Staring at the ceiling while the clock blinks 3am doesn't only sap energy for the next day. A large, long-running US study of older adults has now linked chronic insomnia to changes inside the brain that set the stage for dementia .
The researchers, from the Mayo Clinic in the US, followed 2,750 people aged 50 and over for an average of five and a half years. Every year the volunteers completed detailed memory tests and many also had brain scans that measured two telltale markers of future cognitive trouble: the buildup of amyloid plaques, and tiny spots of damage in the brain's white matter – known as white-matter hyperintensities.
Participants were classed as having chronic insomnia if their medical records contained at least two insomnia diagnoses a month apart – a definition that