San Juan Bautista School of Medicine, Salida 21 Carr. 172 Urb. Turabo Gardens, Caguas 00726, Puerto Rico.
Section of Geriatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.
Sleep Med Clin. 2024 Dec;19(4):593-606. doi: 10.1016/j.jsmc.2024.07.007.
With aging, there are normative changes to sleep physiology and circadian rhythmicity that may predispose older adults to sleep deficiency, whereas many health-related and psychosocial/behavioral factors may precipitate sleep deficiency. In this article, we describe age-related changes to sleep and describe how the health-related and psychosocial/behavioral factors typical of aging may converge in older adults to increase the risk for sleep deficiency. Next, we review the consequences of sleep deficiency in older adults, focusing specifically on important age-related outcomes, including mortality, cognition, depression, and physical function. Finally, we review treatments for sleep deficiency, highlighting safe and effective nonpharmacologic interventions.
随着年龄的增长，睡眠生理学和昼夜节律会发生正常变化，这可能使老年人容易出现睡眠不足，而许多与健康相关的和心理社会/行为因素可能会导致睡眠不足。在本文中，我们描述了与年龄相关的睡眠变化，并描述了与健康相关的和心理社会/行为因素如何在老年人中汇聚，从而增加睡眠不足的风险。接下来，我们回顾了老年人睡眠不足的后果，特别关注重要的与年龄相关的结果，包括死亡率、认知、抑郁和身体功能。最后，我们回顾了睡眠不足的治疗方法，重点介绍了安全有效的非药物干预措施。
