j immunol clin microbiol Journal of Immunology and Clinical Microbiology 2528-9470 Erkan YULA 10.58854/jicm.1842301 Clinical Sciences (Other) Klinik Tıp Bilimleri (Diğer) Sleep disorders in the elderly Yaşlılarda Uyku Bozuklukları İnanç Leman İZMİR BAKIRÇAY ÜNİVERSİTESİ https://orcid.org/0000-0002-4686-7879 Can Hüseyin İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ 12 31 2025 10 4 138 151 12 15 2025 12 26 2025 Copyright © 2016, Journal of Immunology and Clinical Microbiology 2016 Journal of Immunology and Clinical Microbiology

Physiological changes observed during sleep in the elderly predispose to sleep disorders. Common sleep disorders in the elderly include insomnia, obstructive sleep apnea syndrome, circadian rhythm sleep-wake disorders, REM sleep behavior disorder, restless legs syndrome, and hypersomnia. The first step in observing sleep disorders in the elderly is to educate the individual on sleep hygiene. Non-pharmacological treatment approaches should be prioritized. For pharmacological treatments, the general principles of small doses, slow increases, and short-term use are recommended for the elderly.

Yaşlılarda uyku sürecinde görülen fizyolojik değişiklikler uyku bozukluklarına zemin hazırlamaktadır. Yaşlılarda sık görülen uyku bozuklukları insomni, obstrüktif uyku apne sendromu, sirkadiyen ritm uyku-uyanıklık bozuklukları, REM uykusu davranış bozukluğu, huzursuz bacak sendromu ve hipersomnidir. Yaşlılarda uyku bozuklukları varlığında ilk yapılması gereken uyku hijyeni konusunda kişiye eğitim vermektir. Farmakolojik olmayan tedavi yaklaşımları öncelikli değerlendirilmelidir. Farmakolojik tedavilerde ise yaşlılardaki genel ilkeler olan küçük doz, yavaş artış ve kısa süreli kullanım önerilmektedir.

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