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Aging Gracefully and Sleeping Well

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NSF's Latest Poll Shows That Sleep, Health and Aging Are Linked.

HEALTHY OLDER ADULTS TEND TO SLEEP WELL, BUT THOSE WITH HEALTH PROBLEMS ALSO TEND TO HAVE SLEEP PROBLEMS. IS THERE A CONNECTION?

Nan Jansen is an active retired woman in her 80s, living in Bethesda, MD. She volunteers several days a week, delivering Meals on Wheels, serving on the auxiliary board of a center for children with emotional problems, and playing chauffeur to some of her older friends who have difficulty getting around.

She sleeps about seven hours each night and rarely has difficulty sleeping. Once in awhile, she wakes up during the night and can't get back to sleep. Back pain is often the cause of her sleep disturbance. She doesn't usually take a nap during the day.

Nan Jansen is similar to many of the respondents to NSF's 2003 Sleep in America poll, which is the first NSF poll to look at the sleep habits of older Americans—those between the ages of 55 and 84—and the association between their sleep behavior, their medical and physical conditions, their outlook and their lifestyles.

The poll results suggest that, like Nan, many older Americans are sleeping well and may actually sleep better than adults aged 18–54. More older adults are sleeping 7- 9 hours on both weeknights and weekends (56% vs. 51% for weeknights and 60% vs. 55% for weekends). Additionally, the 32% of older adults who nap 1–3 days a week or more get an average of 41–51 minutes of supplemental sleep time.

A closer look at the NSF poll data, however, found a striking relationship between two sets of factors infrequently considered together in medical care: the health and quality of life of older adults, and their sleep quantity and quality. The NSF poll found that the better the health of older adults, the more likely they are to sleep well. Conversely, the greater the number of diagnosed medical conditions, the more likely they are to report sleep problems. Additionally, among older adults, more positive moods and outlooks as well as having more active and "engaged" lifestyles (having someone to speak with about a problem, exercise, volunteer activity, etc.) are associated with sleeping 7–9 hours and fewer sleep complaints.

"In spite of the emerging science linking sleep quality and health status," says NSF President James K. Walsh, PhD, "Most people believe that poor sleep is an inevitable consequence of getting older. But NSF’s poll findings reinforce the relationship between good sleep and good overall health, particularly in older individuals.

Rather than a consequence of aging, poor sleep among older Americans appears to be an indicator of health status." Dr. Walsh is Executive Director and Senior Scientist of the Sleep Medicine and Research Center at St. Luke's Hospital in Chesterfield, MO.

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