Sleep Disorders in Older Adults: What You Need to Know

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How Sleep Changes With Age

After age 60, sleep architecture changes significantly: deep sleep decreases by 70%, it becomes harder to fall asleep, nighttime awakenings increase, and circadian rhythms shift earlier.

Common Sleep Disorders in Seniors

  • Insomnia: Affects 50% of older adults
  • Sleep Apnea: Risk increases with age and weight gain
  • Restless Leg Syndrome: More common in seniors
  • REM Sleep Behavior Disorder: Acting out dreams during sleep
  • Sundowning: Increased confusion and agitation in late afternoon/evening

Medication Considerations

Many medications affect sleep: diuretics (nighttime urination), beta-blockers (insomnia), steroids (alertness), and some antidepressants. Talk to your doctor about timing medications for minimal sleep disruption.

Sleep Strategies for Seniors

Maintain consistent sleep/wake times, get morning sunlight exposure, stay physically active, limit daytime napping to 20 minutes, and create a safe sleep environment to prevent falls.

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