Nocturnal polysomnbnographic characteristics and other related variables in elderly patients

Main Article Content

Stella Maris Valiensi
Marcela Laura Ponce de León
Mariela Tanzi
Edgardo Cristiano
Cecilia Beatriz Lucero

Abstract

It is believed that the elderly need less sleep. However, it is not the need for sleep but the ability to sleep that decreases with age, in parallel to the increasing prevalence of cardiovascular or metabolic disease, or depression. Little has been described about the polysomnographic findings of this population, hypothesizing that there are several alterations that prematurely corrected could improve the quality of life as the years go by. We analyzed the polysomnographic findings in patients over 65 years of age. A descriptive study was carried out based on the analyses of a database of 551 patients over 65 years of age evaluated between June 2013 to December 2014. All subjects underwent nocturnal PSG of 6 hours duration. The polysomnographic variables analyzed were: sleep latency (LS), sleep efficiency (ES), latency R phase (Lat R), % R, Apneas Hypoapneas Index (AHI) and Periodic Limb Movements of Sleep (PLMS). The population was divided into 3 groups: G1: from 65 to 70 years G2: 71 to 75, G3 greater than 75. AHI increased with age, being more severe in patients over 75 years of age in relation to the younger age group. The increase in AHI was not associated with an increase in Body Mass Index (BMI) or greater daytime sleepiness

Downloads

Download data is not yet available.

Article Details

Section

Original Article

How to Cite

1.
Valiensi SM, Ponce de León ML, Tanzi M, Cristiano E, Lucero CB. Nocturnal polysomnbnographic characteristics and other related variables in elderly patients. Rev Hosp Ital B.Aires [Internet]. 2017 Mar. 30 [cited 2026 Apr. 27];37(2):52-6. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/619

References

Reid KJ, Martinovich Z, Finkel S, et al. Sleep: a marker of physical and mental health in the elderly. Am J Geriatr Psychiatry. 2006;14(10):860-6. DOI: https://doi.org/10.1097/01.JGP.0000206164.56404.ba

Ancoli-Israel S. Sleep problems in older adults: putting myths to bed. Geriatrics. 1997;52(1):20-30. DOI: https://doi.org/10.1016/S1087-0792(97)90002-2

Newman AB, Enright PL, Manolio TA, et al. Sleep disturbance, psychosocial correlates, and cardiovascular disease in 5201 older adults: the Cardiovascular Health Study. J Am Geriatr Soc. 1997;45(1):1-7. DOI: https://doi.org/10.1111/j.1532-5415.1997.tb00970.x

Yaffe K, Laffan AM, Harrison SL, et al. Sleep-disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older women. JAMA. 2011;306(6):613-9. DOI: https://doi.org/10.1001/jama.2011.1115

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540-5. DOI: https://doi.org/10.1093/sleep/14.6.540

Galeano SA, Velosa Buitrago DM. Interpretation of polysomnography. Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello. 2011;39(3s):13-7.

Epstein LJ, Kristo D, Strollo PJ Jr, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;5(3):263-76. DOI: https://doi.org/10.5664/jcsm.27497

Iber C, Ancoli-Israeli S, Chesson AL, Quan SF, for the American Academy of Sleep Medicine. The AASM Manual for the scoring of sleep and associated events. Rules, Terminology and technical specifications. AASM manual for scoring sleep, 2007.

Roepke SK, Ancoli-Israel S. Sleep disorders in the elderly. Indian J Med Res. 2010;131:302-10.

Janssens JP, Pautex S, Hilleret H, Michel JP. Sleep disordered breathing in the elderly. Aging (Milano). 2000;12(6):417-29. DOI: https://doi.org/10.1007/BF03339872

Burger CSJ. Sleep-disordered breathing and aging. New York: Marcel Dekker; 1993.

Avidan AY. Sleep in the geriatric patient population. Semin Neurol. 2005;25(1):52-63. DOI: https://doi.org/10.1055/s-2005-867076

Bédard MA, Montplaisir J, Richer F, et al. Obstructive sleep apnea syndrome: pathogenesis of neuropsychological deficits. J Clin Exp Neuropsychol. 1991;13(6):950-64. DOI: https://doi.org/10.1080/01688639108405110

Bédard MA, Montplaisir J, Richer F, et al. Nocturnal hypoxemia as a determinant of vigilance impairment in sleep apnea syndrome. Chest. 1991;100(2):367-70. DOI: https://doi.org/10.1378/chest.100.2.367

Bédard MA, Montplaisir J, Malo J, et al. Persistent neuropsychological deficits and vigilance impairment in sleep apnea síndrome after treatment with continuous positive airways pressure (CPAP). J Clin Exp Neuropsychol. 1993;15(2):330-41. DOI: https://doi.org/10.1080/01688639308402567

Montplaisir J, Bédard MA, Richer F, et al. Neurobehavioral manifestations in obstructive sleep apnea syndrome before and after treatment with continuous positive airway pressure. Sleep. 1992;15(6 Suppl):S17-9. DOI: https://doi.org/10.1093/sleep/15.suppl_6.S17

Valencia-Flores M, Bliwise DL, Guilleminault C, et al. Cognitive function in patients with sleep apnea after acute nocturnal nasal continuous positive airway pressure (CPAP) treatment: sleepiness and hypoxemia effects. J Clin Exp Neuropsychol. 1996;18(2):197-210. DOI: https://doi.org/10.1080/01688639608408275

Mehra R, Stone KL, Blackwell T, et al. Prevalence and correlates of sleep-disordered breathing in older men: osteoporotic fractures in men sleep study. J Am Geriatr Soc. 2007;55(9):1356-64. DOI: https://doi.org/10.1111/j.1532-5415.2007.01290.x

Ancoli-Israel S, Kripke DF, Klauber MR, et al. Sleep-disordered breathing in community-dwelling elderly. Sleep. 1991;14(6):486-95. DOI: https://doi.org/10.1093/sleep/14.6.486

Eikermann M, Jordan AS, Chamberlin NL, et al. The influence of aging on pharyngeal collapsibility during sleep. Chest. 2007;131(6):1702-9. DOI: https://doi.org/10.1378/chest.06-2653

Tagaya M, Nakata S, Yasuma F, et al. Morphological features of elderly patients with obstructive sleep apnoea syndrome: a prospective controlled, comparative cohort study. Clin Otolaryngol. 2011;36(2):139-46. DOI: https://doi.org/10.1111/j.1749-4486.2011.02296.x

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(7):1255-73. DOI: https://doi.org/10.1093/sleep/27.7.1255

Rey de Castro Mujica J, Álvarez Mayorga J, Gaffo Llontop A. Síntomas relacionados a trastornos del sueño en supuestos sanos que asisten a un centro de atención primaria de salud. Rev Med Hered. 2005; 16(1):31-8. DOI: https://doi.org/10.20453/rmh.v16i1.861

Díaz R, Ruano MI, Chacón A, Manizales R. Estudio de trastornos de sueño en Caldas, Colombia. Acta Médica Colombiana. 2009; 34(2):66-72.

Fritsch Montero RP, Lahsen Martínez RP, Romeo Gómez R, Araya Baltra G, Rojas Castillo G. Trastornos del sueño en la población adulta de Santiago de Chile y su asociación con trastornos psiquiátricos comunes. Actas Esp Psiquiatr. 2010; 38(6):358-64.

Most read articles by the same author(s)