2．高齢者の睡眠関連運動障害
高齢者において不眠はよくみられる．高齢者では加齢性変化や併存疾患や内服薬の影響により，多様な原因によって不眠が生じる可能性がある．その中でレストレスレッグス症候群や周期性四肢運動異常は主な睡眠関連運動障害であり，入眠困難や中途覚醒の原因となる．本稿では高齢者における睡眠関連運動障害の診断や治療について解説する．...
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| Published in | 日本老年医学会雑誌 Vol. 54; no. 3; pp. 329 - 334 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本老年医学会
2017
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.54.329 |
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| Abstract | 高齢者において不眠はよくみられる．高齢者では加齢性変化や併存疾患や内服薬の影響により，多様な原因によって不眠が生じる可能性がある．その中でレストレスレッグス症候群や周期性四肢運動異常は主な睡眠関連運動障害であり，入眠困難や中途覚醒の原因となる．本稿では高齢者における睡眠関連運動障害の診断や治療について解説する． |
|---|---|
| AbstractList | 高齢者において不眠はよくみられる．高齢者では加齢性変化や併存疾患や内服薬の影響により，多様な原因によって不眠が生じる可能性がある．その中でレストレスレッグス症候群や周期性四肢運動異常は主な睡眠関連運動障害であり，入眠困難や中途覚醒の原因となる．本稿では高齢者における睡眠関連運動障害の診断や治療について解説する． |
| Author | 鈴木, 圭輔 平田, 幸一 宮本, 雅之 |
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| Copyright | 2017 一般社団法人 日本老年医学会 |
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| References | 11) Kato T, Blanchet PJ, Huynh NT, Montplaisir JY, Lavigne GJ: Sleep bruxism and other disorders with orofacial activity during sleep, In: Sleep and movement disorders, second edition ed, Chokroverty S, Allen RP, Walters AS, Montagna P (eds), Oxford University Press, New York, 2013, p555-572. 4) Figorilli M, Puligheddu M, Ferri R: Restless Legs Syndrome/Willis-Ekbom Disease and Periodic Limb Movements in Sleep in the Elderly with and without Dementia. Sleep Med Clin 2015; 10: 331-342, xiv-xv. 9) 鈴木圭輔, 宮本雅之, 平田幸一: レストレスレッグス症候群・周期性四肢運動障害. 臨牀と研究 2015; 92: 1145-1151. 1) 鈴木圭輔, 宮本雅之, 宮本智之, 平田幸一: 睡眠関連運動障害. 日本臨牀 2015; 73: 954-964. 5) Milligan SA, Chesson AL: Restless legs syndrome in the older adult: diagnosis and management. Drugs Aging 2002; 19: 741-751. 7) Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J, et al.: Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003; 4: 101-119. 6) International Classification of Sleep Disorders: American Academy of Sleep Medicine, third ed, Darien, IL, USA, 2014. 10) Thorpy MJ: Sleep-related leg cramps, sleep-related rhythmic movement disorder, and sleep talking, In: Sleep and movement disorders, second edition ed, Chokroverty S, Allen RP, Walters AS, Montagna P (eds), Oxford University Press, New York, 2013, p546-554. 3) Nomura T, Inoue Y, Kusumi M, Oka Y, Nakashima K: Email-based epidemiological surveys on restless legs syndrome in Japan. Sleep and Biological Rhythms 2008; 6: 139-145. 2) Allen RP, Picchietti DL, Garcia-Borreguero D, Ondo WG, Walters AS, Winkelman JW, et al.: Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria -history, rationale, description, and significance. Sleep Med 2014; 15: 860-873. 8) Kim ES, Deeks ED: Gabapentin Enacarbil: A Review in Restless Legs Syndrome. Drugs 2016; 76: 879-887. |
| References_xml | – reference: 8) Kim ES, Deeks ED: Gabapentin Enacarbil: A Review in Restless Legs Syndrome. Drugs 2016; 76: 879-887. – reference: 11) Kato T, Blanchet PJ, Huynh NT, Montplaisir JY, Lavigne GJ: Sleep bruxism and other disorders with orofacial activity during sleep, In: Sleep and movement disorders, second edition ed, Chokroverty S, Allen RP, Walters AS, Montagna P (eds), Oxford University Press, New York, 2013, p555-572. – reference: 6) International Classification of Sleep Disorders: American Academy of Sleep Medicine, third ed, Darien, IL, USA, 2014. – reference: 2) Allen RP, Picchietti DL, Garcia-Borreguero D, Ondo WG, Walters AS, Winkelman JW, et al.: Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria -history, rationale, description, and significance. Sleep Med 2014; 15: 860-873. – reference: 5) Milligan SA, Chesson AL: Restless legs syndrome in the older adult: diagnosis and management. Drugs Aging 2002; 19: 741-751. – reference: 3) Nomura T, Inoue Y, Kusumi M, Oka Y, Nakashima K: Email-based epidemiological surveys on restless legs syndrome in Japan. Sleep and Biological Rhythms 2008; 6: 139-145. – reference: 1) 鈴木圭輔, 宮本雅之, 宮本智之, 平田幸一: 睡眠関連運動障害. 日本臨牀 2015; 73: 954-964. – reference: 4) Figorilli M, Puligheddu M, Ferri R: Restless Legs Syndrome/Willis-Ekbom Disease and Periodic Limb Movements in Sleep in the Elderly with and without Dementia. Sleep Med Clin 2015; 10: 331-342, xiv-xv. – reference: 10) Thorpy MJ: Sleep-related leg cramps, sleep-related rhythmic movement disorder, and sleep talking, In: Sleep and movement disorders, second edition ed, Chokroverty S, Allen RP, Walters AS, Montagna P (eds), Oxford University Press, New York, 2013, p546-554. – reference: 9) 鈴木圭輔, 宮本雅之, 平田幸一: レストレスレッグス症候群・周期性四肢運動障害. 臨牀と研究 2015; 92: 1145-1151. – reference: 7) Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J, et al.: Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003; 4: 101-119. |
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| Snippet | 高齢者において不眠はよくみられる．高齢者では加齢性変化や併存疾患や内服薬の影響により，多様な原因によって不眠が生じる可能性がある．その中でレストレスレッグス症候群や周期性四肢運動異常は主な睡眠関連運動障害であり，入眠困難や中途覚醒の原因となる．本稿では高齢者における睡眠関連運動障害の診断や治療について解説する． |
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| SubjectTerms | レストレスレッグス症候群 周期性四肢運動 睡眠関連運動障害 |
| Title | 2．高齢者の睡眠関連運動障害 |
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| ispartofPNX | 日本老年医学会雑誌, 2017/07/25, Vol.54(3), pp.329-334 |
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