Causes of insomnia in elderly adults Other sleep disorders, such as sleep apnea or restless legs syndrome. Other health conditions, like dementia, Alzheimer's, chronic pain, diabetes, or respiratory diseases. Mental illness, including depression and anxiety. Lifestyle habits, such as napping or lack of physical ...
Older adults need about the same amount of sleep as all adults—7 to 9 hours each night. But, older people tend to go to sleep earlier and get up earlier than they did when they were younger.
In elderly individuals, sleep‐maintenance insomnia and early awakening are more common complaints than sleep‐onset insomnia; this is likely due to the age‐related changes in sleep architecture and circadian rhythm described above.
There are several pharmacological options available for use in older patients with insomnia. Pharmacological treatments are primarily classified as benzodiazepine sedatives, nonbenzodiazepine sedatives, melatonin receptor agonists, antidepressants, and orexin receptor antagonists.
In the elderly, nonbenzodiazepines such as zolpidem, eszopiclone, zaleplon, and ramelteon are safer and better tolerated than tricyclic antidepressants, antihistamines, and benzodiazepines. Pharmacotherapy should be recommended only after sleep hygiene is addressed, however.
Numerous studies have shown that sleeping too much or too little is associated with mortality among older adults. A growing body of research indicates that not getting enough sleep may also increase the risk of several conditions and chronic diseases including diabetes, cardiovascular disease, obesity, and depression.
Insomnia is also correlated with risk for falls. Sleep maintenance, rather than sleep initiation, is the most commonly reported problem among older people with sleep disturbance2,7,8 and can have serious consequences.
Older people wake up an average of 3 or 4 times each night. They are also more aware of being awake. Older people wake up more often because they spend less time deep sleep. Other causes include needing to get up and urinate (nocturia), anxiety, and discomfort or pain from long-term (chronic) illnesses.
“The stereotype of most seniors going to bed at 8 p.m., sleeping very lightly, and being unduly sleepy during the day may be quite inaccurate, suggesting that 60 really is the new 40.” Researchers based the study on extensive telephone interviews with nearly 1,200 retired seniors in western Pennsylvania.
While a 30- to 90-minute nap in older adults appears to have brain benefits, anything longer than an hour and a half may create problems with cognition, the ability to think and form memories, according to the study published in the Journal of the American Geriatrics Society.
Eat lighter meals at night and at least two hours before bed. Stay active, but exercise earlier in the day. Take a hot shower or bath at the end of your day. Avoid screens one to two hours before bed.
Causes of insomnia in elderly adults
Other sleep disorders, such as sleep apnea or restless legs syndrome. Other health conditions, like dementia, Alzheimer's, chronic pain, diabetes, or respiratory diseases. Mental illness, including depression and anxiety. Lifestyle habits, such as napping or lack of physical ...
Research is ongoing, but so far, a history of sleep trouble does seem to increase the risk of dementia for some people. One study suggests sleep deprivation could increase your dementia risk by 20%. In middle age, even getting less than 6 hours of sleep per night may increase your dementia risk in the future.
Cherries
Cherries (especially sour cherries like the Montmorency variety) are one of the only (and highest) natural food sources of melatonin.
Not only can magnesium help you get to sleep, but it plays a part in helping you achieve deep and restful sleep as well. In one study, older adults were given 500 mg of magnesium or a placebo. Overall, the magnesium group had better quality of sleep.
Melatonin is generally regarded as safe for seniors by physicians and pharmacists because its side effects are mild, it's not habit forming, and it does not cause withdrawal symptoms if you stop taking it suddenly.
Ageing, an inevitable process, is commonly measured by chronological age and, as a convention, a person aged 65 years or more is often referred to as 'elderly'.
In a new study recently published in the journal Alzheimer's & Dementia (2022), Li and colleagues report on the results of their long-term study of more than 1,400 older adults, which points to a link between excessive daytime napping and the risk of developing Alzheimer's disease (AD).
Daytime napping is more frequently reported in older adults than in young and middle-aged adults. Changes in sleep patterns, circadian rhythms, and lifestyles in older life make older adults more prone to taking naps during the daytime [4].