Cited by 464Sleep and related disordersObstructive Sleep Apnea ResearchCircadian rhythm and melatonin

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Evidence‐Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons

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Bloom, Harrison G., Ahmed, Imran, Alessi, Cathy A., Ancoli‐Israel, Sonia, Buysse, Daniel J., Kryger, Meir H., Phillips, Barbara A., Thorpy, Michael J., Vitiello, Michael V., Zee, Phyllis C.·2009·Journal of the American Geriatrics Society

DOI 10.1111/j.1532-5415.2009.02220.xPMC PMC2748127

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Abstract

Sleep‐related disorders are most prevalent in the older adult population. A high prevalence of medical and psychosocial comorbidities and the frequent use of multiple medications, rather than aging per se, are major reasons for this. A major concern, often underappreciated and underaddressed by clinicians, is the strong bidirectional relationship between sleep disorders and serious medical problems in older adults. Hypertension, depression, cardiovascular disease, and cerebrovascular disease are examples of diseases that are more likely to develop in individuals with sleep disorders. Conversely, individuals with any of these diseases are at a higher risk of developing sleep disorders. The goals of this article are to help guide clinicians in their general understanding of sleep problems in older persons, examine specific sleep disorders that occur in older persons, and suggest evidence‐ and expert‐based recommendations for the assessment and treatment of sleep disorders in older persons. No such recommendations are available to help clinicians in their daily patient care practices. The four sections in the beginning of the article are titled, Background and Significance, General Review of Sleep, Recommendations Development, and General Approach to Detecting Sleep Disorders in an Ambulatory Setting. These are followed by overviews of specific sleep disorders: Insomnia, Sleep Apnea, Restless Legs Syndrome, Circadian Rhythm Sleep Disorders, Parasomnias, Hypersomnias, and Sleep Disorders in Long‐Term Care Settings. Evidence‐ and expert‐based recommendations, developed by a group of sleep and clinical experts, are presented after each sleep disorder.

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Authors: 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.
Affiliations: International Longevity Centre (US)
Albert Einstein College of Medicine (US)
University of California, Los Angeles (US)
University of California San Diego (US)
University of Pittsburgh (US)
University of Connecticut (US)
University of Kentucky (US)
University of Washington (US)
Northwestern University (US)
ORCID: Alessi, Cathy A.
Ancoli‐Israel, Sonia
Buysse, Daniel J.
Kryger, Meir H.
Thorpy, Michael J.
Vitiello, Michael V.
Zee, Phyllis C.
Venue: Journal of the American Geriatrics Society
Publisher: Wiley
Published: 2009-04-28
Volume: 57
Issue: 5
Pages: 761-789
ISSN: 0002-8614 (ISSN-L)
1532-5415
DOI: 10.1111/j.1532-5415.2009.02220.x
PMC: PMC2748127
OpenAlex: W1740055240
Cited by: 464
References: 339
Citations by year: 2026: 14 · 2025: 13 · 2024: 23 · 2023: 21 · 2022: 35 · 2021: 33 · 2020: 21 · 2019: 33 · 2018: 32 · 2017: 26 · 2016: 25 · 2015: 32 · 2014: 36 · 2013: 23 · 2012: 37
FWCI: 4.73
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Geriatrics Society (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (R01AG008415)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords: sleep disorders, older adults, insomnia, sleep apnea, restless legs syndrome, circadian rhythm sleep disorders, parasomnias, hypersomnia, long-term care, comorbidities, hypertension, depression, cardiovascular disease, cerebrovascular disease, sleep disorder treatment, clinical guidelines
MeSH terms: Aged, Humans, Risk Factors, Sleep Wake Disorders, Geriatric Assessment, Practice Guidelines as Topic, Evidence-Based Medicine

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Evidence‐Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons

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