Journal ArticleDOI
Subjective and objective sleep quality and aging in the sleep heart health study
Mark Unruh,Susan Redline,Ming Wen An,Daniel J. Buysse,F. Javier Nieto,Jeun Liang Yeh,Anne B. Newman +6 more
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TLDR
To examine the extent to which subjective and objective sleep quality are related to age independent of chronic health conditions, a large number of patients with a history of sleep-related illnesses are surveyed.Abstract:
OBJECTIVES: To examine the extent to which subjective and objective sleep quality are related to age independent of chronic health conditions.
DESIGN: Cross-sectional study.
SETTING: The Sleep Heart Health Study (SHHS) is a multicenter study designed to determine the cardiovascular consequences and the natural history of sleep disordered breathing.
PARTICIPANTS: Five thousand four hundred seven community-dwelling adults who participated in the SHHS (mean age 63, range 45–99; 52% women).
MEASUREMENTS: Unattended home polysomnography (PSG) and sleep questionnaires.
RESULTS: Older age was associated with shorter sleep time, diminished sleep efficiency, and more arousals in men and women. In men, age was independently associated with more Stage 1 and Stage 2 sleep and less slow-wave (Stage 3 to 4) and rapid eye movement sleep. In women, older age was less strongly associated according to linear trend with sleep stage. Conversely, poor subjective sleep quality was not associated with older age in men, but older women had more trouble falling asleep, and there was a trend toward older women having more problems with waking up during the night and waking up too early. Associations between self-report and directly measured sleep time and sleep latency were low to moderate across age groups (correlation coefficient=0.06–0.32).
CONCLUSION: Older age was more strongly associated with poorer sleep according to PSG in men than women, yet the subjective report of poor sleep with older age was stronger in women. The higher prevalence of chronic health conditions, including sleep apnea, in older adults did not explain changes of sleep parameters with aging and age–sex differences in these relationships.read more
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British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders.
Sue Wilson,David J. Nutt,Chris Alford,S. V. Argyropoulos,David S. Baldwin,A. N. Bateson,Thomas Bennett Britton,C. Crowe,D-J Dijk,Colin A. Espie,Paul Gringras,Göran Hajak,C. Idzikowski,Andrew D. Krystal,J. R. Nash,H. Selsick,Ann L. Sharpley,A. G. Wade +17 more
TL;DR: These British Association for Psychopharmacology guidelines are designed to address this problem by providing an accessible up-to-date and evidence-based outline of the major issues, especially those relating to reliable diagnosis and appropriate treatment.
Journal ArticleDOI
Self-reported Sleep and β-Amyloid Deposition in Community-Dwelling Older Adults
Adam P. Spira,Alyssa A. Gamaldo,Yang An,Mark N. Wu,Eleanor M. Simonsick,Murat Bilgel,Yun Zhou,Dean F. Wong,Luigi Ferrucci,Susan M. Resnick +9 more
TL;DR: Among community-dwelling older adults, reports of shorter sleep duration and poorer sleep quality are associated with greater Aβ burden, and additional studies with objective sleep measures are needed to determine whether sleep disturbance causes or accelerates Alzheimer disease.
Journal ArticleDOI
Change in Sleep Duration and Cognitive Function: Findings from the Whitehall II Study
Jane E. Ferrie,Martin J. Shipley,Tasnime N. Akbaraly,Tasnime N. Akbaraly,Michael Marmot,Mika Kivimäki,Mika Kivimäki,Archana Singh-Manoux,Archana Singh-Manoux +8 more
TL;DR: Adverse changes in sleep duration are associated with poorer cognitive function in the middle-aged, according to the results of the Whitehall II study.
Journal ArticleDOI
Sleep epidemiology—a rapidly growing field
TL;DR: The coming years are likely to see an increasing interest in sleep studies as the rapid advent of the 24/7 society involving round-the-clock activities and increasing night time use of TV, internet and mobile phones mean that adequate sleep durations may become increasingly compromised.
Journal ArticleDOI
Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults.
Olivier Potvin,Dominique Lorrain,Hélène Forget,Micheline Dubé,Sébastien Grenier,Michel Préville,Carol Hudon +6 more
TL;DR: Sleep quality in older adults should receive particular attention by clinicians because poor sleep quality can be an early sign of cognitive decline.
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