Skip to main content
Erschienen in: MMW - Fortschritte der Medizin 4/2023

24.02.2023 | Schlafapnoe | FB_CME

So verhelfen Sie Ihren älteren Patientinnen und Patienten zu einer erholsamen Nachtruhe

Schlaf und Schlafstörungen im Alter

verfasst von: Prof. Dr. med. Helmut Frohnhofen, Prof. Dr. med. Kai-Uwe Kühn

Erschienen in: MMW - Fortschritte der Medizin | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

Auszug

Ältere Menschen klagen in der hausärztlichen Praxis oft über Schlafstörungen. Schlechter Schlaf kann geriatrische Syndrome wie Sturzneigung, Depressivität und Kognition verschlechtern. Umgekehrt bietet die Behandlung von Schlafstörungen die Möglichkeit, die Gesundheit und Lebensqualität im Alter zu verbessern. Eine differenzierte Abklärung und Therapie lohnt sich auch bei betagten Menschen.
Literatur
1.
Zurück zum Zitat Bloom HG, Ahmed I, Alessi CA et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc 2009; 57(5): 761-89 Bloom HG, Ahmed I, Alessi CA et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc 2009; 57(5): 761-89
2.
Zurück zum Zitat 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 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
3.
Zurück zum Zitat Ito E, Inoue Y. [The International Classification of Sleep Disorders, third edition. American Academy of Sleep Medicine. Includes bibliographies and index]. Nihon Rinsho 2015; 73(6): 916-23. Japanese Ito E, Inoue Y. [The International Classification of Sleep Disorders, third edition. American Academy of Sleep Medicine. Includes bibliographies and index]. Nihon Rinsho 2015; 73(6): 916-23. Japanese
4.
Zurück zum Zitat Ancoli-Israel S. Insomnia in the elderly: a review for the primary care practitioner. Sleep 2000; 23(Suppl 1): S23−30; discussion S36−8 Ancoli-Israel S. Insomnia in the elderly: a review for the primary care practitioner. Sleep 2000; 23(Suppl 1): S23−30; discussion S36−8
5.
Zurück zum Zitat Ohayon MM, Vecchierini MF. Daytime sleepiness and cognitive impairment in the elderly population. Arch Intern Med 2002; 162(2): 201-8 Ohayon MM, Vecchierini MF. Daytime sleepiness and cognitive impairment in the elderly population. Arch Intern Med 2002; 162(2): 201-8
6.
Zurück zum Zitat Bahr K, Cámara RJA, Gouveris H et al. Current Treatment of Comorbid Insomnia and Obstructive Sleep Apnea with CBTI and PAP-Therapy: A Systematic Review. Front Neurol 2018; 9: 804 Bahr K, Cámara RJA, Gouveris H et al. Current Treatment of Comorbid Insomnia and Obstructive Sleep Apnea with CBTI and PAP-Therapy: A Systematic Review. Front Neurol 2018; 9: 804
7.
Zurück zum Zitat Riemann D, Baum E, Cohrs S et al. S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen. Insomnie bei Erwachsenen. Somnologie 2017(21): 2-44 Riemann D, Baum E, Cohrs S et al. S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen. Insomnie bei Erwachsenen. Somnologie 2017(21): 2-44
8.
Zurück zum Zitat Foley DJ, Monjan AA, Brown SL et al. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep 1995; 18(6): 425-32 Foley DJ, Monjan AA, Brown SL et al. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep 1995; 18(6): 425-32
9.
Zurück zum Zitat Cochen V, Arbus C, Soto ME et al. Sleep disorders and their impacts on healthy, dependent, and frail older adults. J Nutr Health Aging 2009; 13(4): 322-9 Cochen V, Arbus C, Soto ME et al. Sleep disorders and their impacts on healthy, dependent, and frail older adults. J Nutr Health Aging 2009; 13(4): 322-9
10.
Zurück zum Zitat Wehling M, Burkhardt H, Kuhn-Thiel A et al. VALFORTA: A randomised trial to validate the FORTA (Fit fOR The Aged) classification. Age Ageing 2016; 45(2): 262-7 Wehling M, Burkhardt H, Kuhn-Thiel A et al. VALFORTA: A randomised trial to validate the FORTA (Fit fOR The Aged) classification. Age Ageing 2016; 45(2): 262-7
11.
Zurück zum Zitat Rissardo JP, Caprara ALF. Mirtazapine-associated movement disorders: A literature review. Tzu Chi Med J 2020; 32(4): 318-30 Rissardo JP, Caprara ALF. Mirtazapine-associated movement disorders: A literature review. Tzu Chi Med J 2020; 32(4): 318-30
12.
Zurück zum Zitat Das AM, Khayat R. Hypertension in obstructive sleep apnea: risk and therapy. Expert Rev Cardiovas Ther 2009; 7(6): 619-26 Das AM, Khayat R. Hypertension in obstructive sleep apnea: risk and therapy. Expert Rev Cardiovas Ther 2009; 7(6): 619-26
13.
Zurück zum Zitat 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 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
14.
Zurück zum Zitat Frohnhofen H, Roffe C. Intermittent nocturnal hypoxemia in individuals with dementia: prevalence and relationship with functional status. J Am Geriatr Soc 2012; 60(10): 1997-9 Frohnhofen H, Roffe C. Intermittent nocturnal hypoxemia in individuals with dementia: prevalence and relationship with functional status. J Am Geriatr Soc 2012; 60(10): 1997-9
15.
Zurück zum Zitat Kitamura T, Miyazaki S, Sulaiman HB et al. Insomnia and obstructive sleep apnea as potential triggers of dementia: is personalized prediction and prevention of the pathological cascade applicable? EPMA J 2020; 11(3): 355-65 Kitamura T, Miyazaki S, Sulaiman HB et al. Insomnia and obstructive sleep apnea as potential triggers of dementia: is personalized prediction and prevention of the pathological cascade applicable? EPMA J 2020; 11(3): 355-65
16.
Zurück zum Zitat Randerath WJ, Herkenrath S, Treml M et al. Evaluation of a multicomponent grading system for obstructive sleep apnoea: the Baveno classification. ERJ Open Res 2021; 7(1): 00928-2020 Randerath WJ, Herkenrath S, Treml M et al. Evaluation of a multicomponent grading system for obstructive sleep apnoea: the Baveno classification. ERJ Open Res 2021; 7(1): 00928-2020
17.
Zurück zum Zitat Mayer G, Fietze I, Fischer J et al. S3-Leitlinie Nicht erholsamer Schlaf/ Schlafstörungen: Kurzfassung. Berlin, Heidelberg: Springer Berlin Heidelberg; Springer e-books; 2011 Mayer G, Fietze I, Fischer J et al. S3-Leitlinie Nicht erholsamer Schlaf/ Schlafstörungen: Kurzfassung. Berlin, Heidelberg: Springer Berlin Heidelberg; Springer e-books; 2011
18.
Zurück zum Zitat Frohnhofen H, Hoeltmann B, Orth G. Acceptance of NCPAP in a sample of patients admitted for geriatric rehabilitation. Eur J of Med Res 2009; 14(Suppl 4): 82-85 Frohnhofen H, Hoeltmann B, Orth G. Acceptance of NCPAP in a sample of patients admitted for geriatric rehabilitation. Eur J of Med Res 2009; 14(Suppl 4): 82-85
19.
Zurück zum Zitat Ancoli-Israel S, Palmer BW, Cooke JR et al. Cognitive effects of treating obstructive sleep apnea in Alzheimer's disease: a randomized controlled study. J Am Geriatr Soc 2008; 56(11): 2076-81 Ancoli-Israel S, Palmer BW, Cooke JR et al. Cognitive effects of treating obstructive sleep apnea in Alzheimer's disease: a randomized controlled study. J Am Geriatr Soc 2008; 56(11): 2076-81
20.
Zurück zum Zitat Netzer NC, Ancoli-Israel S, Bliwise DL et al. Principles of practice parameters for the treatment of sleep disordered breathing in the elderly and frail elderly: The consensus of the International Geriatric Sleep Medicine Task Force. Eur Respir J 2016; 48(4): 992-1018 Netzer NC, Ancoli-Israel S, Bliwise DL et al. Principles of practice parameters for the treatment of sleep disordered breathing in the elderly and frail elderly: The consensus of the International Geriatric Sleep Medicine Task Force. Eur Respir J 2016; 48(4): 992-1018
21.
Zurück zum Zitat Bruni O, DelRosso LM, Melegari MG et al. The Parasomnias. Child and adolescent psychiatric clinics of North America 2021; 30(1): 131-42 Bruni O, DelRosso LM, Melegari MG et al. The Parasomnias. Child and adolescent psychiatric clinics of North America 2021; 30(1): 131-42
22.
Zurück zum Zitat Gilat M, Marshall NS, Testelmans D et al. A critical review of the pharmacological treatment of REM sleep behavior disorder in adults: time for more and larger randomized placebo-controlled trials. J Neurol 2022; 269(1): 125-48 Gilat M, Marshall NS, Testelmans D et al. A critical review of the pharmacological treatment of REM sleep behavior disorder in adults: time for more and larger randomized placebo-controlled trials. J Neurol 2022; 269(1): 125-48
23.
Zurück zum Zitat Mishima K, Okawa M, Hishikawa Y et al. Morning bright light therapy for sleep and behavior disorders in elderly patients with dementia. Acta Psychiatr Scand 1994; 89(1): 1-7 Mishima K, Okawa M, Hishikawa Y et al. Morning bright light therapy for sleep and behavior disorders in elderly patients with dementia. Acta Psychiatr Scand 1994; 89(1): 1-7
24.
Zurück zum Zitat Rothdach AJ, Trenkwalder C, Haberstock J et al. Prevalence and risk factors of RLS in an elderly population: The MEMO study. Memory and Morbidity in Augsburg Elderly. Neurology 2000; 54(5): 1064-8 Rothdach AJ, Trenkwalder C, Haberstock J et al. Prevalence and risk factors of RLS in an elderly population: The MEMO study. Memory and Morbidity in Augsburg Elderly. Neurology 2000; 54(5): 1064-8
25.
Zurück zum Zitat Garcia-Borreguero D, Williams AM. An update on restless legs syndrome (Willis-Ekbom disease): Clinical features, pathogenesis and treatment. Curr Opin Neurol 2014; 27(4): 493-501 Garcia-Borreguero D, Williams AM. An update on restless legs syndrome (Willis-Ekbom disease): Clinical features, pathogenesis and treatment. Curr Opin Neurol 2014; 27(4): 493-501
26.
Zurück zum Zitat Trenkwalder C, Allen R, Högl B et al. Comorbidities, treatment, and pathophysiology in restless legs syndrome. Lancet Neurol 2018; 17(11): 994-1005 Trenkwalder C, Allen R, Högl B et al. Comorbidities, treatment, and pathophysiology in restless legs syndrome. Lancet Neurol 2018; 17(11): 994-1005
Metadaten
Titel
So verhelfen Sie Ihren älteren Patientinnen und Patienten zu einer erholsamen Nachtruhe
Schlaf und Schlafstörungen im Alter
verfasst von
Prof. Dr. med. Helmut Frohnhofen
Prof. Dr. med. Kai-Uwe Kühn
Publikationsdatum
24.02.2023
Verlag
Springer Medizin
Erschienen in
MMW - Fortschritte der Medizin / Ausgabe 4/2023
Print ISSN: 1438-3276
Elektronische ISSN: 1613-3560
DOI
https://doi.org/10.1007/s15006-022-2244-6

Weitere Artikel der Ausgabe 4/2023

MMW - Fortschritte der Medizin 4/2023 Zur Ausgabe