Aging and Sleep: What’s Normal, What’s Not, and When to Seek Help

The difference between normal aging sleep changes and warning signs of something more serious.

As we grow older, changes in sleep are inevitable—but that doesn’t mean poor sleep should be accepted as part of aging. Understanding what’s normal and what’s not can help older adults and caregivers take steps toward healthier, more restorative rest.

At Comprehensive Sleep Medicine Associates (CSMA), we help older adults and their caregivers understand the difference between normal sleep changes and warning signs that something more serious may occur. Here’s what you must know to protect your health and rest well at any age.

The Link Between Aging and Sleep

Sleep is essential at every stage of life, but as we age, it becomes even more critical for preserving brain function, emotional health, immune strength, and overall well-being. Unfortunately, many older adults experience sleep disturbances that go untreated because they assume it's just "part of getting older."

Knowing the difference between age-related sleep changes and true sleep disorders is key to protecting your health.

What Happens to Sleep As We Age?

As we age, our sleep architecture—the structure and depth of sleep—shifts. Here’s what that can look like:

• Less deep sleep (slow-wave sleep): This can leave you feeling less refreshed in the morning.

• More frequent awakenings: It's more common to wake up during the night and have trouble falling back asleep.

• Earlier sleep and wake times: Circadian rhythms shift with age, often causing older adults to feel sleepy earlier in the evening and wake earlier in the morning.

These changes are natural, but they shouldn’t drastically interfere with your daily life or overall well-being.

Common Sleep Complaints in Older Adults

While some changes are expected, others may be red flags for more serious issues. Common sleep-related concerns in older adults include:

• Insomnia: Difficulty falling or staying asleep, often worsened by anxiety, depression, or chronic health conditions.

• Obstructive sleep apnea (OSA): A condition where breathing repeatedly stops during sleep. The risk increases with age and weight gain.

• Restless Legs Syndrome (RLS): An uncomfortable sensation in the legs, often worsening at night and disrupting sleep.

• Medication interference: Many older adults take medications that can cause drowsiness, restlessness, or frequent urination at night—further disrupting sleep.

If sleep problems persist, it’s time to look closer.

When Should You Be Concerned?

While some changes are expected, others should raise red flags. It’s time to seek professional help when sleep issues:

• Persist for more than a few weeks

• Causes daytime fatigue or cognitive decline - difficulty concentrating or memory issues

• Result in loud snoring, choking, or gasping during sleep

• Lead to mood swings, depression, or memory problems

Untreated sleep disorders can increase the risk of heart disease, high blood pressure, diabetes, and even falls or accidents due to fatigue.

How a Sleep Clinic Like CSMA Can Help

At CSMA, we specialize in helping older adults get the sleep they need to feel their best. Our comprehensive diagnostic tools—like overnight sleep studies and home sleep testing—help uncover the root cause of sleep disturbances.

Treatment options are tailored to your needs and may include:

• CPAP therapy for sleep apnea

• Medication review and management

• Behavioral therapy for insomnia

• Lifestyle modifications to support healthy sleep patterns

• Collaborative care, working closely with your primary care provider or specialists

We focus on personalized care that honors the unique challenges and health needs of aging individuals. We aim to help you get the restful, restorative sleep you deserve—regardless of age.

Take Sleep Seriously—At Any Age

Getting older doesn’t mean giving up on good sleep. If sleep changes affect your health, energy, or quality of life, don’t wait—proven solutions are available.

📞 Contact CSMA today to schedule a sleep evaluation and take the first step toward better sleep and healthier aging.