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30 Cards in this Set

  • Front
  • Back
leading causes of death in >65 yoa
1. heart disease - 32%
2. ca - 22%
prevalent conditions in 65+ yoa
1. arthritis - 0.5%
2. HTN - 0.36%
programmed theories: definition
describe aging regarding biological timeline, or as continuation of processes that regulate growth & development
different programed theories
1. programmed longevity theory (planned obsolescence theory)
2. endocrine theory
3. immunologic theory
programmed longevity theory (planned obsolescence theory)
aging = result of activation & deactivation of genes over time

senescence = when age associated deficits being to appear
endocrine theory
hormones are vital for regulating & repairing bodily functions;

senescence = reduction of hormone production

-->decline in body's ability to regulate/repair
immunologic theory
decline in immune system functions = increased vulnerabliity to infectious disease

--> immune dysregulation = increased risk of developing autoimmune disease
error theories - definition
environmental assaults on cells, tissue, organs --> gradually resulting in senescence
types of error theories
1. wear and tear theory
2. rate of living theory
3. crosslinking theory
4. free radical theory
5. telomere theory
6. misfolded protein theory
wear and tear theory
cell damage due to use

tissues and organs wearing cells out
rate of living theory
we have limited # of heartbeats/breaths

eventually run out

more plausible model is the one of O2 metabolism:
rapid metabolism = shorter life span

***human fish - different mitochondria; can live 100 yrs
crosslinking theory
w/ age, DNA, proteins, and other molecules develop attachments --crosslinks-- w/ each other

interferes w/ nL cellular fnxn
free radical theory
free radicals are nL byproduct of metabolism

1. free radicals cause aging
2. exacerbate aging related issues
telomere theory
each mitosis reduces size of telomere

shortening leads to eventual failure of mitosis

ca cells receive immortality by preserving telemorase
misfolded protein theory
HSP (heat shock pro) and mol chaperones fail --> misfolded proteins accumulate

accumulation --> failed heat shock response (heat shock response = refolding process)
aging associated changes mainly result of:
1. underlying physiologic changes that occur w/ age
2. presence of other ds & conditions that developed over time
3. genetic predisposition (to ds)
4. lifestyle factors - diet, exercise, cigs, booze, sun, meds, toxins (huffing cat feces)
heart
a. atrophy cardiac mm
-->reduced flow, dec supply to body

b. loss of elasticity in artery walls
-->development of HTN

a+b= loss stamina, inc susceptibility to drug tox (reduced renal/liver fnxn), cardiac diseases...
respiratory
a. loss of elasticity in airways of lung tissue
b. atrophy of resp mm
c. arthritis of rib cage

a+b+c= dev of HTN ==> sob, loss stamina, fatigue, susceptibilty to resp infxns
musculoskeletal
a. atrophy mm
b. replacement of mm w/ fat
a+b = loss of tone & strength
c. ca++ decrease (age 35)
d. bone density decreases (same age)
c+d=osteoporosis, red weight bearing capacity ==>spont fract.
e. thinning vertebrae
f. other spinal column changes
e+f=red height, postural changes ==>bending difficulty
g. joint changes = worsened arthritis ==> impaired mobility, etc
brain
a. shrinks (@ 65 yoa, dec up to 10%)
b. changes in nerve receptors
c. red prod. of NTs
b+c= dec efficiency of nerve transmission ==>dec response time, inc falling/loss balance
d. fragmented sleep patterns

****intelligence is PRESERVED
vision
a. loss lens elasticity
b. yellowing lens --> can't see blue
c. reduced light transmission
d. dec visual acuity
e. dec tear prod
f. age related conditions - cataracts
hearing
1. changes in mid ear -> loss of high freq
2. sig hearing loss is NOT nL PART OF AGING
3. deg of neural transmission
taste, smell
1. red # taste buds
2. loss smell usually due to SECONDARY CAUSE (polyp, etc)
mouth
thinning oral epithelium
gingival recession
swallowing probs
stomach
little effects in gastric secretions
small intestines
dec absorption
large intestines
slow transit
increased opoid receptors
panc, liver, gall bladder
loss hepatocytes
LESS INSULIN PROD. NOT FROM AGING
urinary
dehydration is MC fluid & electrolyte disorder in elderly
endocrine
decreased lvls of aldost, calciton, GH + dec liv/kidney fnxn = nL or higher circulating levels

red of receptors = diabetes