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Seniors

 

What does it mean to grow older?

Until you're in your fourth or fifth decade of life, the finality of aging may not mean a lot to you even though it's a lifelong process. Childhood, adolescence and young adulthood are typically filled with feelings of immortality. It's often only when you start to notice physical changes in yourself that you accept that you're actually getting older.

If you're older than 60, you've probably already encountered these realities of aging, but you may also have realized that you have a lot more life left than you'd once thought. So what exactly is aging - what causes it, how does your body change and how long can you expect to live?

What causes aging?

The causes of aging are not fully understood, but most scientists theorize that aging is probably the result of a combination of factors including your genes, your environment and your lifestyle. According to the National Institute on Aging, theories of aging are generally grouped into two categories:

"Programmed" theories. These theories suggest that biological factors or programs in your body cause aging to occur on a set timeline. For example, one theory suggests that your immune system is responsible - it's programmed to decline, leading to disease and therefore aging and death. Another points to your hormones, proposing that - throughout your life - programmed changes in the production of hormones regulate your aging.
Damage or error theories. Theories in this group explain aging as a result of environmental factors that gradually damage your body and interfere with its normal function. For example, the wear-and-tear theory suggests that the cells and tissues in your body have essential parts that simply wear out over time. Another theory indicates that byproducts of your cells' normal metabolism (free radicals) damage the ability of your cells to work normally until eventually your organs no longer work. Environmental factors such as sunlight and toxins can also cause free radicals that trigger wear. Other theories suggest that genetic mutations or impaired protein synthesis - the process by which your cells produce protein - are behind damaged cells.

Scientists use these theories to study aging. Their research may one day help slow the aging process, extend human life, and keep you active and healthy for longer.

How does your body change?

You've most likely noticed some of the physical effects of aging - wrinkles, gray hair and slower reflexes - but what else is going on that you're not seeing? As you age, time takes its toll on the organs and systems in your body. How and when this occurs is unique to you. And everyone doesn't undergo the same changes. Still, in general, some of the age-related changes that occur include changes in your:

Bones. As you age, your bones become less dense as they slowly lose mass and minerals. Gradual loss of density weakens your bones and makes them more susceptible to fracture.
Brain. The number of neurons (cells) in your brain decreases. However, in some areas of your brain, the number of connections between cells increases, perhaps helping to compensate for the cellular decrease and maintain normal brain function.
Cardiovascular system. The size of your heart increases slightly. Your blood pressure increases, your maximum heart rate decreases and your heart may take longer to return to its normal resting state after physical activity.
Hearing. The normal wear and tear of sounds over the years can damage the cells of your inner ears. The walls of your auditory canals also thin, and your eardrums thicken. You may have greater difficulty hearing higher frequencies.
Kidneys. The size of your kidneys shrinks, and the amount your bladder can hold decreases. Your kidneys also become less efficient at removing wastes from your blood.
Muscles. Muscle mass and strength decrease, though increased physical activity can reduce this effect. The amount of water in your tendons and ligaments decreases, increasing stiffness.
Reproductive system. Women produce less estrogen, progesterone and testosterone as they age. The uterus and the vagina shrink, and there's less vaginal lubrication. Men produce less sperm, and their levels of testosterone decrease.
Skin. Your skin thins, and your nails grow at about half the pace they once did. Your sweat and oil (sebaceous) glands become less active, and the moisture in your skin decreases.
Vision. Your eyes are less able to produce tears, your retina thin and your lenses yellow. In your 40s, focusing on objects that are close-up becomes more difficult due to changes in your lenses. Later, your irises stiffen, making your pupils less responsive. This can make it more difficult to adapt to different levels of light. Further changes to your lenses can make you sensitive to glare.


How long can you live?

One hundred twenty-two years is the longest documented human life span. Though a life span this long is rare, improvements in medicine, science and technology in the last century have helped more people live longer, healthier lives. In the early 1900s the average life expectancy in the United States at birth was only about 50 years. Today, it's close to 77.

Moreover, the 85-plus group is the fastest-growing demographic segment in the United States, although the number of people 100 and older has exploded as well. The U.S. Census Bureau projects that the number of people age 85 and older could increase from 4 million in 2000 to 19 million by 2050. And the number of people age 100 and older is projected to more than quadruple from 65,000 in 2000 to 381,000 in 2030.

In the last 10 years, scientists have made great progress in the study of aging. Currently, thousands of research projects on how to slow aging are under way in numerous medical specialties throughout the world. Scientists are studying a variety of topics including everything from cloning for spare parts to how DNA mutations affect aging to fighting cancer with viruses.

But longer lives also mean that some people may spend more time in an incapacitated state at the end of their lives, in part because the United States has done too little to promote healthy aging. Rates of obesity, sedentary lifestyle, smoking and alcohol abuse are still too high. However, researchers say it's never too late to clean up your act. For example, if you quit smoking, your risk of heart disease begins to fall almost immediately. Living a healthy lifestyle can improve how you age. No matter what your age, you can begin preparing now for your later years. You are the master of your own quality of life.

Clearly, old isn't what it used to be. And as more than 70 million baby boomers approach their retirement years, the definition continues to evolve.


You may get more information at http://www.cdc.gov/aging/health_issues.htm and here are the links below to learn more about your health.

Common Conditions in Older Adults
Active Living
Mental Health
Staying Healthy
Managing Your Medical Care
End-of-Life Care

 

 



 

This health article is made available by
Dr. William R Work MD a Family Practice. Family Practice office at 1660 E Herndon Ave. # 101, Fresno, CA, 93720. Dr. Work is easily accessible from Fresno and Clovis.

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