Insomnia in elderly patients – various ways to manage
Abstract
Material and Methods: The paper reviews literature using the EBSCO and Google Scholar databases. Articles have been analyzed using the keywords insomnia, elderly patients, prevalence and etiology, primary care, treatment, diet, physiotherapy. The article presents various methods to manage insomnia among the elderly.
Results: The main treatment for insomnia includes pharmacological and non-pharmacological interventions or a combination of both. A very important aspect is proper dietary, physiotherapy treatment and physical activity.
Conclusions: Effective management of sleep disorders improves the quality of life of patients struggling with this disorder and prevents the occurrence of depression and anxiety, which often coexist with insomnia.
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Kańtoch A., Gryglewska B., (2016). Insomnia in the elderly – causes and non-pharmacological therapy options. Gerontologia Polska, 24, 133-141.
Farazdaq H., Andrades M., Nanji K., (2018). Insomnia and its correlates among elderly patients presenting to family medicine clinics at an academic center. Malays Fam Physician, 13(3): 12–19
Krishnan P., Hawranik P., (2008). Diagnosis and management of geriatric insomnia: A guide for nurse practitioners. J Am Acad Nurse Pract, 20(12):590–9.
Piotrowicz K. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. Gerontologia Polska, tom 18, nr 2, 95-99.
Neikrug AB., Ancoli-Israel S., (2010). Sleep disorders in the older adult - a mini-review. Gerontology, 56(2):181–189.
Gianluca Isaia G., Corsinovi L., Bo M., Santos-Pereira P., Michelis G., Aimonino N., Zanocchi M., (2010). Insomnia among hospitalized elderly patients: Prevalence, clinical characteristics and risk factors. Archives of Gerontology and Geriatrics, (2), 133-137
McCall W. V., (2004). Sleep in the Elderly: Burden, Diagnosis, and Treatment. Primary care companion to the Journal of clinical psychiatry, 6(1), 9–20.
Miner B., Kryger M. H., (2017). Sleep in the Aging Population. Sleep medicine clinics, 12(1), 31–38.
Kamel, Nabil S., Gammack Julie K., (2006). Insomnia in the Elderly: Cause, Approach, and Treatment. The American Journal of Medicine, 119 (6), 463 – 469
Rybakowski J., Zaburzenia afektywne,, Psychiatria, Wydawnictwo PZWL, 2016, str. 289-296
Hohagen, F. , Käppler, C. , Schramm, E. , Rink, K. , Weyerer, S. , Riemann, D. and Berger, M. (1994), Prevalence of insomnia in elderly general practice attenders and the current treatment modalities. Acta Psychiatrica Scandinavica, 90: 102-108.
Livingston G., Blizard B., Mann A., (1993). Does sleep disturbance predict depression in elderly people? A study in inner London. British Journal of General Practice, 43 (376), 445-448.
Foley DJ., Monjan A., Simonsick EM., Wallace RB., Blazer DG., (1999). Incidence and remission of insomnia among elderly adults: an epidemiologic study of 6,800 persons over three years. Sleep, 22 (Suppl 2):S366–S372.
Ulmer, C. S., Bosworth, H. B., Beckham, J. C., Germain, A., Jeffreys, A. S., Edelman, D., ... & Voils, C. I. (2017). Veterans affairs primary care provider perceptions of insomnia treatment. Journal of Clinical Sleep Medicine, 13(08), 991-999.
Grandner, M. A., & Chakravorty, S. (2017). Insomnia in primary care: Misreported, mishandled, and just plain missed. Journal of Clinical Sleep Medicine, 13(08), 937-939.
Goodie, J. L., & Hunter, C. L. (2014). Practical guidance for targeting insomnia in primary care settings. Cognitive and Behavioral Practice, 21(3), 261-268.
Sandlund, C., Hetta, J., Nilsson, G. H., Ekstedt, M., & Westman, J. (2017). Improving insomnia in primary care patients: a randomized controlled trial of nurse-led group treatment. International journal of nursing studies, 72, 30-41.
Falloon, K., Arroll, B., Elley, C. R., & Fernando, A. (2011). The assessment and management of insomnia in primary care. Bmj, 342, d2899.
Wong, K., Bartlett, D. J., & Saini, B. (2018). Integrated primary care insomnia management in Australia. Research in Social and Administrative Pharmacy, 14(2), 170-179.
Buysse D. J. (2013). Insomnia. JAMA, 309(7), 706–716. doi:10.1001/jama.2013.193
Taylor, K., Bilan, N., Tsytsyna, N., & Mandel, E. D. (2017). A nonpharmacologic approach to managing insomnia in primary care. Journal of the American Academy of PAs, 30(11), 10-15.
Brief Behavioral Treatment of Insomnia Gunn, Heather E. et al. Sleep Med Clin. 2019 Jun;14(2):235-243
Driot, D., Ouhayoun, S., Perinelli, F., Grézy-Chabardès, C., Birebent, J., Bismuth, M., & Dupouy, J. (2019). Non-drug and drug alternatives to benzodiazepines for insomnia in primary care: study among GPs and pharmacies in a Southwest region of France. Therapies.
Sato, D., Yoshinaga, N., Nagai, E., Nagai, K., & Shimizu, E. (2019). Effectiveness of Internet-Delivered Computerized Cognitive Behavioral Therapy for Patients With Insomnia Who Remain Symptomatic Following Pharmacotherapy: Randomized Controlled Exploratory Trial. Journal of medical Internet research, 21(4), e12686.
Abad V.C., Guilleminault C., (2018). Insomnia in Elderly Patients: Recommendations for Pharmacological Management. Drugs Aging, 35: 791.
Michael H Bonnet, Donna L Arand, (2019). Behavioral and pharmacologic therapies for chronic insomnia in adults. UpToDate
Alon Y. Avidan, MD, MPH., Epidemiology, Assessment, and Treatment of Insomnia in the Elderly Patient: Treatment of Insomnia in the Geriatric Patient, 2005;7(2)
Nalajala N., Walls K., Hili E., (2013). Insomnia in chronic lower back pain: Non-pharmacological physiotherapy interventions. International Journal of Therapy and Rehabilitation, 20(10):510-516
Santos R. V., Viana V. A., Boscolo R. A., Marques V. G., Santana M. G., Lira F. S., (2012). Moderate exercise training modulates cytokine profile and sleep in elderly people. Cytokine 60, 731–735
Hartescu I., Morgan K., Stevinson C. D., (2015). Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: a randomized controlled trial. J Sleep Res. 24:526-534
Hachul H., Oliveira D.S., Bittencourt L., Andersen M. L., Tufik S., (2014). The beneficial effects of massage therapy for insomnia in postmenopausal women. Sleep Science, Volume 7, Issue 2, p. 114-116.
Oliveira D.S., Hachul H., Tufik S., Bittencourt L., (2011) Effect of massage in postmenopausal women with insomnia – pilot study. Clinics, 66(2):343–346.
Oliveira D.S., Hachul H., Goto V., Tufik S., Bittencourt L. (2012). Effect of therapeutic massage on insomnia and climacteric symptoms in postmenopausal women. Climacteric , 15(1):21–29.
Afonso R., Hachul H., Kozasa E., Oliveira D.S., Goto V., Rodrigues D., Tufik S., Leite J., (2011). Yoga decreases insomnia in postmenopausal women: A randomized clinical trial, Menopause (New York, N.Y.), 19:186-193.
Yang P.Y., Ho K.H., Chen H.C., Chien M.Y., (2012). Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. Journal of Physiotherapy, Volume 58, Issue 3, 157-163.
Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S., (2014). Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health, 56:359–68.
Tan X., Alen M., Cheng SM., Mikkola TM., Tenhunen J., Lyytikainen A., Wiklund P., Cong F., Saarinen A., Tarkka I., Partinen M., Cheng S., (2015).Associations of disordered sleep with body fat distribution, physical activity and diet among overweight middle-aged men. J Sleep Res, 24:414–24.
Tanaka E., Yatsuya H., Uemura M., Murata C., Otsuka R., Toyoshima H., Tamakoshi K., Sasaki S., Kawaguchi L., Aoyama A., (2013). Associations of protein, fat, and carbohydrate intakes with insomnia symptoms among middle-aged Japanese workers. J Epidemiol, 23:132–8.
Yajima K., Seya T., Iwayama K., Hibi M., Hari S., Nakashima Y., Ogata H., Omi N., Satoh M., Tokuyama K., (2014). Effects of nutrient composition of dinner on sleep architecture and energy metabolism during sleep. J Nutr Sci Vitaminol (Tokyo), 60:114–21.
Lindseth G., Lindseth P., Thompson M., (2013). Nutritional effects on sleep. West J Nurs Res, 35:497–513.
Hansen AL., Dahl L., Olson G., Thornton D., Graff IE., Froyland L., Thayer JF., Pallesen S., (2014). Fish consumption, sleep, daily functioning, and heart rate variability. J Clin Sleep Med, 10:567–75.
Pigeon WR, Carr M, Gorman C, Perlis ML., (2010). Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot study. J Med Food, 13:579–83.
Howatson G., Bell PG., Tallent J., Middleton B., McHugh MP., Ellis J., (2012). Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep quality. Eur J Nutr, 51:909–16.
Ancoli-Israel S., Walsh J.K., Mangano R., Fujimori M. - Zaleplon, (1999). A Novel Nonbenzodiazepine Hypnotic, Effectively Treats Insomnia in Elderly Patients Without Causing Rebound Effects. Prim Care Companion J Clin Psychiatry, 1(4): 114–120.
Stonea K., Ensrudbc K., Ancoli-Israel S., (2008). Sleep, insomnia and falls in elderly patients. Sleep Medicine, Volume 9, Supplement 1, Pages S18-S22.
Kang D.Y., Park S., Rhee C.W., Kim Y., Choi N.K., Lee J., Park B., (2012). Zolpidem Use and Risk of Fracture in Elderly Insomnia Patients. J Prev Med Public Health, 45(4): 219–226.
Scharf, M., Erman M., Rosenberg R., Seiden D., McCall W., Amato D., Wessel D., (2005). A 2-Week Efficacy and Safety Study of Eszopiclone in Elderly Patients with Primary Insomnia. Sleep, Volume 28, Issue 6, Pages 720–727.
Lemoine P., Wade A., Katz A., Zisapel N., (2012). Efficacy and safety of prolonged-release melatonin for insomnia in middle-aged and elderly patients with hypertension: a combined analysis of controlled clinical trials. Integr Blood Press Control, 5: 9–17
Bloom N., Alessi A. Ancoli-Israel S., Buysse DJ., Kryger MH., Phillips BA., Thorpy MJ., Vitiello MV., Zee PC., (2009). Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc.;57(5):761-89.
Bidzan L., (2011). Zaburzenia snu w wieku podeszłym. G E R I A T R I A, 5: 34-40.
DOI: http://dx.doi.org/10.5281/zenodo.3407817
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