Sleep Apnea and Memory Loss

When you think back on your life, can you remember your childhood? Your first day of school or favorite vacation? When you think about yesterday, can you remember what you had for breakfast?

If you are struggling to remember specific details about your past or day-to-day life, it may be a little scary.

It may also be related to sleep apnea.

More than 936 million people worldwide are affected by the sleep breathing disorder known as obstructive sleep apnea.

The connection between OSA and memory loss is surprising to many people, because other OSA symptoms are discussed more frequently, including severe and chronic health issues like high blood pressure, diabetes, obesity and cardiovascular problems. However, a study published in 2019 by RMIT University in Melbourne, Australia, has found a link.

What Is Obstructive Sleep Apnea?

OSA is a condition that causes interruptions in breathing during sleep. These interruptions are generally caused by the throat’s muscles collapsing into the airway or the tongue falling back to block the flow of air when the body relaxes during sleep.

These interruptions can last from 10 seconds to a minute or more and can happen anywhere from a dozen to hundreds of times a night.

What Causes Obstructive Sleep Apnea?

As we said, in most cases, the interruptions in breathing that trigger OSA are caused by the muscles of the airway collapsing or the tongue falling back to cut off the air. But, what contributes to this happening?

Here are factors that can increase your risk:

  • Excess weight. In many cases, individuals who are obese or overweight are at risk of developing obstructive sleep apnea because fat deposits around the upper airway can obstruct breathing. Note: Not everyone with obstructive sleep apnea is overweight, and thin people can develop OSA, too.
  • Narrowed airway. Many people living with OSA have narrow upper airways.
  • Enlarged tonsils or adenoids can also play a role in developing OSA, as they can block your airway.
  • Chronic nasal congestion. If you struggle with chronic allergies, sinus conditions or illness, you may be at risk of developing OSA.
  • Sex. If you’re male, you are at twice the risk of developing OSA than women, but the chance of developing sleep apnea increases in women when they begin menopause.
  • Family history. Does someone in your family have OSA? If so, you may be at risk of developing it yourself.
  • Asthma. Some research suggests an association between asthma and an increased risk of developing OSA.
  • Jaw problems. When your jaws are undersized or not appropriately aligned, your OSA risk goes up because your airway is smaller.

OSA and Memory Loss

The RMIT study examined the link between untreated OSA and memory by analyzing anecdotes regarding the ability to recall things about their life, a type of memory known as autobiographical memory.

What they found was that individuals with untreated OSA had difficulty recalling specific details about their lives.

In the study, they compared 44 adults with untreated OSA with 44 individuals without the sleep breathing disorder on their ability to recall specific things from their childhood, early adulthood and recent years.

They found that the participants with OSA had a higher “over general” memory than those without OSA. That is, they could recount general things about their past, but no specifics.

The researchers also found that OSA sufferers had issues with semantic memories, the ability to recall facts and concepts from one’s personal history, like your third-grade teacher’s name or the name of your first pet.

Interestingly enough, those with untreated OSA did not struggle with episodic memory, which is the ability to remember events like the first day of high school or family vacations from your childhood. One theory is that quality sleep is essential for the consolidation of autobiographical semantic memory.

In addition to the anecdotal evidence of the RMIT study, some researchers have taken brain scans of individuals living with sleep apnea and found that those with untreated OSA generally have a significant loss of gray matter in regions covering the area where the autobiographical memories are created.

More Than Memory

Not only does OSA carry risks such as diabetes, cardiovascular problems and memory loss, but the implications of memory loss also add another layer of complications to the lives of those affected: depression, frustration and sadness over not being able to recall life memories.

The Signs of Obstructive Sleep Apnea

The most common signs of OSA include:

  • Excessive daytime fatigue
  • Insomnia
  • Nightmares
  • Snoring or gasping for breathing during sleep
  • Chronic mouth breathing
  • Dry mouth, dry throat or sore throat
  • Headache or migraines
  • Mood swings
  • Unexplained weight gain

Are you struggling with untreated OSA or suspect you have OSA? Call us now to schedule a consultation and find out how we can help.

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