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[Sleep disorders in the aged].

M Zanocchi1, M Ponzetto, S Spada

  • 1Dipartimento di Discipline Medico-Chirurgiche, Università degli Studi, Torino.

Minerva Medica
|June 1, 2000
PubMed
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Sleep disorders are highly prevalent in the elderly, affecting nearly 80%. Common causes include nocturia, pain, and cough, often linked to depression and poor health.

Area of Science:

  • Gerontology
  • Sleep Medicine
  • Public Health

Background:

  • Sleep disorders are a significant concern in the elderly population.
  • Understanding prevalence and risk factors is crucial for improving quality of life.

Purpose of the Study:

  • To assess the prevalence of sleep disorders in institutionalized elderly individuals.
  • To identify key risk factors associated with sleep disturbances in this demographic.

Main Methods:

  • A cohort of 88 institutionalized elderly individuals (aged 65-102) was studied.
  • Evaluated sleep quality using the Pittsburgh Sleep Quality Index (PSQI).
  • Assessed comorbidity (APACHE), disability (ADL), depressive symptoms (GDS), and self-rated health (SRH).

Main Results:

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  • Nearly 80% (79.5%) of participants were classified as 'poor sleepers' (PSQI > 5).
  • Primary complaints included difficulty falling asleep (85.7%) and frequent awakenings (75.7%).
  • Nycturia (51.4%), cough (38.6%), and pain (32.9%) were the most frequent causes; insomnia correlated with depression, low physical activity, medication use, and poor self-rated health.

Conclusions:

  • Sleep disturbances in the elderly are multifactorial, stemming from physical, psychological, and environmental factors.
  • Addressing treatable causes of insomnia is essential for enhancing sleep quality and overall health in older adults.