Table 1.

Representative studies on self-reported sleep, sleep disturbances, and hippocampal volume

ReferenceNPopulationResultComment
Patients with sleep disorders (patients/ controls)
 Dusak et al. [21]22/20Obstructive sleep apnea+Smaller hippocampus in sleepy patients (n = 12), negative correlation with excessive daytime sleepiness.
 Joo et al. [22]36/36Narcoleptics with cataplexy+Smaller hippocampus in patients, volume correlated with mean sleep and REM sleep latencies.
 Joo et al. [19]27/30Primary insomnia+Smaller volume in patients, CA1 volume correlated with PSQI and higher arousal index (polysomnography) in the patients.
 Morrell et al. [20]7/7Obstructive sleep apnea+Lower GM concentration in left hippocampus in patients.
 Morell et al. [27]60/60Obstructive sleep apneaNo differences in the hippocampus, smallerGM volume in right middle temporal gyrus in the patients.
 Neylan et al. [23]17/10PTSD+Insomnia Sleep Index and PSQI associated with smaller volumes of CA3/dendate subfields in the combined sample. No significance for other subfields. In total 5 subfields were tested.
 Noh et al. [24]20/20Primary insomnia−/+No difference in hippocampus volume. In patients, hippocampus correlated negatively with duration of insomnia and the arousal index.
 Riemann et al. [18]8/8Primary insomnia+Smaller hippocampal volume in patients.
 Rosenzweig et al. [28]32/32Obstructive sleep apneaLarger volume in patients
 Sforza et al. [74]232Older, sleep-disordered breathing+Negative correlation between worse sleep and hippocampal volume
 Spiegelhalder et al. [25]28/38Primary insomniaNo significant results
 Winkelman et al. [26]20/15Primary insomniaNo main effect on hippocampal volume. Actigraph measures of poor sleep maintenance were associated with smaller volume in patients.
Normal controls
 Alperin et al. [29]69Older+Smaller hippocampi in poor sleepers, shorter sleep duration correlated with lower volume in the full sample.
 Carvalho et al. [30]1,374Middle-aged/older+Fatigue related to smaller hippocampal volume
 Lo et al. [33]119Middle-aged/older, longitudinalNo with hippocampus change
 Sexton et al. [32]147Adult lifespan, longitudinalNo relationship between PSQI and hippocampal volume change
 Sabeti et al. [31]7990+ yearsNo relationships.
 Taki et al. [75]290Children/adolescents+Hippocampal body correlated with sleep duration during weekdays.
ReferenceNPopulationResultComment
Patients with sleep disorders (patients/ controls)
 Dusak et al. [21]22/20Obstructive sleep apnea+Smaller hippocampus in sleepy patients (n = 12), negative correlation with excessive daytime sleepiness.
 Joo et al. [22]36/36Narcoleptics with cataplexy+Smaller hippocampus in patients, volume correlated with mean sleep and REM sleep latencies.
 Joo et al. [19]27/30Primary insomnia+Smaller volume in patients, CA1 volume correlated with PSQI and higher arousal index (polysomnography) in the patients.
 Morrell et al. [20]7/7Obstructive sleep apnea+Lower GM concentration in left hippocampus in patients.
 Morell et al. [27]60/60Obstructive sleep apneaNo differences in the hippocampus, smallerGM volume in right middle temporal gyrus in the patients.
 Neylan et al. [23]17/10PTSD+Insomnia Sleep Index and PSQI associated with smaller volumes of CA3/dendate subfields in the combined sample. No significance for other subfields. In total 5 subfields were tested.
 Noh et al. [24]20/20Primary insomnia−/+No difference in hippocampus volume. In patients, hippocampus correlated negatively with duration of insomnia and the arousal index.
 Riemann et al. [18]8/8Primary insomnia+Smaller hippocampal volume in patients.
 Rosenzweig et al. [28]32/32Obstructive sleep apneaLarger volume in patients
 Sforza et al. [74]232Older, sleep-disordered breathing+Negative correlation between worse sleep and hippocampal volume
 Spiegelhalder et al. [25]28/38Primary insomniaNo significant results
 Winkelman et al. [26]20/15Primary insomniaNo main effect on hippocampal volume. Actigraph measures of poor sleep maintenance were associated with smaller volume in patients.
Normal controls
 Alperin et al. [29]69Older+Smaller hippocampi in poor sleepers, shorter sleep duration correlated with lower volume in the full sample.
 Carvalho et al. [30]1,374Middle-aged/older+Fatigue related to smaller hippocampal volume
 Lo et al. [33]119Middle-aged/older, longitudinalNo with hippocampus change
 Sexton et al. [32]147Adult lifespan, longitudinalNo relationship between PSQI and hippocampal volume change
 Sabeti et al. [31]7990+ yearsNo relationships.
 Taki et al. [75]290Children/adolescents+Hippocampal body correlated with sleep duration during weekdays.

Result: “−” indicates no relationship between hippocampus volume and sleep or an inverse relationship (e.g. higher volume in patients). “+” indicates the expected relationship between hippocampus volume and sleep, for example, smaller volume in patients or a negative correlation between sleep problems and volume. Results for other brain structures than the hippocampus are not reported.

Table 1.

Representative studies on self-reported sleep, sleep disturbances, and hippocampal volume

ReferenceNPopulationResultComment
Patients with sleep disorders (patients/ controls)
 Dusak et al. [21]22/20Obstructive sleep apnea+Smaller hippocampus in sleepy patients (n = 12), negative correlation with excessive daytime sleepiness.
 Joo et al. [22]36/36Narcoleptics with cataplexy+Smaller hippocampus in patients, volume correlated with mean sleep and REM sleep latencies.
 Joo et al. [19]27/30Primary insomnia+Smaller volume in patients, CA1 volume correlated with PSQI and higher arousal index (polysomnography) in the patients.
 Morrell et al. [20]7/7Obstructive sleep apnea+Lower GM concentration in left hippocampus in patients.
 Morell et al. [27]60/60Obstructive sleep apneaNo differences in the hippocampus, smallerGM volume in right middle temporal gyrus in the patients.
 Neylan et al. [23]17/10PTSD+Insomnia Sleep Index and PSQI associated with smaller volumes of CA3/dendate subfields in the combined sample. No significance for other subfields. In total 5 subfields were tested.
 Noh et al. [24]20/20Primary insomnia−/+No difference in hippocampus volume. In patients, hippocampus correlated negatively with duration of insomnia and the arousal index.
 Riemann et al. [18]8/8Primary insomnia+Smaller hippocampal volume in patients.
 Rosenzweig et al. [28]32/32Obstructive sleep apneaLarger volume in patients
 Sforza et al. [74]232Older, sleep-disordered breathing+Negative correlation between worse sleep and hippocampal volume
 Spiegelhalder et al. [25]28/38Primary insomniaNo significant results
 Winkelman et al. [26]20/15Primary insomniaNo main effect on hippocampal volume. Actigraph measures of poor sleep maintenance were associated with smaller volume in patients.
Normal controls
 Alperin et al. [29]69Older+Smaller hippocampi in poor sleepers, shorter sleep duration correlated with lower volume in the full sample.
 Carvalho et al. [30]1,374Middle-aged/older+Fatigue related to smaller hippocampal volume
 Lo et al. [33]119Middle-aged/older, longitudinalNo with hippocampus change
 Sexton et al. [32]147Adult lifespan, longitudinalNo relationship between PSQI and hippocampal volume change
 Sabeti et al. [31]7990+ yearsNo relationships.
 Taki et al. [75]290Children/adolescents+Hippocampal body correlated with sleep duration during weekdays.
ReferenceNPopulationResultComment
Patients with sleep disorders (patients/ controls)
 Dusak et al. [21]22/20Obstructive sleep apnea+Smaller hippocampus in sleepy patients (n = 12), negative correlation with excessive daytime sleepiness.
 Joo et al. [22]36/36Narcoleptics with cataplexy+Smaller hippocampus in patients, volume correlated with mean sleep and REM sleep latencies.
 Joo et al. [19]27/30Primary insomnia+Smaller volume in patients, CA1 volume correlated with PSQI and higher arousal index (polysomnography) in the patients.
 Morrell et al. [20]7/7Obstructive sleep apnea+Lower GM concentration in left hippocampus in patients.
 Morell et al. [27]60/60Obstructive sleep apneaNo differences in the hippocampus, smallerGM volume in right middle temporal gyrus in the patients.
 Neylan et al. [23]17/10PTSD+Insomnia Sleep Index and PSQI associated with smaller volumes of CA3/dendate subfields in the combined sample. No significance for other subfields. In total 5 subfields were tested.
 Noh et al. [24]20/20Primary insomnia−/+No difference in hippocampus volume. In patients, hippocampus correlated negatively with duration of insomnia and the arousal index.
 Riemann et al. [18]8/8Primary insomnia+Smaller hippocampal volume in patients.
 Rosenzweig et al. [28]32/32Obstructive sleep apneaLarger volume in patients
 Sforza et al. [74]232Older, sleep-disordered breathing+Negative correlation between worse sleep and hippocampal volume
 Spiegelhalder et al. [25]28/38Primary insomniaNo significant results
 Winkelman et al. [26]20/15Primary insomniaNo main effect on hippocampal volume. Actigraph measures of poor sleep maintenance were associated with smaller volume in patients.
Normal controls
 Alperin et al. [29]69Older+Smaller hippocampi in poor sleepers, shorter sleep duration correlated with lower volume in the full sample.
 Carvalho et al. [30]1,374Middle-aged/older+Fatigue related to smaller hippocampal volume
 Lo et al. [33]119Middle-aged/older, longitudinalNo with hippocampus change
 Sexton et al. [32]147Adult lifespan, longitudinalNo relationship between PSQI and hippocampal volume change
 Sabeti et al. [31]7990+ yearsNo relationships.
 Taki et al. [75]290Children/adolescents+Hippocampal body correlated with sleep duration during weekdays.

Result: “−” indicates no relationship between hippocampus volume and sleep or an inverse relationship (e.g. higher volume in patients). “+” indicates the expected relationship between hippocampus volume and sleep, for example, smaller volume in patients or a negative correlation between sleep problems and volume. Results for other brain structures than the hippocampus are not reported.

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