Sleep well, age well: What older adults should know about getting better rest

Sleep is essential for good health, but many people find that getting a good night’s rest becomes more challenging as they age. Changes in sleep patterns are common in later life—you may find it harder to fall asleep, wake more often during the night, or wake earlier in the morning. While these changes can be frustrating, there are effective and safe ways to improve sleep.

When sleep problems persist, it may be a sign of insomnia. Insomnia is typically defined as difficulty falling or staying asleep at least three nights per week for three months or longer, often leaving people feeling tired and less able to function during the day.

Some people turn to sleeping pills for help, but research shows they may not be the best long-term solution for many older adults. On average, these medications add only about 20–30 minutes of extra sleep, while increasing the risk of side effects such as falls, confusion, memory problems, and dependence. Because of these risks, many experts recommend trying non-drug approaches first.

Fortunately, there are several evidence-based strategies that can help improve sleep without medication. For example:

·       Maintain a consistent routine: Try going to bed and waking up at the same time each day.

·       Stay active: Regular physical activity during the day can support better sleep at night.

·       Limit daytime naps: Long or late naps may make it harder to fall asleep in the evening.

·       Consider light exposure: Spending time in natural light during the day or using light therapy may help regulate your sleep cycle.

Another effective approach is cognitive behavioural therapy for insomnia (CBT-I). This treatment focuses on improving sleep habits and changing thoughts or behaviours that interfere with sleep. Unlike sleeping pills, it helps address the underlying causes of insomnia and teaches skills that can improve sleep over the long term.

If sleep problems continue or begin to affect your daily life, it’s important to speak with a healthcare professional. Together, you can explore the possible causes and decide on the best strategies for improving your sleep.

Getting enough quality sleep may take some effort, but it’s worth it. By focusing on healthy habits and evidence-based approaches, better rest—and better health—may be within reach.


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DISCLAIMER: These summaries are provided for informational purposes only. They are not a substitute for advice from your own health care professional. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the McMaster Optimal Aging Portal (info@mcmasteroptimalaging.org).

Many of our Blog Posts were written before the COVID-19 pandemic and thus do not necessarily reflect the latest public health recommendations. While the content of new and old blogs identify activities that support optimal aging, it is important to defer to the most current public health recommendations. Some of the activities suggested within these blogs may need to be modified or avoided altogether to comply with changing public health recommendations. To view the latest updates from the Public Health Agency of Canada, please visit their website.