title: Subjective alertness rhythms in elderly people.
abstract: The aim of this study was to evaluate age-related changes in the circadian rhythm of subjective alertness and to explore the circadian mechanisms underlying such changes. Using a visual analogue scale (VAS) instrument, 25 older men and women (71 y and older; 15 female, 10 male) rated their subjective alertness about 7 times per day during 5 baseline days of temporal isolation during which habitual bedtimes and waketimes were enforced. Comparisons were made with 13 middle-aged men (37-52 y) experiencing the same protocol. Advancing age (particularly in the men) resulted in less rhythmic alertness patterns, as indicated by lower amplitudes and less reliability of fitted 24-h sinusoids. This appeared in spite of the absence of any reliable age-related diminution in circadian temperature rhythm amplitude, thus suggesting the effect was not due to SCN weakness per se, but to weakened transduction of SCN output. In a further experiment, involving 36 h of constant wakeful bedrest, differences in the amplitude of the alertness rhythm were observed between 9 older men (79 y+), 7 older women (79 y+), and 17 young controls (9 males, 8 females, 19-28 y) suggesting that with advancing age (particularly in men) there is less rhythmic input into subjective alertness from the endogenous circadian pacemaker. These results may explain some of the nocturnal insomnia and daytime hypersomnia that afflict many elderly people.
authors.affiliation: Sleep and Chronobiology Center, University of Pittsburgh Medical Center, PA 15213, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Monk
authors.forename: D J
authors.initials: DJ
authors.lastname: Buysse
authors.forename: C F
authors.initials: CF
authors.lastname: Reynolds
authors.forename: D J
authors.initials: DJ
authors.lastname: Kupfer
authors.forename: P R
authors.initials: PR
authors.lastname: Houck
mesh_terms: D000328:Adult; D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D001143:Arousal / Q000502:physiology*; D002940:Circadian Rhythm / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged