Sleepiness in the Elderly

Zalai, Dóra; Bingeliene, Arina; Shapiro, Colin M.

doi:10.1016/j.jsmc.2017.03.015

Cited by 17 publications

(13 citation statements)

References 81 publications

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“…Regardless, EDS may affect daily activities and functional abilities and increase the risk of cardiovascular mortality in the elderly. [29][30][31] This study had some limitations. Although the instruments used for evaluation are reliable and have been validated nationally and internationally, they depend on self-reported data, which can make the results more subjective.…”

Section: Discussionmentioning

confidence: 96%

“…28 Several factors such as depression, falls, medication, and chronic conditions are closely correlated with EDS in this population. 29 Therefore, it is possible that EDS is the first or most noticeable sign of an undiagnosed sleep, neurologic, or psychiatric disorder. Regardless, EDS may affect daily activities and functional abilities and increase the risk of cardiovascular mortality in the elderly.…”

Section: Discussionmentioning

confidence: 99%

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Sleep quality features and their association with mood symptoms and cognitive factors in a non‐clinical sample of older Brazilian adults

et al. 2020

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Aim: There is strong interest in sleep disorders in the elderly, but there are gaps in identifying how multiple factors affect sleep quality in this population. We aimed to assess sleep quality and its relationship to mood, general cognition, and sociodemographic factors in a sample of cognitively active older adults. Methods: We assessed 105 non-clinical older adults (mean age AE SD: 69.64 AE 0.66 years) based on a sociodemographic profile questionnaire, the Beck Anxiety Inventory, the Beck Depression Inventory II, the Montreal Cognitive Assessment, the Pittsburgh Sleep Quality Index, and the Epworth Sleepiness Scale. Separate analyses were conducted, controlled by sleep quality and daytime sleepiness, to understand how variables were associated. Results: About 46.7% of individuals had significantly poor sleep quality. Univariate analysis showed that non-workers had a lower risk of impaired sleep quality (prevalence ratio (PR) = 0.67; P = 0.044). However, there was an increased risk of poor sleep quality in those experiencing depressive symptoms (PR = 1.78; P < 0.001) and anxiety symptoms (PR = 1.98; P < 0.001). In multivariate analysis, the language component of the Montreal Cognitive Assessment (PR = 0.80; P = 0.011) was associated with a lower risk of poor sleep quality, and anxiety symptoms (PR = 1.99; P < 0.001) remained significantly associated with a higher risk of poor sleep quality. No significant difference was observed in variables related to daytime sleepiness. Conclusion: We found that overall quality of sleep potentially relates to mood, cognition, and sociodemographic factors. Further studies using multifactorial approaches to sleep investigation are required.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Sleep quality features and their association with mood symptoms and cognitive factors in a non‐clinical sample of older Brazilian adults

et al. 2020

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“…45,46 However, the absence of intergroup differences either in sleepiness levels or napping frequency in our sample may depend on the restrictive selection criteria we adopted (only healthy subjects were included). Actually, being in good health may have allowed the NHR subjects to spend more time outdoors and thus be exposed to sunlight, a factor which strongly influences vigilance level, increasing subjective feeling of alertness 22,47 and possibly reducing napping. Indeed, napping prevalence in the elderly is increased by mental health and medical conditions independently of older age and daytime sleepiness.…”

Section: Discussionmentioning

confidence: 99%

The Role of Environmental Context in Modulating Subjective Sleepiness and Sleep Quality in the Elderly: A Comparison Between Home-Dwelling Subjects and Nursing Home Residents

Conte

Malloggi

Albinni

et al. 2019

Home Health Care Management & Practice

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This study investigated the role of environmental context in modulating subjective sleep quality and sleepiness in healthy elderlies living at home or in a nursing home. Twenty-five home-dwelling subjects and 18 nursing home residents rated their sleepiness hourly from 8:30 a.m. to 10:30 p.m. for three nonconsecutive days. Sleep quality, lifestyle, and sleep habits were also evaluated. Compared with home-dwelling subjects, nursing home residents showed a more sedentary lifestyle, advanced bedtime and awakening time, and a relatively stable vigilance level during the waking period. No differences emerged for subjective sleep quality and global vigilance levels between the two groups. Life in a nursing home does not affect sleep quality and global vigilance in healthy elderly subjects, but contributes to flatten their vigilance daily fluctuations. Including nursing home residents in daily activities could be useful to improve their conscious feeling of alertness variations.

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“…In turn, this issue is commonly associated with the awakening of the subject across nighttime leading to sleep fragmentation. On the next day, and as a consequence, sleep fragmentation produces EDS [41][42][43], which is very common in older adults [44][45][46][47].…”

Section: Introductionmentioning

confidence: 99%

The Endocannabinoid System May Modulate Sleep Disorders in Aging

Murillo-Rodrı́guez

Budde

Veras

et al. 2020

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Aging is an inevitable process that involves changes across life in multiple neurochemical, neuroanatomical, hormonal systems, and many others. In addition, these biological modifications lead to an increase in age-related sickness such as cardiovascular diseases, osteoporosis, neurodegenerative disorders, and sleep disturbances, among others that affect activities of daily life. Demographic projections have demonstrated that aging will increase its worldwide rate in the coming years. The research on chronic diseases of the elderly is important to gain insights into this growing global burden. Novel therapeutic approaches aimed for treatment of age-related pathologies have included the endocannabinoid system as an effective tool since this biological system shows beneficial effects in preclinical models. However, and despite these advances, little has been addressed in the arena of the endocannabinoid system as an option for treating sleep disorders in aging since experimental evidence suggests that some elements of the endocannabinoid system modulate the sleep-wake cycle. This article addresses this less-studied field, focusing on the likely perspective of the implication of the endocannabinoid system in the regulation of sleep problems reported in the aged. We conclude that beneficial effects regarding the putative efficacy of the endocannabinoid system as therapeutic tools in aging is either inconclusive or still missing.

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Sleepiness in the Elderly

Cited by 17 publications

References 81 publications

Sleep quality features and their association with mood symptoms and cognitive factors in a non‐clinical sample of older Brazilian adults

Sleep quality features and their association with mood symptoms and cognitive factors in a non‐clinical sample of older Brazilian adults

The Role of Environmental Context in Modulating Subjective Sleepiness and Sleep Quality in the Elderly: A Comparison Between Home-Dwelling Subjects and Nursing Home Residents

The Endocannabinoid System May Modulate Sleep Disorders in Aging

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