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Age and Ageing Advance Access originally published online on May 10, 2005
Age and Ageing 2005 34(4):349-352; doi:10.1093/ageing/afi066
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© The Author 2005. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Research Paper

Secondary causes of restless legs syndrome in older people

Shaun T. O’Keeffe

Department of Geriatric Medicine, Unit 4, Merlin Park Regional Hospital, Galway, Ireland

Address correspondence to: S. T. O’Keeffe. Fax: (+353) 91 770515. Email: s.okeeffe{at}whb.ie

Abstract

Background: secondary causes of restless legs syndrome (RLS) have been reported to be more common in those with late-onset RLS. However, ‘late-onset’ in previous studies was defined as onset after 45 years.

Objective: to determine the prevalence of secondary causes of RLS and the relationship between aetiological factors and age of symptom onset in an older population.

Design: prospective study conducted over a 5-year period.

Participants: 80 consecutive non-related patients diagnosed with RLS.

Measurements: patients were assessed according to a standard protocol. Age at symptom onset, severity of symptoms, neurological findings and laboratory tests were examined.

Results: iron deficiency (serum ferritin <50 ng/ml) was present in 22% of patients with onset before 50 years, 39% of those with onset at 50 to 64 years and 58% in those with onset after 64 years (P = 0.009). Clinical neuropathy was also more common in older-onset patients (P = 0.08). Family history was positive in 39%, 23% and 8% of these groups, respectively (P = 0.008).

Conclusion: secondary causes of RLS become more common and a positive family history less common with increased age of symptom onset.

Keywords: restless legs syndrome, elderly, iron, ferritin

Received October 3, 2004; Revision received January 17, 2005. accepted in revised form January 17, 2005.


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