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Sleep in Normal Aging
Open accessAbstract
Sleep patterns change with aging, independent of other factors, and include advanced sleep timing, shortened nocturnal sleep duration, increased frequency of daytime naps, increased number of nocturnal awakenings and time spent awake during the night, and decreased slow wave sleep. Most of these changes seem to occur between young and middle adulthood; sleep parameters remain largely unchanged among healthy older adults. The circadian system and sleep homeostatic mechanisms become less robust with normal aging. The amount and pattern of sleep-related hormone secretion change as well. The causes of sleep disturbances in older adults are multifactorial.
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“An important consideration in determining accumulated sleep debt is that sleep need itself decreases with older age.”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [18]
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“Sleep architecture changes analogously over this age period: the proportion of SWS and REM sleep decreases while the proportion of stage 1 and 2 sleep increases before age 60, but is stable thereafter.”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [18]
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“This is because sleep need decreases with age, but only up to 60 years, after which sleep need remains stable.”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [18]
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“Meta-analyses of cross-sectional studies of healthy adults show that total sleep time decreases by 10–12 min for each decade of life from age 20 to 60 years, but does not change thereafter [18].”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [18]
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Metadata
- Authors
- Li, J., Vitiello, M. V., & Gooneratne, N. S.
- Affiliations
- University of Pennsylvania (US)
- University of Washington (US)
- Corresponding author
- Li, Junxin
- Venue
- Sleep Medicine Clinics
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 13
- Issue
- 1
- Pages
- 1-11
- ISSN
- 1556-407X (ISSN-L)
- PMC
- PMC5841578
- OpenAlex
- W2081413435
- Cited by
- 742
- References
- 120
- Citations by year
- 2026: 80 · 2025: 108 · 2024: 104 · 2023: 109 · 2022: 87 · 2021: 107 · 2020: 51 · 2019: 17 · 2018: 11
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Sleep Medicine Clinics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL007953)
- National Institute of Nursing Research (K99NR016484)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- normal aging, sleep timing, nighttime sleep duration, daytime napping, nocturnal awakenings, slow-wave sleep, circadian rhythm, sleep homeostasis, sleep hormones
- MeSH terms
- Aged, Aging, Circadian Rhythm, Environment, Homeostasis, Humans, Life Style, Sleep, Sleep Wake Disorders, Sleep Stages, Wakefulness, Social Participation
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