Evidence-based recommendations for the assessment and management of sleep disorders in older persons: Supplement

Harrison G. Bloom, Imran M. Ahmed, Cathy A. Alessi, Sonia Ancoli-Israel, Daniel J. Buysse, Meir H. Kryger, Barbara A. Phillips, Michael J. Thorpy, Michael V. Vitiello, Phyllis C. Zee

Research output: Contribution to journalArticle

249 Citations (Scopus)

Abstract

Sleep-related disorders are most prevalent in the older adult population. A high prevalence of medical and psychosocial comorbidities and the frequent use of multiple medications, rather than aging per se, are major reasons for this. A major concern, often underappreciated and underaddressed by clinicians, is the strong bidirectional relationship between sleep disorders and serious medical problems in older adults. Hypertension, depression, cardiovascular disease, and cerebrovascular disease are examples of diseases that are more likely to develop in individuals with sleep disorders. Conversely, individuals with any of these diseases are at a higher risk of developing sleep disorders. The goals of this article are to help guide clinicians in their general understanding of sleep problems in older persons, examine specific sleep disorders that occur in older persons, and suggest evidence- and expert-based recommendations for the assessment and treatment of sleep disorders in older persons. No such recommendations are available to help clinicians in their daily patient care practices. The four sections in the beginning of the article are titled, Background and Significance, General Review of Sleep, Recommendations Development, and General Approach to Detecting Sleep Disorders in an Ambulatory Setting. These are followed by overviews of specific sleep disorders: Insomnia, Sleep Apnea, Restless Legs Syndrome, Circadian Rhythm Sleep Disorders, Parasomnias, Hypersomnias, and Sleep Disorders in Long-Term Care Settings. Evidence- and expert-based recommendations, developed by a group of sleep and clinical experts, are presented after each sleep disorder.

Original languageEnglish (US)
Pages (from-to)761-789
Number of pages29
JournalJournal of the American Geriatrics Society
Volume57
Issue number5
DOIs
StatePublished - May 2009

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Sleep
Circadian Rhythm Sleep Disorders
Parasomnias
Sleep Wake Disorders
Cerebrovascular Disorders
Restless Legs Syndrome
Sleep Apnea Syndromes
Sleep Initiation and Maintenance Disorders
Long-Term Care
Comorbidity
Patient Care
Cardiovascular Diseases
Depression
Hypertension
Population
Therapeutics

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Evidence-based recommendations for the assessment and management of sleep disorders in older persons : Supplement. / Bloom, Harrison G.; Ahmed, Imran M.; Alessi, Cathy A.; Ancoli-Israel, Sonia; Buysse, Daniel J.; Kryger, Meir H.; Phillips, Barbara A.; Thorpy, Michael J.; Vitiello, Michael V.; Zee, Phyllis C.

In: Journal of the American Geriatrics Society, Vol. 57, No. 5, 05.2009, p. 761-789.

Research output: Contribution to journalArticle

Bloom, Harrison G. ; Ahmed, Imran M. ; Alessi, Cathy A. ; Ancoli-Israel, Sonia ; Buysse, Daniel J. ; Kryger, Meir H. ; Phillips, Barbara A. ; Thorpy, Michael J. ; Vitiello, Michael V. ; Zee, Phyllis C. / Evidence-based recommendations for the assessment and management of sleep disorders in older persons : Supplement. In: Journal of the American Geriatrics Society. 2009 ; Vol. 57, No. 5. pp. 761-789.
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