2018, Number 1
<< Back Next >>
Rev Fac Med UNAM 2018; 61 (1)
Alterations of sleep in older adults
D’Hyver DC
Language: Spanish
References: 31
Page: 33-45
PDF size: 312.60 Kb.
ABSTRACT
Insomnia is highly prevalent in the population and even more
in the elderly. Nearly 50% of the population suffers from insomnia.
It is a problem associated with a great number of
disorders: decreased physical ability, lack of concentration
and attention problems; many diseases are worsened and this
ends up producing a decrease in the quality of life of these
people. Insomnia is also interrelated with multiple physical,
psychological and social problems, these can worsen or be
the cause of other sleep disorders.
Recognizing sleep disorders and classifying them adequately
helps to determine the need for complementary studies,
select the most appropriate individual management,
recommend non-pharmacological management (cognitive
behavioral therapy, environmental management) and if necessary,
to determine the most suitable type of drug, taking
into consideration its possible association with other diseases
(COPD, depression, anxiety, restless legs syndrome, etc.).
This small review aims to present to the general practitioner
the basis for attending an elderly patient suffering from sleep
disturbances. Taking into account, that there are changes
produced by aging that alter the sleep-wake cycle and the
psychosocial changes that occur.
REFERENCES
Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. Sleep disorders commonly found in older people. CMAJ. 2007;176(9):1299-304.
American Academy of Sleep Medicine. International Classification of Sleep Disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
Shochat T, Umphress J, Israel AG, Ancoli-Israel S. Insomnia in primary care patients. Sleep. 1999;22 Suppl 2:S359.
Mellinger GD, Balter MB, Uhlenhuth EH. Insomnia and its treatment. Prevalence and correlates. Arch Gen Psychiatry. 1985;42:225.
Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2002;6:97.
Roepke SK, Ancoli-Israel S. Sleep disorders in the elderly. Indian J Med Res. 2010;131:302-10.
Kamel NS, Gammack JK. Insomnia in the elderly: Cause, Approach and Treatment. The American Journal of Medicine. 2006;119:463-9.
Taylor DJ, Mallory LJ, Lichstein KL, Durrence HH, Riedel BW, Bush AJ. Comorbidity of chronic insomnia with medical problems. Sleep. 2007;30(2):213-8.
Wilson SJ, Nutt DJ, Alford C, Argyropoulos SV, Baldwin DS, Bateson AN, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. J Psychopharmacol. 2010;24(11):1577-601.
National Institutes of Health. Final Statement from the NIH “State-of-the-Science Conference” on Manifestations and Management of Chronic Insomnia in Adults. J Clin Sleep Med. 2005;1(4):412-21.
Shuttle-Rodin S, Broch L, Buisse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4:487-504.
Léger D, Guilleminault C, Bader G, Lévy E, Paillard M. Medical and socioprofessional impact of insomnia. Sleep. 2002;25:625-9.
Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J Jr, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005;28:499-521.
International Classification of Sleep Disorders: Diagnostic and coding manual. 2nd ed. Westchester, IL: American Academy of Sleep Medicine, 2005.
Guilleminault C, Edridge FL, Dement WC. Insomnia with sleep apnea: a new syndrome. Science. 1973;181(4102):856-8.
Krakou B, Melendres D, Ferreira E, Clark J, Warner TD, Sisley B, Sklar D, et al. Prevalence of insomnia symptoms in patients with sleep-disordered breathing. Chest. 2001; 120(6):1923-9.
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. American College of Rheumathology 1990 criteria for the classification of fibromyalgia. Report of the multicenter Criteria Committee. Arthritis Rheum. 1990;33:160-72.
Zisapel N. Circadian Rhythm Sleep Disorders: pathophysiology and potential approaches to management. CNS Drugs. 2001;15(4):311-28.
Brazilian Group of Study on the Restless Legs Syndrome. Restless legs syndrome. Diagnosis and treatment: opinion of Brazilian experts. Arq Neuropsiquiatr. 2007;65(3A):721-7.
Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003;7:215.
Chang AM, Aeschbach D, Duffy JF, Czeisler CA. Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proc Natl Acad Sci USA. 2015;112:1232.
Hartescu I, Morgan K, Stevinson CD. Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial. J Sleep Res. 2015;24:526.
Tan X, Alén M, Wiklund P, et al. Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms: a randomized controlled trial. Sleep Med. 2016;25:113.
Engle-Friedman M, Bootzin RR, Hazlewood L, Tsao C. An evaluation of behavioral treatments for insomnia in the older adult. J Clin Psychol. 1992;48:77.
Tsai HJ, Kuo TB, Lee GS, Yang CC. Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology. 2015;52:388.
Miller CB, Espie CA, Epstein DR, et al. The evidence base of sleep restriction therapy for treating insomnia disorder. Sleep Med Rev. 2014;18:415.
Beaulieu-Bonneau S, Ivers H, Guay B, Morin CM. Long- Term Maintenance of Therapeutic Gains Associated With Cognitive-Behavioral Therapy for Insomnia Delivered Alone or Combined With Zolpidem. Sleep. 2017;40.
McCall WV. Sleep in the elderly; Burden, diagnosis and treatment. Prim care Companion. J Clin Psychiatry. 2004; 6(1):9-20.
Tom SE, Wickwire EM, Park Y, Albrecht JS. Nonbenzodiazepine Sedative Hypnotics and Risk of Fall-Related Injury. Sleep. 2016;39:1009.
Buscemi N, Vandermeer B, Friesen C, Bialy L, Tubman M, Ospina M, et al. The Efficacy and Safety of Drug Treatments for Chronic Insomnia in Adults: A Meta-analysis of RCTs. J Gen Inter Med. 2007;22(9):1335-50.
Bonnet, MH, Arand DL, Benca R, Eichler AF. Treatment of insomnia in adults. Up to date. Literature review current through: May 2017. | This topic last updated: May 25, 2017. [Consultado: 14 de julio 2017]. Disponible en: https://www-uptodate-com.pbidi.unam.mx:2443/contents/ treatment-of-insomnia-in-adults?source=search_result&- search=insomnio%20tratamiento%20adulto&selectedTitle= 1~150