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Senior Citizen Health & Medicine

Sleep Evaluation Should be Routine Medical Care Says Editorial

Good sleep should be considered an essential component of a healthy lifestyle, as much as exercise and nutrition

September 18, 2006 - Sleep is an integral part of health, and assessment of sleep habits should be a standard part of medical care, according to an editorial in the September 18 issue of Archives of Internal Medicine, which is devoted to studies of sleep and health. The magazine is one of the Journal of the American Medical Association/Archives journals.

 

Related Stories

 
 

Advice for Senior Citizens on Finding a Good Night's Sleep

So many senior citizens complain of sleep problems that it has become associated with natural aging. Research finds, however, that sleep problems grow with the accumulation of illnesses, not years.

By National Institute on Aging

September 18, 2006 - Since he retired, Edward dreads going to bed at night. He’s afraid that when he turns off his light he will just lie there with his eyes open and his mind racing. “How can I break this cycle?” he asks. “I’m so tired – I need to get some sleep.” Read more...

 

Read more on Health & Medicine or Aging, which is where most of our reports about sleep are located.

 

Such a move would probably be welcomed news for millions of senior citizens. Various studies have indicated a majority of older Americans suffer with problems in trying to sleep. And, although this has often been associated with aging, research shows it is more closely related to illness than years of age.

“The theme that emerges throughout this issue is that sleep serves as an indicator of health and quality of life and therefore is highly and directly relevant to the practice of medicine,” write guest editor Phyllis C. Zee, M.D., Ph.D., and Fred W. Turek, Ph.D., of Northwestern University Feinberg School of Medicine, Chicago.

“Indeed, numerous studies have recently shown that sleep disorders are often comorbid with a broad range of medical and psychiatric conditions and also have a negative impact on health, mood and quality of life,” they continue. “Increasing evidence also points to a bidirectional relationship between sleep and health; that is, sleep disturbances contribute to the development of or increase the severity of various medical and psychiatric disorders, and these same disorders result in poor sleep quality.”

Research results published in this issue of Archives of Internal Medicine “further our understanding of the relationship of sleep and health,” Drs. Zee and Turek write. Studies appearing in this issue find that:

     ● Fewer hours of sleep may contribute to poor health in young adults, according to an international survey of more than 17,000 university students

     ● Those in rural areas who sleep fewer hours appear to have a higher average body mass index

     ● The immune system may play a role in narcolepsy, a disorder marked by a sudden and uncontrollable urge to sleep

     ● Children with chronic illnesses, especially those on ventilators, tend to have parents with disrupted sleep

     ● The immune system may be affected by a lack of sleep, altering blood chemistry in a way that potentially contributes to inflammation and a variety of diseases

Over the past decade, it has become apparent that voluntarily limited sleep, as well as sleep disorders such as insomnia and restless legs syndrome, can negatively affect overall health—a connection emphasized by the increasing legitimacy of sleep medicine as a specialty.

In addition, medications used to treat a number of physical and psychiatric disorders can affect sleep, making evaluation for sleep problems essential for those following such regimens. “At the very least, assessment of sleep quantity and quality should be integrated into the routine review of systems,” Drs. Zee and Turek conclude.

“Sleep is an indicator of health, and sufficient sleep quantity and good quality should be considered as an essential component of a healthy lifestyle, as much as exercise and nutrition.”

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