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Obstructive Sleep Apnea in Older Patients

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Aging and Lung Disease

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Aging is a risk factor for developing obstructive sleep apnea (OSA) due, in part, to an increased collapsibility of the upper airways. As a result, the prevalence of sleep-disordered breathing is higher in the elderly than in the general population. The clinical characteristics of OSA in the elderly can be distinct from the typical presentation of middle-aged adults and can include nocturia, cognitive dysfunction, and mild hypersomnia. Obstructive sleep apnea can be observed in older patients with a normal body mass index and can increase the risk of stroke, but the effect of OSA on mortality is still controversial. Among the therapeutic options, CPAP therapy is considered the best modality, even in older patients, and can improve cognitive function, decrease the frequency of nocturia, and possibly slow cognitive deterioration in patients with dementia. CPAP therapy should not be withheld based on age, since it is well tolerated, even in moderately demented patients. Further studies are needed to determine whether CPAP therapy can affect outcomes in an older patient population.

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  1. Section of Pulmonary and Critical Care Medicine, Yale Center for Sleep Medicine, Yale University School of Medicine, 333 Cedar Street, 208057, New Haven, CT, 06520, USA

    Francoise J. Roux

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  1. Francoise J. Roux
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Correspondence to Francoise J. Roux .

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  1. School of Medicine, Pulmonary and Critical Care Medicine, Yale University, Cedar Street 330, New Haven, 06520-8057, Connecticut, USA

    Margaret Pisani

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Roux, F.J. (2012). Obstructive Sleep Apnea in Older Patients. In: Pisani, M. (eds) Aging and Lung Disease. Respiratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-727-3_8

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  • DOI: https://doi.org/10.1007/978-1-60761-727-3_8

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