» Review Causes of Acute onset of daytime sleepiness in the elderly: Do sleep complaints contribute to age-related cognitive decline? The four longitudinal studies that have previously been conducted on insomnia and cognitive decline are inconsistent.10–13 Chronic insomnia was found to be associated with cognitive decline in the elderly (evaluated using the Short Portable Mental Status Questionnaire) over a 3-yr follow-up period in all men and in depressed women only.11 A population-based study of patients age 50 yr and older reported greater cognitive decline (measured by the MMSE) over 3 yr in patients reporting insomnia complaints, the association being confounded by depressive symptoms.12 Two prospective studies using the MMSE or one of its variants (Short Portable Mental Status Questionnaire), one in men and the other in women age 70 yr and older, did not report significant association between insomnia and cognitive decline over a period of 2 yr.10,13 Further studies focusing on the relationships between insomnia complaints, EDS, circadian rhythm activities, and the risk of cognitive deterioration are therefore required in the elderly. Apolipoprotein E (APOE) ϵ4, which is a genetic risk factor for late-onset Alzheimer disease and cognitive decline, was genotyped at baseline as described previously.22. But excessive daytime sleep in the elderly can also point to impaired nighttime breathing and other sleep disorders. Multinomial logistic regression was used to study the relationship between each of the sleep complaints and the type of MMSE cognitive decline: no cognitive decline at any follow-up, cognitive decline without dementia, and cognitive decline with incident dementia. Three-City Study flow chart: Participants selection for longitudinal analyses. Medical story forums: If you have a medical story then we want to hear it. Depression: Depression can cause excessive sleepiness in someone of any age.According to the Centers for Disease Control and Prevention (CDC), depression affects about 1% to 5% of the general elderly population, as well as 13.5% of elderly people who require home healthcare and 11.5% of … The second criterion (3 points increased) was chosen to exclude participants who may have fluctuating scores due to transient conditions (intermittent cognitive decline) and thus to select those with a persistent cognitive decline. Even if snoring was not associated with cognitive decline in our sample, we cannot exclude that OSAS could confound the association because habitual snoring was reported to be less predictive of OSA in the elderly population.34 We found no association between poor SQ, EMA, and DIS with cognitive decline. We were unable to measure anxiety and to distinguish depression being part of an anxiodepressive state. Medication was verified by examining the prescriptions and medications themselves, thus minimizing exposure misclassification. Last Update: 13 August, 2015 (0:22), Introduction: Acute onset of daytime sleepiness in the elderly, Videos about Acute onset of daytime sleepiness in the elderly, Deaths and Acute onset of daytime sleepiness in the elderly, Causes of Acute onset of daytime sleepiness in the elderly, Symptom Checker: Acute onset of daytime sleepiness in the elderly, Common causes of Acute onset of daytime sleepiness in the elderly, Treatments for Acute onset of daytime sleepiness in the elderly, Misdiagnosis and Acute onset of daytime sleepiness in the elderly, Videos relating to Acute onset of daytime sleepiness in the elderly, Next: Causes of Acute onset of daytime sleepiness in the elderly, Acute onset of daytime sleepiness in the elderly: Introduction, list of 9 This association persisted in the complete model adjusted for the others confounders including prescribed sleep medication (OR = 1.26, 95% CI = 1.02-1.56 (model 2)) as well as after subsequent adjustment for insomnia severity (OR = 1.30, 95% CI = 1.05-1.62, P = 0.02). Daytime sleepiness is very common among elderly people. of any symptom. One longitudinal study of 2,346 older Japanese-American men reported an association between EDS, cognitive decline (assessed by a global cognitive test–the Cognitive Abilities Screening Instrument), and dementia incidence over a 3-yr follow-up period.10 Our findings confirm and extend this finding in both sexes, within a larger sample of elderly persons and over a much longer follow-up period. causes of Acute onset of daytime sleepiness in the elderly, Acute onset of daytime sleepiness in the elderly, What to tell your doctor about your symptoms.

Only 9.1% of those who were free of insomnia complaints were treated with sleep medication. Moreover, we observed that EDS was only associated with a decline in global cognitive function, with no significant association with decline on specific tasks of visual memory and verbal fluency. We have limited potential confounders by taking into account a wide range of risk factors for cognitive decline in the elderly, by controlling for sociodemographic, health (e.g., depression, vascular and chronic disorder), and lifestyle covariates and APOE genetic vulnerability.

The number of insomnia complaints and DMS were negatively associated with MMSE cognitive decline (OR = 0.77, 95% CI = 0.60-0.98 for 3-4 complaints, OR = 0.81, 95% CI = 0.68-0.96, respectively).
We did not find significant associations between sleep complaints (insomnia components and EDS) and BVRT or IST decline. EDS independently increased the risk of cognitive decline (odds ratio (OR) = 1.26, 95% confidence interval (CI) = 1.02-1.56), especially for those patients who also developed dementia during the follow-up period (OR = 1.39, 95% CI = 1.00-1.97). The participants were interviewed and underwent clinical examinations at baseline and after 2, 4, and 8 yr. causes of Acute onset of daytime sleepiness in the elderly. causes of Acute onset of daytime sleepiness in the elderly.

Report from the Maastricht Ageing Study (MAAS), The association of self-reported sleep duration, difficulty sleeping, and snoring with cognitive function in older women, Vascular factors and risk of dementia: design of the Three-City Study and baseline characteristics of the study population, “Mini-mental state”. Surprisingly, we observed that the number of insomnia symptoms and DMS, the most frequent insomnia complaint in the elderly,20 were possible independent negative factors for decline on global cognitive function, but not visual memory or verbal fluency. Potential confounding factors, such as bodily pain and nocturia, were not evaluated. Home | Symptoms | Diseases | Diagnosis | Videos | Tools | Forum | About Us | Terms of Use | Privacy Policy | Site Map | Advertise, Copyright © 2014 Health Grades Inc. All rights reserved. causes of Acute onset of daytime sleepiness in the elderly that A standardized interview included questions on sociodemographic characteristics and current health status, body mass index, and mobility.

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