<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422018000100033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alteraciones del sueño en personas adultas mayores]]></article-title>
<article-title xml:lang="en"><![CDATA[Alterations of sleep in older adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[D'Hyver de las Deses]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Medicina Departamento de Geriatría]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>45</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422018000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422018000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422018000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El insomnio es altamente prevalente en la población, y más en los adultos mayores. Cerca de 50% de la población lo padece, y es un problema que se asocia con una serie de alteraciones: disminución de la capacidad física, problemas de concentración y atención, múltiples patologías se exacerban, lo que acaba produciendo una disminución de la calidad de vida de la personas. Así mismo se interrelaciona con múltiples problemas tanto físicos, como psicológicos y sociales que pueden agravar o ser causa a su vez de las alteraciones del sueño. Reconocer los problemas del sueño y clasificarlos adecuadamente permite determinar la necesidad o no de estudios complementarios, seleccionar el manejo más adecuado en forma individual, recomendar el manejo no farmacológico (terapia cognitivo conductual, manejo del ambiente), y si fuera necesario, determinar el tipo de fármaco más adecuado en función de la asociación existente con otras patologías (enfermedad pulmonar obstructiva crónica [EPOC], depresión, ansiedad, síndrome de piernas inquietas, etc.). La pequeña revisión que se presenta tiene como objetivo presentar al médico general las bases para enfrentarse al paciente adulto mayor que padece de alteraciones del sueño. Sin pasar por alto que existen cambios producidos por el envejecimiento que ya de por sí modifican el ciclo sueño-vigilia, además de considerar los cambios psicosociales que se presentan.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Insomnia is highly prevalent in the population and even more in the elderly. Nearly 50% of the population suffers from insomnia. It is a problem associated with a great number of disorders: decreased physical ability, lack of concentration and attention problems; many diseases are worsened and this ends up producing a decrease in the quality of life of these people. Insomnia is also interrelated with multiple physical, psychological and social problems, these can worsen or be the cause of other sleep disorders. Recognizing sleep disorders and classifying them adequately helps to determine the need for complementary studies, select the most appropriate individual management, recommend non-pharmacological management (cognitive behavioral therapy, environmental management) and if necessary, to determine the most suitable type of drug, taking into consideration its possible association with other diseases (COPD, depression, anxiety, restless legs syndrome, etc.). This small review aims to present to the general practitioner the basis for attending an elderly patient suffering from sleep disturbances. Taking into account, that there are changes produced by aging that alter the sleep-wake cycle and the psychosocial changes that occur.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Insomnio]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="es"><![CDATA[viejo]]></kwd>
<kwd lng="en"><![CDATA[Insomnia]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[old]]></kwd>
</kwd-group>
</article-meta>
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