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  • Print publication year: 2008
  • Online publication date: August 2009

13 - Sleep and geriatrics

from SECTION 3 - SLEEP IN SPECIALTY AREAS

Summary

The analysis of age-related changes in sleep requires the accumulation of data on a healthy population over 65 years of age. However, increased age raises the risk of cardiovascular, metabolic, cognitive, psychiatric, musculoskeletal, renal, hepatic, and hematological conditions. Structural decline in the elderly, including reduced brain mass and numbers of neurons, might lead to functional brain loss. Certain primary sleep disorders affecting sleep in the elderly includes insomnia, sleep-disordered breathing (SDB), periodic limb movement disorder and restless legs syndrome, circadian rhythm sleep disorders, and sleep in dementia. This chapter provides the clinical presentation, diagnosis and treatment for each disorder. As sleep and its restorative function become more widely recognized for their impact on both medical conditions and quality of life in the elderly, the healthcare community has ever-increasing responsibility for translating the growing knowledge of sleep medicine into clinical practice in geriatric medicine.
FURTHER READING
Ancoli-Israel, S.Sleep and aging: prevalence of disturbed sleep and treatment considerations in older adults. J Clin Psychiatry 2005; 66 (Suppl 9):24–30.
Ancoli-Israel, S, Ayalon, L.Diagnosis and treatment of sleep disorders in older adults. Am J Geriatr Psychiatry 2006; 14:95–103.
Avidan, AY.Sleep disorders in the older patient. Prim Care 2005; 32:563–86.
Bliwise, DL.Sleep disorders in Alzheimer's disease and other dementias. Clin Cornerstone 2004; 6 (Suppl 1A):S16–28.
Bruce, AS, Aloia, MS. Sleep and cognition in older adults. Sleep Med Clin 2006; 1:207–20.
Conn, DK, Madan, R.Use of sleep-promoting medications in nursing home residents : risks versus benefits. Drugs Aging 2006; 23:271–87.
Grigg-Damberger, MM.Sleep in aging and neurodegenerative diseases. Suppl Clin Neurophysiol 2004; 57:508–20.
Hungs M, Smith HR. Sleep disorders associated with medical disorders. In: Gilman, S, ed. MedLink Neurology. San Diego, CA: MedLink Corporation. www.medlink.com. Accessed April 11, 2007.
Kamel, NS, Gammack, JK. Insomnia in the elderly: cause, approach, and treatment. Am J Med 2006; 119:463–9.
Naylor, E, Zee, PC.Circadian rhythm alterations with aging. Sleep Med Clin 2006; 1:187–96.
Schnelle, JF, Alessi, CA, Al-Samarrai, NR, Fricker, RD Jr, Ouslander, JG. The nursing home at night: effects of an intervention on noise, light, and sleep. J Am Geriatr Soc 1999; 47:430–8.
Vitiello, MV.Sleep in normal aging. Sleep Med Clin 2006; 1:171–6.