The DOI matches its Crossref record.
Sleep Fragmentation in Patients From a Nursing Home
Abstract
Institutionalized elderly persons are said to have very disturbed sleep, yet few studies have collected empirical data on the sleep of these patients. We recorded sleep in 200 patients (131 females and 69 males; mean age = 81.9 years, SD = 8.6) in a skilled nursing facility. A modified Respitrace-Medilog portable recording system was used. In recordings averaging 15.4 hours, the patients were asleep for 7 hours, 58 minutes and awake for 7 hours, 28 minutes. To obtain that amount of sleep, the patients spent an extended time in bed during the day, for they averaged no more than 39.5 minutes of sleep per hour in any hour of the night, and 50% woke up at least 2 to 3 times per hour. In summary, although nursing home patients slept on average only one hour longer than independently living elderly, they had to spend substantially more time in bed to obtain the same amount of sleep.
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In the citing paper
“Non-cognitive neuropsychological symptoms associated with AD include activity disturbances, affective disturbances, aggression, stereotypic behavior, circadian rhythm disturbances, and anxiety (Ancoli-Israel et al., 1989; Okawa et al., 1991; Vitiello et al., 1992; Bliwise, 1994; Satlin et al., 1995; Van Someren et al., 1996; Hope et al., 1998; Harper et al., 2004; Shin et al., 2005; Tan et al., 2”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
In the citing paper
“Circadian rhythm disturbances have also been well described in human AD patients”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
In the citing paper
“These disturbances are characterized by the AD patient's propensity to frequently awaken during the nighttime and to increase the amount of time slept during the day”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
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Sorted by citations
Effects of Age on Sleep Apnea in Men: I. Prevalence and Severity
Bixler, E. O., Vgontzas, A. N., Have, T. T., Tyson, K. L., & Kales, A. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.1.9706079 · Cited by 1,239
Webster, S. J., Bachstetter, A. D., Nelson, P. T., Schmitt, F. A., & Van Eldik, L. J. (2014) · Frontiers in Genetics · doi:10.3389/fgene.2014.00088 · Cited by 755
“These disturbances are characterized by the AD patient’s propensity to frequently awaken during the nighttime and to increase the amount of time slept during the day (Ancoli-Israel et al., 1989; Okawa et al., 1991).”
BackgroundSleep and Sleep Disorders in Older Adults
Crowley, K. E. (2011) · Neuropsychology Review · doi:10.1007/s11065-010-9154-6 · Cited by 655
“Agerelated increases in PLMS occurrence have been noted cross-sectionally in clinical case series and in research volunteers (Youngstedt et al. 1998; Ancoli-Israel et al. 1989; Bliwise et al. 1988; Mosko et al. 1988a; Mosko et al. 1988b).”
Evidence‐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
“For example, one study found that sleep fragmentation (estimated using actigraphy) was not associated with sedative–hypnotic use, whereas another found that residents taking psychoactive medications had a dampening of the normal day–night variation in sleep and waking over 24 hours.(278,279) Another study showed that…”
BackgroundSelf-citationCircadian rest—activity rhythm disturbances in alzheimer's disease
Someren, E. J. W. V., Hagebeuk, E. E. O., Lijzenga, C., Scheltens, P., Rooij, S. E. J. A. D., Jonker, C., Pot, A. M., Mirmiran, M., & Swaab, D. F. (1996) · Biological Psychiatry · doi:10.1016/0006-3223(95)00370-3 · Cited by 453
Metadata
- Authors
- Ancoli-Israel, S., Parker, L., Sinaee, R., Fell, R. L., & Kripke, D. F.
- Affiliations
- Veterans Health Administration (US)
- ORCID
- Kripke, D. F.
- Venue
- Journal of Gerontology
- Publisher
- Oxford University Press (OUP)
- Published
- 1989-01-01
- Volume
- 44
- Issue
- 1
- Pages
- M18-M21
- ISSN
- 0022-1422 (ISSN-L)
- OpenAlex
- W2329419803
- Cited by
- 157
- References
- 0
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research
- National Institutes of Health
- National Institute on Aging (AG-02711, AG03990)
- National Institute of Mental Health (MH 00117)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep fragmentation, institutionalized elderly, nursing home residents, sleep duration, nocturnal awakenings, daytime napping, sleep-wake patterns, older adults
- MeSH terms
- Activity Cycles, Aged, Aged, 80 and over, Bed Rest, Female, Humans, Male, Skilled Nursing Facilities, Sleep, Sleep Wake Disorders, Wakefulness
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