Sherbrooke Record

Studies indicate possible connection between sleep and dementia

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LENNOXVILL­E

All are welcome to witness the ordination of Gene Sparkes Ross and Gabriel Kwenga to the Sacred Order of Deacons this Sunday, November 26, at 4 p.m. at St. George’s Anglican Church, Lennoxvill­e, by the Rt. Rev. Bruce Myers, Bishop of Quebec, with special music by the Sherbrooke Gospel Choir and refreshmen­ts and fellowship following the service.

NORTH HATLEY

St. Barnabas Anglican Church, 640 Sherbrooke Road in North Hatley. 9 a.m. Eucharist Service every 1st and 3rd Sunday; Morning Prayer Service (Liturgy of the Word) every 2nd and 4th Sunday. 819-842-2686.

Presbyteri­an LENNOXVILL­E

St. Andrew’s Presbyteri­an Church, 256 Queen St., Lennoxvill­e, 819-569-3100, Sundays: 10:30 a.m. Worship and Sunday School.

United AYER’S CLIFF - MAGOG

Ayer’s Cliff - Magog - Georgevill­e Pastoral Charge welcomes everyone for Sunday service at Beulah United Church in Ayer’s Cliff - Worship service and Sunday School 9:15 a.m. and St. Paul’s United Church, Magog - Worship Service and Sunday School 11:15 a.m. with lunch provided each Sunday following the service in Magog. Minister: Rev. Lee Ann Hogle 819571-7233.

LENNOXVILL­E

Lennoxvill­e United Church, corner of Queen and Church Street, welcomes you to worship with Rev. Linda Buchanan on Sunday, November 26 at 10:00. Sunday School is available. Refreshmen­ts will be served. Phone: 819-565-8449; website: lennoxvill­eunitedchu­rch.com

SHERBROOKE

Plymouth-trinity United Church, corner of Dufferin and Terrill,819-346-6373 - www.plymouthtr­initychurc­h.org. Sunday, November 26 is the Reign of Christ Sunday. Service in English at 10:30. Welcome to you all! Notre culte en français se tient à 9:00. Bienvenue à tout le monde!

TRENHOLM

Trenholm United Church. Worship and song await you at our monthly service on Sunday, November 26 at 11 a.m., followed by soup and sandwich lunch. Everyone is welcome! Also, please mark our Christmas Candleligh­t Service on your calendar. It will take place on December 17 at 7 p.m.

WATERVILLE/NORTH HATLEY

Waterville/north Hatley United Church, Sunday, November 26, 11 a.m. Service with Rev. Mead Baldwin. Sunday School. Rev. Mead Baldwin 819-837-1112.

ASK THE DOCTORS By Eve Glazier, M.D., and Elizabeth Ko, M.D.

Dear Doctor: I read that not getting enough sleep can increase my risk of Alzheimer’s disease. I’ve had occasional trouble sleeping most of my life, and it seems to be getting worse as I get older. How worried should I be?

Dear Reader: Just like food, water and the air we breathe, getting enough highqualit­y sleep is vital to our well-being. As anyone who has pulled an all-nighter can attest, lack of sleep can impair reasoning and problem-solving, interfere with learning, and even lead to accidents or injury. Chronic sleep deficit, meanwhile, has been linked to health issues as serious as diabetes, obesity, cancer and heart disease.

Ongoing research continues to find a correlatio­n between sleep deficit and various types of dementia, including Alzheimer’s disease. In one of the more recent studies, participan­ts who reported sleep problems like insomnia, poor sleep quality and daytime sleepiness had a measurable increase in amyloid plaques in their spinal fluid. These sticky proteins are considered to be indicators of Alzheimer’s disease.

Just how does the sleep-wake cycle affect these Alzheimer’s markers? Researcher­s at the University of Rochester Medical Center believe they have discovered a significan­t piece of the puzzle. In studies published in 2012 and 2013, they revealed the existence of a cleansing system in the brains of mice, which removes waste products at a rapid pace.

They dubbed it the “glymphatic system” because it mirrors the waste-clearing function of the body’s lymphatic system, but is managed by the glial cells in the brain. Unlike cerebrospi­nal fluid, which plays a crucial role by circulatin­g nutrients to the brain and clearing away debris, the glymphatic system is not passive. It’s swift, efficient and reaches all corners of the brain.

What’s particular­ly intriguing is that the glymphatic system is active during deep sleep. Researcher­s found that during these stages of sleep, the cellular structure of the brain shifts. The spaces between the cells open, allowing the toxins that built up while we were awake to be quickly removed. The glial cells control the flow by shrinking during deep sleep to allow for rapid movement, then swelling again during REM sleep and at waking, all but shutting the system down.

The takeaway is that a good night’s sleep, which includes adequate deep sleep, literally clears out the brain. When we skimp or get poor-quality sleep that doesn’t include adequate deep sleep stages, we impair the brain’s ability to cleanse itself of potentiall­y damaging waste materials.

Thus far, the glymphatic system has been confirmed only in mice. However, the mouse brain is surprising­ly similar to the human brain, which is why it is used for study. As scientists build on this research, further discoverie­s will be made. But at the very least, we are reminded how important sleep is to good health and well-being.

As for your question about whether you should worry, we want to reassure you. Just because a symptom and a disease can be connected, it doesn’t mean that they must be. The nature of research like this is to identify patterns for future study. The fact that you have experience­d sleep problems does not mean that an Alzheimer’s diagnosis is inevitable.

Eve Glazier, M.D., MBA, is an internist and assistant professor of medicine at UCLA Health. Elizabeth Ko, M.D., is an internist and primary care physician at UCLA Health.

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