Evidence map›Paper›PMID 25037297›Full record

ReviewClinics in geriatric medicine2014

Sleep in older adults: normative changes, sleep disorders, and treatment options.

Nalaka S Gooneratne, Michael V Vitiello

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Clinics in geriatric medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06088810 (The Impact of Music Intervention on Sleep), which is not on this map. Cited by 102 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 5 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06088810 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Music Intervention on Sleep: CoMPoSER Trial

TypeinterventionalSponsorDuke UniversityRan2026 to 2026Enrolled144ConditionsDementiaArmsCoMPoSER intervention group, Sleep Education
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 5 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Pooled it
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  4. Effects of physical activity programs on sleep outcomes in older adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2020
    Pooled it
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  10. Article
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  13. Clinical Associations and Possible Risk Factors for Affective Neuropsychiatric Symptoms in Older Adults With and Without Cognitive Impairment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  14. International journal of molecular sciences · 2026
    Article
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Nalaka S GooneratneDivision of Geriatric Medicine, Department of Medicine, University of Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104, USA; Division of Sleep Medicine, Center for Sleep and Circadian Neurobiology, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: ngoonera@mail.med.upenn.edu.
Michael V VitielloDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
SleepMed · USUniversity of Washington · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older AdultsR01AG031126 · NIA · UNIVERSITY OF WASHINGTON · PI MCCURRY, SUSAN M, VITIELLO, MICHAEL V. · 2008 to 2012
$3.6M
Melatonin Randomized Trial in Insomnia in the ElderlyR01AT001521 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI GOONERATNE, NALAKA S · 2003 to 2006
$1.6M
ROLE OF MELATONIN IN SECONDARY INSOMNIA IN THE ELDERLYK23AG001021 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GOONERATNE, NALAKA S · 2000 to 2004
$685k
Insomnia and Sleep Disordered Breathing in Seniors: A Longitudinal Outcome StudyR21AG031390 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GOONERATNE, NALAKA S · 2009 to 2010
$355k
NCATS NIH HHS UL1 TR001878NCCIH NIH HHS R01 AT001521NIA NIH HHS K23 AG001021NIA NIH HHS R01 AG031126NIA NIH HHS R21 AG031390
6 · The paper itself

Abstract

Approximately 5% of older adults meet criteria for clinically significant insomnia disorders and 20% for sleep apnea syndromes. It is important to distinguish age-appropriate changes in sleep from clinically significant insomnia, with the latter having associated daytime impairments. Non-pharmacologic therapies, such as cognitive-behavioral therapy for insomnia, can be highly effective with sustained benefit. Pharmacologic therapies are also available, but may be associated with psychomotor effects. A high index of suspicion is crucial for effective diagnosis of sleep apnea because symptoms commonly noted in younger patients, such as obesity or loud snoring, may not be present in older patients.

Indexed as

AgedCognitive Behavioral TherapyHumansHypnosisPolysomnographySleepSleep Wake DisordersCognitive-behavioral therapy (CBT)DementiaDepressionInsomniaPolysomnographyPositive airway pressureSedative-hypnoticSleep apnea

Identifiers

PMID25037297
PMCPMC4656195
OpenAlexW180110368

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.