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16 Cards in this Set

  • Front
  • Back
When does aging begin
Not at birth
it begins in the 20’s & 30’s when reproductive maturity is complete
Describe Normal aging's progressive decline
Decline is
Gradual
Linear
Variable between individuals and among organ systsm
Influences by genetics, diet, environment, personal habits
How much reserve capacity do we lose per year
1% per year

By 119 we have 0% reserve capacity
What are Different ways that organ system changes
Total loss of function

Loss of units of function

Reduced efficiency w/o anatomic loss

Sometimes increase in function (like with ADH allowing water retention)
Normal Vision Changes
Smaller pupils

Slower reaction to light

Increased thickness of lens and less elasticity causing less accommodation (presbyopia)

Increase susceptibility to glare

Whites seen as yellows

Cataracts
Normal Hearing Changes
More prevalent in men than woman

Inability to hear high frequency
Changes in Body Composition
Less water

Increased fat

Less muscle mass

Less bone minerals (osteopenia)
Normal Musculoskeletal Changes
Less lean body mass
Less muscle strength

Less bone density

Less cartilage

All results in slower, stiffer movements

Shrink as you get older (1 inch per decade)
How much do we shrink
1 inch per decade

Due to collapse of vertebral column, flattening of foot arches, increase in spinal curvature
Normal Nervous System Changes
Thickening of blood vessels causes less blood to brain leading to mild forgetfulness

Decreased individual neurons

Decrease brain size and weight

Decrease neurotransmitters

All leads to slower reflexes and increased reaction time
Normal Cardiovascular System Changes
Arterial walls get stiffer

Increase blood pressure

Decrease baroreceptor sensitiity

Therefore impaired response to rapid blood pressure changes
Normal Respiratory Changes
Less lung elasticity

Greater chest wall stiffness

Less expiratory volume

Causes 50% reduction in breathing capacity
Normal GI Changes
Less hepatic function

Less gastric acidity

Less colic motility

Less liver mass
Normal Endocrine Changes
Less glucose tolerance

Greater ADH

Less thymus activity
Serum creatinin
Does not change

Serum creatin matches creatinine clearance so no net change is seen
What things should not change
Hematocrit level

Fasting blood glucose level

Serum electrolytes

Blood gas levels

Serum Creatin levels