{"id":1432,"date":"2025-09-14T12:57:21","date_gmt":"2025-09-14T10:57:21","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1432"},"modified":"2025-09-14T12:57:22","modified_gmt":"2025-09-14T10:57:22","slug":"fuehrt-eine-obstruktive-schlafapnoe-zu-einer-mess-und-nachweisbaren-funktionseinschraenkung-des-gehirnes-eine-verlaufsuntersuchung-ueber-4-jahre","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2025\/09\/14\/fuehrt-eine-obstruktive-schlafapnoe-zu-einer-mess-und-nachweisbaren-funktionseinschraenkung-des-gehirnes-eine-verlaufsuntersuchung-ueber-4-jahre\/","title":{"rendered":"F\u00fchrt eine obstruktive Schlafapnoe zu einer mess- und nachweisbaren Funktionseinschr\u00e4nkung des Gehirnes? Eine Verlaufsuntersuchung \u00fcber 4 Jahre"},"content":{"rendered":"Bei 1100 Personen wurden die Daten im Abstand von 4 Jahren durchgef\u00fchrten Polysomnografien, MRI-Scans des Gehirns mit Messung des \u201ediffusion tensor imaging along the perivascular space = DTI\u201c und kognitiven Testen untersucht. 621 Personen hatten keine Schlafapnoe (Apnoe-Hypopnoe-Index 1.9\u00b11.4\/h,) 338 eine leichtgradige Form (AHI  8.7\u00b12.7\/h) und 151 einen Apnoe-Hypopnoe-Index von 24.3\u00b19.9)h. Alter  57\u00b15 Jahre, Body-Mass-Index um 25 \u00b13 kg\/qm, nur 5 % hatten einen Epworth-Wert > 11. Die Patienten mit ausgepr\u00e4gter obstruktiver Schlafapnoe hatten eine geringeren DTI-Wert und h\u00f6here Einschr\u00e4nkungen bei Aufmerksamkeits- und Kognitionstesten, und in diesem Kollektiv verschlechterten sich diese Werte im Verlauf von 4 Jahren ausgepr\u00e4gter als bei denjenigen ohne bzw. mit leichtgradiger Schlafapnoe. Die Daten sprechen f\u00fcr eine vom Schweregrad der Schlafapnoe abh\u00e4ngige St\u00f6rung des glylymphatischen Systems. (Lee MH, Lee WJ, Lee SK, Kim S, Siddiquee AT, Hwang YH, Paik SM, Park HJ, Kim JR, Thomas RJ, Shin C, Yun CH. Impact of Sleep Apnea on Perivascular Diffusivity and Cognition: A 4-Year Prospective Cohort Study. Am J Respir Crit Care Med. 2025 Aug 11. doi: 10.1164\/rccm.202411-2221OC. Epub ahead of print. PMID: 40788707.)","protected":false},"excerpt":{"rendered":"<p>Bei 1100 Personen wurden die Daten im Abstand von 4 Jahren durchgef\u00fchrten Polysomnografien, MRI-Scans des Gehirns mit Messung des \u201ediffusion tensor imaging along the perivascular space = DTI\u201c und kognitiven Testen untersucht. 621 Personen hatten keine Schlafapnoe (Apnoe-Hypopnoe-Index 1.9\u00b11.4\/h,) 338 eine leichtgradige Form (AHI 8.7\u00b12.7\/h) und 151 einen Apnoe-Hypopnoe-Index von 24.3\u00b19.9)h. Alter 57\u00b15 Jahre, Body-Mass-Index [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1432","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Bei 1100 Personen wurden die Daten im Abstand von 4 Jahren durchgef\u00fchrten Polysomnografien, MRI-Scans des Gehirns mit Messung des \u201ediffusion tensor imaging along the perivascular space = DTI\u201c und kognitiven Testen untersucht. 621 Personen hatten keine Schlafapnoe (Apnoe-Hypopnoe-Index 1.9\u00b11.4\/h,) 338 eine leichtgradige Form (AHI 8.7\u00b12.7\/h) und 151 einen Apnoe-Hypopnoe-Index von 24.3\u00b19.9)h. Alter 57\u00b15 Jahre, Body-Mass-Index&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1432"}],"version-history":[{"count":2,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1432\/revisions"}],"predecessor-version":[{"id":1445,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1432\/revisions\/1445"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}