Sleep problems in the elderly.
Sleep problems in the elderly.
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DOI：
10.1016/j.mcna.2014.11.013
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Alessi CA
中科院分区：
文献类型：
--
作者：
Rodriguez JC;Dzierzewski JM;Alessi CA
睡眠问题并不是衰老过程固有的一部分。 1, 2 许多老年人直到生命的尽头都拥有良好的睡眠质量。至关重要的是，不要将睡眠问题误认为是整个生命周期中发生的睡眠-觉醒模式和睡眠结构的生理变化。 3, 4 老年人通常表现出提前的昼夜节律趋势，睡得更早，起床时间更早。睡眠结构的变化包括 N1 和 N2 阶段睡眠（即较浅的睡眠阶段）的时间比例增加，N3 阶段睡眠（即较深的睡眠阶段）和快速眼动 (REM) 睡眠的时间比例减少。这些结构变化反映了深度恢复性睡眠的减少和浅度短暂睡眠的增加。此外，老年人的睡眠时间往往比年轻人要少一些。尽管一些老年人抱怨夜间睡眠质量不佳或随后日间功能受损，但其他人则认为他们的困难是正常衰老过程的一部分。因此，应该对每一个怀疑有睡眠障碍的老年人进行睡眠，特别是睡眠呼吸暂停和失眠以及相关的日间功能的集中评估。
Sleep problems are not an inherent part of the aging process. 1, 2 Many older adults have good sleep quality until the end of their lives. It is critical that sleep problems are not mistaken for physiologic changes in sleep-awake patterns and sleep architecture that occur throughout the lifespan. 3, 4 Older adults often display an advanced circadian tendency, having an earlier bedtime and an earlier wake-up time. Sleep architecture changes include spending an increased proportion of time in stages N1 and N2 sleep (ie, the lighter stages of sleep), a decreased proportion of time in stage N3 sleep (ie, a deeper stage of sleep) and in rapid eye movement (REM) sleep. These architecture changes reflect a decrease in deep, restorative sleep and an increase in light, transitory sleep. In addition, older adults tend to spend slightly less time asleep than their younger counterparts. Although some older adults complain of poor night-time sleep or subsequent impairments in daytime functioning, others assume that their difficulties are part of the normal aging process. Therefore, a focused evaluation of sleep, specifically sleep apnea and insomnia, and related daytime functioning should be performed in every older adult in whom sleep disturbances are suspected.
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影响因子：
4.8
作者：
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影响因子：
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作者：
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通讯作者：
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