{"id":8010,"date":"2026-04-19T04:45:24","date_gmt":"2026-04-19T04:45:24","guid":{"rendered":"https:\/\/www.healthoptibody.com\/?p=8010"},"modified":"2026-04-19T04:45:24","modified_gmt":"2026-04-19T04:45:24","slug":"three-common-sleep-issues-may-be-early-warning-signs-of-dementia-experts-warn","status":"publish","type":"post","link":"https:\/\/www.healthoptibody.com\/?p=8010","title":{"rendered":"Three common sleep issues may be early warning signs of dementia, experts warn"},"content":{"rendered":"<p><\/p>\n<div itemprop=\"articleBody\">\n<p class=\"mol-para-with-font\">Nightly sleep troubles might be more than just frustrating; they could signal something deeper brewing beneath the surface, including dementia.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Neurologists believe the relationship between sleep and brain aging is a two-way street.\u00a0<\/p>\n<p class=\"mol-para-with-font\">On one hand, chronic poor sleep raises the risk of dementia. On the other hand, early dementia can disrupt the brain\u2019s sleep-wake circuits, meaning sleep problems may be one of the first signs that something is wrong.\u00a0<\/p>\n<p class=\"mol-para-with-font\">When <a style=\"font-weight: bold;\" target=\"_self\" class=\"\" href=\"https:\/\/www.dailymail.co.uk\/health\/article-15606541\/common-health-condition-raise-alzheimers-risk-dementia.html\">sleep hygiene breaks down<\/a>, the brain\u2019s ability to protect itself breaks down with it. A network called the glymphatic system, <a style=\"font-weight: bold;\" target=\"_self\" class=\"\" href=\"https:\/\/www.dailymail.co.uk\/health\/article-15219399\/Scientists-dementia-study-poor-sleep-brain-change.html\">the brain\u2019s cleanup system<\/a>, only cleans during sleep.<\/p>\n<p class=\"mol-para-with-font\">Its primary job is to flush out toxic proteins, including amyloid beta. These clump together to form the plaques characteristic of Alzheimer\u2019s disease, which affects roughly six million Americans.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Consistently poor deep sleep blocks the glymphatic system&#8217;s ability to function as designed, and over time, that buildup of waste actively fuels dementia\u2019s progression.\u00a0<\/p>\n<p class=\"mol-para-with-font\">One of the most alarming red flags is a sudden, unexplained onset of insomnia, not just the occasional restless night.\u00a0In Alzheimer\u2019s disease specifically, the circuits that regulate the brain\u2019s sleep-wake cycle gradually degrade.<\/p>\n<p class=\"mol-para-with-font\">Neurologists point to extreme difficulty falling asleep, frequent nighttime awakenings and intense daytime fatigue as potential indicators of deteriorating brain networks.\u00a0<\/p>\n<div class=\"artSplitter mol-img-group\" style=\"\">\n<div class=\"mol-img\">\n<div class=\"image-wrap\"> <img loading=\"lazy\" decoding=\"async\" id=\"i-544507814fcb3bd8\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2026\/04\/15\/22\/107862453-15729615-As_a_person_ages_the_glymphatic_system_naturally_slows_down_redu-a-1_1776290046272.jpg\" height=\"504\" width=\"634\" alt=\"Aging slows the glymphatic system, reducing nightly toxin clearance. Chronic sleep loss worsens this deficit, potentially accelerating dementia-related plaque buildup (stock)\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/> <\/div>\n<\/p><\/div>\n<p class=\"imageCaption\">Aging slows the glymphatic system, reducing nightly toxin clearance. Chronic sleep loss worsens this deficit, potentially accelerating dementia-related plaque buildup (stock)<\/p>\n<\/div>\n<p><iframe data-xpmodule-iframe-resizable=\"\" scrolling=\"no\" name=\"xp-iframe-mo5a0hkl2afarxfq9t5\" class=\"iframe-creator \" src=\"https:\/\/i.dailymail.co.uk\/i\/html_modules\/Annie\/tests\/240905-healthsubheading-finalversion\/index.html\" allow=\"clipboard-write\" height=\"45\" style=\"border: 0; width: 0; min-width: 100%; \" id=\"xp-iframe-mo5a0hkl2afarxfq9t5\"><\/p>\n<p>Your browser does not support iframes.<\/p>\n<p>    <\/iframe><\/p>\n<p class=\"mol-para-with-font mol-style-medium health-ccox mol-style-bold\">Nighttime insomnia and daytime sleepiness\u00a0<\/p>\n<p class=\"mol-para-with-font\">When neurodegeneration attacks the brain&#8217;s internal clock, the body loses sync with day and night. The same toxic protein that erodes memory\u2014amyloid beta\u2014also affects this internal timekeeper.<\/p>\n<p class=\"mol-para-with-font\">As these proteins accumulate in regions that regulate arousal and sleep stability, the brain literally forgets how to transition properly into deep, restorative sleep. The result is a scrambled, random sleep-wake cycle rather than a rhythmic one.<\/p>\n<p class=\"mol-para-with-font\">This disruption presents as sudden, severe insomnia, characterized by extreme difficulty falling asleep, frequent nighttime awakenings and profound daytime fatigue. Some people feel wide awake at 2 am.<\/p>\n<p class=\"mol-para-with-font\">It also plays out as excessive sleepiness during normal waking hours\u2014losing the ability to stay awake during alert hours, falling asleep during meals or even mid-conversation.<\/p>\n<p class=\"mol-para-with-font\">The brain tries to clear waste and consolidate memories at the wrong times, leaving a person drowsy when they should be alert.<\/p>\n<p class=\"mol-para-with-font\">These two problems often go hand in hand. Nighttime insomnia and daytime sleepiness are opposite sides of the same circadian breakdown.<\/p>\n<p class=\"mol-para-with-font\">This pattern is frequently accompanied by confusion, agitation or disorientation in the late afternoon and evening, a common dementia symptom known as sundowning.<\/p>\n<p class=\"mol-para-with-font\">Experts urge a neurological evaluation rather than assuming these issues are simply stress or a bad bout of insomnia.\u00a0<\/p>\n<div class=\"artSplitter mol-img-group\" style=\"\">\n<div class=\"mol-img\">\n<div class=\"image-wrap\"> <img loading=\"lazy\" decoding=\"async\" id=\"i-260eb21c8acaf6bc\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2026\/04\/15\/23\/107862471-15729615-Dr_Chelsie_Rohrscheib_a_Michigan_based_neuroscientist_and_sleep_-a-3_1776290917245.jpg\" height=\"648\" width=\"634\" alt=\"Dr Chelsie Rohrscheib, a Michigan-based neuroscientist and sleep researcher advised people to see a sleep specialist for worsening insomnia, daytime sleepiness or unusual nighttime behaviors. See a neurologist for memory loss, confusion at nighttime, acting out in one's sleep or personality changes\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/> <\/div>\n<\/p><\/div>\n<p class=\"imageCaption\">Dr Chelsie Rohrscheib, a Michigan-based neuroscientist and sleep researcher advised people to see a sleep specialist for worsening insomnia, daytime sleepiness or unusual nighttime behaviors. See a neurologist for memory loss, confusion at nighttime, acting out in one&#8217;s sleep or personality changes<\/p>\n<\/div>\n<div class=\"artSplitter mol-img-group\" style=\"\">\n<div class=\"mol-img\">\n<div class=\"image-wrap\"> <img loading=\"lazy\" decoding=\"async\" id=\"i-d3baa88035b31e5d\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2026\/04\/16\/20\/107862607-15729615-CDC_data_shows_that_at_least_14_percent_of_American_adults_strug-a-47_1776368747650.jpg\" height=\"375\" width=\"634\" alt=\"CDC data shows that at least 14 percent of American adults struggle with insomnia. The problem is most acute in younger adults\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/> <\/div>\n<\/p><\/div>\n<p class=\"imageCaption\">CDC data shows that at least 14 percent of American adults struggle with insomnia. The problem is most acute in younger adults<\/p>\n<\/div>\n<p class=\"mol-para-with-font mol-style-medium health-ccox mol-style-bold\">Acting out dreams<\/p>\n<p class=\"mol-para-with-font\">Acting out dreams, including punching, kicking, swearing or jumping out of bed, is known as REM Sleep Behavior Disorder. This symptom can appear years before memory problems surface, particularly in Lewy body dementia and Parkinson&#8217;s disease.<\/p>\n<p class=\"mol-para-with-font\">A sudden onset in mid-to-late life, especially when accompanied by no obvious stressor or psychological cause, should raise clinical suspicion.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Normally, during REM (rapid eye movement) sleep, the brain paralyzes the body, a protective mechanism that keeps someone from physically responding to their vivid dreams.<\/p>\n<p class=\"mol-para-with-font\">In REM Sleep Behavior Disorder (RBD), that paralysis mechanism fails. People punch, kick, shout, swear or even leap out of bed, often reenacting action-filled or terrifying dreams. This represents a fundamental breakdown of brainstem circuitry.<\/p>\n<p class=\"mol-para-with-font\">RBD often precedes memory symptoms by years or even decades.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Researchers have found that the vast majority of people diagnosed with isolated RBD will eventually develop a synucleinopathy, or a family of neurodegenerative diseases that includes Lewy body dementia and Parkinson&#8217;s disease.<\/p>\n<p><iframe name=\"xp-iframe-mo5a21cjvr239mxf6js\" class=\"iframe-creator \" src=\"https:\/\/flo.uri.sh\/visualisation\/25537054\/embed\" allow=\"clipboard-write\" height=\"600\" style=\"border: 0; width: 0; min-width: 100%; \" id=\"xp-iframe-mo5a21cjvr239mxf6js\"><\/p>\n<p>Your browser does not support iframes.<\/p>\n<p>    <\/iframe><\/p>\n<p class=\"mol-para-with-font\">&#8216;There are certain neurodegenerative diseases that are either Parkinson&#8217;s or Parkinson&#8217;s-plus syndromes that often start with sleep disturbances,&#8217; Dr Jeremy M Liff, a neurologist who specializes in blood flow to the brain at NYU Langone Health in New York City, told the Daily Mail.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Because the brain is degenerating, especially in the brainstem area or some of the basal nuclei, this leads to REM sleep behavioral disorder. This can be a very strong predictor, if it starts in adulthood, that a neurodegenerative disease is taking place.&#8217;<\/p>\n<p class=\"mol-para-with-font\">Alpha-synuclein protein clumps first accumulate in the brainstem, precisely in the region that normally inhibits muscle activity during REM sleep. By the time memory loss or movement problems appear, the disease has already been quietly spreading for years.<\/p>\n<p class=\"mol-para-with-font\">That means what a person does when they sleep can forecast dementia long before any cognitive test would catch it.<\/p>\n<p class=\"mol-para-with-font\">If a previously calm sleeper suddenly begins thrashing, kicking or screaming in response to nightmares, a neurological evaluation is warranted even in the absence of any other symptoms.<\/p>\n<p class=\"mol-para-with-font mol-style-medium health-ccox mol-style-bold\">Nighttime wandering\u00a0<\/p>\n<p class=\"mol-para-with-font\">Nighttime wandering is a sign that the brain\u2019s master clock has gone out of sync.\u00a0<\/p>\n<p class=\"mol-para-with-font\">People in the early stages of dementia might roam through the house, sometimes rearranging objects or attempting to go outside, often in a confused or agitated state.<\/p>\n<div class=\"mol-img-group floatRHS\" style=\"\">\n<div class=\"mol-img\">\n<div class=\"image-wrap\"> <img loading=\"lazy\" decoding=\"async\" id=\"i-695de7b5ca2f01f3\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2026\/04\/16\/20\/107952003-15729615-image-m-51_1776368869613.jpg\" height=\"421\" width=\"306\" alt=\"Dr Jeremy M Liff, a neurologist who specializes in blood flow to the brain, said that\u00a0Sleep disturbances are often the first sign of certain neurodegenerative diseases, such as Parkinson's and Parkinson's-plus syndromes such as\u00a0Progressive Supranuclear Palsy (PSP)\" class=\"blkBorder img-share\" style=\"max-width:100%\" loading=\"lazy\" \/> <\/div>\n<\/p><\/div>\n<p class=\"imageCaption\">Dr Jeremy M Liff, a neurologist who specializes in blood flow to the brain, said that\u00a0Sleep disturbances are often the first sign of certain neurodegenerative diseases, such as Parkinson&#8217;s and Parkinson&#8217;s-plus syndromes such as\u00a0Progressive Supranuclear Palsy (PSP)<\/p>\n<\/div>\n<p class=\"mol-para-with-font\">When a person wanders at night, they are not getting the deep, restorative slow-wave sleep that the glymphatic system requires to clear toxic proteins like amyloid beta.<\/p>\n<p class=\"mol-para-with-font\">Over time, this chronic deprivation creates a vicious cycle in which poor sleep allows more waste to accumulate, and more waste further degrades the brain regions that regulate sleep.<\/p>\n<p class=\"mol-para-with-font\">Additionally, nighttime wandering poses serious safety risks, including falls, injuries and leaving the home unattended.\u00a0<\/p>\n<p class=\"mol-para-with-font\">If a loved one is regularly getting up and moving aimlessly through the house at night, especially when paired with confusion or agitation, it is time to consult a neurologist.<\/p>\n<p class=\"mol-para-with-font\">Dr Chelsie Rohrscheib, a Michigan-based neuroscientist, said: \u2018You should see a sleep specialist when sleep-related symptoms are prominent or worsening, such as insomnia, excessive daytime sleepiness, disrupted sleep\u2013wake cycles, snoring or pauses in breathing, or unusual nighttime behaviors.<\/p>\n<p class=\"mol-para-with-font\">\u2018A neurologist is more appropriate when there are clear signs of neurodegeneration, such as progressive memory loss, confusion, changes in behavior or personality, difficulty with language or movement, or concern for conditions like Alzheimer\u2019s disease or Parkinson\u2019s disease.\u2019<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nightly sleep troubles might be more than just frustrating; they could signal something deeper brewing beneath the surface, including dementia.\u00a0 Neurologists believe the relationship between sleep and brain aging is a two-way street.\u00a0 On one hand, chronic poor sleep raises the risk of dementia. On the other hand, early dementia can disrupt the brain\u2019s sleep-wake<\/p>\n","protected":false},"author":1,"featured_media":8011,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[520],"tags":[],"class_list":{"0":"post-8010","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-hot"},"_links":{"self":[{"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/posts\/8010","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8010"}],"version-history":[{"count":0,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/posts\/8010\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=\/wp\/v2\/media\/8011"}],"wp:attachment":[{"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8010"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8010"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthoptibody.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8010"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}