild cognitive impairment (MCI) is controversial, most recent studies have shown that this influence is negative. However, it is unknown how multiple factors of smoking affect MCI, and the mechanisms of different smoking factors are not yet clarified. This study will examine the impact of various angles of smoking on MCI and the potential mediating effects of sleep duration on smoking MCI association in the elderly. In the case group, 109 elderly people who met the inclusion criteria were selected, and 123 were selected in the control group. Participant characteristics include sleep duration and a detailed lifetime history of smoking. After adjusting the relevant covariates, higher odds of MCI occurrence were found in ex-smokers/current smokers; moderate/heavy smokers; smokers for 30–44, 45–59 and more than 60 years; smokers with cumulative smoking duration of 30–44 or more than 60 years and smokers with cumulative dose smoking intensity of 200–399 or 400–599 cigarettes monthly. Elderly subjects who had quit smoking for 21 years or longer were found to have lower odds of MCI occurrence. The indirect effects of smoking on MCI via sleep duration were statistically significant, as the ratio of indirect effect to total effect ranged from 0.14 to 0.29. Smoking affects cognitive function through multi-angles of smoking and influences the cognitive function partly via the duration of sleep.
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Literature
1.
go back to reference Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M (2015) The global impact of dementia: an analysis of prevalence, incidence, cost and trends. World Alzheimer Rep Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M (2015) The global impact of dementia: an analysis of prevalence, incidence, cost and trends. World Alzheimer Rep
2.
go back to reference Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M (2016) Improving healthcare for people living with dementia: coverage, quality and costs now and in the future. World Alzheimer Rep Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M (2016) Improving healthcare for people living with dementia: coverage, quality and costs now and in the future. World Alzheimer Rep
3.
go back to reference Petersen RC, Smith G, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E (1999) Mild cognitive impairment: clinical characterization and outcome. Arch Neurol 56(3):303–308CrossRefPubMed Petersen RC, Smith G, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E (1999) Mild cognitive impairment: clinical characterization and outcome. Arch Neurol 56(3):303–308CrossRefPubMed
4.
go back to reference Baozhen D (2012) Knowledge, attitude, belief, and practice (KABP/KAP) about Alzheimer disease among suspectableindividuals with mild cognitive impairment, Dissertation. University of Wuhan, Wuhan Baozhen D (2012) Knowledge, attitude, belief, and practice (KABP/KAP) about Alzheimer disease among suspectableindividuals with mild cognitive impairment, Dissertation. University of Wuhan, Wuhan
5.
go back to reference Mucha L, Stephenson J, Morandi N, Dirani R (2006) Meta-analysis of disease risk associated with smoking, by gender and intensity of smoking. Gend Med 3(4):279–291CrossRefPubMed Mucha L, Stephenson J, Morandi N, Dirani R (2006) Meta-analysis of disease risk associated with smoking, by gender and intensity of smoking. Gend Med 3(4):279–291CrossRefPubMed
9.
go back to reference Ma Y (2015) Cohort differences of smoking pattern in chinese population and its social determin. Pop Res 39(6):62–73 Ma Y (2015) Cohort differences of smoking pattern in chinese population and its social determin. Pop Res 39(6):62–73
10.
go back to reference Lee PN (1994) Smoking and Alzheimer’s disease: a review of the epidemiological evidence. Neuroepidemiology 13(4):131–144CrossRefPubMed Lee PN (1994) Smoking and Alzheimer’s disease: a review of the epidemiological evidence. Neuroepidemiology 13(4):131–144CrossRefPubMed
11.
go back to reference Brenner DE, van Belle G, Bowen JD, McCormick WC, Larson EB (1993) Relationship between cigarette smoking and Alzheimer’s disease in a population-based case-control study. Neurology 43:293–300CrossRefPubMed Brenner DE, van Belle G, Bowen JD, McCormick WC, Larson EB (1993) Relationship between cigarette smoking and Alzheimer’s disease in a population-based case-control study. Neurology 43:293–300CrossRefPubMed
17.
18.
go back to reference Schoenborn C A APF (2008) Sleep duration as a correlate of smoking, alcohol use, leisure-time physical inactivity, and obesity among adults: United States, 2004-2006 Schoenborn C A APF (2008) Sleep duration as a correlate of smoking, alcohol use, leisure-time physical inactivity, and obesity among adults: United States, 2004-2006
21.
go back to reference Ferrie JE, Shipley MJ, Akbaraly TN, Marmot MG, Kivim M, Singh-Manoux A, Singh-Manoux A (2011) Change in sleep duration and cognitive function: findings from the Whitehall II study. Sleep 34(5):565–573CrossRefPubMedPubMedCentral Ferrie JE, Shipley MJ, Akbaraly TN, Marmot MG, Kivim M, Singh-Manoux A, Singh-Manoux A (2011) Change in sleep duration and cognitive function: findings from the Whitehall II study. Sleep 34(5):565–573CrossRefPubMedPubMedCentral
22.
go back to reference Tworoger SS, Schernhammer ES, Grodstein F (2006) The association of self-reported sleep duration, difficulty sleeping, and snoring with cognitive function in older women. Alzheimer Dis Assoc Disord 20(1):41–48CrossRefPubMed Tworoger SS, Schernhammer ES, Grodstein F (2006) The association of self-reported sleep duration, difficulty sleeping, and snoring with cognitive function in older women. Alzheimer Dis Assoc Disord 20(1):41–48CrossRefPubMed
24.
go back to reference Zhou HD, Deng J, Li J, Wang Y, Zhang M (2003) Study of the relationship between cigarette smoking, alcohol drinking and cognitive impairment among elderly people in China. Age Ageing 32(2):205–210CrossRefPubMed Zhou HD, Deng J, Li J, Wang Y, Zhang M (2003) Study of the relationship between cigarette smoking, alcohol drinking and cognitive impairment among elderly people in China. Age Ageing 32(2):205–210CrossRefPubMed
27.
go back to reference Zhao X, Chen Q (2010) Reconsidering Baron and Kenny: myths and truths about mediation analysis. J Consum Res 37(2):197–206CrossRef Zhao X, Chen Q (2010) Reconsidering Baron and Kenny: myths and truths about mediation analysis. J Consum Res 37(2):197–206CrossRef
31.
go back to reference Spilich GJ, Renner J (1992) Cigarette smoking and cognitive performance. Addiction 87(9):1313–1326CrossRef Spilich GJ, Renner J (1992) Cigarette smoking and cognitive performance. Addiction 87(9):1313–1326CrossRef
32.
go back to reference Ernst M, Heishman SJ, Spurgeon L, London ED (2001) Smoking history and nicotine effects on cognitive performance. Neuropsychopharmacology 25(3):313–319CrossRefPubMed Ernst M, Heishman SJ, Spurgeon L, London ED (2001) Smoking history and nicotine effects on cognitive performance. Neuropsychopharmacology 25(3):313–319CrossRefPubMed
36.
go back to reference Lubin JH, Albanes D, Hoppin JA, Chen H, Lerro CC, Weinstein SJ, Sandler DP, Beane Freeman LE (2017) Greater coronary heart disease risk with lower intensity and longer duration smoking compared with higher intensity and shorter duration smoking: congruent results across diverse cohorts. Nicotine Tob Res 19(7):817–825. https://doi.org/10.1093/ntr/ntw290 CrossRefPubMed Lubin JH, Albanes D, Hoppin JA, Chen H, Lerro CC, Weinstein SJ, Sandler DP, Beane Freeman LE (2017) Greater coronary heart disease risk with lower intensity and longer duration smoking compared with higher intensity and shorter duration smoking: congruent results across diverse cohorts. Nicotine Tob Res 19(7):817–825. https://​doi.​org/​10.​1093/​ntr/​ntw290 CrossRefPubMed
38.
go back to reference Yarnell JW, Sweetnam PM, Rogers S, Elwood PC, Bainton D, Bake IA (1987) Some long term effects of smoking on the haemostatic system: a report from the Caerphilly and Speedwell Collaborative Surveys. J Clin Pathol 40(8):909–913CrossRefPubMedPubMedCentral Yarnell JW, Sweetnam PM, Rogers S, Elwood PC, Bainton D, Bake IA (1987) Some long term effects of smoking on the haemostatic system: a report from the Caerphilly and Speedwell Collaborative Surveys. J Clin Pathol 40(8):909–913CrossRefPubMedPubMedCentral
39.
go back to reference Bots ML, Breteler MMB, Kooten FV, Haverkate F, Meijer P, Koudstaal PJ (1998) Coagulation and fibrinolysis markers and risk of dementia. Haemostasis 28(3–4):216–222PubMed Bots ML, Breteler MMB, Kooten FV, Haverkate F, Meijer P, Koudstaal PJ (1998) Coagulation and fibrinolysis markers and risk of dementia. Haemostasis 28(3–4):216–222PubMed
40.
go back to reference Elwood PC, Gallacher JEJ (2001) Cognitive function and blood rheology: results from the Caerphilly cohort of older men. Age Ageing 30(2):135–139CrossRefPubMed Elwood PC, Gallacher JEJ (2001) Cognitive function and blood rheology: results from the Caerphilly cohort of older men. Age Ageing 30(2):135–139CrossRefPubMed
43.
go back to reference Yamauchi M, Nakano H, Maekawa J, Okamoto Y, Ohnishi Y, Suzuki T (2005) Oxidative stress in obstructive sleep apnea. Chest 127(5):1674–1679CrossRefPubMed Yamauchi M, Nakano H, Maekawa J, Okamoto Y, Ohnishi Y, Suzuki T (2005) Oxidative stress in obstructive sleep apnea. Chest 127(5):1674–1679CrossRefPubMed
45.
go back to reference Kahlil H (2017) Evidence summaries: melatonin for sleep disturbances in dementia. Aust Pharm 36(1):27 Kahlil H (2017) Evidence summaries: melatonin for sleep disturbances in dementia. Aust Pharm 36(1):27
46.
go back to reference McDade E, Bateman RJ (2017) Stop Alzheimer’s before it starts. Nat News 547(7662):156–162CrossRef McDade E, Bateman RJ (2017) Stop Alzheimer’s before it starts. Nat News 547(7662):156–162CrossRef
48.
go back to reference Kitaguchi N, Kawaguchi K, Sakai K (2018) Removal of blood amyloid as a therapeutic strategy for Alzheimer’s disease: the influence of smoking and nicotine. In: Akaike A, Shimohama S, Misu Y (eds) Nicotinic acetylcholine receptor signaling in neuroprotection. pp 173–191 Kitaguchi N, Kawaguchi K, Sakai K (2018) Removal of blood amyloid as a therapeutic strategy for Alzheimer’s disease: the influence of smoking and nicotine. In: Akaike A, Shimohama S, Misu Y (eds) Nicotinic acetylcholine receptor signaling in neuroprotection. pp 173–191
49.
go back to reference Ju YE, Holtzman DM (2014) Sleep and Alzheimer disease pathology-a bidirectional relationship. Nat Rev Neurol 10(2):115–119CrossRefPubMed Ju YE, Holtzman DM (2014) Sleep and Alzheimer disease pathology-a bidirectional relationship. Nat Rev Neurol 10(2):115–119CrossRefPubMed
Metadata
Title
Multi-angles of smoking and mild cognitive impairment: is the association mediated by sleep duration?
Authors
Mingyue Hu
Huiru Yin
Xinhui Shu
Yong Jia
Minmin Leng
Li Chen
Publication date
01-05-2019
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 5/2019
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-03750-5

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