Condition Strategy

Sleep Quality Decline

Restore restorative sleep architecture and duration

Evidence Level A

Evidence and Risk Labels

Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.

See full scoring guide

Guidance Summary

Sleep quality declines with age due to changes in sleep architecture and circadian rhythm. CBT-I has the strongest evidence for chronic insomnia and outperforms medications and supplements alone.

Top Interventions

  • CBT-I (cognitive behavioral therapy for insomnia)
  • sleep hygiene optimization
  • magnesium glycinate
  • melatonin for circadian adjustment
  • apigenin

Monitoring Priorities

  • sleep diary or actigraphy
  • Epworth sleepiness scale
  • sleep latency and efficiency
  • Pittsburgh Sleep Quality Index

Source Links