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December 25.2025
2 Minutes Read

Why Combined Insomnia and Sleep Apnea Matter for Cognitive Health

Why Combined Insomnia and Sleep Apnea Matter for Cognitive Health


Understanding the Connection Between Insomnia and Sleep Apnea

In recent research, the link between insomnia and obstructive sleep apnea (OSA) has become a topic of great concern, particularly regarding its effects on cognitive health in older adults. This dual diagnosis, known as comorbid insomnia and sleep apnea (COMISA), presents an alarming intersection where disrupted sleep could lead to increased risk for cognitive issues.

Why It Matters: The Cognitive Impact of COMISA

Both insomnia and sleep apnea are common in older adults, affecting approximately 30% to 50% of those with OSA. The study highlights that those living with COMISA see a notable decline in verbal memory performance, which becomes especially pronounced in women. Dr. Breanna M. Holloway from UC San Diego emphasizes that the cognitive repercussions of these conditions are not well understood, even though women statistically suffer more from insomnia and might be underdiagnosed for sleep apnea.

How the Study Was Conducted

The study involved a detailed retrospective cohort analysis with 110 older adults, and each participant underwent extensive overnight polysomnography coupled with daytime cognitive tests. Researchers sought to investigate the relationship between COMISA and cognitive performance while also considering sex as a moderating factor. The findings showed a significant decline in verbal memory among those affected by both insomnia and sleep apnea compared to those with only OSA.

Implications for Concierge Medical Practices

For concierge medical practice owners, this information is pivotal. Understanding the cognitive risks associated with insomnia and sleep apnea allows practices to better connect with and support their patients. Failure to recognize and treat these overlapping conditions may hinder overall patient care, affecting mental wellness and quality of life.

Engagement Strategies for Addressing Sleep Disorders

As a practice owner, consider integrating sleep health screenings into routine assessments. By doing so, you can proactively identify patients at risk for COMISA and address their needs effectively. Provide resources for cognitive health and sleep management, fostering a comprehensive care approach that improves patient engagement and outcomes.

By focusing on the twin challenges of insomnia and sleep apnea, you not only provide meaningful care but also differentiate your practice from others. This could lead to increased patient loyalty and referrals, essential ingredients for growth in the competitive healthcare landscape.

A Call to Action: Enhance Your Practice Today!

It's crucial to act on these findings and prioritize sleep health discussions during patient visits. Make it part of your practice's ethos to recognize the importance of cognitive wellness. Regularly educate your team about COMISA's implications and introduce effective screening tools. Together, you can secure your position as a leader in local medical concierge services.


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