Onen Saban-Hakki, Onen Fannie
Geriatric Sleep Medicine Center, Eduard Herriot University Hospital, HCL, Lyon 69003, France; INSERM 1028, University of Lyon, Lyon, France.
Department of Geriatrics, Bichat University Hospital, APHP, Paris 75018, France; INSERM 1178 and CESP, University of Paris-Sud, Paris, France.
Sleep Med Clin. 2018 Mar;13(1):71-79. doi: 10.1016/j.jsmc.2017.09.007. Epub 2017 Nov 22.
Demographic changes in developed countries are leading to an aging population with a high prevalence of chronic medical conditions, disability, and sleep disorders. Evidence suggests that medical conditions and comorbid sleep disorders interact. This article aims to review frequently encountered medical conditions and examine their consequences on sleep in the older adult, and to review the possible impact of sleep disturbances on these common medical conditions. These medical conditions include pain, falls, cancer, and chronic heart failure. Strategies to improve sleep disturbances in older patients with comorbid medical conditions are provided according to available data and clinical experience.
发达国家的人口结构变化正导致人口老龄化,慢性疾病、残疾和睡眠障碍的患病率居高不下。有证据表明,身体疾病和并存的睡眠障碍之间存在相互作用。本文旨在回顾常见的身体疾病,研究它们对老年人睡眠的影响,并探讨睡眠障碍对这些常见身体疾病可能产生的影响。这些身体疾病包括疼痛、跌倒、癌症和慢性心力衰竭。根据现有数据和临床经验,为患有并存身体疾病的老年患者提供了改善睡眠障碍的策略。