Physiological and pathological factors that impact sleep quality in the elderly: a literature review
DOI:
https://doi.org/10.25118/2763-9037.2024.v14.1197Keywords:
sleep quality, elderly health, circadian rhythm sleep disorders, geriatrics, gerontolgy, insomniaAbstract
Introduction: Sleep quality in the elderly emerges as a highly relevant topic, supported by alarming statistical data. Around 50% of the elderly population reports sleep disorders, highlighting the significant prevalence of these problems in this age group. As age advances, a progressive increase in the incidence of sleep disorders is observed, signaling the urgency of addressing the underlying factors that contribute to this deterioration. Objective: To investigate sleep quality in the elderly, analyzing the physiological and pathological factors that influence this phenomenon. Methodology: This is a literature review based on the analysis of scientific articles published in PubMed, Scopus, Scielo, Google Scholar and BVS in the period from 2019 to 2023. Results: After completing the data collection phase, 6 relevant articles were identified to compose the analysis of the proposed topic. Discussion: A significant prevalence of sleep disorders was observed, approximately 50% in the elderly population. Physiological changes, such as in circadian rhythm and melatonin production, and pathological conditions, such as obstructive sleep apnea and insomnia, adversely influence. Personalized interventions and public health policies are necessary to improve the quality of sleep in the elderly, aiming to positively impact their general health. Conclusion: The urgent need for specific approaches to improve the quality of sleep in the elderly is highlighted, aiming to promote healthy aging and address the significant prevalence of sleep disorders in this population.
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Alves HB, Alves HB, Vasconcelos KP, Silva CTL, Silva MNS, Patrício DF, Dantas RR, Melo PYB. Alterações da qualidade do sono em idosos e sua relação com doenças crônicas. Braz J Health Rev. 2020;3(3):5030-42. https://doi.org/10.34119/bjhrv3n3-085 DOI: https://doi.org/10.34119/bjhrv3n3-085
Sociedade Brasileira de Geriatria e Gerontologia. Insônia é o principal distúrbio do sono entre idosos. São Paulo: Sociedade Brasileira de Geriatria e gerontologia; [citado em 12 de março de 2023]. https://www.sbgg-sp.com.br/insonia-e-o-principal-disturbio-do-sono-entre-idosos/
Benca RM, Teodorescu M. Sleep physiology and disorders in aging and dementia. Handb Clin Neurol. 2019;167:477-93. https://doi.org/10.1016/b978-0-12-804766-8.00026-1 - PMID:31753150 DOI: https://doi.org/10.1016/B978-0-12-804766-8.00026-1
Carvalho KM, Figueiredo MDLF, Galindo Neto NM, Sá GGM, Silva CRDT, Mendes PN. Comparison of the effectiveness of two educational interventions on sleep quality in older adults: a randomized clinical trial. Rev Esc Enferm USP. 2023;56:e20220326. https://doi.org/10.1590/1980-220x-reeusp-2022-0326en - PMID:36651869 - PMCID:PMC10088524 DOI: https://doi.org/10.1590/1980-220x-reeusp-2022-0326pt
García-Perdomo HA, Zapata-Copete J, Rojas-Cerón CA. Sleep duration and risk of all-cause mortality: a systematic review and meta-analysis. Epidemiol Psychiatr Sci. 2019;28(5):578-88. https://doi.org/10.1017/s2045796018000379 - PMID:30058510 - PMCID:PMC6998920 DOI: https://doi.org/10.1017/S2045796018000379
Besedovsky L, Lange T, Haack M. The sleep-immune crosstalk in health and disease. Physiol Rev. 2019;99(3):1325-80. https://doi.org/10.1152/physrev.00010.2018 - PMID:30920354 -PMCID:PMC6689741 DOI: https://doi.org/10.1152/physrev.00010.2018
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097 - PMID:19621072 - PMCID:PMC2707599 DOI: https://doi.org/10.1371/journal.pmed.1000097
Hasan F, Tu YK, Lin CM, Chuang LP, Jeng C, Yuliana LT, Chen TJ, Chiu HY. Comparative efficacy of exercise regimens on sleep quality in older adults: a systematic review and network meta-analysis. Sleep Med Rev. 2022;65:101673. https://doi.org/10.1016/j.smrv.2022.101673 PMID:36087457 DOI: https://doi.org/10.1016/j.smrv.2022.101673
Stutz J, Eiholzer R, Spengler CM. Effects of evening exercise on sleep in healthy participants: a systematic review and meta-analysis. Sports Med. 2019;49(2):269-87. https://doi.org/10.1007/s40279-018-1015-0 - PMID:30374942 DOI: https://doi.org/10.1007/s40279-018-1015-0
Marquez DX, Aguiñaga S, Vásquez PM, Conroy DE, Erickson KI, Hillman C, Stillman CM, Ballard RM, Sheppard BB, Petruzzello SJ, King AC, Powell KE. A systematic review of physical activity and quality of life and well-being. Transl Behav Med. 2020;10(5):1098-109. https://doi.org/10.1093/tbm/ibz198 - PMID:33044541 - PMCID:PMC7752999 DOI: https://doi.org/10.1093/tbm/ibz198
Blume C, Garbazza C, Spitschan M. Effects of light on human circadian rhythms, sleep and mood. Somnologie (Berl). 2019;23(3):147-56. https://doi.org/10.1007/s11818-019-00215-x PMID:31534436 - PMCID:PMC6751071 DOI: https://doi.org/10.1007/s11818-019-00215-x
Moreno CRC, Santos JLF, Lebrão ML, Ulhôa MA, Duarte YAO. Sleep disturbances in older adults are associated to female sex, pain and urinary incontinence. Rev Bras Epidemiol. 2019;21(Suppl 2):e180018.supl.2. https://doi.org/10.1590/1980-549720180018.supl.2 - PMID:30726363 DOI: https://doi.org/10.1590/1980-549720180018.supl.2
Husak AJ, Bair MJ. Chronic pain and sleep disturbances: a pragmatic review of their relationships, comorbidities, and treatments. Pain Med. 2020;21(6):1142-52. https://doi.org/10.1093/pm/pnz343 PMID:31909797 DOI: https://doi.org/10.1093/pm/pnz343
Nogueira JT, Lopes JLBO, Silva MCSA, Tier CG, Camargo MEB, Lana LD. A qualidade do sono e a fragilidade em idosos: revisão integrativa. Rev Enferm Cent-Oeste Min. 2020;10(1):3835.
Zhao D, Yu Y, Shen Y, Liu Q, Zhao Z, Sharma R, Reiter RJ. Melatonin synthesis and function: evolutionary history in animals and plants. Front Endocrinol (Lausanne). 2019;10:249. https://doi.org/10.3389/fendo.2019.00249 - PMID:31057485 - PMCID:PMC6481276 DOI: https://doi.org/10.3389/fendo.2019.00249
Tapia AL, Yu L, Lim A, Barnes LL, Hall MH, Butters MA, Buysse DJ, Wallace ML. Race and sex differences in the longitudinal changes in multidimensional self-reported sleep health characteristics in aging older adults. Sleep Health. 2023;9(6):947-58. https://doi.org/10.1016/j.sleh.2023.08.008 - PMID:37802678 - PMCID:PMC10841494 DOI: https://doi.org/10.1016/j.sleh.2023.08.008
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