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Studies on the Diagnosis and Treatment for the Sleep Disorders in the Elderly : Relationship with Sleep Apnea Syndrome

Research Project

Project/Area Number 61570521
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Psychiatric science
Research InstitutionKanazawa University

Principal Investigator

YAMAGUCHI Nariyoshi  Department of Neuropsychiatry, School of Medicine, 医学部・神経精神医学講座, 教授 (00064501)

Co-Investigator(Kenkyū-buntansha) KIBA Kiyoko  Department of Neuropsychiatry, School of Medicine, 医学部・神経精神医学講座, 助手 (50110614)
FURUTA Hisakazu  Department of Neuropsychiatry, School of Medicine, 医学部・附属病院神経科精神科, 助手 (80190156)
Project Period (FY) 1986 – 1988
Project Status Completed (Fiscal Year 1989)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1988: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1987: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1986: ¥800,000 (Direct Cost: ¥800,000)
Keywordspolsomnography / aged persons / senile dementia of Alzheimer type / sleep apnea syndrome / intelligence test (WAIS) / sleep variables / sleep architecture / ポリソムノグラフィー / 睡眠時無呼吸不眠症候群 / アルツハイマー型老年痴呆 / 性格検査(MMPI) / 変容性睡眠障害 / %Stage REM / 老年期睡眠障害 / PSG(終夜睡眠ポリグラフィー) / WAIS / IQ / MMPI / アルツハイマー病 / 口蓋垂 / 軟口蓋 / 咽頭形成術(UPPP) / 終夜睡眠ポリグラフィー(PSG) / WMS / 知能減退率(DQ) / 性差
Research Abstract

Polysomnography and intelligence testing were performed on a group of 18 healthy, elderly persons (mean 71.3 years) who lived at home without subjective complaints of sleep disturbance, and on a group of 14 patients (mean 69.3 years) with senile dementia of Alzheimer type (SDAT). Sleep variables, sleep architectures abnormal respiration occurring during sleep, and extent of intellectual level decline were evaluated. The SDAT group was further divided into mild and severe dementia groups. Sleep content was more deteriorated in males than in females in the healthy aged group, although there was no subjective evidence of sleep disturbance. Particularly in the male group, it was surmised that sleep apnea resulting in frequent nocturnal hypoxemia might be related to lowering of intellectual function. Regarding quantitative sleep changes, sleep efficiency was found to be significantly lower in the total SDAT group than in the group of healthy aged. In the total SDAT group, sleep apnea was found more frequently than in the group of healthy aged. Patients with mild dementia tended to show frequent severe sleep apnea. These results indicate that the SDAT group frequently suffer from quantitative changes in sleep content, such as the fragmentation of sleep and a decrease of REM sleep. In mild SDAT, recurrent sleep apnea was observed, while qualitative changes of sleep appeared with increasing severity of senility. It was suggested that the degenerative process of SDAT accelerates the changes of sleep content resulting from the aging process itself and that sleep apnea syndrome plays some role in the deterioration of SDAT.

Report

(4 results)
  • 1989 Final Research Report Summary
  • 1988 Annual Research Report
  • 1987 Annual Research Report
  • 1986 Annual Research Report
  • Research Products

    (32 results)

All Other

All Publications (32 results)

  • [Publications] 前田義樹、古田寿一、森川恵一、金英道、浜原昭仁、林卓也、石黒信治、佐野譲、木場清子、山口成良: "睡眠ポリグラフィと臨床心理検査からみた高齢者の睡眠障害について" 老年精神医学. 4. 365-373 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 上野勝彦、古田寿一、山口成良: "中・高年者の睡眠時無呼吸症候群の診断と治療" 病態生理. 8. 72-74 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 森川恵一: "在宅健康老人とアルツハイマ-型老年痴呆のポリソムノグラフィ-による比較研究ーー特に睡眠時無呼吸と知的機能についてーー" 金沢大学十全医学会雑誌. 98. 237-256 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 古田寿一、山口成良: "老年者のレム睡眠" 老化と疾患. 2. 1864-1872 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 山口成良: "polysomnographyによる中・高齢者の睡眠障害の研究" 精神神経学雑誌. 91. 534-546 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 森川恵一、古田寿一、前田義樹、金英道、浜原昭仁、林卓也、石黒信治、佐野譲、木場清子、山口成良: "高齢者の睡眠ポリグラフィーー性差および知的機能検査との関連ーー" 精神医学. 31. 1283-1289 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 山口成良、浜原昭仁(分担執筆): "精神科MOOK.NO.21睡眠の病態" 金原出版株式会社, 329 177-186 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Ueno, K., Furuta, H. and Yamaguchi, N.: "The Diagnosis and Treatment for Sleep Apnea Syndrome in the Middle and Old Age" Byotai Seiri (Medicina Philosophica). 8. 72-74 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Furuta, H. and Yamaguchi, N.: "REM Sleep in the Aged Human" Roka to Shikkan (Ageing and Diseases). 2. 1864-1872 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Morikawa, K.: "A Comparative Study of Healthy Aged and Senile Dementia of Alzheimer Type by Polysomnography - Especially, Regarding Sleep Apnea and Mental Function -" Journal of the Juzen Medical Society. 98. 237-256 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Yamaguchi, N.: "Polysomnographical Studies on the Sleep Disorders in the Middle-Aged and Advanced-Aged Persons" Psychiatria et Neurologia Japonica. 91. 535-546 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Morikawa, K., Furuta, H., Maeda, Y., Kim, Y., Hamahara, S., Hayashi, T., Ishiguro, N., Sano, J., Kiba, K. and Yamaguchi, N.: "Sleep Patterns of the Healthy Aged : Relationship with Intellectual Function" Seishin Igaku (Psychiatry). 31. 1283-1289 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Yamaguchi, N. and Hamahara, S.: Sleep Apnea DIMS Syndrome. In Y. Hishikawa (ed), Pathology of Sleep, Psychiatry Mook No.21. Kanehara & Co., Ltd., 177-186 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 金英道,山口成良: 臨床脳波. 30. 577-584 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 山口成良,古田寿一: 精神医学. 30. 319-324 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 森川恵一,古田寿一,鈴木道男,山口成良,浜原昭二,金英道,佐野譲: 臨床脳波. 30. 277-279 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 山口成良,清田吉和,久保田陽介,木戸日出善,伊藤達彦,吉本博昭,中村圭佐、窪田三樹男: 精神薬療基金研究年報. 19. 99-107 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 金英道,山口成良,石田伸二,堀田素志,松浦弘毅,山本外史: 臨床脳波. 30. 440-448 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 金英道,山口成良,堀田素志,松浦弘毅,山本外史: 脳波と筋電図. 16. 231-238 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 山口成良, 清田吉和, 久保田陽介, 木戸日出喜, 伊藤達彦, 吉本博昭, 中村圭佐, 窪田三樹男: 精神薬療基金研究年報. 18. 248-256 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 前田義樹, 古田寿一, 森川忠一, 金英道, 浜原昭仁, 林卓也, 石黒信治, 佐野譲, 木場清子, 山口成良: 老年精神医学. 4. 365-373 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 金英道, 前田義樹, 山口成良, 堀田素志, 杉浦弘毅, 山本外史: 臨床脳波. 29. 323-327 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 古田寿一, 山口成良: 公衆衛生. 51. 320-324 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 前田義樹, 古田寿一, 山田成良, 浜原昭仁: いしかわ精神衛生. 28. 30-35 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 山口成良: 精神医学. 29. 794-805 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 秋元波留夫, 山口成良: "神経精神医学" 創造出版, 580 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 山口成良,浜原昭仁: 綜合臨牀. 35. 633-636 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 山口成良: 医学と薬学. 16. 633-637 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 浜原昭仁,山口成良: Practices in Gerontology. 19. 10-12 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 山口成良: Clinical Neuroscience. 5. 12-15 (1987)

    • Related Report
      1986 Annual Research Report
  • [Publications] 古田寿一,山口成良: 公衆衛生. 51. (1987)

    • Related Report
      1986 Annual Research Report
  • [Publications] 倉田孝一,山口成良: 神経精神薬理. 8. 475-483 (1986)

    • Related Report
      1986 Annual Research Report

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Published: 1987-03-31   Modified: 2016-04-21  

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