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Published on: September 28, 2010
Circadian Rhythm Sleep-Wake Disorders in Older Adults
Jee Hyun Kim1, Jeanne F Duffy2
1Department of Neurology, Dankook University College of Medicine, Dankook University Hospital, Manghyang-ro 201, Dongnam-gu, Cheonan, Chungnam 31116, Republic of Korea; Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, 221 Longwood Avenue, BLI438, Boston, MA 02115, USA; Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
Abstract:
The timing, duration, and consolidation of sleep result from the interaction of the circadian timing system with a sleep-wake homeostatic process. When aligned and functioning optimally, this allows wakefulness throughout the day and a long consolidated sleep episode at night. Mismatch between the desired timing of sleep and the ability to fall and remain asleep is a hallmark of the circadian rhythm sleep-wake disorders. This article discusses changes in circadian regulation of sleep with aging; how age influences the prevalence, diagnosis, and treatment of circadian rhythm sleep-wake disorders; and how neurologic diseases in older patients affect circadian rhythms and sleep.
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