Sleep in the Elderly

Feinsilver, Steven H.; Hernandez, Adam B.

doi:10.1016/j.cger.2017.06.009

Cited by 44Sleep and related disordersSleep and Wakefulness ResearchObstructive Sleep Apnea Research

Sleep in the Elderly

Feinsilver, Steven H., Hernandez, Adam B.·2017·Clinics in Geriatric Medicine

DOI 10.1016/j.cger.2017.06.009

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Abstract

Sleep normally changes with aging, with implications for healthy elderly individuals as well as for those with disease states. Less slow wave sleep (deep sleep) is expected, along with more awakenings, and a tendency toward earlier sleep times. Rapid eye movement sleep behavior disorder is seen primarily in elderly individuals, and it often represents the earliest sign of a chronic and progressive neurologic disease. Complaints of difficulty initiating and maintaining sleep (insomnia) become more common with aging. Irregular breathing with sleep also becomes more common, with an increased Apnea Hypopnea Index that may not always be clinically important.

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Older people (ages ~65 years and older) generally sleep less and have poorer sleep efficiency, increased night-time awakening, increased sleep latency and greater levels of daytime sleepiness.
“Older people (ages ~65 years and older) generally sleep less and have poorer sleep efficiency, increased night-time awakening, increased sleep latency and greater levels of daytime sleepiness234–236.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [234]

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Authors: Feinsilver, S. H., & Hernandez, A. B.
Affiliations: Hofstra University (US)
Corresponding author: Feinsilver, Steven H.
ORCID: Feinsilver, Steven H.
Venue: Clinics in Geriatric Medicine
Publisher: Elsevier BV
Published: 2017-11
Volume: 33
Issue: 4
Pages: 579-596
ISSN: 0749-0690 (ISSN-L)
DOI: 10.1016/j.cger.2017.06.009
OpenAlex: W2758494609
Cited by: 44
References: 122
Citations by year: 2026: 5 · 2025: 5 · 2024: 8 · 2023: 1 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 6 · 2018: 2
FWCI: 0.61
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinics in Geriatric Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords: aging and sleep, slow-wave sleep, sleep awakenings, sleep timing, REM sleep behavior disorder, insomnia, sleep-disordered breathing, apnea-hypopnea index, neurodegenerative diseases
MeSH terms: Sleep Hygiene, Aged, Aging, Humans, Sleep Initiation and Maintenance Disorders, Nervous System Diseases, Sleep, REM Sleep Behavior Disorder

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