Sleep Disturbances in Nursing Homes

Overview

Journal J Nutr Health Aging

Specialties Geriatrics
Nutritional Sciences

Date 2010 Mar 2

PMID 20191255

Citations 28

Authors

A B Neikrug

S Ancoli-Israel

Affiliations

Soon will be listed here.

Abstract

Objectives: To review the literature on sleep disturbances in nursing home settings. Although 50% of older adults complain of sleep difficulties, increased reports of sleep disturbances are generally associated with poor health. After controlling for comorbidities that often contribute to poor sleep, studies have shown that primary sleep disturbances in healthy older adults are, in fact, rare. Although common in older adults, sleep complaints are even more prevalent in elders living in nursing homes and the sleep disturbances experienced by institutionalized older adults are more severe. Factors contributing to sleep impairment in nursing home residents include age-related changes in sleep architecture and circadian rhythms, sleep disorders, dementia, depression, other medical illness, polypharmacy, and institutional and environmental factors. It is important that nursing home residents suffering from sleep problems be evaluated and treated.

Conclusion: Implementing some environmental and culture changes could result in significant improvement in the sleep of nursing home residents.

Citing Articles

Association of dysphagia and loneliness and their interaction with sleep quality among older adults in nursing homes: A cross-sectional study.

Wen B, Li Y, Zhang M, Xu H PLoS One. 2024; 19(9):e0311024.

PMID: 39325814 PMC: 11426441. DOI: 10.1371/journal.pone.0311024.

Changes in indicators of well-being on moving from home to long-term care for Māori in Aotearoa New Zealand: A retrospective cohort study.

Hikaka J, Abey-Nesbit R, Wu Z, Jamieson H, Parsons M, Kerse N Australas J Ageing. 2024; 43(4):818-827.

PMID: 39135395 PMC: 11671709. DOI: 10.1111/ajag.13361.

The effectiveness of exercise interventions targeting sleep in older adults with cognitive impairment or Alzheimer's disease and related dementias (AD/ADRD): A systematic review and meta-analysis.

Paez A, Frimpong E, Mograss M, Dang-Vu T J Sleep Res. 2024; 33(6):e14189.

PMID: 38462491 PMC: 11597006. DOI: 10.1111/jsr.14189.

The sleep patterns and their associations with mental health among nursing home residents: a latent profile approach.

Mou H, Xu D, Zhu S, Zhao M, Wang Y, Wang K BMC Geriatr. 2023; 23(1):468.

PMID: 37537539 PMC: 10401828. DOI: 10.1186/s12877-023-04124-5.

Actigraphy Analysis of Sleep Associates with Salivary IL-6 Concentration in Institutionalized Older Individuals.

Ibanez-Del Valle V, Mafla-Espana M, Silva J, Cauli O Diseases. 2023; 11(3).

PMID: 37489445 PMC: 10366774. DOI: 10.3390/diseases11030093.

References

Satlin A, Volicer L, ROSS V, Herz L, Campbell S . Bright light treatment of behavioral and sleep disturbances in patients with Alzheimer's disease. Am J Psychiatry. 1992; 149(8):1028-32. DOI: 10.1176/ajp.149.8.1028. View

Martin J, Webber A, Alam T, Harker J, Josephson K, Alessi C . Daytime sleeping, sleep disturbance, and circadian rhythms in the nursing home. Am J Geriatr Psychiatry. 2006; 14(2):121-9. DOI: 10.1097/01.JGP.0000192483.35555.a3. View

Riemersma-van der Lek R, Swaab D, Twisk J, Hol E, Hoogendijk W, van Someren E . Effect of bright light and melatonin on cognitive and noncognitive function in elderly residents of group care facilities: a randomized controlled trial. JAMA. 2008; 299(22):2642-55. DOI: 10.1001/jama.299.22.2642. View

Vitiello M, Moe K, Prinz P . Sleep complaints cosegregate with illness in older adults: clinical research informed by and informing epidemiological studies of sleep. J Psychosom Res. 2002; 53(1):555-9. DOI: 10.1016/s0022-3999(02)00435-x. View

Vitiello M, Prinz P, Williams D, Frommlet M, Ries R . Sleep disturbances in patients with mild-stage Alzheimer's disease. J Gerontol. 1990; 45(4):M131-8. DOI: 10.1093/geronj/45.4.m131. View

Koyama E, Matsubara H, Nakano T . Bright light treatment for sleep-wake disturbances in aged individuals with dementia. Psychiatry Clin Neurosci. 1999; 53(2):227-9. DOI: 10.1046/j.1440-1819.1999.00483.x. View

Vitiello M, Bliwise D, Prinz P . Sleep in Alzheimer's disease and the sundown syndrome. Neurology. 1992; 42(7 Suppl 6):83-93; discussion 93-4. View

Vitiello M, Borson S . Sleep disturbances in patients with Alzheimer's disease: epidemiology, pathophysiology and treatment. CNS Drugs. 2001; 15(10):777-96. DOI: 10.2165/00023210-200115100-00004. View

Ancoli-Israel S, Parker L, Sinaee R, Fell R, Kripke D . Sleep fragmentation in patients from a nursing home. J Gerontol. 1989; 44(1):M18-21. DOI: 10.1093/geronj/44.1.m18. View

10.

Aloia M, Ilniczky N, Di Dio P, Perlis M, Greenblatt D, Giles D . Neuropsychological changes and treatment compliance in older adults with sleep apnea. J Psychosom Res. 2002; 54(1):71-6. DOI: 10.1016/s0022-3999(02)00548-2. View

11.

Ayalon L, Ancoli-Israel S, Stepnowsky C, Marler M, Palmer B, Liu L . Adherence to continuous positive airway pressure treatment in patients with Alzheimer's disease and obstructive sleep apnea. Am J Geriatr Psychiatry. 2006; 14(2):176-80. DOI: 10.1097/01.JGP.0000192484.12684.cd. View

12.

Richards K, Roberson P, Simpson K, Lambert C, Bliwise D, Cole C . Periodic leg movements predict total sleep time in persons with cognitive impairment and sleep disturbance. Sleep. 2008; 31(2):224-30. PMC: 2225566. DOI: 10.1093/sleep/31.2.224. View

13.

Campbell S, Dawson D, Anderson M . Alleviation of sleep maintenance insomnia with timed exposure to bright light. J Am Geriatr Soc. 1993; 41(8):829-36. DOI: 10.1111/j.1532-5415.1993.tb06179.x. View

14.

Schnelle J, Alessi C, Al-Samarrai N, Fricker Jr R, Ouslander J . The nursing home at night: effects of an intervention on noise, light, and sleep. J Am Geriatr Soc. 1999; 47(4):430-8. DOI: 10.1111/j.1532-5415.1999.tb07235.x. View

15.

Schnelle J, Ouslander J, Simmons S, Alessi C, Gravel M . Nighttime sleep and bed mobility among incontinent nursing home residents. J Am Geriatr Soc. 1993; 41(9):903-9. DOI: 10.1111/j.1532-5415.1993.tb06753.x. View

16.

Newman A, Nieto F, Guidry U, Lind B, Redline S, Pickering T . Relation of sleep-disordered breathing to cardiovascular disease risk factors: the Sleep Heart Health Study. Am J Epidemiol. 2001; 154(1):50-9. DOI: 10.1093/aje/154.1.50. View

17.

Bliwise D . Sleep in normal aging and dementia. Sleep. 1993; 16(1):40-81. DOI: 10.1093/sleep/16.1.40. View

18.

MYERS B, Badia P . Changes in circadian rhythms and sleep quality with aging: mechanisms and interventions. Neurosci Biobehav Rev. 1995; 19(4):553-71. DOI: 10.1016/0149-7634(95)00018-6. View

19.

Earley C, Allen R . Pergolide and carbidopa/levodopa treatment of the restless legs syndrome and periodic leg movements in sleep in a consecutive series of patients. Sleep. 1996; 19(10):801-10. DOI: 10.1093/sleep/19.10.801. View

20.

Hornyak M, Trenkwalder C . Restless legs syndrome and periodic limb movement disorder in the elderly. J Psychosom Res. 2004; 56(5):543-8. DOI: 10.1016/S0022-3999(04)00020-0. View