Sleep disturbance and different myths about Sleep ,Effect of Age on Sleep

• We will discuss various aspects of sleep e.g.
  • How to Sleep Well as You Age.
  • Tips for Overcoming Insomnia and Sleeping Better Over 50.
  • Sleep & Aging: Patterns, Problems & What to Do
• As we age we often experience normal changes in our sleeping patterns.
  • We may become sleepy earlier, wake up earlier, or enjoy less deep sleep.
  • Although these changes are a normal part of aging, disturbed sleep, waking up tired every day.
  • Sleep is just as important to our physical and emotional health over the age of 50 as it was when we were younger.
  • These tips can help you overcome age-related sleep problems and get a good night’s rest.

The importance of sleep for older adults

1. No matter what is your age, sleeping well is essential to your physical health and emotional well-being.
2. Good night’s sleep is especially important because it helps improve concentration and memory formation,
3. Sleep allows your body to repair any cell damage that occurred during the day,
4. Good sleep refreshes your immune system, which in turn helps to prevent disease.
5. Many physicians consider sleep to be a barometer of a person’s health, like taking his or her temperature.
6. Older adults who don’t sleep well are more likely to suffer from depression, attention and memory problems, and excessive daytime sleepiness.
7. They are likely to suffer more nighttime falls, have increased sensitivity to pain.
8. These person may use more prescription drugs or over-the-counter sleep aids.
9. Insufficient sleep can also lead to many serious health problems in older adults, including an increased risk of cardiovascular disease, diabetes, weight problems, and breast cancer in women.

How many hours of sleep do older adults need?

1. While sleep requirements vary from person to person, most healthy adults tend to require between seven and a half to nine hours of sleep per night to function at their best.
2. The criteria of good sleep
   1. However, how you feel following a night’s sleep is more important than the specific number of hours you spend asleep.
   2. Frequently waking up not feeling rested or feeling tired during the day are the best indications that you’re not getting enough sleep at night.
   3. This means that you have sleep problem that needs to be addressed.

Understand how sleep changes as you age.

1. As you age your body produces lower levels of growth hormone, so you’ll likely experience a decrease in slow wave or deep sleep.
2. When this happens you produce less melatonin, that will lead to often more fragmented sleep (more rapid sleep cycles) and wake up more often during the night.
3. As your circadian rhythm (the internal clock that tells you when to sleep and when to wake up) changes, you may also find yourself wanting to go to sleep earlier in the evening and waking up earlier in the morning.
4. As you age, you may have to spend longer in bed at night to get the hours of sleep you need.
5. Or you may have to make up the shortfall by taking a nap during the day.
6. In most cases, such sleep changes are normal and don’t indicate a sleep problem.

Sleep problems not related to age or sleep disorder

• At any age, when experience occasional sleep problems.
1. However, if you experience any of the following symptoms on a regular basis, you may be dealing with a sleep disorder:
   1. Have trouble falling asleep even though you feel tired.
   2. Have trouble getting back to sleep when awakened.
   3. Don’t feel refreshed after a night’s sleep.
   4. Feel irritable or sleepy during the day.
   5. Have difficulty staying awake when sitting still, watching television, or driving.
   6. Have difficulty concentrating during the day.
   7. Rely on sleeping pills or alcohol to fall asleep.
   8. Have trouble controlling your emotions.

Identify underlying problems of Insomina or sleep disorder

1. Many cases of insomnia are caused by underlying but very treatable causes.
   1. While emotional issues such as stress, anxiety, and depression can cause insomnia.
   2. The most common causes in adults over 50 are a poor sleep environment and poor sleep and daytime habits.
2. Try to identify all possible causes of your insomnia so you can tailor treatment accordingly e.g.
   1. Are you under a lot of stress?.
   2. Are you depressed?.
   3. Do you feel emotionally flat or hopeless?.
   4. Do you struggle with chronic feelings of anxiety or worry?.
   5. Have you recently gone through a traumatic experience? .
   6. Are you taking any medications that might be affecting your sleep?.
   7. Do you have any health problems that may be interfering with sleep?

Common causes of insomnia and sleep problems in older adults

1. The most common causes of insomnia and sleep problems in older adults include:
   1. Poor sleep habits and sleep environment. These include irregular sleep hours, consumption of alcohol before bedtime, and falling asleep with the TV on.
   2. Pain or medical illness.
   3. Pain can keep you from sleeping well.
   4. Health conditions such as a frequent need to urinate, arthritis, asthma, diabetes, osteoporosis, nighttime heartburn, menopause, and Alzheimer’s can interfere with sleep.
   5. Medications. Older adults tend to take more medications than younger people and the combinations of drugs, as well as their side-effects, can impair sleep.
   6. Lack of exercise. If you are too sedentary, you may never feel sleepy or feel sleepy all of the time. Regular aerobic exercise during the day, at least three hours before bedtime, can promote good sleep.
   7. Psychological stress or psychological disorders. Significant life changes like the death of a loved one or moving from a family home can cause stress. Anxiety or sadness can also keep you awake, which can, in turn, cause more anxiety or depression.
   8. Sleep disorders. Restless Legs Syndrome (RLS) and sleep-disordered breathing such as snoring and sleep apnea may occur more frequently in older adults.
   9. Learned response. People with a legitimate cause for having trouble sleeping—after suffering a loss, for example—may lie in bed and try to force themselves to sleep. Eventually their bodies learn not to sleep. Even after your original reason for sleep disruption has passed, the learned response can remain.

Improve sleep habits

1. Poor sleep habits, including a poor sleep environment and poor daytime habits, can be the main causes of sleep problems and low-quality sleep.
2. In many cases, older adults develop these poor sleep habits over a lifetime but find they create more and more problems as they Improve daytime habits for better sleep
   1. Be engaged. Social activities, family, and work can keep your activity level up and prepare your body for a good night’s sleep.
   2. If you’re retired, try volunteering, joining a seniors’ group, or taking an adult education class.

Improve your mood

1. A more positive mood and outlook can reduce sleep problems.
2. Exercise regularly. Exercise releases endorphins that can boost your mood and reduce stress, depression, and anxiety.
3. Expose yourself to sunlight. Bright sunlight helps regulate melatonin and your sleep-wake cycles.
4. Try to get at least two hours of sunlight a day. Keep curtains and shades open during the day, move your favorite chair to a sunny spot, or consider using a light therapy box to simulate daylight.
5. Limit caffeine, alcohol, and nicotine. All are stimulants and interfere with the quality of your sleep.

Encourage better sleep at night

1. Naturally boost your melatonin levels. Artificial lights at night can suppress your body’s production of melatonin, the hormone that makes you sleepy.
2. Use low-wattage bulbs where safe to do so.Don’t read from a backlit device at night (such as an iPad).
3. If you use a portable electronic device to read, use an eReader that is not backlit,Use soft bedside lamp.
4. Make sure your bedroom is quiet, dark, and cool, and your bed is comfortable. Noise, light, and heat can cause sleep problems.
5. Try using a sleep mask to help block out light.
6. Use your bedroom only for sleep. By not working, watching TV, or using your computer in bed,
7. you’ll associate the bedroom with sleep.so when you get into bed your brain and body get a strong signal that it’s time to nod off or be romantic.
8. Move bedroom clocks out of view. Anxiously watching the minutes tick by when you can’t sleep is a surefire recipe for insomnia. Light emitted from a clock, telephone or other device can also disrupt your sleep.
9. Keep a regular bedtime routine for better sleep
10. Maintain a consistent sleep schedule. Go to bed and wake up at the same times every day, even on weekends.
11. Block out snoring. If snoring is keeping you up, try earplugs, a white-noise machine, or separate bedrooms.

Keep a regular bedtime routine for better sleep

1. Maintain a consistent sleep schedule.
2. Go to bed and wake up at the same times every day, even on weekends.
3. Block out snoring. If snoring is keeping you up, try earplugs, a white-noise machine, or separate bedrooms.
4. Go to bed earlier. Adjust your bedtime to match when you feel like going to bed, even if that’s earlier than it used to be.
5. Develop bedtime rituals. A soothing ritual, like taking a bath or playing music will help you wind down.
6. Relxation and stress management techniques, such as deep breathing and progressive muscle relaxation, take some practice but their benefits can be substantial.
7. Limit your use of sleeping aids and sleeping pills. Many sleep aids have side effects and are not meant for long-term use.
8. Sleeping pills don’t address the causes of insomnia and can even make insomnia worse in the long run.
9. Therefore, it’s best to limit sleeping pills to situations where your health or safety is threatened.

DR.Riaz Bhutta (Modified from Helpguide.org)