Schlaf und Schlafverhalten ändern sich mit zunehmendem Lebensalter. Überlagert werden
diese Veränderungen von Komorbiditäten, die ihrerseits den Schlaf beeinflussen. Schlafstörungen
sind häufig im höheren Lebensalter und belasten die Betroffenen stark, da sie die
Tagesbefindlichkeit und die kognitive und psychische Leistungsfähigkeit beeinträchtigen,
die Lebensqualität reduzieren und das Erscheinungsbild geriatrischer Syndrome verändern.
Diagnostisch und therapeutisch ist oft ein individualisiertes Vorgehen erforderlich.
Abstract
The increasing interruptions of night sleep with normal ageing must be distinguished
from sleep disorders. Somatic and psychiatric morbidity as well as medication have
a huge impact on sleep. Furthermore, the relationship between sleep and morbidity
is mutual. Disturbed sleep modifies the clinical appearance of diseases and morbidity
affects the ability to sleep. Especially in geriatric medicine, geriatric syndromes
such as falls, depression or dementia are modified by sleep disorders. Therefore,
treatment for sleep disorders offers the chance to improve geriatric syndromes.
When treating, it is important to identify the individual sleep disorders. Coincidences
of different sleep disorders are common in the elderly. The history of a patient in
connection with a sleeping diary is the basic diagnostic procedure. Sleep medicine
provides further technical methods for further examination. Older people should also
be examined in a sleep laboratory if the results have consequences that will be accepted
by the patient. However, this should be clarified in advance.
Schlüsselwörter
geriatrische Syndrome - Senium - Multimorbidität - Insomnie - Restless-Legs-Syndrom
- obstruktives Schlafapnoe-Syndrom - Schlaf-Wach-Rhythmus
Key words
sleep disorders - geriatric syndromes - elderly people - multimorbidity - insomnia
- obstructive sleep apnea - restless legs syndrome
