HOW ARE YOU SLEEPING?
Healthy sleep habits are very important for those of us who have passed the full flush of youth…OK! Ok! by a considerable margin. What does the latest research say? Sleep in later life is a major determinant of physical health, brain function, mood, and overall “healthy aging.” Current evidence suggests it is just as important to prioritise as exercise and diet for those in their senior years. How much sleep should we have and what does “ Most people aged 65+ do best with about 7–8 hours of sleep per night. Needing far less sleep with age is a myth. Good sleep in older adults means:- fairly quick sleep onset, few long awakenings at night, feeling reasonably refreshed on waking and relatively regular bed and wake times across the week. Recent research highlights sleep regularity (consistent timing night-to-night) linked to lower cardiovascular risk, lower mortality, and possibly lower dementia risk in o Why does sleep matters so much f Current studies show that, in older adults, better sleep is associated with lower illness and disability and with better physical and cognitive performance. These are hallmarks of “healthy aging.” Good, regular sleep is associated with lower cardiovascular disease risk and lower mortality in older adults. On the other hand, very short (around 5 hours) and very long (around 9+ hours) sleep is associated with higher odds of frailty. What are some evidence‑based strategies to improve and enjoy sleep? The research shows that regular physical activity (walking, moderate aerobic exercise, resistance training, tai chi, or aquatic exercise) 2–4 times per week over at least 8 weeks improves sleep efficiency, shortens the time to fall asleep, and reduces night awakenings in older adults. Keeping a consistent sleep schedule, that is, similar bed and wake times every day, is increasingly recognised as a key health factor in older adults. It is associated with better cardiovascular and mortality outcomes. Getting bright natural light in the morning and reducing bright/blue light (screens, overhead LEDs) in the evening helps anchor the body clock and promotes earlier, better-quality sleep. Calming pre‑bed routines (dim lights, reading, music, relaxation) support both regularity and subjective sleep quality. Many sleep problems in seniors are driven or worsened by medical issues (pain, nocturia, heart or lung disease, depression, anxiety) or by medications (e.g., some antidepressants, decongestants, steroids, and diuretics). Nocturnia? What is it? I am so glad you asked? Nocturnia is the medical term for waking from sleep one or more times at night specifically to pass urine, with a sleep period before and after each trip to the toilet. They are not called the wee small hours for nothing. It refers to night‑time urination that disrupts sleep, not just going to the toilet late in the evening or first thing in the morning. Many clinicians only call it “problematic” when it happens at least twice a night and is bothersome or causes daytime tiredness, falls risk, or reduced quality of life. It becomes more common with age and can be due to several factors, including:- A. Making too much urine at night (for example from heart failure, leg swelling shifting when you lie down, or some hormonal changes). B. Bladder problems (overactive bladder, reduced bladder capacity, prostate enlargement in men). C. Other medical conditions (diabetes, sleep apnoea, urinary tract infection, some medications, high evening fluid intake, especially caffeine or alcohol). Because Nocturnia fragments sleep, it is strongly linked to fatigue, poorer mood and cognition the next day, and in older adults an increased risk of night‑time falls and fractures.
Drawing on current evidence, a typical,
healthy sleep plan for an older adult might include: 7–8 hours in bed on
a regular schedule (e.g., 10:30 pm–6:30 am most days). Doing moderate
exercise (e.g., 30–40 minutes of walking, tai chi, or similar) 3 times per
week, ideally in the daylight. Getting
20–30 minutes of bright morning light daily and keeping the evenings dim and calm.
This is general advice. If you have any sleep problems please check with your GP.
References: National
Library of Medicine (USA) Eunice Kennedy Shriver National Institute. PubMedCentral. HealthLive. Supportive Care.

