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Sleep, Nocturia and the Burning Mouth Syndrome (BMS) in the Elderly
Ragnar Asplund, M.D., Ph.D.
The present study, a questionnaire survey, was undertaken to assess the simultaneous
influence of burning mouth syndrome (BMS) and nocturia on the four variables: sleep
(poor vs. good) awakenings (often vs. seldom or never), the ability to fall asleep after
nocturnal awakenings (easy vs. difficult) and nightmares (often vs. seldom or never)
in a large group of elderly persons. The survey comprised 6,103 elderly men and
women (39.5% men) of ages (mean±standard deviation) 73.0±6.0 and 72.6±6.7
years, respectively. Poor sleep was reported by 14.4% of the men and 28.1% of the
women (p<0.0001). BMS was reported by 5.7% (2.4% of the men and 8.5% of the
women; p<0.0001). The occurrence of poor sleep was not related to BMS in men, but
was 2.8 (1.8-4.3) times more common in women with BMS than in those without.
Nightmares were 3.5 (1.2-11.0) times more common in men and 5.2 (3.0-9.0) times
more common in women with BMS than in those without BMS. The occurrence of
poor sleep was increased in both men and women who either had ?3 micturition
episodes at night or were often troubled with BMS, and was further increased in
those who reported both. It is concluded that BMS and nocturia are both
independently involved in deterioration of sleep in the elderly and that BMS has a
significant influence on the occurrence of nightmares.
| Keywords: burning mouth syndrome, nightmares, nocturia, nocturnal polyuria, sleep |
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