janiecbros / Getty Images
What Does Sundowning in Dementia Feel and Look Like?
Sundowningis characterized by worsening dementia symptoms.
It occurs around the time the sun goes down, in the late afternoon or evening.
janiecbros / Getty Images
Research shows that neurodegenerative disorders, like dementia, affect the circadian rhythm (yourbodys biological clock).
Disruptions in the sleep-wake cycle can also affect emotional processing and aggression.
Researchers believe this relationship contributes to sundowner’s syndrome.
However, once episodes start, theyre likely to recur.
Typical signs associated with sundowning include:
What Stage of Dementia Is Sundowning?
Dementia Stages: What to Expect
Dementia is aprogressive conditionthat gradually worsens over time.
Early Dementia
Early dementia comprises stages 1 through 3.
In moderate dementia, people start to need assistance with daily living.
Over time, people lose the ability to talk, move, and respond to the outside environment.
Factors That Can Worsen Sundowning
Researchers are still working to understand what triggers sundowning.
In doing so, thinking about communication, environment, activities, and safety is essential.
Sleep disruptions, noisy or chaotic environments, and insufficient natural light are among the factors that worsen sundowning.
Make lifestyle adjustments to address these factors to help prevent episodes and manage symptoms.
2020;15(2):e12292.
doi:10.1111/opn.12292
Sheppard O, Coleman M.Alzheimers disease: etiology, neuropathology and pathogenesis.
2022;28(9):726741. doi:10.1016/j.molmed.2022.05.008
National Institute on Aging.Alzheimers disease fact sheet.
National Institute on Aging.Coping with agitation, aggression, and sundowning in Alzheimers.
