Aging-Phys Flashcards

1
Q

Senescence

A

Period of life from old age to death

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2
Q

What percentage does chronic diseases account for in the US?

A

70%

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3
Q

Define “aging”

A

Deterioration in function of all tissues and organ systems

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4
Q

Age-Dependen changes definition

A

Changes that are inevitable with age:

  • Decreased number of cells in the body
  • Decreased cell division
  • Increased cell death
  • Malfunction of many cells that remain
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5
Q

Age-Related changes definition

A

Changes that have a great incidence with age but are NOT inevitable

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6
Q

Age-Dependent Changes: Body Composition

A
  • Decreased total body water
  • ->Reduced proteins and lean body mass, increased body fat
  • Difficult regulating body temp
  • Impaired thirst
  • Risk of dehydration greater
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7
Q

Age-Dependent Changes: Musculoskeletal System (muscle changes)

A
  • Reduced muscle mass!
  • ->Lose Type II fibers
  • Reduced muscle strength
  • Decreased: Aerobic capacity, cartilage strength, tendon flexibility
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8
Q

Age-Dependent Changes: Musculoskeletal System (Bone changes)

A
  • Decreased bone density
  • Degenerative joints
  • Spinal curvature
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9
Q

Is osteoporosis a normal part of aging?

A

NO! Preventable

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10
Q

Age-Dependent Changes: Cardiovascular

A
  • Slowed HR
  • Decreased elasticity, Decreased compliance and Increased vascular stiffness
  • Atherosclerosis–> Increased Systolic BP
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11
Q

What age-dependent changes in the respiratory system can increase the risk of infection in older adults?

A

Intercostal musculature atrophy

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12
Q

Age-Dependent Changes: Pulmonary

A
  • Decreased lung elasticity and recoil
  • ->Decreased radial traction=early airway closure and air trapping @ end-expiration
  • ->Trapped air increases FRC and RV
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13
Q

What is the most common dermatologic symptom among older patients?

A

Xerosis (dry skin)

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14
Q

Why does hair turn gray in older patients?

A

Decreased Melanin

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15
Q

Why do older patients have increased frequency of micturition?

A

-Decreased bladder capacity

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16
Q

Decreased renal mass increases what? Decreasees what?

A

Increases Glomerulosclerosis

Decreases # Glomeruli

17
Q

Is incontinence a normal part of aging?

A

NO! Usually due to infection

18
Q

What leads to decreased saliva production?

A

Increased periodontal dz

19
Q

What does decreased peristalsis lead to?

A
  • Delay in food emptying into the stomach

- Increased heartburn

20
Q

What does decreased gastric acidity lead to?

A

-Predisposes to H. pylori infection

21
Q

Why are older men predisposed to urinary retention?

A

Prostate Hyperplasia

22
Q

Does FSH and LH increase or decrease in older females?

A

Increase

23
Q

What is a normal age-dependent change of the nervous system?

A

Decline in weight of the brain

–>decreased blood flow and oxygenation= mild forgetfulness

24
Q

What is a normal age-dependent change of vision?

A

Greater difficulty seeing objects in dim light b/c lens grow larger and thicker= less elastic

25
Q

Presbyopia

A

Can’t focus on near objects (farsighted)

26
Q

Need for bifocals?

A

Due to non-accommodating

27
Q

What is difficult for older people to hear?

A

High pitched consonants

–>due to gradual cumulative loss of hair cells and neurons

28
Q

Presbycusis

A

Gradual loss of hearing associated with aging

29
Q

Otosclerosis

A

Fusion of ear ossicles producing conductive hearing loss

30
Q

Causes of Aging: Programmed theories (aging is programmed into our bodies

A
  • Programmed senescence: timed cell apoptosis
  • Hormonal: Biologic clock alters hormone secretion
  • Immunologic: T cell function declines
  • Telomere shortening
31
Q

Stochastic Theories-Process of living: related to environmental impacts

A
  • Oxygen free radicals: Tissue damage caused by free radicals
  • Metabolic rate: higher BMR, shorter lifespan
  • Glycation
  • Wear and tear
32
Q

Anti-aging: Mediterranean Diet

A
  • High fish, low meat, moderate alcohol

- Promotes omega 3-fatty acids, Vitamin D, Vitamin B

33
Q

Anti-Aging: Resveratrol

A

Red wine: Reduced risk for blood clotting, lower “bad” LD cholesterol

34
Q

Anti-Aging: Caloric Restriction

A

-May reduce formation of free radicals