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Sleep and Quality of Life in Clinical Medicine pp 131–138Cite as

Sleep and Quality of Life in Older People

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Summary

Sleep disturbance is common with advancing age due to age-related changes in sleep and an increased prevalence of certain sleep disorders, in addition to health conditions, psychosocial issues, medication effects and a variety of other factors that impact sleep. The evidence that insomnia and other sleep problems have negative effects on health and quality of life (QOL) across the lifespan is convincing, and data suggest that this relationship is even stronger as people age. Several population-based studies have demonstrated an association between impaired sleep and worse performance on global measures and specific individual domains of QOL in the older adult. In addition, among older people, excessive daytime sleeping may be associated with an increased risk in mortality and morbidity and increased risk of falls. With advanced age, sleep disturbance is also associated with declines in functional status and social functioning, in addition to memory and other cognitive impairments. There is also evidence that sleeping problems can interfere with an older person’s ability to carry out healthy and stable relationships with their spouse, other family and friends, which likely further impairs their QOL. In general, people with sleep disturbances have poor health-related self-perception, which may be related to inability to cope with daily activities. Taken together, research evidence is convincing among older adults that the cumulative effects of sleep disturbance can significantly impair their well-being and QOL.

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References

  1. Frytak JR. Assessment of quality of life in older adults. In: Kane RL, Kane RA (eds). Assessing Older Persons. Measures Meaning and Practical Applications. Oxford University Press, Inc. Oxford, UK, 2000, pp. 200–236.

    Google Scholar 

  2. Bergner M, Bobbit RA, Kressel S, Pollard WE, Gilson BA, Morris JR. The sickness impact profile: conceptual formulation and methodology for the development of a health status measure. Int J Health Serv 1976;6:393–415.

    Article  PubMed  CAS  Google Scholar 

  3. Brabbins CJ, Dewey ME, Copeland JRM, Davidson IA, Mcwilliam C, Saunders P, Sharma VK, Sullivan, C. Insomnia in the elderly: prevalence, gender differences and relationships with morbidity and mortality. Int J Geriatr Psychiatry 1993;8:473–480.

    Article  Google Scholar 

  4. Bliwise DL. Sleep in normal aging and dementia. Sleep 1993;16:40–81.

    PubMed  CAS  Google Scholar 

  5. Foley DJ, Monjan AA, Brown SL, et al. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep 1995;18:425–432.

    PubMed  CAS  Google Scholar 

  6. Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention. JAMA 1989;262:1479–1484.

    Article  PubMed  CAS  Google Scholar 

  7. Vitiello MV. Sleep in normal aging. In: Ancoli-Israel (ed), Sleep in the Older Adult. Sleep Medicine Clinics 2006;1(2):171–176.

    Google Scholar 

  8. Ohayon MM, Carskadon MA, Guilleminault C, et al. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004;27:1255–1273.

    PubMed  Google Scholar 

  9. Katz DA, McHorney CA. The relationship between insomnia and health related quality of life in patients with chronic illness. J Fam Pract 2002;51(3):29–35.

    Google Scholar 

  10. Manocchia M, Keller S, Ware JE. Sleep problems, health related quality of life, work functioning and health care utilization among the chronically ill. Qual Life Res 2001;10(4):331–345.

    Article  PubMed  CAS  Google Scholar 

  11. Ohayon MM, Vecchierini MF. Normative sleep data, cognitive function and daily living activities in older adults in the community. Sleep 2005;28(8):981–989.

    PubMed  Google Scholar 

  12. Schubert CR, Cruikshanks KJ, Dalton DS, Klein BE, Klein R, Nondahl DM. Prevalence of sleep problems and quality of life in an older population. Sleep 2002;25(8):889–893.

    PubMed  Google Scholar 

  13. Stewart R, Besset A, Bebbington P, Brugha T, Lindesay J, Jenkins R, Singleton N, Meltzer H. Insomnia co-morbidity and impact and hypnotic use by age group in a national survey population aged 16 to 74 years. Sleep 2006;29(11):1391–1397.

    PubMed  Google Scholar 

  14. Zammit GK, Weiner J, damato N, Sillup GP, McMillan CA. Quality of life in people with insomnia. Sleep 1999;22(Suppl 2):S379–S385.

    PubMed  Google Scholar 

  15. Hays JC, Blazer DG, Foley DJ. Risk of napping excessive day time sleepiness and mortality in an older community population. J Am Geriatr Soc 1996;44:693–698.

    PubMed  CAS  Google Scholar 

  16. Gooneratne NS, Weaver TE, Cater JR, et al. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc 2003;51:642–649.

    Article  PubMed  Google Scholar 

  17. Newman AB, Speikerman CF, Enright P. Daytime sleepiness predicts mortality and cardiovascular disease in older adults. The cardiovascular health study research group. J Am Geriatr Soc 2000;48:115–123.

    PubMed  CAS  Google Scholar 

  18. Brassington GS, King Ac, Bliwise DL. Sleep problems as a risk factor for falls in a sample of community dwelling adults aged 64–99 yr. J Am Geriatr Soc 2000;48:1234–1240.

    PubMed  CAS  Google Scholar 

  19. Ohayon MM, Vecchierini MF. Daytime sleepiness and cognitive impairment in the elderly population. Arch Intern Med 2002;162:201–208.

    Article  PubMed  Google Scholar 

  20. Martin JL, Ancoli-Israel S. Napping in older adults. In: Ancoli-Israel (ed), Sleep in the Older Adult. Sleep Med clin 2006;1(2):177–186.

    Google Scholar 

  21. Campbell SS, Dawson D. Aging young leep: A test of the phase advance hypothesis of sleep disturbance in the elderly. J Sleep Res 1992;1:205–210.

    PubMed  Google Scholar 

  22. Tamaki M, Shirota A, Hayashi M, et al. Restorative effects of a short afternoon nap (<30 min) in the elderly on subjective mood, performance and EEG activity. Sleep Res Online 2000;3:131–139.

    PubMed  CAS  Google Scholar 

  23. Roth T, Ancoli-Israel S. Daytime consequences and correlates of insomnia in the United States: results of the 1991 National Sleep Foundation survey. Sleep 1999;22(Suppl):S354–S358.

    PubMed  Google Scholar 

  24. Saletu B, Prause W, Loffler-Stastka H, et al. Quality of life in nonorganic and organic sleep disorders: I. comparision with normative data. Wien Klin Wochenschr 2003;115(7–8):246–264.

    Article  PubMed  Google Scholar 

  25. National Sleep Foundation 2003 Sleep in America Poll, Executive Summary. Available online at: www.sleepfoundation. org/_content/hottopics/2003SleepPollExecSumm.pdf.

    Google Scholar 

  26. Williams A, Franche RL, Ibrahim S, et al. Examining the relationship between work-family spill over and sleep quality. J Occupational Health Psychol 2006;11(1):27–37.

    Article  Google Scholar 

  27. Stein MB, Barrett-Connor E. Quality of life in older adults receiving medications for anxiety, depression, or insomnia: findings from a community-based study. Am J Geriatr Psychiatry 2002;10(5):568–574.

    Article  PubMed  Google Scholar 

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Authors
  1. Alia Khan-Hudson
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  2. Cathy A. Alessi
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Editor information

Editors and Affiliations

  1. Section Psychopharmacology Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3508TB, PoBox 80082, Utrecht, The Netherlands

    Joris C. Verster

  2. Divison of Clinical Pharmacology and Experimental Therapeutics Department of Medicine, College of Physicians and Surgeons of Columbia University, 630 West 168th Street - Rm # BB813, New York, NY 10032, USA

    S. R. Pandi-Perumal

  3. Department of Psychiatry, Kunin-Lunenfeld Applied Research Unit (KLARU), 3560 Bathurst St., Toronto, M6A 2E1, Canada

    David L. Streiner

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© 2008 Humana Press, Totowa, NJ

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Khan-Hudson, A., Alessi, C.A. (2008). Sleep and Quality of Life in Older People. In: Verster, J.C., Pandi-Perumal, S.R., Streiner, D.L. (eds) Sleep and Quality of Life in Clinical Medicine. Humana Press. https://doi.org/10.1007/978-1-60327-343-5_15

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  • DOI: https://doi.org/10.1007/978-1-60327-343-5_15

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-340-4

  • Online ISBN: 978-1-60327-343-5

  • eBook Packages: MedicineMedicine (R0)

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