Preliminary Longitudinal Assessment of Sleep in the Elderly
Abstract
This is a preliminary report of a longitudinal assessment of sleep architectural changes over time and rate of progression of sleep apnea (SA) and sleep-related periodic leg movements (PLMs) in the elderly. Multiple night polysomnograms were performed in 11 community resident seniors (8 women and 3 men, aged 60-72 years) and repeated 3 years (34-38 months) later. Subjects were selected who exhibited at most mild SA or PLMs at initial testing. The respiratory disturbance index (but not the movement index) showed a significant increase over 3 years. Sleep architecture did not change significantly except for an increase in frequency of stage changes that was not solely attributable to the increase in frequency of apneas/hypopneas. Together with other published longitudinal studies, these findings suggest that elderly individuals with at most mild SA or PLMs can expect no more than a mild increase in the frequency of apneas/hypopneas or PLMs over the course of a few years.
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One study of 11 community dwelling seniors aged 60 to 72 years showed no changes in sleep architecture 3 years later, other than a small increase in the number of sleep stage transitions.
“For example, one such study of 11 community dwelling seniors (8 women and 3 men) aged 60 to 72 years showed no changes in sleep architecture 3 years later, other than a small increase in the number of sleep stage transitions [19].”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [19]
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Long-term follow-up of sleep disordered breathing in older adults
Ancoli-Israel, S., Gehrman, P., Kripke, D. F., Stepnowsky, C., Mason, W., Cohen-Zion, M., & Marler, M. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00096-4 · Cited by 107 · see citing works
Progression of snoring and obstructive sleep apnoea: the role of increasing weight and time
Berger, G., Berger, R., & Oksenberg, A. (2009) · European Respiratory Journal · doi:10.1183/09031936.00075408 · Cited by 99 · see citing works
Evolution of sleep apnea syndrome in sleepy snorers: a population-based prospective study
LINDBERG, E., ELMASRY, A., GISLASON, T., JANSON, C., BENGTSSON, H., HETTA, J., NETTELBLADT, M., & BOMAN, G. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.6.9805070 · Cited by 96 · see citing works
Sleep, testosterone and cortisol balance, and ageing men
Liu, P. Y., & Reddy, R. T. (2022) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-022-09755-4 · Cited by 80 · see citing works
“For example, one such study of 11 community dwelling seniors (8 women and 3 men) aged 60 to 72 years showed no changes in sleep architecture 3 years later, other than a small increase in the number of sleep stage transitions [19].”
BackgroundLong-term follow-up of untreated patients with sleep apnoea syndrome
FISHER, D., PILLAR, G., MALHOTRA, A., PELED, N., & LAVIE, P. (2002) · Respiratory Medicine · doi:10.1053/rmed.2001.1277 · Cited by 64 · see citing works
- Authors
- Phoha, R. L., Dickel, M. J., & Mosko, S. S.
- Affiliations
- University of California, Irvine Medical Center (US)
- Corresponding author
- Mosko, Sarah S.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-09
- Volume
- 13
- Issue
- 5
- Pages
- 425-429
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2404052536
- Cited by
- 30
- References
- 0
- Citations by year
- 2022: 3 · 2017: 1 · 2016: 1 · 2014: 1 · 2012: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep apnea, sleep architecture, aging, older adults, longitudinal change, respiratory disturbance index, community-dwelling older adults
- MeSH terms
- Aged, California, Cerebral Cortex, Cross-Sectional Studies, Electroencephalography, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Monitoring, Physiologic, Reaction Time, Restless Legs Syndrome, Sleep Apnea Syndromes, Incidence
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