Subjective Characteristics of Sleep in the Elderly

Gerard, Perry; Collins, Kevin J.; Doré, Caroline J; Exton‐Smith, A. N.

doi:10.1093/ageing/7.suppl.55

Cited by 44 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This analysis has clearly demonstrated considerable variation in average sleep duration and perceived sleep quality in a natural population of adult men and women, phenomena well evidenced in other studies Gerard et al, 1978;Price et al, 1978). Some part of this variation has been found to be associated with aspects of life style and well-being, but although the survey may reasonably claim to have sampled many different aspects of what Otmoor villagers do and feel in their daily lives, the proportion of sleep variation which has been explained is not great, e.g.…”

Section: Discussionsupporting

confidence: 83%

Sleep patterns and life style in Oxfordshire villages

Palmer¹,

Harrison²,

Hiorns

1980

J. Biosoc. Sci.

View full text Add to dashboard Cite

Patterns of sleep are described among the adult inhabitants of a group of Oxfordshire villages as ascertained through a sleep questionnaire. Sleep duration during the main sleep period on working days, and perceived sleep quality, are then analysed in terms of associations with aspects of life style. In both men and women some 20 out of 50 responses to life style questions show significant associations with sleep duration but most of these associations differ by sex. Some show corresponding associations with sleep quality, but others, mainly related to what people actually do, rather than what they say about how they feel, do not. A principal components analysis of those life style variables which show significant associations with sleep duration, and the adjustment of individual values by these factors for entry into a multiple regression, identifies five factors in each sex which are significantly related to sleep duration. Together they account for 9-9% of the observed male variance and 12-4% of the female variance.

show abstract

Section: Discussionsupporting

confidence: 83%

Sleep patterns and life style in Oxfordshire villages

Palmer¹,

Harrison²,

Hiorns

1980

J. Biosoc. Sci.

View full text Add to dashboard Cite

show abstract

“…Over a quarter of our patients were known to be regularly using hypnotics at the time of their hospital admission and one third requested them during their hospital stay. Previous studies have found similarly high levels of hypnotic usage in the elderly, both in the community (Dunnell & Cartwright, 1972;Gerard et al, 1978) and in hospital (Christopher et al, 1978) and recent admonitions to prescribe them more carefully appear to have had little impact on this age group. Disappointingly, less than ten per cent of those patients requesting hypnotics in hospital were managed without the prescription of additional medication.…”

Section: Discussionmentioning

confidence: 83%

“…Non-specific complaints of sleep disturbance, awakenings during the night and the use of hypnotic drugs all increase with age (Gerard et al, 1978) and yet the elderly appear particularly vulnerable to the adverse effects of hypnotics (Greenblatt et al, 1977;Greenblatt & Allen, 1978). The present study reports on requests for night sedation made by elderly patients admitted to an acute geriatric medical unit and, in particular, the acceptance of placebo as first line drug management.…”

Section: Introductionmentioning

confidence: 91%

Requests for hypnotic drugs and placebo response in elderly hospital in-patients

Bayer

Pathy

1985

Postgraduate Medical Journal

View full text Add to dashboard Cite

Summary:Requests for night sedation and the use of placebo as first line drug management were studied prospectively in 1174 consecutive elderly hospital in-patients. Of the 390 (33.2%) patients requesting sleeping pills in hospital, 37 were subsequently satisfied without the prescription of additional medication. A further 216 patients were entirely satisfied with a placebo capsule during all oftheir hospital stay. An 'active' hypnotic drug was required by only 137 patients, many ofwhom were noisy and disturbing other patients in the ward. Most of the active hypnotic drugs prescribed to elderly hospital patients are unnecessary and a majority ofthose requesting hypnotics consistently respond to placebo. There remains a need for greater education of patients, nurses and doctors in the non-pharmacological management of sleep disorders.

show abstract

“…This may explain the increase in the use of sleep medications with age (75, 82), and the increased daytime sleepiness reported by many older people (51, 71, 83, 84). In fact, the 2003 National Sleep Foundation “Sleep in America” poll found that 15% of people over age 55 said they have daytime sleepiness so severe that it interferes with their daytime activities a few days a week, and an additional 12% reported suffering from severe daytime sleepiness several days per month (7).…”

Section: Sleep and Agingmentioning

confidence: 99%

Age-Related Sleep Disruption and Reduction in the Circadian Rhythm of Urine Output: Contribution to Nocturia?

Duffy

Scheuermaier²,

Loughlin³

2015

CAS

View full text Add to dashboard Cite

Aging is associated with a marked increase in sleep complaints, and one factor causing sleep disruption is waking to void (nocturia). Urological surveys have found that few young adults report nocturia symptoms, but about half of those in their 60’s and nearly 80% of older age groups are affected. Sleep surveys have found nocturia is a major cause of sleep disruption, with a majority of older adults with sleep disruption citing the need to void as the cause of their awakening. While much of the urological literature implies that nocturia causes sleep disruption, age-related changes in sleep depth and continuity may make it more likely that an older adult will wake in response to a filling bladder, or that an older adult will wake for another reason and then decide to void. There is also evidence that age-related changes in the amplitude of circadian rhythms contribute to nocturia. There is a well-described circadian rhythm in urine output, and evidence of circadian rhythmicity in some diuretic and anti-diuretic hormones. In this article we describe how age-related changes in sleep depth and continuity and age-related changes in circadian rhythm amplitude may contribute to nocturia, and how nocturia in turn leads to sleep disruption. Better understanding of how changes in sleep and circadian rhythmicity impact nocturia may lead to improved treatments and better quality of life for older adults.

show abstract

Subjective Characteristics of Sleep in the Elderly

Cited by 44 publications

References 0 publications

Sleep patterns and life style in Oxfordshire villages

Sleep patterns and life style in Oxfordshire villages

Requests for hypnotic drugs and placebo response in elderly hospital in-patients

Age-Related Sleep Disruption and Reduction in the Circadian Rhythm of Urine Output: Contribution to Nocturia?

Contact Info

Product

Resources

About