Melatonin Rhythm Abnormalities and Sleep Disorders in the Elderly

CNS Spectrums ◽  
2001 ◽  
Vol 6 (6) ◽  
pp. 502-506 ◽  
Author(s):  
Iris Haimov

AbstractBiological aging is often associated with sleep problems and daytime napping. Complaints of difficulty in initiating and maintaining sleep, as well as daytime drowsiness, are more common in the elderly than in any other age group. This report reviews evidence that impaired melatonin secretion is associated with sleep disorders in old age. Circulating melatonin levels have been found to be significantly lower and onset and peak times have been delayed in elderly insomniacs as compared to age-matched control subjects. In view of these findings, we investigated the effects of melatonin treatment on melatonin-deficient insomnia in the elderly. From the results of our study, it seems likely that melatonin replacement therapy may be beneficial in the initiation and maintenance of sleep in this population.

2021 ◽  
Vol 55 (Különszám 2) ◽  
pp. 21-31
Author(s):  
Réka Hegedüs ◽  
Klaudia Rádóczy

THE AIMS OF THE PAPER The aim of our research is to provide a picture of the conditions for providing the income background necessary for old age, the spending habits of the 50 plus age group, and to illustrate how the old ages goup of our survey, the elderly age group we survey perceives changes in their spending in the last 10-year. METHODOLOGY We used a representative personal survey with 500 Hungarian people. This survey was made in February 2020 on a targeted sample of the Hungarian population aged 50-70. In the analysis method, we used cluster formation, because we tried to identify groups showing different consumption changes based on the consumption categories of the Hungarian Central Statistical Office. MOST IMPORTANT RESULTS, NEW FINDINGS The results show that the people who participated in the survey had little perception of a change in their spending compared to their life 10 years before. On the other hand, our retirement income in old age may lag far behind the income in active, working years, so we can assume that if the significant decline in income did not affect consumption patterns, old-age income may be supplemented by savings in old age. EMPIRICAL IMPLICATIONS OF THE RESEARCH The clusters that we made shows well that the spendings of the 50-plus age group are also significant for the economy as a whole. The types of their expenditures is diverse and there is a lot of items that they would not necessarily be able to afford from an average income funded by the pension scheme. The characteristics of the clusters also show that there is a positive relationship between financial awareness (planning spending, exploring sales) and age. In our oppinion this is the reason why financial awareness education, the communications about this is very important. The financial management of households can be incorporated into the education of children from an early age. Acknowledgments: This research was partially supported by the Human Resource Development Operational Programme, grant No.: EFOP-3.6.1-16-2016-00004 “Comprehensive developments at the University of Pécs for the implementation of intelligent specialization”


2020 ◽  
Vol 10 (4) ◽  
pp. 219
Author(s):  
Beata Rzepka-Migut ◽  
Justyna Paprocka

Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders with disturbed melatonin secretion profile and sleep problems. The growing incidence of ASD and ADHD inspires scientists to research the underlying causes of these conditions. The authors focused on two fundamental aspects, the first one being the presentation of the role of melatonin in ASD and ADHD and the second of the influence of melatonin treatment on sleep disorders. The authors present the use of melatonin both in the context of causal and symptomatic treatment and discuss melatonin supplementation: Dosage patterns, effectiveness, and safety. Sleep disorders may have a different clinical picture, so the assessment of exogenous melatonin efficacy should also refer to a specific group of symptoms. The review draws attention to the wide range of doses of melatonin used in supplementation and the need to introduce unified standards especially in the group of pediatric patients.


2018 ◽  
Vol 12 (3) ◽  
pp. 18-21
Author(s):  
Marzena Zołoteńka-Synowiec ◽  
Beata Całyniuk ◽  
Ewa Malczyk ◽  
Aleksandra Zgraja ◽  
Marta Misiarz

Background: Psychological old age is considered a developmental process in which there is a juxtaposition of profit and loss. Developmental changes are multi-faceted and include biological, psychological and social spheres. The quality of human life diminishes as mobility lessens, and this compromises self-perception. The biological changes of old age are retroactive. Poor nutritional status and other negative behaviors like addictions contribute to the physiological regression of aging. Interest in nutrition amongst the elderly is heightened because of the aging population in Poland and internationally. There is also interest in the application of proper nutrition to prevent diseases in this age group. Proper nutrition is one of the main factors determining ideal human function and positively affects the natural processes within it. Analysis of food composition gives the opportunity to eliminate nutritional errors, which in turn contributes to improving the quality of life and delaying the aging process in the examined age group. Aim of the study: The aim of this study was to evaluate the content of selected vitamins in 10 seasonal menus applied at a Social Welfare Home. Material and methods: This study included 40 decade menus, prepared over four seasons of a year for the residents of a Social Welfare Home. The vitamin content of the meals was assessed quantitatively using the computer program, Diet 5. The selected vitamins were those considered most essential to the elderly diet because of the common appearance of their deficiencies. Taking into consideration physical activity of the elderly (1,4 physical activity level ) and utilizing the norms developed by the Food and Nutrition Institute, the average norms of the analyzed nutrients were calculated for people over 60 years of age. For this purpose the formula (K+M)/2 was used, where K is the norm for women and M is the norm for men. The results obtained were compared with the calculated mean values of the norm for elderly at the level of the estimated average requirements (EAR). The results were analyzed statistically giving the mean value (X) and the median. The calculations were performed using Microsoft Excel. Results: Deficiencies in vitamin D were found. The menu content of vitamins E and C was correct in all seasons. The amount of vitamins A, B2, B12 and PP was excessive in all the seasons. Conclusions: The evaluated menus showed errors in the supply of the assessed vitamins.


2020 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Naomi Nisari Rosdewi ◽  
Theresia Puspitawati ◽  
Herta Meisatama

Increased Life Expectancy has an impact on increasing the number of elderly people. Older people are part of a society that cannot be solved in our lives. Widodomartani Village, Ngemplak Subdistrict, Sleman DIY is one of the villages that has a high number of elderly people. Some of them still remain productive in their old age. This needs to be maintained and improved, considering that the elderly are the age group that is susceptible to disease. Promotive and preventive efforts are very important to do to improve the health of the elderly and to increase family expectations.Keywords: mucoskeletal, elderly, examination


2015 ◽  
Vol 20 (01) ◽  
pp. 025-029 ◽  
Author(s):  
Fernanda Aquino ◽  
Léslie Ferreira

Introduction Due to increased life expectancy among the population, studying the vocal parameters of the elderly is key to promoting vocal health in old age. Objective This study aims to analyze the profile of the extension of speech of elderly female choristers, according to age group. Method The study counted on the participation of 25 elderly female choristers from the Choir of Messianic Church of São Paulo, with ages varying between 63 and 82 years, and an average of 71 years (standard deviation of 5.22). The elders were divided into two groups: G1 aged 63 to 71 years and G2 aged 72 to 82. We asked that each participant count from 20 to 30 in weak, medium, strong, and very strong intensities. Their speech was registered by the software Vocalgrama that allows the evaluation of the profile of speech range. We then submitted the parameters of frequency and intensity to descriptive analysis, both in minimum and maximum levels, and range of spoken voice. Results The average of minimum and maximum frequencies were respectively 134.82–349.96 Hz for G1 and 137.28–348.59 Hz for G2; the average for minimum and maximum intensities were respectively 40.28–95.50 dB for G1 and 40.63–94.35 dB for G2; the vocal range used in speech was 215.14 Hz for G1 and 211.30 Hz for G2. Conclusion The minimum and maximum frequencies, maximum intensity, and vocal range presented differences in favor of the younger elder group.


Rural China ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 311-341 ◽  

Abstract In multi-child families, lunyang (different children taking turns to provide support) for aged parents or single parents has been a form of family old-age support since ancient times. Based on the survey I carried out in 2008 in three villages respectively located in Zhao county (south central Hebei), Fengrun district of Tangshan county (East Hebei), and Chicheng county (Northwest Hebei), this article intends to achieve a comprehensive understanding of lunyang, a form of old-age support in North China villages, through statistical analysis. According to this research, 13.30% of the elderly people older than 60 in the surveyed villages were under care rotation. Regionally, Fengrun district had the highest level of lunyang, where over 20% of the surveyed elderly people lived by lunyang. In comparison, the elderly people under lunyang numbered 13.45% in Zhao county and only 3.55% in Chicheng county. In terms of age group, more than 30% of the surveyed elderly people older than 80 in Zhao county and Fengrun district were under lunyang. From the perspective of lunyang’s form, the portion of the singles under lunyang amounted to more than 70%. In other words, widowed elderly constituted the main part of lunyang. Couples under lunyang numbered less than 30%. The mainstream practice was for the different children to provide both meals and accommodation in turn, accounting for 70% of the cases of lunyang. However, the practice of meal rotation only increased among elderly people older than 80, accounting for over 30%. The practice of accommodation rotation only accounted for slightly more than 10%, and concentrated on people younger than 70. In most cases, the duration of the cycle for lunyang ranged from 1 month to 1 year, and the cycle of 1 month and 1 year accounted for more than 60%. In terms of control over resources for survival, only 10% of elderly people under lunyang owned their residence, and the overwhelming majority of them relied on their children to provide living expenses, showing the weak control of elderly people under rotation over survival resources and their rigid dependency on their children for old-age support. (This article is in Chinese.) 摘要 有多子的年老父母或单亲以 “轮养” 方式被赡养是一项古已有之的家庭养老做法。本文以 2008 年笔者在冀中南赵县、冀东唐山市丰润区和冀西北赤城县三个村庄所作问卷调查为基础,对 “轮养” 行为进行统计分析,试图比较全面地认识北方农村这一养老模式。根据本项研究,调查村庄 60 岁以上受访老年人被 “轮养”比例为 13.30%。 其中,丰润区 “轮养” 水平最高,超过 20% 的受访老年人以 “轮养” 方式生活,赵县为 13.45%,赤城县则只有 3.55%。分年龄组看,赵县和丰润区 80 岁以上受访老年人被 “轮养” 者超过 30%。从轮养形式看,丧偶单亲被 “轮养” 占 70% 多,夫妇被 “轮养” 不足 30%。轮吃轮住方式约占 70%;80 岁以上老年人轮吃不轮住增加,超过 30%;轮住不轮吃只占 10% 多一点,集中于 70 岁以下低龄老年组。“轮养” 周期多为 1 个月至一年之间,其中 1 个月和 1 年这两种 “轮养” 形式超过 60%。从生存资源的掌握上看,“轮养” 老年人有自己产权住房的比例只占 10%,绝大多数 “轮养” 老年人由子女提供生活费用。 被 “轮养” 老年人资源支配能力很弱,是亲代对子代养老具有刚性依赖的表现。


2019 ◽  
Vol 9 (2) ◽  
pp. 21-29
Author(s):  
Gustavo Alfonso Díaz Muñoz ◽  
Sandra Julieth Calvera Millán

Objective: Hand grip strength can provide an objective index of general upper strength, but hand dynamometer has not been validated for use in Colombia. The objective was to determine the interchangeability between Camry electronic and Jamar hydraulic hand grip dynamometers in a population found on the campus of the Universidad Nacional de Colombia and the elderly living in a community. Methods: This was a cross-sectional concordance study on 18-88-year-old males and females. Data regarding their demographics, health, and anthropometric variables were collected/measured and the Lin concordance correlation coefficient (CCC) along with Bland-Altman plots were used for evaluating concordance regarding both devices. Results: One hundred and thirty-three subjects participated in this study (average age 47±20.74 years-old). Right hand (RH) grip strength was 32.15 ± 9.96 kg with the Jamar dynamometer and 29.95 ± 9.18 kg with the Camry device. It is worth highlighting that the Jamar instrument presents higher values than the Camry instrument (p <0.05). CCC was only significant at the population level and for the 40-59-year-old age group. Bland-Altman plots had narrow limits of agreement. Conclusion: We concluded that the Camry dynamometer could replace the Jamar dynamometer in the 40-59-year-old age group; furthermore, it would be appropriate for medical use in patient monitoring or follow-up due to the close values observed.


2020 ◽  
Vol 18 (2) ◽  
pp. 97-108
Author(s):  
Eric Murillo-Rodríguez ◽  
Henning Budde ◽  
André Barciela Veras ◽  
Nuno Barbosa Rocha ◽  
Diogo Telles-Correia ◽  
...  

Aging is an inevitable process that involves changes across life in multiple neurochemical, neuroanatomical, hormonal systems, and many others. In addition, these biological modifications lead to an increase in age-related sickness such as cardiovascular diseases, osteoporosis, neurodegenerative disorders, and sleep disturbances, among others that affect activities of daily life. Demographic projections have demonstrated that aging will increase its worldwide rate in the coming years. The research on chronic diseases of the elderly is important to gain insights into this growing global burden. Novel therapeutic approaches aimed for treatment of age-related pathologies have included the endocannabinoid system as an effective tool since this biological system shows beneficial effects in preclinical models. However, and despite these advances, little has been addressed in the arena of the endocannabinoid system as an option for treating sleep disorders in aging since experimental evidence suggests that some elements of the endocannabinoid system modulate the sleep-wake cycle. This article addresses this less-studied field, focusing on the likely perspective of the implication of the endocannabinoid system in the regulation of sleep problems reported in the aged. We conclude that beneficial effects regarding the putative efficacy of the endocannabinoid system as therapeutic tools in aging is either inconclusive or still missing.


1999 ◽  
Vol 11 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Osvaldo P. Almeida ◽  
Sérgio Tamai ◽  
Regiane Garrido

Background: Sleep complaints are frequent in old age. These difficulties are often associated with health-related problems, drug consumption, and the presence of mental disorders. Nonetheless, only sparse information is available on the clinical characteristics of elderly persons with insomnia. Aims: (a) To evaluate the prevalence of sleep problems among the elderly assessed in a psychogeriatric outpatient clinic; (b) to evaluate the association between the use of sleep tablets and sleep difficulties in this sample of patients. Methods: One hundred eighteen consecutive subjects were recruited from a psychogeriatric outpatient service in São Paulo, Brazil. Their sleep pattern was systematically assessed with the “sleep inventory,” a questionnaire consisting of 31 items that evaluate a number of sleep-related features. Clinical diagnoses followed the ICD-10 clinical descriptions and diagnostic guidelines. The number of drugs consumed by patients was also recorded. Results: Sleep complaints were highly prevalent (59.3%), with early morning awakening and nightmares being more frequent among patients with a depressive disorder. The use of sleep tablets was reported by 37.3% of subjects, and was associated with subjective sleep difficulties (odds ratio [OR] = 7.13, p = .008), difficulties falling asleep (OR = 7.33, p = .021), and frequent awakenings during the night (OR = 7.10, p = .040) in a logistic regression analysis. Conclusion: Sleep dissatisfaction is frequent among psychogeriatric outpatients. Subjects taking hypnotic drugs have more sleep-related complaints than those who do not. The clinical use of hypnotics may not be very effective for the treatment of sleep-related problems in the elderly. There is an urgent need for systematic prospective controlled studies to assess the efficacy and safety of the various forms of treatment of insomnia in old age.


2011 ◽  
Vol 26 (S2) ◽  
pp. 702-702
Author(s):  
B. Vukovic ◽  
D. Markovic-Zigic

Depression in older people is related to the population over 65 years. The age of depression often go with chronic illnesses, various physical and mental diseases.Depression in old age is not a natural part. In the elderly population 1.4% suffered from severe depression. Compared with the rest of the population prevalence of major depression is twice as large in the age group of 70–85 years. Less severe depression have an instance 4–13%. Twice as many women than men have depression. The prevalence of depression is particularly high in the elderly with dementia.In this report we present how many old people in Serbia suffer of depression and what is new tendence in therapy.


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