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The changes that aging brings tend
to come upon us unnoticed at first, like
the passing of the seasons. Slowly, over
time, we become aware that our eyesight
is less keen or our hearing less acute.
In the same way, our experience of sleep
is altered. It's not that our sleep
needs decline with age. In fact,
research demonstrates: Our Sleep needs
remain constant throughout adulthood.
Most of us still require the same seven
to nine hours of sleep a night we always
did. However, a good night's rest may
prove more elusive as we grow older.
Lifestyle changes and behavioral
practices may play their part. Daytime
naps may make us less tired at bedtime.
Poor sleep habits may have become
entrenched; we may associate our bed
with television or reading, not
sleeping. Stress and bereavement may
lead to early awakenings or interrupted
sleep. And in the silence of our
bedrooms, the bark of a neighbor's dog
or a passing siren may trouble us more
than when we were younger.
How Sleep Changes
Middle-aged and elderly people tend to
spend less time in deeper sleep than
younger people. In addition, the average
total sleep time increases slightly
after age 65 as do reports of difficulty
falling asleep. One study found that
after 65, 13 percent of men and 36
percent of women reported taking more
than 30 minutes to fall asleep.
What causes this difficulty? The elderly
generally secrete lesser amounts of
certain chemicals that regulate the
sleep/wake cycle. Both melatonin (a
substance produced by the pineal gland
that promotes sleep) and growth hormone
production decrease with age.
There are also changes in the body
temperature cycle which occur with age.
These factors may cause, or be a
consequence of, sleep problems. In
addition, a decrease in exposure to
natural light and a change in diet may
exacerbate sleep difficulties. Some
researchers theorize that daytime
inactivity (lack of exercise) and
decreased mental stimulation may also
lead to the "aging" of sleep.
Falling asleep isn't the only difficulty
older people may face at night. Sleep
also becomes more shallow, fragmented
and variable in duration with age. The
elderly wake more frequently than
younger adults. Recent research suggests
that the aging bladder can contribute to
this. Daytime sleepiness follows.
Persistent trouble falling asleep at
night or frequent drowsing by day is not
normal or inevitable with age.
Sometimes, age-related changes mask
underlying sleep disorders. For example,
sleep apnea, a breathing disorder, is
more common in the middle and elder
years. The repeated awakenings caused by
a literal lack of breath lead to daytime
sleepiness.
How to tell whether daytime drowsiness
is a result of a sleep disorder, sleep
deficit or depression? Consult a sleep
specialist.
The Impact of Sleep Problems
Sleep Deprivation has measurable
negative effects on performance and
physical and mental health: Reduced
energy, greater difficulty
concentrating, diminished mood, and
greater risk for accidents, including
fall-asleep crashes. Work performance
and relationships can suffer too. And
pain may be intensified by the physical
and mental consequences of lack of
sleep. |
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