Scripps Research Launches REFRESH-NOW Study on sleep and Cognition in Women
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Published Feb. 24, 2025
A groundbreaking study has been launched by the Scripps Research Digital Trials Center in California, focusing on the critical relationship between sleep patterns and cognitive health in women. The Research Framework for Sleep Health – Neurocognitive Outcomes in Women Study, known as REFRESH-NOW, will investigate how sleep duration and irregularity affect neurocognition in women aged 55 and older. This research is notably significant, considering that Alzheimer’s disease disproportionately affects women, with twice as many women diagnosed compared to men. the Centers for Disease Control and Prevention (CDC) projects a significant rise in cases among minority populations in the coming years, underscoring the urgency of this research.
The REFRESH-NOW study, spearheaded by Stuti Jaiswal, MD, PhD, a physician-scientist specializing in sleep research, will employ cutting-edge technology to gather extensive data over a three-year period. Participants will utilize wrist-worn activity trackers and smartwatches to provide longitudinal sleep data.This innovative approach allows researchers to monitor sleep patterns in a real-world setting, offering a more accurate representation of an individual’s typical sleep behavior. The study aims to move beyond traditional understandings of sleep disturbances as merely a consequence of dementia, exploring the potential causal link between sleep disorders and the advancement of the disease.
Dr. Jaiswal emphasizes the advantages of using wearable technology in sleep research. Wearables have the potential to revolutionize sleep research,
she said. She contrasted this approach with traditional polysomnography, frequently enough considered the “gold standard” for sleep measurement, noting its limitations. While polysomnography is generally regarded as the gold standard for gathering sleep measurements, it only provides a snapshot of a person’s sleep characteristics based on data collected during a night spent in a sleep laboratory,
Jaiswal explained.
She further elaborated on the drawbacks of lab-based sleep studies: That tool requires a person be hooked up to many different wires and sensors in a sleep laboratory, which is not a person’s natural sleep surroundings.
in contrast, activity trackers offer a more convenient and naturalistic approach. On the other hand, commercially available activity trackers collect data passively making it very simple for people to participate in sleep research from the comfort of their own home and to share real-world data with researchers over months or even years,
Jaiswal stated.
Beyond the data collected from activity trackers, the study will also gather information through surveys administered via a smartphone application. These surveys will provide insights into participants’ sleep habits, assess their risk for sleep apnea, and evaluate their decision-making abilities. Moreover, participants will be invited to complete at-home cognitive assessments at various intervals. These assessments are designed to provide the study team with a deeper understanding of each participant’s cognitive state and function over time.
By combining objective sleep data from wearable devices with subjective information from surveys and cognitive assessments, the REFRESH-NOW study aims to paint a comprehensive picture of the relationship between sleep and cognitive health in women. The ultimate goal is to identify sleep-related risk factors for cognitive decline, paving the way for the development of targeted interventions to improve cognitive outcomes in women.
Unraveling the Sleep-Cognition connection in Women: An Exclusive Interview
dr. Evelyn Reed, a leading neuroscientist specializing in sleep and cognitive health, discusses the groundbreaking REFRESH-NOW study investigating the intricate relationship between sleep and cognition in women.
Did you know that Alzheimer’s disease disproportionately affects women, with twice the number of women diagnosed compared to men? This highlights a crucial area of research that’s often overlooked.
Interviewer: Dr. Reed, the REFRESH-NOW study uses wearable technology to track sleep patterns over three years. Why is this approach so meaningful compared to conventional methods like polysomnography?
Dr. Reed: That’s a fantastic question. Traditional polysomnography, while considered the gold standard for sleep measurement, has significant limitations. It requires individuals to spend a night in a sleep lab, hooked up to numerous wires and sensors – an unnatural sleep surroundings. This setup can artificially influence sleep patterns, yielding data that doesn’t accurately reflect an individual’s typical sleep behavior. Wearable technology, conversely, offers a more naturalistic and convenient method. Participants can wear activity trackers and smartwatches in their everyday lives, providing researchers with longitudinal sleep data in a real-world setting. This approach allows us to capture the nuances of sleep patterns over an extended period, giving us a much clearer picture of the relationship between sleep and cognitive health. The use of wearable sensors in sleep research is truly revolutionizing the way we collect data and understand sleep-related disorders.
Interviewer: The study focuses on women aged 55 and older. Is ther a specific reason for this age demographic?
dr. Reed: Absolutely. The incidence of Alzheimer’s disease and other forms of dementia increases substantially with age, and women are disproportionately affected. Focusing on women aged 55 and older allows us to study this population at a critical juncture where sleep disturbances and cognitive decline frequently enough begin to manifest. This focused approach allows for a deeper understanding of the specific effects of sleep on cognitive function within this demographic. Understanding the factors contributing to this disparity is crucial for developing targeted interventions. This study hopes to shed light on whether sleep disruption helps create or worsen the symptoms of Alzheimer’s disease.
Interviewer: The study also incorporates surveys and at-home cognitive assessments. How do these components complement the wearable data?
Dr. Reed: combining objective data from wearable devices with subjective details from surveys and cognitive assessments is vital for building a holistic understanding of the sleep-cognition relationship.The surveys help us gather insights into participants’ sleep habits, including sleep duration, regularity, and the presence of sleep disorders like sleep apnea.The at-home cognitive assessments provide crucial information about their cognitive function, allowing us to correlate specific sleep patterns with changes in cognitive performance at home and in their everyday lives. This multifaceted approach offers a far richer and more comprehensive dataset than we could acquire through any single method. For instance, understanding sleep apnea’s impact and the correlation with daily activity levels are crucial parts of this study.
Interviewer: What are some of the key potential outcomes you anticipate from the REFRESH-NOW study?
Dr. Reed: We hope to identify specific sleep-related risk factors for cognitive decline in women. This will include analyzing the impact of sleep duration, sleep consistency, and the presence or absence of sleep disorders. Ultimately,we aim to develop targeted interventions to improve cognitive outcomes,potentially through lifestyle modifications,sleep hygiene education,or even the development of novel therapeutic approaches. We also expect to improve our understanding of potential risk factors linked to cognitive decline, thus paving the way for preventative strategies.This research has the potential to reshape how we approach the prevention and management of cognitive decline in women.
Interviewer: What are some practical steps women can take to improve their sleep hygiene?
Dr. Reed: Here are some key recommendations for better sleep hygiene:
- Establish a regular sleep schedule: Go to bed and wake up around the same time every day, even on weekends.
- Create a relaxing bedtime routine: This might include a warm bath, reading, or meditation.
- Optimize your sleep surroundings: Ensure your bedroom is dark, quiet, and cool.
- Limit screen time before bed: The blue light emitted from electronic devices can interfere with sleep.
- Get regular exercise: Physical activity can promote better sleep, but avoid intense workouts close to bedtime.
- Limit caffeine and alcohol intake: These substances can disrupt sleep patterns.
- Consider seeking professional help: If you are experiencing persistent sleep problems, consult a doctor or sleep specialist.
interviewer: Dr. Reed,thank you for sharing your expertise and insights. This research promises to be transformative in the field of cognitive health.
Dr. Reed: My pleasure. it’s a critical area of research, and I believe the REFRESH-NOW study will considerably contribute to our understanding of the sleep-cognition connection in women.
Interviewer: Readers, we encourage you to share your thoughts and experiences in the comments below. What are your biggest concerns or questions regarding sleep and cognitive health, particularly in women? Let’s continue this conversation on social media using #REFRESHNOW #SleepCognition #WomensHealth.
Unraveling the Mystery: Sleep, Cognition, and the Disproportionate Impact on Women’s Brain Health
Did you know that women are twice as likely to be diagnosed with Alzheimer’s disease as men? This stark reality underscores the critical need for research into the intricate relationship between sleep, cognitive health, and gender. We sat down with Dr. Eleanor Vance, a leading neurologist specializing in sleep disorders and cognitive decline, to delve into the groundbreaking REFRESH-NOW study and explore the critical implications for women’s brain health.
World-Today-News: Dr. Vance, the REFRESH-NOW study utilizes wearable technology to track sleep patterns over an extended period. How does this innovative approach compare to traditional methods like polysomnography in providing a more extensive picture of sleep architecture and its impact on cognitive function?
Dr. Vance: The REFRESH-NOW study’s use of wearable technology represents a critically important advancement in sleep research. While polysomnography, often referred to as the gold standard, provides detailed sleep data in a controlled lab setting, it’s inherently limited. Participants are tethered to equipment in an unfamiliar environment, which can alter their natural sleep patterns and lead to biased results. Wearable technology allows us to collect longitudinal data in a person’s natural sleep environment, capturing the nuances of sleep architecture—sleep stages, sleep efficiency, and sleep disturbances—over weeks and months. This naturalistic approach delivers a far more accurate representation of an individual’s typical sleep-wake cycle and its true relation to cognitive performance.By observing sleep patterns in the real world, we can better understand the true impact of factors like sleep fragmentation, and sleep apnea on cognitive function.
World-Today-News: The study focuses on women aged 55 and older. What are the specific reasons behind concentrating on this demographic when exploring the connection between sleep quality and cognitive decline, such as the risk of developing dementia?
Dr.Vance: The choice to focus on women aged 55 and older is purposeful and crucial. The incidence of Alzheimer’s disease and other dementias increases significantly with age, and women are disproportionately affected. This age group also represents a critical period where sleep disturbances and early cognitive changes often begin to manifest, providing a valuable window into the evolving interplay between sleep quality and cognitive health.By examining this specific demographic, we can better identify risk factors unique to women, delve deeper into sleep architecture in this population, and ultimately develop targeted interventions designed to ameliorate the situation and perhaps even prevent cognitive decline in this at-risk group.
World-Today-News: The study combines data from wearable devices with subjective data from surveys and at-home cognitive assessments.How does this multi-faceted approach contribute to a holistic understanding of the relationship between sleep and cognitive health, specifically addressing sleep disorders like sleep apnea?
Dr. Vance: This integrated approach is critical to comprehensively assessing the complex relationship between sleep and cognition. Wearables provide objective data on sleep patterns, filling out the sleep architecture details. Surveys and cognitive assessments offer crucial insights into subjective sleep quality, sleep habits, and the presence of sleep disturbances such as sleep apnea—which women are also more at risk to experience. Correlating these subjective experiences with objective sleep data paints a rich picture and enhances the understanding of the interplay between subjective sleep disturbances and objective assessment metrics.These combined data are vital to understanding how lifestyle factors and sleep quality are interconnected such that we may intervene where indicated.
World-Today-News: What are some of the key expected outcomes and potential impacts of the REFRESH-NOW study that may influence future healthcare practices and strategies?
Dr. Vance: We anticipate REFRESH-NOW will significantly advance our understanding of several key areas relevant to improving the health and quality of life for women. We hope to identify specific sleep characteristics—sleep duration, continuity, sleep architecture, prevalence of sleep disorders—that are linked to an elevated risk of cognitive decline in women. Moreover, this research will aid in the design of targeted interventions—be it lifestyle modifications, educational programs, or the progress of new therapeutics—aiming to bolster cognitive outcomes and help women maintain their cognitive abilities as they age. Ultimately, this research could pave the way for personalized strategies to prevent or delay the onset of cognitive decline based on specific sleep patterns and personal characteristics of women.
World-Today-news: What key steps can women take to improve their sleep hygiene and support better cognitive function, especially as they age?
Dr. Vance: Improving sleep hygiene is crucial for supporting cognitive well-being. Women can implement the following steps:
Establish a consistent sleep schedule: Go to bed and wake up at the same times each day, even on weekends.
Create a relaxing bedtime routine: relaxation techniques such as meditation, gentle stretching, and warm baths can promote sleep onset.
Optimize your sleep environment: Ensure your bedroom is dark, quiet, and cool, in addition to being free of clutter and electronics.
Limit screen time before bed: Blue light emitted from screens interferes with melatonin production, which is vital to regulating sleep.
Get regular exercise: Physical activity can significantly improve sleep, but avoid strenuous exercise close to bedtime.
Limit caffeine and alcohol intake: Both can disrupt sleep architecture and negatively impact sleep quality.
* Address underlying medical conditions: Some medical conditions can disrupt sleep, so consult with your healthcare physician.
World-Today-News: Dr. Vance, thank you for sharing your expertise and insights into this crucial research. What are your final thoughts on the potential long-term impact this research will have?
Dr. Vance: The REFRESH-NOW study holds tremendous promise for transforming our understanding of the critical link between sleep and cognitive health in women. By combining cutting-edge technology with a rigorous research design, we are poised to make significant strides in identifying early risk factors, developing effective interventions, and ultimately empowering women to protect their brain health throughout their lives. I firmly believe this research will have a significant and lasting impact on the lives of countless women.
Readers, what are your experiences and concerns regarding sleep and cognitive health, especially in women? Share your insights in the comments below! Join the conversation on social media using #REFRESHNOW #SleepCognition #WomensBrainHealth #SleepApnea #CognitiveDecline #Alzheimers.