The DOI matches its Crossref record; 117 of the 120 references it cites were found in a registry or an index.
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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Cites
Epidemiology of insomnia: what we know and what we still need to learn
Ohayon, M. M. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0186 · Cited by 3,743
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Self-citationThe Triad of Sleep Apnea, Hypertension, and Chronic Kidney Disease: A Spectrum of Common Pathology
Aziz, F., & Chaudhary, K. R. (2016) · Cardiorenal Medicine · doi:10.1159/000450796 · Cited by 3,285
Longitudinal Effects of Aging on Serum Total and Free Testosterone Levels in Healthy Men
Harman, S. M., Metter, E. J., Tobin, J. D., Pearson, J., & Blackman, M. R. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.2.7219 · Cited by 2,760
Kaufman, D. W., Kelly, J. P., Rosenberg, L., Anderson, T. E., & Mitchell, A. A. (2002) · JAMA · doi:10.1001/jama.287.3.337 · Cited by 1,845
Sleep Complaints Among Elderly Persons: An Epidemiologic Study of Three Communities
Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995) · Sleep · doi:10.1093/sleep/18.6.425 · Cited by 1,610
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Salive, M. E. (2013) · Epidemiologic Reviews · doi:10.1093/epirev/mxs009 · Cited by 1,366
Sleep disturbances and chronic disease in older adults
Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J. (2004) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.02.010 · Cited by 1,203
Effects of gender and age on the levels and circadian rhythmicity of plasma cortisol
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Research works printed but not linked: 1
- Barczi SR. Sleep and medical comorbidities. In: Avidan AY, Alessi C, editors. Geriatric sleep medicine. 1st edition. New York: 2008. p. 19–36.
Cited by
Sorted by citations
Implications of sleep disturbance and inflammation for Alzheimer's disease dementia
Irwin, M. R., & Vitiello, M. V. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(18)30450-2 · Cited by 611
Self-citationEvidence‐Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons
Bloom, H. G., Ahmed, I., Alessi, C. A., Ancoli‐Israel, S., Buysse, D. J., Kryger, M. H., Phillips, B. A., Thorpy, M. J., Vitiello, M. V., & Zee, P. C. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2009.02220.x · Cited by 464
Self-citationRising temperatures erode human sleep globally
Minor, K., Bjerre-Nielsen, A., Jonasdottir, S. S., Lehmann, S., & Obradovich, N. (2022) · One Earth · doi:10.1016/j.oneear.2022.04.008 · Cited by 261
Age-related changes in the cognitive function of sleep
Pace-Schott, E. F., & Spencer, R. M. C. (2011) · Progress in brain research · doi:10.1016/b978-0-444-53752-2.00012-6 · Cited by 235
Marriage, Relationship Quality, and Sleep among U.S. Older Adults
Chen, J.-H., Waite, L. J., & Lauderdale, D. S. (2015) · Journal of Health and Social Behavior · doi:10.1177/0022146515594631 · Cited by 239
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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