Sleep Problems Plague the Older Set

"The average physician receives very little training about sleep disorders and typically does not routinely screen patients for them," said Vitiello, who serves on the board of directors of the National Sleep Foundation. This may be due to a lack of time or training or the belief that there is little that can be done to improve sleep, he explained.

As a result, problems like insomnia, restless leg syndrome, sleep apnea and circadian rhythm disorders are underdiagnosed and undertreated, Bloom said.

To rectify the problem, a national coalition of aging, geriatric medicine and sleep organizations is currently developing guidelines to promote prevention, diagnosis and treatment of sleep problems in older adults. The National Coalition for Sleep Disorders in Older People expects to publish its recommendations by mid-2008.

"The reason we're concerned with these [problems], besides a major issue on quality of life and being tired the next day and not functioning properly, is that these sleep disorders are associated with hypertension, diabetes, pulmonary disease, heart disease, depression and anxiety," said Bloom, chairman of coalition's expert task force.

A cause-and-effect relationship has yet to be established between sleep disorders and these chronic health problems, but Bloom suspects they at least contribute to each other. And he believes a causal relationship may be found in years to come.

"This is very, very much a tip-of-the-iceberg problem," he said.

More information

For tips on better sleep, visit the National Sleep Foundation.

SOURCES: Harrison G. Bloom, M.D., senior associate, International Longevity Center-USA, and associate clinical professor of geriatrics and medicine, Mount Sinai School of Medicine, New York City, and chairman, National Coalition for Sleep Disorders in Older People; Julie Gammack, M.D., assistant professor, medicine. division of geriatric medicine, St. Louis University; Michael V. Vitiello, Ph.D., professor, psychiatry and behavioral sciences, associate director, Northwest Geriatric Education Center, University of Washington, Seattle, and board member, National Sleep Foundation, Washington, D.C.