Health
Chronic Insomnia Linked to Faster Brain Ageing, Study Finds
Struggling with sleepless nights may do more than leave you feeling tired. A new study has found that chronic insomnia is linked to faster brain ageing and a higher risk of cognitive decline.
The research, published in the journal Neurology, showed that people with chronic insomnia — defined as difficulty sleeping at least three nights a week for three months or longer — were 40% more likely to develop dementia or mild cognitive problems than those who slept normally. On average, this translated to an additional 3.5 years of brain ageing.
“These findings add to a growing body of evidence that sleep isn’t just about rest — it’s also about brain resilience,” said Dr Diego Z. Carvalho, study author and neurologist at the Mayo Clinic in the United States.
Carvalho’s team followed 2,750 older adults who were cognitively healthy at the start of the study. Over nearly six years, participants underwent regular memory and thinking tests, with some also receiving brain scans. Around 16% had chronic insomnia.
By the end of the study, 14% of people with insomnia had developed dementia or mild cognitive impairment, compared with 10% of those without sleep problems. People with chronic insomnia also showed faster declines on thinking tests.
Brain scans revealed further clues. Participants reporting less sleep than usual were more likely to have white matter hyperintensities — bright spots indicating small blood vessel damage — and amyloid plaques, protein build-ups associated with Alzheimer’s disease. The study noted that the levels of amyloid in these participants were similar to those found in carriers of the APOE4 gene variant, which raises the risk of Alzheimer’s.
“Our results suggest that insomnia may affect the brain in different ways, involving not only amyloid plaques but also small vessels supplying blood to the brain,” Carvalho said.
Importantly, the study did not prove that insomnia directly causes dementia, only that the two appear to be connected. Researchers controlled for other factors such as age, high blood pressure, sleep apnoea, and the use of sleep medication, but further studies are needed to understand why poor sleep and brain health are linked.
The findings contribute to a broader body of research showing that poor sleep can raise the risk of several health conditions, including high blood pressure, heart disease, diabetes, depression, and obesity.
Globally, dementia affects an estimated 57 million people, according to the World Health Organization, while insomnia impacts more than 16% of the population in countries with reliable data.
“This study reinforces the importance of treating chronic insomnia — not just to improve sleep quality, but potentially to protect brain health as we age,” Carvalho said.
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