Evidence map›Paper›PMID 40275828›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Examining the association between sleep apnea and total hippocampal volumes in cognitive impairment.

Matthew Settimi, Dennis Tchoudnovski, Ivan Ntale, David R Colelli, Yakdehikandage S Costa, Sara Mitchell, Mario Masellis, Benjamin Lam, Andrew Lim, Frances Chung and 4 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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  9. Examining the association between sleep apnea and total hippocampal volumes in cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Matthew SettimiHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Dennis TchoudnovskiHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Ivan NtaleHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
David R ColelliHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Yakdehikandage S CostaHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Sara MitchellHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Mario MasellisHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Benjamin LamHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Andrew LimHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Frances ChungDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Joel RamirezHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Maged GoubranHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Sandra E BlackHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.
Mark I BoulosHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Wellness Way, Toronto, Ontario, Canada.

Funding

Alternative Funding Plan from the Academic Health Sciences Centres of Ontario.Canadian Graduate Scholarship Award.Ontario Graduate Scholarship Awards.Philanthropic Donations to the Centre for Brain Resilience and Recovery.SPARK Summer Research Program Awards.University of Toronto Comprehensive Research Experience for Medical Students (CREMS)
6 · The paper itself

Abstract

introductionThe prevalence of dementia is rising due to an aging population. Given the known risks of obstructive sleep apnea (OSA) on cerebrovascular health, we hypothesized that markers of OSA would correlate with reduced hippocampal volumes in individuals with cognitive impairment due to neurodegenerative, vascular, or mixed (NVM) etiologies.

methodsData from 166 patients were retrospectively analyzed. Participants underwent polysomnography or home sleep apnea tests, alongside structural brain magnetic resonance imaging (MRI). They were categorized into cognitive impairment due to NVM etiology or subjective cognitive complaints. Multiple linear regression models examined correlations between sleep variables and hippocampal volume.

resultsThe presence of OSA, time under 90% oxygen saturation, and mean SpO DISCUSSION: These findings suggest that individuals with cognitive impairment due to NVM etiology experience underlying neurodegenerative processes, which increase susceptibility to the adverse effects of OSA. HIGHLIGHTS: Hypoxic burden, rather than AHI, was associated with hippocampal volume loss. The presence of OSA, T90%, and mean SpO

Indexed as

Cognitive DysfunctionHippocampusSleep Apnea, ObstructiveSleep Apnea SyndromesAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePolysomnographyRetrospective StudiesAHIApnea Hypopnea Indexbrain imaginghippocampal volumehome sleep apnea testHSATneurodegenerative disordersneuroimagingobstructive sleep apneaOSApolysomnographyvascular dementia

Identifiers

PMID40275828
PMCPMC12022498

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.