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73 Cards in this Set

  • Front
  • Back
avg life expectancy?
76-77
when does aging begin?
24-28 yrs
4 theories of aging
genetic theory
immunological
free radical
caloric intake
the genetic theory states that what occurs w/i our genes? and what does this do?
mutations that alter our gene programming that results in quicker aging and bringing death prior to reaching max life span
2 components of the immune system important in determining the aging process & poor health
-failure/slowing of immune system, disables ability to fight disease
-when failure begins, it starts developement of antibodies a/g own tissues
what theory of aging suggests that the immune system begins to fail?
immunological theory
most old age diseases are of what type?
autoimmune process where receptors/proteins are destroyed which brings about a failing body and reduces life expectancy
what are very active chemical components that are formed in the body as part of normal metabolism?
free radicals
what neutralizes free radicals? what happens as you get older?
antioxidants, and as you get older you produce less
what can determine, to some extent, the amt of free radicals in the body?
caloric intake!
-minimal/required intake...there is less free radicals produced d/t lower metabolic rate
what do you need to do to live longer according to the caloric intake theory?
eat less and get good physical exercise
what is a continuation of life with a decreasing capacity for adaptation?
aging
study of the normal aging process
gerontology
at what age do we consider people to start having aging problems...changes in physical/physiological environment resulting in abnormalities?
65
what is caring for the aged and the diseases of old age?
geriatric medicine
aging of the physiological organ systems occurs over what ages?
30-75
in aging, brain mass decreases how much?
10-15%
what does brain post-mitotic mean?
cells do not replicate once lost.
when brain cells are lost over the lifespan, mass decreases
in aging, nerve conduction velocity decreases by?
20%
in aging, basal metabolic rate decreases by how much?
20-25%
by age 75, how many calories do you need d/t decrease in basal metabolic rate?
1500
what is the rule of thumb for cardiac output during aging?
it drops about 1%/yr over age 35
GFR decreases and increases over lifespan are?
drops til age 35
then increases slightly til 45
then decreases 50-60% of normal
what happens to the overall collagen content and how does it affect the heart?
it increases, causing walls of heart to become stiffer..leading to hypertrophy to try to compensate for decreased CO
what happens to our stress response as we get older? how is this affected by the heart?
decreases, less beta receptors on heart which inhibits hearts ability to increase rate & contractility
at 25, max HR is ?
at 65, mas HR is ?
200
150
two factors r/t filling and contraction that decreases hearts' response to stress
calcification and collagen content
what causes abnormal conducting pattern in aging, leading to changes in EKG
calcification and stiffness
what decreases elasticity of vessel walls and increases BP?
reduction in quality and quantity of elastin
normal hardening of all of the vessels is ?
arteriosclerosis
pathological hardening of the arteries is ?
atherosclerosis
what is the leading cause of death? why?
heart disease d/t to the CV changes occurring both pathologically and normally w/ age
how much of the population diet of heart disease?
60%!!!!!!!!!!!!!!!!!!!!!!!!
over 65:
40% heart disease
15% CVA
5% vascular deficiencies
what causes decreased compliance of the lungs and chest wall?
calcifications
what happens to your vital capacity as you age?
decreases
6 resp effects of aging
decrease compliace of lungs/chest wall
decrease vital capacity
decrease stress response
v/q mismatches
decrease in pulm diffusing capacity
decrease reflex response to hypoxia/hypercapnia
by the age of 75-80, your vital capacity decreases by how much?
60%
tubular function, which is decreased in aging leads to?
fluid and electrolyte imbalances
more prevalent over 65
what electrolye imbalance is the main problem? what age do we often see this?
K
over 70
what is one of the leading cancers in men?
prostate
50-75% of males over 55-60 have some form of prostate enlargement
what contains the nerves and vessels of the tooth?
pulp chamber
what happens to your teeth & dentin-pulp complex as you age?
increased calcification
as you age, your salivary glands undergo what?
fatty metamorphosis, can decrease to 75% of normal
dry mouth syndrome and what does it do to ability to taste?
xerostomia, decreases taste receptors as well as less salvia to put food into solution
do GI enzymes decrease w/ age?
no, just decreased absorption along GI tract
weakening of intestinal walls in aging causes what?
diverticulosis, and with decreased motility fecal impaction can develop and cause diverticulitis
after age 50, atrophy of the liver causes?
liver fxn to decrease signficantly, drugs will not clear as rapidly
the minimal amt of calories needed to maintain an individuals life is the ?
BMR
normal caloric expenditure per day for 30 y/o is ?
2000
how can you raise your BMR?
good aerobic exercise
what is the avg reduction in total brain mass over a lifetime?
15-20%
an EEG of a 65 y/o looks similar to the EEG of whom?
a pre-puberty child
"second childhood"
describe sleep as you age
require less and more interruptions
when do you lose long-term memory?
alzheimers
in normal aging, with senile dementia, you lose what?
some degree of short term memory
what is the cause of less reflex response, slower reaction time?
depression of peripheral nerve conduction
what is loss of accommodation?
presbyopia
what is the cause of the loss of accommodation?
loss elasticity of lens, need reading glasses
what senses progressively decrease w/ age? why?
taste, smell, touch, pain
-there is a decrease in number of these receptors
decreased capacity to sweat can cause?
loss of ability to regulate temp, fevers can get very high
how do you get atrophy of muscles?
disuse, occurs even w/ physical activity, but muscle tone can be mainatined for a longer period of time by exercise
what happens to red muscle cells? white muscle cells?
red- decrease in #
white- decrease in volume
when do you see a significant loss in cartilage?
after 55
when cartilage is lost and bones rub together and cause joint pain is ?
degenerative arthritis
what causes peeps to get shorter d/t to loss of cartilage in spinal column?
degenerative arthritis
who has the most bone loss?
females, esp after menopause
when do you see a high incidence of spontaneous fractures?
after 85
what contributes to overall well being rather than imposing danger to health!
Sexuality
in old age, what is a sign of a healthy mental status?
healthy sexual expression
3 points to successful aging
-maintain high congnitive and physical fxn (exercise, crossword puzz, sex)
-avoid diseases (eat well, MVI)
-engagement w/ life-stay involved
in aging, what causes GI contractions to become weak and irregular leading to loss of GI motility?
hypokalemia
loss of fine detail is what? what is it caused by?
loss of visual acuity, caused by decreased blood flow leading to macular degeneration
what blood disorder is often seen in elderly women d/t the decreased absorption of the GI tract?
pernicious anemia d/t their inability to absorb intrinsic factor, so decreases absorption of B12