Why Many Older Adults Wake Up at 3 A.M.—And What It Reveals About Changing Sleep Patterns

  • Body temperature: Older adults often have less stable core body temperatures at night, which can disrupt sleep continuity.

Physical factors also play a role. Chronic pain, arthritis, or nocturia (the need to urinate at night) can cause multiple awakenings. Medications taken for blood pressure, heart conditions, or diabetes may further interfere with normal sleep cycles.

Psychological and Lifestyle Influences

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Psychological factors can amplify the tendency to wake early:

  • Anxiety and worry may cause the mind to become alert during the night.
  • Lack of daytime activity or

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