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Curr Med Chem. 2018 Sep 3. doi: 10.2174/0929867325666180904113115. [Epub ahead of print]

Therapeutic approaches for the management of sleep disorders in geriatric population.

Author information

1
Laboratorio de Neurociencias Moleculares e Integrativas. Escuela de Medicina División Ciencias de la Salud. Universidad Anáhuac Mayab Mérida, Yucatán. Mexico.
2
Laboratorio de Neurobiología del Sueño. Depto. de Fisiología, Facultad de Medicina, Universidad de la República, Montevideo. . Uruguay.
3
Institute of Psychiatry. Federal University of Rio de Janeiro. Rio de Janeiro. Brazil.
4
Health School Sciences, Polytechnic Institute of Porto. Porto. Portugal.
5
Laboratory of Panic and Respiration, Institute of Psychiatry of Federal University of Rio de Janeiro. Rio de Janeiro. Brazil.

Abstract

OBJECTIVE:

Aging is a natural biological phenomenon that occurs in human beings. With increasing of age, there is an appearance of deleterious changes related with progression onto pathological conditions, including hypertension, heart disease, diabetes, hearing and vision impairments, as well as sleep disorders. It is important to recognize that some sleep disturbances reported by aged subjects include insomnia, obstructive sleep apnea, restless legs syndrome, among others. Moreover, accumulating evidence indicates that coexistence of medical issues with sleep disorders constitutes clinical challenges for treatment of comorbidities in elderly. Here, we have attempted to review and summarize the available literature that assess the sleep disturbances in aging. In addition, we highlight the management of sleep disorders associated with aging. Due to particular health condition of aged adults, the development of effective pharmacological interventions for sleep disorders treatment in aging is warranted.

METHOD:

Review of studies retrieved from the PubMed.

RESULTS:

The sleep-wake cycle includes abnormalities classified as sleep disorders. Comorbidity between sleep disturbances and aging-related health issues will represent a public health challenge to be address in the near future. Moreover, this scenario will suggest an area that require further drug investigation and design of new pharmacological and pharmaceutical strategies to treat sleep disorders in elderly population.

CONCLUSION:

The review highlights the sleep disturbances in aging. We focus on current knowledgment in medicinal chemistry and further design of new treatments tools for managing sleep disturbances in aged population.

KEYWORDS:

Aging; REM sleep.; depression; insomnia; obstructive sleep apnea; slow wave sleep

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