According to a study published in the November 6, 2024, online issue of Neurology, the medical journal of the American Academy of Neurology, older people who are sleepy during the day or lose interest in activities due to sleep issues may be more likely to develop a syndrome that can lead to dementia.

People with the syndrome walk slowly and report memory problems, but they do not have a mobility handicap or dementia. Motoric cognitive risk syndrome is a condition that can develop before dementia.

What The Study Found?

The study found that people with excessive daytime sleepiness and a lack of enthusiasm to get things done were more likely to develop the syndrome than people without those sleep-related issues. The study does not prove that these sleep-related issues cause the syndrome, it only shows an association.

“Our findings emphasize the need for screening for sleep issues,” said study author Victoire Leroy, MD, PhD, of Albert Einstein College of Medicine in the Bronx, New York. “There’s potential that people could get help with their sleep issues and prevent cognitive decline later in life.”

How Was It Conducted?

The study included 445 participants, with an average age of 76, who did not have dementia. Participants completed sleep surveys at the beginning of the trial. They were queried about memory problems, and their walking pace was measured on a treadmill at the beginning of the study and then once a year for the next three years.

The sleep assessment included questions about how frequently people had difficulties sleeping because they woke up in the middle of the night, couldn't fall asleep within 30 minutes, or felt too hot or cold, as well as whether they used sleep aids. The question to assess excessive daytime drowsiness asks how frequently people have had problems remaining awake when driving, eating meals, or were engaged in any other activity.

The Findings

In total, 177 participants fit the category of bad sleepers, whereas 268 satisfied the definition of good sleepers.

At the outset of the trial, 42 participants had motoric cognitive risk syndrome. Throughout the trial, 36 more persons got the condition.

35.5% of patients who experienced extreme daytime sleepiness and a lack of enthusiasm developed the syndrome, compared to 6.7% who did not. After accounting for other factors that could influence the risk of the syndrome, such as age, depression, and other health conditions, researchers discovered that people with excessive daytime sleepiness and a lack of enthusiasm were more than three times more likely to develop the syndrome than those who did not have those sleep-related issues.

“More research needs to be done to look at the relationship between sleep issues and cognitive decline and the role played by motoric cognitive risk syndrome,” Leroy said. “We also need studies to explain the mechanisms that link these sleep disturbances to motoric cognitive risk syndrome and cognitive decline.”

A limitation of the study is that participants reported their own sleep information, so they may not have remembered everything accurately.

The study was supported by the National Institute on Aging.

The NHS has issued advice for anyone taking a widely prescribed medication, warning of possible “serious” side effects. If you are currently on atorvastatin, it’s important to be cautious about what other medicines or supplements you take alongside it.

What Is Atorvastatin?

Atorvastatin belongs to a class of drugs called statins, which help lower cholesterol levels. It is usually prescribed for people with high cholesterol to reduce the risk of heart disease, including heart attacks and strokes.

NHS Issues Guidance on Atorvastatin

Your GP may also recommend atorvastatin if you have a family history of heart disease or a long-term condition such as type 1 or type 2 diabetes or rheumatoid arthritis. As with any medicine, it’s vital to follow official guidance on how to take it safely.

Atorvastatin: Interactions With Other Medicines

On its website, the NHS lists certain “cautions with other medicines.” This means you should check that atorvastatin is safe to take alongside any other drugs or supplements.

The NHS explained: “Some medicines can affect the way atorvastatin works and can increase the chances of you having serious side effects, such as muscle damage.” You should tell your doctor or pharmacist if you are taking any of the following:

• Antibiotics, including erythromycin, clarithromycin, rifampicin, or fusidic acid
• Antifungals, such as ketoconazole, voriconazole, or fluconazole
• Certain HIV medications
• Some hepatitis C treatments
• Warfarin, used to prevent blood clots
• Ciclosporin, for psoriasis or rheumatoid arthritis
• Colchicine, used for gout
• Contraceptive pills, such as the combined pill
• Blood pressure or heart medicines, including verapamil, diltiazem, or amlodipine
• Amiodarone, used for irregular heartbeats (atrial fibrillation)

If you need to take one of these medicines while on atorvastatin, your doctor may:

• Recommend a lower dose of atorvastatin
• Suggest a different statin
• Advise pausing atorvastatin temporarily

These are not all the drugs that can interact with atorvastatin. “For a full list, see the leaflet in your medicine packet or speak to your pharmacist,” the NHS said.

The health service also advised checking with your doctor or pharmacist before taking supplements like St John’s wort or CoQ10 while on atorvastatin.

Atorvastatin Common Side Effects

The NHS lists these common side effects, which affect more than one in 100 people:

• Nausea or indigestion
• Headaches
• Nosebleeds
• Sore throat
• Cold-like symptoms, such as runny or blocked nose, or sneezing
• Constipation or bloating
• Diarrhoea

“Drinking large amounts of alcohol regularly increases the risk of side effects and liver problems while taking atorvastatin,” the NHS added. “If side effects make you want to stop taking the medicine, speak to your doctor first. They may be due to another cause, and your doctor can suggest lowering the dose or switching medicines.”

Atorvastatin Serious Side Effects

Stop taking atorvastatin and contact a doctor or call 111 immediately if you experience:

• Unexplained muscle pain, tenderness, weakness, or cramps, which could indicate muscle breakdown and kidney damage
• Yellowing of the whites of your eyes or your skin, pale stools, or dark urine, which may signal liver problems
• Skin rash with pink or red blotches, particularly on the palms or soles, possibly indicating erythema multiforme
• Severe abdominal pain, a potential sign of acute pancreatitis
• Cough, shortness of breath, or unexplained weight loss, which could indicate lung disease
• Weakness in your arms or legs that worsens with activity, double vision, drooping eyelids, difficulty swallowing, or shortness of breath, which may be a sign of myasthenia gravis.

Keeping the television on while falling asleep or leaving a light on in the bedroom may feel reassuring, but new international research suggests it could seriously affect heart health. A recent study has found that exposure to light at night significantly raises the risk of heart disease, even if a person believes they are sleeping well.

Sleeping With Lights On Could Harm Your Heart, Study Warns

The findings come from a large, long-term study carried out by researchers in Australia and the United States. The team followed nearly 90,000 adults in the United Kingdom over a period of nine years. Participants were given light sensors to accurately measure how much light they were exposed to during sleep.

Researchers tracked cases of heart attack, heart failure, and stroke throughout the study period. The results were striking. Compared to people who slept in complete darkness, those exposed to light at night faced a 56 percent higher risk of cardiovascular problems. The risk of heart failure increased by 47 percent, while the likelihood of coronary artery disease rose by 32 percent. The study noted that this risk was particularly higher among women. The risk of stroke was also found to be up to 30 percent higher.

Why Night-Time Light Is Dangerous

According to the research, published in JAMA Network Open, the main reason behind this increased risk is disruption of the body’s circadian rhythm. This internal biological clock regulates sleep, hormone release, metabolism, and other vital functions.

Artificial light at night interferes with this natural rhythm, pushing the body into a state of imbalance. Over time, this ongoing disruption places added strain on the cardiovascular system. Researchers warned that for people over the age of 40, exposure to light during sleep is emerging as a significant risk factor for heart disease.

Professor Frank Scheer, a neuroscientist at Brigham and Women’s Hospital, believes doctors should look beyond sleep duration when assessing patients’ sleep habits. He says physicians should also ask about bedroom conditions, including light exposure.

“There is no harm in keeping the bedroom completely dark,” he explained. “In fact, it is extremely beneficial for overall health.”

Simple Tips For Better, Heart-Healthy Sleep

Experts suggest a few practical steps to reduce light exposure at night:

• Turn off the television, mobile phones, and laptops before going to bed
• If light is needed for safety, keep it below 5 lux, roughly equivalent to the soft glow of a few candles
• Use thick, dark curtains to block out streetlights and outside glare
• Sleeping in darkness may seem like a small change, but researchers say it could play an important role in protecting heart health over time.

Researchers also noted that many people underestimate how much light they are exposed to at night. Even dim sources such as alarm clocks, charging indicators, or light filtering in from nearby buildings can affect the body’s natural night-time processes. Over years, this low-level but constant exposure may quietly increase the risk of high blood pressure, insulin resistance, and weight gain, all of which are closely linked to heart disease. The study reinforces a growing body of evidence that sleep quality is shaped not just by how long we sleep, but by the environment we sleep in.

A neurologist has spoken about a simple daily practice that may help guard against cognitive decline, and it requires just six minutes. Dr Clint Steele, a specialist in the brain and nervous system, works with patients to improve quality of life by strengthening brain function and preventing, and in some cases reversing, conditions such as dementia.

What Is Dementia?

Dementia is an umbrella term used to describe a significant decline in mental function that is serious enough to affect everyday life. It commonly impacts memory, thinking, and reasoning skills. Dementia itself is not a single disease but a collection of symptoms caused by underlying conditions such as Alzheimer’s disease or vascular dementia. Common signs include memory problems, confusion, difficulty finding words, changes in mood or behaviour, and trouble completing familiar tasks.

These symptoms usually worsen over time and are not considered a normal part of ageing. Although there is no cure, treatment options can help manage symptoms, and early diagnosis plays an important role in care planning.

Dementia: Signs And Symptoms

The signs of dementia can differ from person to person. Some common examples include difficulty with short-term memory, misplacing personal belongings like a purse or wallet, trouble managing finances or paying bills, challenges with planning or cooking meals, forgetting appointments, and becoming disoriented when travelling outside familiar areas.

Dementia symptoms tend to be progressive, meaning they often begin subtly and gradually become more severe over time, eventually interfering with daily functioning. If you or someone close to you notices ongoing memory issues or changes in thinking or behaviour, it is important not to dismiss them.

Six-Minute Daily Routine That May Help Slow Dementia Risk

The 56-year-old expert says that reading for six minutes a day could meaningfully lower the risk of dementia, Alzheimer’s disease, Parkinson’s disease, and other neurological conditions. In a TikTok video that has since been viewed thousands of times, Dr Steele points to long-term research showing that strengthening what is known as “cognitive reserve” may help prevent or reduce the likelihood of dementia and similar disorders, as per Mirror.

Why Cognitive Reserve Matters

According to Dr Steele, one way to support cognitive function is by learning new skills, such as picking up a foreign language, learning to dance, or simply reading a book for at least six minutes each day. “Reading six minutes a day actually lowers your risk of dementia, Alzheimer’s, Parkinson’s disease and more,” he told What’s The Jam.

He explained that reading helps build cognitive reserve, which refers to the brain’s ability to adapt. “Adaptability is so important because when you encounter stress, you want your brain to be able to adjust to that stress, respond in the right way, and then, once the stress has passed, adapt again and settle down,” he said.

A Small Daily Commitment

“One of the most important things you can do is read six minutes a day, according to the research, and that will help,” Dr Steele added. Based in Maine and Florida in the US, he has spent 34 years focused on brain health and dementia prevention.

Public Response To The Advice

His TikTok video has also drawn hundreds of likes and comments. One viewer wrote: “Normally read at least 100 books a year, plus the Bible, dance classes, acrobatics, clogging for at least six years, at 84 still moving, just slower, my mom had Alzheimer’s, so I do know!”

Another commented: “I still enjoy reading news every day.” A third added: “Another really good one is fine art, probably why so many older people take up painting.”