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43 Cards in this Set

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What happens to the skin as we age?

1.Becomes thinner


2.collegen cross linking causes wrinkles


3. Elastin fibres wear out causing sagging


4. Subcutaneous fat loss


5. Age spots


6. Deceased activity of sweat glands


7. Decreased oil production cuasong dryness

List 7

Photoaging

UV rays from sun acclerate aging process of skin

What happens to hair as we age?

Greying due to decrease in pigmentation


Thinning due to decrease in diameter of each individual strand

Epidermis

Outermost layer of the skin; protects the underlying tissue

Dermis

Middle layer of the skin, contains protein molecules of collagen and elastin, among which various nerve cells, glans and other follicles reside

Subcutaneous

Fat layer, starts to thin in the middle of adulthood

What are the changes in body build as we age?

Loss of height due to shrinking of vertebrae


Weight gain then loss


Redistribution of body fat

What are the changes in Mobility that come with age?

Muscle loss - sarcopenia


Loss of bone strenght


Loss of cartilage in the joints

Sarcopenia

Progressive age-related kiss of muscle tissue


Number and size of muscle fibres decreases


12-15% loss per decade

Loss of bone strength

5-12% loss per decade


Due to relative increase in bone destruction compared to growth of tissue



Loss of cartilage

Deleterious changes in every component of joint


Damage is cumulative over ytime

What changes occur to the cardiovascular system with age?

Loss of aerobic capacity

Loss of aerobic capacity

10% decrease per decade


Thickening and hardening of arteries = vasculopathology of aging

Respiratory age-related changes

Loss of expandability of lung tissue


changes in chest wall muscles

Urinary system age-related changes

Reduced efficiency of nephron = 6% per decade


Loss of bladder expandability


Most adults are NOT incontinent

Digestive system age-related changes

There are very minimal effects of aging on the digestive system

Hypothalamus-releasing factors (HRF's)

Produced by hypothalamus


Partially regulates secretion of hormones produced by anterior pituitary

Hormones produced by anterior pituitary

Growth hormone


thyroid-stimulating hormone


Follicle-stimulating hormone


Luteinizing hormone


Prolactin

Insulin-like growth factor (IGF-1)

Partially regulates secretion of hormones produced by anterior pituitary

Growth hormone and IGF-1 (Somatotrophic axis)

Decline in both called somatopause of aging


Leads to:


1. loss of bone mineral content


2. increases in fat


3. decrease in muscle mass


4. losses in strength, exercise tolerance, and quality of life in general

Why is it bad to take GH?

Can catalyze "benign" cancers into becoming "malignant" cancers

Glucocorticoid cascade hypothesis

Idea that aging causes dangerous increases in cortisol


Increased cortisol levels accelerate neuronal loss in the hippocampus




Thyroid hormones

Control basal metabolic rate (BMR)


BMR slows in middle age partly due to decreases in thyroid hormones


Subclinical hypothyroidism may affect 15-18% of 60+

Melatonin

Manufactured by the pineal gland


Controls circadian rhythms



DHEA

Weak male steroid, most abundant in body


Precursor to testosterone and estrogen


Decreases with age referred to as Adrenopause


Not clear whether replacement therapy is safe, exercise is a less risky alternative

Female hormonal changes with age

Menopause - end of menstration (no period for 1 yr)


Perimenopause - preceeding menopause


Estrogen and progesterone gradually decrease


A. Pituitary send FSH and LH to compensate


Hypothalamus sends out less Gonadotrophin-releasing factor


Genitals undergo changes interfering with sex


Bones, cardiovascular disease, and memory affects by estrogen decline



Symptoms of Menopause

Physical: hot flashes, fatigue, headache, night sweats, insomnia


Psychological: irritability, mood swings, depression, memory loss, difficulty concentrating

Hormone Replacement Therapy

Timing is everything!


1. starting HRT early in menopause is safe and effective


2. using HRT for longer/ later in life has no benefit and may be harmful


3. HRT is effective in reducing risk of osteoporosis

Male hormonal changes with age

Andropause refers to age-related declines of testosterone


Lower testosterone levels more likely in men who are diabetic or obese


Testosterone supplements are in increasing use, may be dangerous

Hemispheric Asymmetry Reduction in Older Adults (HAROLD)

Brains of older adults become activated in opposite hemispheres when original hemisphere suffers deficits


Plasticity Model.

Posterior-Anterior Shift with Aging (PASA)

Brains of older adults become activated in opposite hemispheres compared to younger adults and are therefore less lateralized


Plasticity Model.

Neural fallout model

Hypothesis that individuals progressively lose brain tissue over the life span because neurons do not have the ability to replace themselves when they die

Hypothesis that individuals progressively lose brain tissue over the life span because neurons do not have the ability to replace themselves when they die

Plasticity Model

Proposes that neurons that remain alive are able to take over the function of those that die

Proposes that neurons that remain alive are able to take over the function of those that die

Central Nervous System age-related changes

Brain tends to shrink as we get older, 2% per decade


More atrophy in frontal love and hippocampus


Variations between health status and gender

Why do we see older adults using alternate brain circuits then younger adults on the same task?

Younger adults use frontal lobe more efficiently. As we get older, frontal lobe atrophy occurs so brain needs to compensate and work harder using other brain pathways

White matter hyperintensities

Abnormalities in the frontal lobe thought to be made up of parts of deteriorating neurons


Presence seems to interfere with long-term memory because they disrupt integrity of white matter

Changes in Sleep Patterns

Regardless of age everyone needs the same amount of sleep


Older adults seem to spend more time in bed relative to time asleep - takes longer to fall asleep, wake up often, troubles getting out of bed in morning


Sleep is less efficient in older adults - shallower and fragmented

Presbyopia

Stiffening and thickening of the lens due to cross-linking leads to the inability to accommodate

Presbycusis

Changes in cochlea lead to inability to hear high-pitched tones


Exposure to excess noise is most common cause

Tinnitus

Symptom in which the individual perceives sounds in the head or ear when there is no external noise


Can be temporarily associated with exposure to loud noise, antibiotics, and anti-inflammatory agents


Changes in bone of skull from trauma, or wax build up can contribute to tinnitus

What are the increased risks of falling caused by?

Changes in vestibular system - dizziness or vertigo


Mobility Problems - muscle weakness, joint stiffness, loss of BD

How can we reduce problems associated with balance?

Correcting for other sensory deficits (i.e. glasses, hearing aid)


Obtaining balance aids


Changing daily activities


Reducing fear of falling


Developing greater sensitivity


Balance training

Behavioural risk factors for chronic diseases in adulthood