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age-related physiological changes
General
1) diminished ability to maintain homeostasis
2) stress-induced changes more marked than changes at rest
3) variability increases among individuals
4) body size & composition
a) decreased lean/fat body ratio
b) decreased height after age 30-40
c) increased weight up to age 50 in men, 60 in women, then a decline
d) total body water decreases
e) diminished bone mass & total body Ca+2
5) motor skills
a) decreased walking (& running) speed
b) decreased motor coordination
c) increased reaction time
6) pharmacokinetics
a) increased 1/2life of lipid-soluble drugs
b) increased peak concentration of hydrophilic drugs
c) increased time for drug clearance
7) nonlinear patterns occur in molecular markers of aging [14]
- dysregulation occurs at ~44 & ~60 years of chronological age [14]
- cardiovascular disease, lipid & alcohol metabolism changes at the 40-year transition
- immune regulation & carbohydrate metabolism changes at the 60-year transition [14]
Related
aging
biology of aging
confounding factors in evaluation of age related changes
Useful
age-related endocrinopathy
Specific
age-associated changes in adipose tissue
age-associated changes in cardiovascular function
age-associated changes in hearing
age-associated changes in hematologic function
age-associated changes in hematopoiesis
age-associated changes in immunity; immunosenescence
age-associated changes in metabolism
age-associated changes in pulmonary function
age-associated changes in renal function
age-associated changes in skeletal muscle
age-associated changes in sleep
age-associated changes in smell
age-associated changes in teeth
age-associated changes in temperature regulation
age-associated changes in the autonomic nervous system
age-associated changes in the central nervous system
age-associated changes in the digestive system
age-associated changes in the endocrine system
age-associated changes in the eye
age-associated changes in the peripheral nervous system
age-associated changes in the reproductive system
age-associated changes in the skeletal system
age-associated changes in the urinary system
age-associated changes in the vestibular system
age-associated changes in thirst
neuropsychiatric features of aging
pharmacokinetics in the elderly
skin aging (includes aging of skin appendages)
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- Mader S: in: Intensive Course in Geriatric Medicine &
Board Review, Santa Monica, CA, Sept 20-23, 2000
- Essentials of Clinical Geriatrics, 4th ed, Kane RL et al (eds)
McGraw Hill, NY, 1999
- UCLA Intensive Course in Geriatric Medicine & Board Review,
Marina Del Ray, CA, Sept 12-15, 2001
- McPherson, S. Director, Neuropsychology Laboratory UCLA ADRC
- Journal Watch 22(2):17, 2002
- Mader S: UCLA Intensive Course in Geriatric Medicine & Board
Review, Marina Del Ray, CA, Sept 25-28, 2002
- Geriatrics Review Syllabus, American Geriatrics Society,
5th edition, 2002-2004
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013
- Taffet GE, Physiology of Aging,
In: Geriatric Medicine: An Evidence-Based Approach, 4th ed,
Cassel CK et al (eds), Springer-Verlag, New York, 2003
- Mader S: UCLA Intensive Course in Geriatric Medicine & Board
Review, Marina Del Ray, CA, Sept 29-Oct 2, 2004
- Alessi C: UCLA Intensive Course in Geriatric Medicine & Board
Review, Marina Del Ray, CA, Sept 29-Oct 2, 2004
- The Merck Manual of Geriatrics, 3rdh ed, Merck & Co,
Rahway NJ, 2000
- Manor B, Costa MD, Hu K et al
Physiological complexity and system adaptability: evidence
from postural control dynamics of older adults.
J Appl Physiol (1985). 2010 Dec;109(6):1786-91. Epub 2010 Oct 14.
PMID: 20947715
- Shen X, Wang C, Zhou X, Zhou W, Hornburg D, Wu S, Snyder MP.
Nonlinear dynamics of multi-omics profiles during human aging.
Nat Aging. 2024 Aug 14.
PMID: 39143318
https://www.nature.com/articles/s43587-024-00692-2