PDF herunterladen
CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(04): e657-e661
DOI: 10.1055/s-0043-1777294
Systematic Review

Sleep and Learning: A Systematic Review

Martha Lucía Gutiérrez Pérez 
1   Otorhinolaryngology Interest Group UEB (ORLIG-UEB), Colombian School of Medicine, Universidad El Bosque, Bogotá, Colombia
,
Juan Antonio Lugo Machado 
2   Department of Head and Neck Surgery, Hospital de Especialidades núm. 2, Centro Médico Nacional del Noroeste, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, Mexico
3   Hospital General de Obregón, Ciudad Obregón, Sonora, Mexico
,
Valeria Lozano Lavado 
1   Otorhinolaryngology Interest Group UEB (ORLIG-UEB), Colombian School of Medicine, Universidad El Bosque, Bogotá, Colombia
,
Diana Camila Navarro Pimiento 
1   Otorhinolaryngology Interest Group UEB (ORLIG-UEB), Colombian School of Medicine, Universidad El Bosque, Bogotá, Colombia
› Institutsangaben Funding The author(s) received no financial support for the research.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Introduction Sleep deprivation has a great impact on the learning process in physicians in training. Therefore, inquiring on this phenomenon in the most recent investigations will facilitate the provision of evidence on the influence regarding the absence of sleep on the learning process in health personnel.

Objectives The aim of this systematic review is to review, analyze and discuss the current literature that shows the impact of sleep on the learning process on doctors in training.

Data Synthesis A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A search of the existing literature between the years of 2000 and 2022 was performed in the PubMed and Elsevier databases, taking into account the inclusion criteria of articles in English or Spanish and the established timeframe. As a result, 128 articles distributed in the databases were obtained and 23 articles that met the inclusion criteria were selected.

Conclusion Sleep is a fundamental factor for the consolidation, processing and functioning of memory and learning. Health professionals are a population at risk of sleep deprivation, thus it is important to take into account the effects it has on patients and health personnel.

Keywords

sleep - learning - internship and residency - systematic review


Publikationsverlauf

Eingereicht: 09. Januar 2023

Angenommen: 02. April 2023

Artikel online veröffentlicht:
05. Februar 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Fotuhi M, Do D, Jack C. Modifiable factors that alter the size of the hippocampus with ageing. Nat Rev Neurol 2012; 8 (04) 189-202
    CrossrefPubMedGoogle Scholar
  • 2 Carskadon MA, Dement WC. Chapter 2–Normal Human Sleep: An Overview. En: Monitoring and staging human sleep. 5th ed.. Saunders Philadelphia: Elsevier; 16-23
    Google Scholar
  • 3 Ju YES, Lucey BP, Holtzman DM. Sleep and Alzheimer disease pathology–a bidirectional relationship. Nat Rev Neurol 2014; 10 (02) 115-119
    CrossrefPubMedGoogle Scholar
  • 4 Berger RJ, Phillips NH. Energy conservation and sleep. Behav Brain Res 1995; 69 (1–2): 65-73
    CrossrefPubMedGoogle Scholar
  • 5 McGinty D, Szymusiak R. Keeping cool: a hypothesis about the mechanisms and functions of slow-wave sleep. Trends Neurosci 1990; 13 (12) 480-487
    CrossrefPubMedGoogle Scholar
  • 6 Inoué S, Honda K, Komoda Y. Sleep as neuronal detoxification and restitution. Behav Brain Res 1995; 69 (1–2): 91-96
    CrossrefPubMedGoogle Scholar
  • 7 Adam K, Oswald I. Sleep is for tissue restoration. J R Coll Physicians Lond 1977; 11 (04) 376-388
    PubMedGoogle Scholar
  • 8 Maquet P. The role of sleep in learning and memory. Science 2001; 294 (5544) 1048-1052
    CrossrefPubMedGoogle Scholar
  • 9 Sutherland GR, McNaughton B. Memory trace reactivation in hippocampal and neocortical neuronal ensembles. Curr Opin Neurobiol 2000; 10 (02) 180-186
    CrossrefPubMedGoogle Scholar
  • 10 Kattler H, Dijk DJ, Borbély AA. Effect of unilateral somatosensory stimulation prior to sleep on the sleep EEG in humans. J Sleep Res 1994; 3 (03) 159-164
    CrossrefPubMedGoogle Scholar
  • 11 Bliss TV, Lomo T. Long-lasting potentiation of synaptic transmission in the dentate area of the anaesthetized rabbit following stimulation of the perforant path. J Physiol 1973; 232 (02) 331-356
    CrossrefPubMedGoogle Scholar
  • 12 Sanes JN. Neocortical mechanisms in motor learning. Curr Opin Neurobiol 2003; 13 (02) 225-231
    CrossrefPubMedGoogle Scholar
  • 13 McGaugh JL. Memory–a century of consolidation. Science 2000; 287 (5451) 248-251
    CrossrefPubMedGoogle Scholar
  • 14 Christova M, Aftenberger H, Nardone R, Gallasch E. Adult Gross Motor Learning and Sleep: Is There a Mutual Benefit?. Neural Plast 2018; 2018: 3076986
    CrossrefPubMedGoogle Scholar
  • 15 Yang G, Lai CSW, Cichon J, Ma L, Li W, Gan WB. Sleep promotes branch-specific formation of dendritic spines after learning. Science 2014; 344 (6188) 1173-1178
    CrossrefPubMedGoogle Scholar
  • 16 Bergmann TO, Mölle M, Marshall L, Kaya-Yildiz L, Born J, Roman Siebner H. A local signature of LTP- and LTD-like plasticity in human NREM sleep. Eur J Neurosci 2008; 27 (09) 2241-2249
    CrossrefPubMedGoogle Scholar
  • 17 Diekelmann S, Wilhelm I, Born J. The whats and whens of sleep-dependent memory consolidation. Sleep Med Rev 2009; 13 (05) 309-321
    CrossrefPubMedGoogle Scholar
  • 18 Feld GB, Diekelmann S. Sleep smart-optimizing sleep for declarative learning and memory. Front Psychol 2015; 6: 622
    PubMedGoogle Scholar
  • 19 Tononi G, Cirelli C. Sleep and the price of plasticity: from synaptic and cellular homeostasis to memory consolidation and integration. Neuron 2014; 81 (01) 12-34
    CrossrefPubMedGoogle Scholar
  • 20 Ramm P, Smith CT. Rates of cerebral protein synthesis are linked to slow wave sleep in the rat. Physiol Behav 1990; 48 (05) 749-753
    CrossrefPubMedGoogle Scholar
  • 21 Nakanishi H, Sun Y, Nakamura RK. et al. Positive correlations between cerebral protein synthesis rates and deep sleep in Macaca mulatta. Eur J Neurosci 1997; 9 (02) 271-279
    CrossrefPubMedGoogle Scholar
  • 22 Cirelli C, Gutierrez CM, Tononi G. Extensive and divergent effects of sleep and wakefulness on brain gene expression. Neuron 2004; 41 (01) 35-43
    CrossrefPubMedGoogle Scholar
  • 23 Kempler L, Richmond JL. Effect of sleep on gross motor memory. Memory 2012; 20 (08) 907-914
    CrossrefPubMedGoogle Scholar
  • 24 Brawn TP, Fenn KM, Nusbaum HC, Margoliash D. Consolidation of sensorimotor learning during sleep. Learn Mem 2008; 15 (11) 815-819
    CrossrefPubMedGoogle Scholar
  • 25 Malangré A, Blischke K. Sleep-Related Offline Improvements in Gross Motor Task Performance Occur Under Free Recall Requirements. Front Hum Neurosci 2016; 10: 134
    CrossrefPubMedGoogle Scholar
  • 26 Genzel L, Quack A, Jäger E, Konrad B, Steiger A, Dresler M. Complex motor sequence skills profit from sleep. Neuropsychobiology 2012; 66 (04) 237-243
    CrossrefPubMedGoogle Scholar
  • 27 Blischke K, Erlacher D, Kresin H, Brueckner S, Malangré A. Benefits of Sleep in Motor Learning – Prospects and Limitations. J Hum Kinet 2008; 2007 (20) 23-35
    CrossrefGoogle Scholar
  • 28 Krause AJ, Simon EB, Mander BA. et al. The sleep-deprived human brain. Nat Rev Neurosci 2017; 18 (07) 404-418
    CrossrefPubMedGoogle Scholar
  • 29 Peñalva RG, Lancel M, Flachskamm C, Reul JM, Holsboer F, Linthorst AC. Effect of sleep and sleep deprivation on serotonergic neurotransmission in the hippocampus: a combined in vivo microdialysis/EEG study in rats. Eur J Neurosci 2003; 17 (09) 1896-1906
    CrossrefPubMedGoogle Scholar
  • 30 Volkow ND, Tomasi D, Wang GJ. et al. Evidence that sleep deprivation downregulates dopamine D2R in ventral striatum in the human brain. J Neurosci 2012; 32 (19) 6711-6717
    CrossrefPubMedGoogle Scholar
  • 31 Campbell IG, Guinan MJ, Horowitz JM. Sleep deprivation impairs long-term potentiation in rat hippocampal slices. J Neurophysiol 2002; 88 (02) 1073-1076
    CrossrefPubMedGoogle Scholar
  • 32 Kopp C, Longordo F, Nicholson JR, Lüthi A. Insufficient sleep reversibly alters bidirectional synaptic plasticity and NMDA receptor function. J Neurosci 2006; 26 (48) 12456-12465
    CrossrefPubMedGoogle Scholar
  • 33 Havekes R, Vecsey CG, Abel T. The impact of sleep deprivation on neuronal and glial signaling pathways important for memory and synaptic plasticity. Cell Signal 2012; 24 (06) 1251-1260
    CrossrefPubMedGoogle Scholar
  • 34 Born J, Gais S. Roles of Early and Late Nocturnal Sleep for the Consolidation of Human Memories. En: Maquet P, Smith C, Stickgold R. editores. Sleep and Brain Plasticity [Internet]. Oxford University Press; 2003. [cited September 29th 2022]. p. 0. Available: https://doi.org/10.1093/acprof:oso/9780198574002.003.0004
    CrossrefGoogle Scholar
  • 35 Squire LR. Declarative and nondeclarative memory: multiple brain systems supporting learning and memory. J Cogn Neurosci 1992; 4 (03) 232-243
    CrossrefPubMedGoogle Scholar
  • 36 Peigneux P, Laureys S, Delbeuck X, Maquet P. Sleeping brain, learning brain. The role of sleep for memory systems. Neuroreport 2001; 12 (18) A111-A124
    CrossrefPubMedGoogle Scholar
  • 37 Smith C. Sleep states and memory processes in humans: procedural versus declarative memory systems. Sleep Med Rev 2001; 5 (06) 491-506
    CrossrefPubMedGoogle Scholar
  • 38 Giuditta A, Ambrosini MV, Montagnese P. et al. The sequential hypothesis of the function of sleep. Behav Brain Res 1995; 69 (1–2): 157-166
    CrossrefPubMedGoogle Scholar
  • 39 Page MJ, Moher D, Bossuyt PM. et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ 2021; 372 (160) n160
    CrossrefPubMedGoogle Scholar
  • 40 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372 (71) n71
    CrossrefPubMedGoogle Scholar
  • 41 Seoane HA, Moschetto L, Orliacq F. et al. Sleep disruption in medicine students and its relationship with impaired academic performance: A systematic review and meta-analysis. Sleep Med Rev 2020; 53: 101333
    CrossrefPubMedGoogle Scholar
  • 42 Stewart NH, Arora VM. The Impact of Sleep and Circadian Disorders on Physician Burnout. Chest 2019; 156 (05) 1022-1030
    CrossrefPubMedGoogle Scholar
  • 43 MacDonald NE, Hébert PC, Flegel K, Stanbrook MB. Working while sleep-deprived: not just a problem for residents. CMAJ 2011; 183 (15) 1689-1689
    CrossrefPubMedGoogle Scholar
  • 44 Suozzo AC, Malta SM, Gil G, Tintori F, Lacerda SS, Nogueira-Martins LA. Attention and memory of medical residents after a night on call: a cross-sectional study. Clinics (São Paulo) 2011; 66 (03) 505-508
    CrossrefPubMedGoogle Scholar
  • 45 Trockel MT, Menon NK, Rowe SG. et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAMA Netw Open 2020; 3 (12) e2028111
    CrossrefPubMedGoogle Scholar
  • 46 Hafner M, Stepanek M, Taylor J, Troxel WM, van Stolk C. Why Sleep Matters—The Economic Costs of Insufficient Sleep. Rand Health Q 2017; 6 (04) 11
    PubMedGoogle Scholar