Skip to content
My WebMD Sign In, Sign Up

Sleep Disorders Health Center

Font Size

Bad Sleep Leads to Early Death in Elderly

Poor Sleepers Were Twice as Likely to Die During 12-Year Period
By
WebMD Health News

Feb. 5, 2003 -- Sleep problems are common in the elderly, with more than half experiencing routine sleep disturbances that can affect their quality of life. Now new research suggests these disturbances may also lead to an earlier death.

The study of otherwise healthy older people found that those who routinely tossed and turned for 30 minutes or more before going to sleep or woke frequently during the night were twice as likely to die during follow-up as those without these sleep problems. Elderly subjects who spent too much or too little time in rapid eye movement (REM) sleep -- the sleep stage during which people dream -- were also at increased risk.

Researcher Mary Amanda Dew, PhD, says the findings indicate that even minor slumber difficulties could be an early warning sign of other health problems.

"Sleep problems may be subtle indicators that a person has something else wrong that is not yet pronounced enough to detect," Dew tells WebMD. "The people involved in our study had no obvious health problems, but the sleep changes we detected could have reflected unknown problems."

Dew and her University of Pittsburgh colleagues measured brain activity in 185 people between the ages of 60 and 90 during sleep. All the subjects were participants in studies conducted between 1981 and 1997, and all were perceived to be healthy and had no sleep complaints.

Twelve years later the researchers found that the 66 people who had died during that period had more sleep problems than participants who were still alive. They were more likely to lie awake for long periods during the sleep studies, they slept less efficiently through the night, and had abnormally high or low amounts of REM sleep. The findings are reported in the January/February issue of the journal Psychosomatic Medicine.

Sleep specialist David N. Neubauer, MD, tells WebMD that sleep disturbances tend to increase as people age for a variety of reasons, including more frequent use of medications that can interfere with sleep, illnesses, psychiatric disorders like depression or dementia, poor sleep habits and changes in circadian rhythms, also called sleep-wake cycles.

"As we age, our circadian clock tends to shift and we get sleepy and wake up earlier," he says. "That means that someone who woke up at 6 a.m. during their working life might now be naturally waking up at 4 a.m. or even 3:30."

Because poor sleep and early waking are common signs of depression, he says many older people experiencing this normal circadian shift are mistakenly placed on antidepressants. .

"What we try to do is help people make time for sleep," he says Neubauer, associate director of the Johns Hopkins Sleep Disorders Center in Baltimore. "If someone is going to bed at the same time that they always have and waking up several hours earlier, that is a problem. They are not going to get the sleep they need."

Today on WebMD

Alcohol Disrupting Your Sleep
Article
Sweating Evaluator
Article
 
Lavender sprig
Article
Always Sleepy Causes Fixes For Fat
Slideshow
 

Is This Normal? Get the Facts Fast!

How Many Hours Did You Sleep Last Night?
Is that amount of sleep typical for you?
Did you get enough sleep to feel alert today and function at your best?

Get the latest Sleep Disorders newsletter delivered to your inbox!


or
Answer:
0-6
7-8
9+

Your level is currently

You say you are able to function well with fewer than seven hours of sleep. Some people say they can function on four to six hours of sleep each night, but research shows that adults who get fewer than seven hours of sleep — whether for just one night or over the course of days, weeks, or months — have more difficulty concentrating and more mood problems than people who sleep seven to nine hours.

Since you usually get too little sleep, please talk to your doctor about your sleep patterns. Poor quality sleep can affect many areas of your life and health, and your doctor may be able to help you if you have insomnia or other conditions affecting your sleep.

Sleep deprivation can have both short- and long-term consequences. Learn more about the health consequences of sleep loss. If you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

It's not surprising you feel that you're not functioning at your best today. Some people say they can function on four to six hours of sleep each night, but research shows that adults who get fewer than seven hours of sleep — whether for just one night or over the course of days, weeks, or months — have more difficulty concentrating and more mood problems than people who sleep seven to nine hours.

Since you usually get too little sleep, please talk to your doctor about your sleep patterns. Poor quality sleep can affect many areas of your life and health, and your doctor may be able to help you if you have difficulty sleeping, have insomnia, or have other sleep disorders.

Learn more about the health consequences of sleep loss. If you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

It's not surprising you feel that you're not functioning at your best today. Some people say they can function on four to six hours of sleep each night, but research shows that adults who get fewer than seven hours of sleep — whether for just one night or over the course of days, weeks, or months — have more difficulty concentrating and more mood problems than people who sleep seven to nine hours.

It's good that you usually do get more sleep, since sleep deprivation can have both short- and long-term consequences. Learn more about the health consequences of sleep loss. And if you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

You say you are able to function well with fewer than seven hours of sleep. Some people say they can function on four to six hours of sleep each night, but research shows that adults who get fewer than seven hours of sleep — whether for just one night or over the course of days, weeks, or months — have more difficulty concentrating and more mood problems than people who sleep seven to nine hours.

It's good that you usually do get more sleep because sleep deprivation can have both short- and long-term consequences. Learn more about the health consequences of sleep loss. And if you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

It's not surprising you feel that you're not functioning at your best today. Some people say they can function on four to six hours of sleep each night, but research shows that adults who get fewer than seven hours of sleep — whether for just one night or over the course of days, weeks, or months — have more difficulty concentrating and more mood problems than people who sleep seven to nine hours.

Since you usually get less sleep, please talk to your doctor about your sleep patterns. Poor quality sleep can affect many areas of your life and health, and your doctor may be able to help you if you have difficulty sleeping or have insomnia or other sleep disorders.

Learn more about the health consequences of sleep loss. If you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

It's wonderful that you got a good night's sleep last night. Many people struggle to do so. Having a good sleep routine often is the key to getting the quality sleep night after night that your body needs for optimal health. Whether your sleep routine involves taking a warm bath, reading a book, or meditating, it's important to keep your bedtime and routine consistent every night and wake up around the same time every morning.

Click here to read more about the importance of sleep. If you're concerned about having trouble falling asleep, staying asleep, or sleeping too much, assess your risk for a sleep disorder.

It's unfortunate you're not functioning at your best today. You say you had a good quantity of sleep last night, but maybe the quality of your sleep is not as good as it could be? Having a good sleep routine — including a consistent bedtime and wake time — often is the key to getting the quality sleep night after night that your body needs for optimal health. Since you usually sleep this amount, if you often aren't feeling your best, you should consider talking to your doctor. Could you have an underlying condition? Are you feeling anxious or depressed? Have you taken medication that disrupted your sleep? Do you or could you have sleep apnea? Or do you naturally require a little bit more sleep?

Although sleep is crucial for optimal health, some research suggests that sleeping too much can also have negative consequences. Learn more about sleep. If you're concerned about having trouble falling asleep, staying asleep, or sleeping too much, assess your risk for a sleep disorder.

It's unfortunate you're not functioning at your best today. You say you had a good quantity of sleep last night, but maybe the quality of your sleep is not as good as it could be? Having a good sleep routine — including a consistent bedtime and wake time — often is the key to getting the quality sleep night after night that your body needs for optimal health. Since you usually sleep longer, if you often aren't feeling your best, you should consider talking to your doctor. Could you have an underlying condition? Are you feeling anxious or depressed? Have you taken medication that disrupted your sleep? Do you or could you have sleep apnea? Or do you naturally require a little bit more sleep?

Although sleep is crucial for optimal health, some research suggests that sleeping too much can also have negative consequences. Learn more about sleep. If you're concerned about having trouble falling asleep, staying asleep, or sleeping too much, assess your risk for a sleep disorder.

It's wonderful that you got a good night's sleep last night. Many people struggle to do so. Having a good sleep routine often is the key to getting the quality sleep night after night that your body needs for optimal health. Whether your sleep routine involves taking a warm bath, reading a book, or meditating, it's also important to keep bedtime consistent and wake up around the same time every morning.

Although sleep is crucial for optimal health, some research suggests that sleeping too much can have negative consequences. Learn more about sleep. If you're concerned about having trouble falling asleep, staying asleep, or sleeping too much, assess your risk for a sleep disorder.

It's unfortunate you're not functioning at your best today. You say you had a good quantity of sleep last night, but maybe the quality of your sleep is not as good as it could be? Having a good sleep routine — including a consistent bedtime and waking up at the same time — often is the key to getting the quality sleep night after night that your body needs for optimal health.

Since you usually get less sleep, please talk to your doctor about your sleep patterns. Poor quality sleep can affect many areas of your life and health, and your doctor may be able to help you if you have insomnia, another sleep disorder, or conditions affecting your sleep.

Learn more about the health consequences of sleep loss. If you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

It's wonderful that you got a good night's sleep last night. Many people struggle to do so. Having a good sleep routine often is the key to getting the quality sleep night after night that your body needs for optimal health.

Since you usually get less sleep, talk to your doctor about your sleep patterns. Poor quality sleep can affect many areas of your life and health, and your doctor may be able to help you if you have insomnia or another sleep disorder or conditions affecting your sleep.

Learn more about the health consequences of sleep loss. If you're concerned about having trouble falling asleep or staying asleep, assess your risk for a sleep disorder.

SOURCES:

Centers for Disease Control and Prevention (CDC). Effect of short sleep duration on daily activities--United States, 2005-2008. MMWR Morb Mortal Wkly Rep 2011; 60:239.

Carskadon, MA, Dement, WC. Normal Human Sleep: An Overview. In: Principles and Practices of Sleep Medicine, Fifth, Kryger, MH, Roth, et al. (Eds), Elsevier Saunders, St. Louis, MO 2011. p.16.

Harvard University: "Sleep, Performance, and Public Safety."

Did You Know Lifestyle Choices
Impact Your Sleep?

Use the WebMD Sleep Tracker to track
your ZZZs over time.

Get Started

This tool is intended only for adults 18 and older.

Start Over

Step:  of 

Young woman sleeping
Quiz
Cannot sleep
Video
 
child sitting in bed
Article
Woman with insomnia
Quiz
 

nurse sleeping
ARTICLE
Foods That Help Or Harm Your Sleep
SLIDESHOW
 
Insomnia 20 Tips For Better Sleep
Slideshow
Pain at Night
ARTICLE