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Poor sleep may trigger dementia—especially for women over 65

Skipping sleep doesn't just leave you tired—it may rewire your brain. Scientists warn women in their 60s are most at risk, but small changes can fight back.

The image shows an elderly woman sleeping on a bed with a blanket draped over her head, surrounded...
The image shows an elderly woman sleeping on a bed with a blanket draped over her head, surrounded by covers and other objects. In the background, there is a wall.

Poor sleep may trigger dementia—especially for women over 65

Poor sleep may play a far bigger role in dementia risk than previously thought, particularly for women. New research suggests that tackling insomnia could prevent up to 13% of dementia cases in older adults. The findings also highlight how sleep disturbances accelerate harmful brain changes linked to memory loss and cognitive decline.

A long-term study tracking nearly 8,000 Britons over 25 years found that consistently sleeping less than seven hours a night raises dementia risk by 30%. Those getting fewer than six hours faced an even sharper increase—22% higher risk at age 50 and 37% at age 60. Separate data from the Dutch Longitudinal Aging Study Amsterdam showed that interrupted sleep multiplied dementia odds by over seven times after 23 years. Researchers caution that shorter studies might mislead, as neurodegeneration can disrupt sleep before clinical symptoms appear.

Poor sleep triggers neuroinflammation, hardens arteries, and allows harmful proteins like beta-amyloid to accumulate. This sticky protein is the main driver of Alzheimer's disease. Women appear more vulnerable, with insomnia contributing to 13.1% of their dementia cases compared to 11.6% in men. Scientists suspect hormonal differences and the female brain's heightened sensitivity to sleep loss may explain the gap. The risk peaks for women aged 65 to 69, where insomnia accounts for 14.4% of cases.

Simple changes can improve rest. Keeping a regular sleep schedule, using blackout curtains, and choosing breathable bedding all help. Foam earplugs, costing pennies, have been shown to restore 72% of lost deep sleep—almost matching the quality of complete silence. However, masking noises with pink or white soundscapes may backfire, cutting REM sleep by 19 minutes per night.

The link between insomnia and dementia is now undeniable, with nearly 12.5% of elderly cases tied to chronic sleep problems. For women, the threat is even greater, especially in their late 60s. Addressing sleep quality through low-cost measures could become a key strategy in reducing dementia rates among older populations.

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