Special Sleep
Needs of Senior Citizens
Summary
According to a recent study by the Centers For Disease
Control...the
prevalence of insufficient sleep decreased with age. An
estimated 13.3 percent of adults aged 18-34 reported
insufficient rest or sleep everyday in the past month
compared to only 7.3 percent of adults ages 55 and older.
While some studies have found sleep disturbance more
prevalent among older adults, results from this study are
consistent with other research that supports the idea that
older adults (who are more likely to be retired) make fewer
complaints regarding impaired sleep and adapt their
perception of what encompasses sufficient sleep.
As you age, your body secretes
smaller amounts of key substances that help your body decide
when to sleep and when to wake up. Levels of growth hormone,
which promotes deep sleep, and melatonin, which regulates
your sleeping and waking cycle, decrease as you age. As a
result, your circadian rhythm (the internal clock that tells
you to go to sleep at night and wake up in the morning)
changes. You might find yourself going to bed earlier and
waking up earlier.
As you get older, you might
find that getting a good night's sleep becomes more
difficult. You might find that:
- You have a harder time
staying asleep
- You sleep lighter
- You wake up three or four
times each night
Despite the frustrating
disturbances, you still need the same amount of sleep that
you needed when you were younger — about 7 or 8 hours a
night. Because you likely wake up more often during the
night and don't sleep as soundly, you may spend more time in
bed at night or you might need a nap during the day to get
those same eight quality hours of sleep.
In addition, if you have
diabetes, leg edema, enlarged prostate or incontinence,
these conditions might cause you to urinate more frequently.
Add to that the fact that your bladder capacity shrinks as
you age, and you might find yourself getting up at night to
use the toilet more often. Getting up so often can make it
hard to get back to sleep.
Other conditions, such as
heart disease and COPD, can cause breathing difficulties.
Some common sleep disorders in
seniors:
Restless Legs Syndrome
RLS (Restless legs syndrome) is a
disorder causing unpleasant crawling, prickling, or tingling
sensations in the legs and feet and an urge to move them for
relief, is emerging as one of the most common sleep
disorders, especially among older people. While it is most
common in people over the age of 60, it can develop at any
age and may be related to conditions such as anemia,
pregnancy or diabetes.
Many RLS
patients also have a disorder known as periodic limb
movement disorder or PLMD, which causes repetitive jerking
movements of the limbs, especially the legs. These movements
occur every 20 to 40 seconds and cause repeated awakening
and severely fragmented sleep. In one study, RLS and PLMD
accounted for a third of the insomnia seen in patients older
than age 60.
Insomnia
Insomnia may be caused by stress,
certain medications, overactive bladder disorders, jet lag, excess
intake of alcohol or caffeine, new or unfamiliar surroundings or
disruptive wake/sleep schedules (shift work). Insomnia can be
occasional or chronic. If you are over 60, female or have history of
depression you are at higher risk of insomnia.
Source: SleepWeb (Marketdata Enterprises, Inc.) research
*page last updated 05/01/2008