노인 수면 무호흡증：임상 양상, 진단 그리고 치료
Sleep-Related Breathing Disorders in the Elderly：Clinical Feature, Diagnosis and Treatments
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초록
Sleep-related breathing disorder in the elderly is common but not diagnosed and treated properly. Sleep apnea in the elderly differs from that in young adults and does not show overt sign of it such as snoring and excessive daytime sleepiness. Co morbidities of elderly patients make it difficult to diagnosis and treatment of sleep apnea. Untreated sleep-related breathing disorders can cause cardiovascular disease, cognitive impairment and dementia. Sleep-related breathing disorder is diagnosed with thorough history taking and polysomnography. Continuous positive airway pressure (CPAP) is treatment of choice for sleep apnea in elderly. When patient failed to adapt in CPAP, oral appliance or surgical approach can be considered.
Abstract
Sleep-related breathing disorder in the elderly is common but not diagnosed and treated properly. Sleep apnea in the elderly differs from that in young adults and does not show overt sign of it such as snoring and excessive daytime sleepiness. Co morbidities of elderly patients make it difficult to diagnosis and treatment of sleep apnea. Untreated sleep-related breathing disorders can cause cardiovascular disease, cognitive impairment and dementia. Sleep-related breathing disorder is diagnosed with thorough history taking and polysomnography. Continuous positive airway pressure (CPAP) is treatment of choice for sleep apnea in elderly. When patient failed to adapt in CPAP, oral appliance or surgical approach can be considered.
참고문헌 (26)
- Foley DJ, "Sleep complaints among elderly persons: an epidemiologic study of three communities", Sleep, 18, pp.425~432 (1995)
- Ancoli-Israel S, "Sleep-disordered breathing in community-dwelling elderly", Sleep, 14, pp.486~495 (1991)
- Dopp JM, "Cardiovascular consequences of sleep-disordered breathing", J Cardiopulm Rehabil, 26, pp.123~130 (2006)
- Levy P, "Sleep, sleep-disordered breathing and metabolic consequences", Eur Respir J, 34, pp.243~260 (2009)
- Ferguson KA, "Sleep-related breathing disorders. 4. Consequences of sleep disordered breathing", Thorax, 50, pp.998~1004 (1995)
- Simmons MS, "The potentially harmful medical consequences of untreated sleep-disordered breathing: the evidence supporting brain damage", J Am Dent Assoc, 140, pp.536~542 (2009)
- Enright PL, "Prevalence and correlates of snoring and observed apneas in 5,201 older adults", Sleep, 19, pp.531~538 (1996)
- Whitney CW, "Correlates of daytime sleepiness in 4578 elderly persons: the Cardiovascular Health Study", Sleep, 21, pp.27~36 (1998)
- Newman AB, "Relation of sleep-disordered breathing to cardiovascular disease risk factors: the Sleep Heart Health Study", Am J Epidemiol, 154, pp.50~59 (2001)
- Foley DJ, "Associations of symptoms of sleep apnea with cardiovascular disease,cognitive impairment, and mortality among older Japanese-American men", J Am Geriatr Soc, 47, pp.524~528 (1999)
- Giles TL, "Continuous positive airways pressure for obstructive sleep apnoea in adults", Cochrane Database Syst Rev, 3, pp.CD001106~ (2006)
- Ryan CM, "Pathogenesis of obstructive sleep apnea", J Appl Physiol, 99, pp.2440~2450 (2005)
- Yaggi H, "Obstructive sleep apnoea and stroke", Lancet Neurol, 3, pp.333~342 (2004)
- Bassetti CL, "Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome", Stroke, 37, pp.967~972 (2006)
- Aloia MS, "Neuropsychological sequelae of obstructive sleep apnea-hypopnea syndrome: a critical review", J Int Neuropsychol Soc, 10, pp.772~785 (2004)
- Findley LJ, "Cognitive impairment in patients with obstructive sleep apnea and associated hypoxemia", Chest, 90, pp.686~690 (1986)
- Lojander J, "Cognitive function and treatment of obstructive sleep apnea syndrome", J Sleep Res, 8, pp.71~76 (1999)
- Ancoli-Israel S, "Dementia in institutionalized elderly: relation to sleep apnea", J Am Geriatr Soc, 39, pp.258~263 (1991)
- Kim HC, "Sleep-disordered breathing and neuropsychological deficits. A population-based study", Am J Respir Crit Care Med, 156, pp.1813~1819 (1997)
- Bliwise DL, "Sleep in normal aging and dementia", Sleep, 16, pp.40~81 (1993)
- Prinz PN, "Sleep, EEG and mental function changes in senile dementia of the Alzheimer’s type", Neurobiol Aging Winter, 3, pp.361~370 (1982)
- Marin JM, "Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study", Lancet, 365, pp.1046~1053 (2005)
- Guilleminault C, "A prospective study of nocturia and the quality of life of elderly patients with obstructive sleep apnea or sleep onset insomnia", J Psychosom Res, 56, pp.511~515 (2004)
- Aloia MS, "Neuropsychological changes and treatment compliance in older adults with sleep apnea", J Psychosom Res, 54, pp.71~76 (2003)
- Sher AE, "The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome", Sleep, 19, pp.156~177 (1996)
- American Sleep Disorders Association, "Practice parameters for the treatment of obstructive sleep apnea in adults:the efficacy of surgical modifications of the upper airway", Sleep, 19, pp.152~155 (1996)