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BIOLOGY OF AGING
1
Biological Aging
• Biologist & gerontologist used concept of senescence
to explain biological aging
• Senescence or normal aging refers to a gradual, time
related to biological process that takes places as
degenerative processes overtake regenerative or
growth processes.
• or
senescence: a change in the behavior of an organism with age
leading to a decreased power of survival and adjustment
2
• Characteristics of senescence are as follows:
• The universal process
• The changes comes from organism itself
• The process occurred slowly
• The process contribute to deficit
3
• According to biological approaches, biological aging
can be divided into 3 types
• Primary aging
• Is the basic, shared, inevitable set of gains or declines
governed by some kind of maturational process
• Secondary aging
• Is the product of environmental influences, health
habits, or disease and is neither inevitable nor shared by
all adults
• Tertiary aging
• Refers to quickly deficit in the last few years prior to
death
4
Theories of Aging: Types
• Biologic
• Sociologic
• Psychologic
• Moral/Spiritual
Theories
6
Biologic Theories:
• Concerned with answering basic questions regarding the
physiological processes that occur in all living organisms as
they chronologically age
Foci of Biologic Theories
• Explanations of:
• 1) deleterious effects leading to decreasing function of the
organism
• 2) gradually occurring age-related changes that are progressive
over time
• 3) intrinsic changes that can affect all member of a species
because of chronologic age
• ALSO:
• all organs in any one organism do not age at the same rate
• any single organ does not necessarily age at the same rate in
difference individuals of the same species
Biologic Theories: Divisions
• Stochastic: Explain aging as events that occur randomly and
accumulate over time
• Nonstochastic: View aging as certain predetermined, timed
phenomena
• Stochastic Theories or environmental theories
• Error Theory Free Radical Theory
• Cross-Linkage Theory
• Wear & Tear Theory
Error Theory
• Originally proposed in 1963
• Basis: 1)errors can occur in the transcription in any step of the
protein synthesis of DNA
• 2) error causes the reproduction of an enzyme or protein that is
not an exact copy
• 3) As transcription errors to occur, the end product would not
even resemble the original cell, thereby compromising its
functional ability
Error, cont’d
• More recently the theory has not been supported by research
• not all aged cells contain altered or misspecified proteins
• nor is aging automatically or necessarily accelerated if
misspecified proteins or enzymes are introduced into a cell
Free Radical Theory
• Free radicals are byproducts of metabolism--can increase as a
result of environmental pollutants
• When they accumulate, they damage cell membrane,
decreasing its efficiency
• The body produces antioxidants that scavenge the free
radicals
Free Rads, cont’d
• In animal studies, administration of antioxidants postpones
the appearance of diseases such as cardiovascular disease and
CA
• Free radicals are also implicated in the development of
plaques associated with Alzheimer’s
Cross-Linkage Theory
• Some proteins in the body become cross-linked, thereby not
allowing for normal metabolic activities
• Waste products accumulate
• Result: tissues do not function at optimal efficiency
C-L Theory, cont’d
• Some research supports a combination of exercise and dietary
restrictions in helping to inhibit the cross-linkage process
Wear & Tear Theory
• Proposed first in 1882
• Cells simply wear out over time because of continued use--
rather like a machine
• Would seem to be refuted by the fact that exercise in OA’s
actually makes them MORE functional, not less
• Nonstochastic Theories:
• Programmed Theory
• Immunity Theory
Programmed (Hayflick Limit)
Theory
• Based on lab experiments on fetal fibroblastic cells and their
reproductive capabilities in 1961
• Cells can only reproduce themselves a limited number of
times.
• Life expectancies are seen as preprogrammed within a
species-specific range
Immunity Theory
• Immunosenescence: Age-related functional diminution of the
immune system
• Lower rate of T-lymphocyte (“killer cells”) proliferation in
response to a stimulus
• & therefore a decrease in the body’s defense against foreign
pathogens
Immunity, cont’d
• Change include a decrease in humoral immune response,
often predisposing older adults to:
• 1)decreased resistance to a tumor cell challenge and the
development of cancer
• 2) decreased ability to initiate the immune process and mobilize
defenses in aggressively attaching pathogens
• 3) increased susceptibility to auto-immune diseases
EMERGING THEORIES OF AGING
• Neuroendocrine Control (Pacemaker) Theory
• Metabolic Theory/Caloric Restriction
• DNA-Related Research
Neuroendocrine Control
• “…examines the interrelated role of the neurologic and
endocrine systems over the life-span of an individual”. (p. 24)
• there is a decline, or even cessation, in many of the
components of the neuroendocrine system over the lifespan
Neuro, cont’d
• Research has shown
• 1) the female reproductive system is controlled by the
hypothalamus. What are the mechanisms that trigger changes?
• 2) adrenal glands’ DHEA hormone
• 3) melatonin (from pineal gland)--a regulator of biologic rhythms
and a powerful antioxidant. Declines sharply from just after
puberty
Metobolic Theory of Aging (Caloric
Restriction)
• “…proposes that all organisms have a finite amount of
metabolic lifetime and that organisms with a higher metabolic
rate have a shorter lifespan”. (p. 24)
• Rodent-based research has demonstrated that caloric
restriction increases the lifespan and delays the onset of age-
dependent diseases
DNA-Related Research
• Major Developments:
• Mapping the human genome (“…there may be as many as 200
genes responsible for contolling aging in humans”)
• Discovery of telomeres
SOCIOLOGIC THEORIES OF AGING
• Disengagement Theory
• Activity/Developmental Task Theory
• Continuity Theory
• Age Stratification Theory
• Person-Environment Fit Theory
• Changing FOCUS of Sociological considerations of aging:
• 60’s focus on losses and adaptation to them
• 70’s broader global, societal, and structural factors influencing
lives of OA’s
• 80’s-90’s exploration of interrelationships between OA’s and their
physical, political, environmental & socioeconomic mileau
Disengagement Theory
• Cumming & Henry--1961
• Aging seen as a developmental task in and of itself, with its
own norms & appropriate patterns of behavior
• “appropriate” behavior patterns involved a mutual agreement
between OA’s and society on a reciprocal withdrawal.
• No longer supported
Activity Theory (Developmental
Task Theory)
• Havighurst, Neugarten, Tobin ~1963
• “Activity is viewed by this theory as necessary to maintain a
person’s life satisfaction and a positive self-concept”. (p.27)
Activity, cont’d
• Theory based on assumptions:
• 1) it’s better to be active than inactive
• 2) it is better to be happy than unhappy
• 3) an older individual is the best judge of his or her own success
in achieving the first two assumptions
Continuity Theory
• How a person has been throughout life is how that person will
continue through the remainder of life
• Old age is not a separate phase of life, but rather a
continuation and thus an integral component
Age Stratification Theory
• Riley--1985
• Society consists of groups of cohorts that age collectively
• The people & Roles in these cohorts change & influence each
other, as does society at large
• Thus, there is a high degree of interdependence between
older adults & society
Person-Environment Fit Theory
• Lawton, 1982
• Individuals have personal competencies that assist in dealing
with the environment:
• ego strength
• level of motor skills
• individual biologic health
• cognitive & sensory-perceptual capacities
P-E Fit, cont’d
• As a person ages, there may be changes in competencies &
these changes alter the ability to interrelate with the
environment
• Significant implications in a society that is characterized by
constantly changing technology
PSYCHOLOGIC THEORIES OF
AGING
• Maslow’s Hierarchy of Human Needs
• Jung’s Theory of Individualism
• Erikson’s Eight Stages of Life
• Peck’s Expansion of Erikson’s Theory
• Selective Optimization with Compensation
PROGRAMMED AGING RANDOM EVENTS
• Genetic life-span
theory
• Genetic
predisposition theory
• Telomere theory
• Specific system
theories
(Neuroendocrine
theory)
• Wear and tear theory
• Rate of living theory
• Waste product
accumulation theory
• Cross-linking theory
• Free radical theory
• Autoimmune theory
• Error theories
• Order to disorder
38
BIOLOGICAL THEORIES ON AGING
PROGRAMMED
AGING
39
Programmed Ageing
• Aging and death are genetically determined and are
‘programmed’ in organisms
40
Figure 1: The life history events of mammals, such as development, reproduction, and
aging, typically occur in proportion to the entire lifespan.
Genetic Life-span Theory
• The length of life is genetically programmed.
• One example is the lifespan of organisms.
• An organism’s life span is part of its genetic makeup.
41
42
Telomere theory
• Telomere is the tail of chromosome
that is made of DNA but has no
genetic information.
• Telomeres protect the ends of
chromosomes from being degraded
and fusing with other chromosome
ends.
43
Telomere theory
• Telomere theory is based on the fact
that every time a cell replicate, it
loses part of its telomere.
• The older the cell (the more time it
has divided), the shorter the length
of telomeres.
44
• As the length of a telomere
decreases, changes may occur in
patterns of gene expression that
could affect both the functioning of
the cell and the organ system in
which it operates.
45
Neuroendocrine Theory
• Focus on changes in the hypothalamus and
pituitary gland that lead to decreased function
of the endocrine system and widespread
aging effects.
46
47
RANDOM
EVENTS
48
BIOLOGICAL THEORIES OF AGING
• Wear and tear theory
• Suggest that the body is much like a machine
• The human body ages because it “wears out” over time in
response to the stresses of life
• Some kinds of exertion or activity promote vitality and are
essential to long life
• Other kinds of stressful activities are detrimental to
longevity
49
50
51
BIOLOGICAL
CHANGES
Changes in Physical Appearance
•Hair
• Gradual thinning & graying of the hair
results from a cessation of pigment
production of both men & women
• Hair loss is cause by destruction of the
germ centers that produce hair follicles
• Men usually do not lose facial hair as they
age
• Women develop patches of hair on their
face especially on their chin
52
In women, especially near
menopause age as the
ovary functions slow
down then there can be
more DHEA or androgens
produced thus causing an
increase in facial hair or
hirsutism. As the woman
begins to produce more
androgens rather than
estrogens she may begin
to experience an increase
in facial hair.
53
• Skin integumentary system
• Wrinkles results from a complex process
• 4 steps to make a wrinkle
• the outer layer of skin becomes thinner through
cell loss
• the collagen fibers that make up the connective
tissue lose much of their flexibility, making the
skin less able to regain its shape after a pinch
• elastin fibers in the middle layer of skin lose
their ability to keep the skin stretched out
• the underlying layer of fat, which helps provide
padding to smooth out the contours, diminishes.
54
•Body build
•2 noticeable changes occur in body
build during adulthood
• a decrease in height
• fluctuations in weight
55
Body fluids
56
•Changes in the Skeletal System
•The loss of bone
•Osteoporosis –defined as a decrease
in bone mass & strength
•Osteoarthritis – a degenerative joint
disease
57
•Changes in the Cardiovascular
System
•the main function of heart is
pumping blood
•Age-related structural changes
in the heart
•the accumulation of fat
deposit
•the stiffening of the heart
muscle due to tissue changes
58
• Cardiovascular diseases
• Ischemic heart disease
• Cardiac Arrhythmias
• Angina
• Myocardial infarction
• Atherosclerosis
• Cerebrovascular Disease
• Hypertension
59
• Changes in the Respiratory System
• Age-related to structural and functional
• With increasing age, the rib cage and the
air passageways become stiffer
• Changes in the maximum amount of air
we can take into the lungs in a single
breath
• Respiratory disease
• Emphysema
60
•Changes in the Immune system
•The immune system is a fascinating
array of cells and process
• lymphocytes
• antibodies
• autoimmunity
•Older adults’ immune systems take
longer to build up defense against
specific disease 61
• Changes in the Reproductive System
• Women
• The major reproductive change in women during adulthood is the
loss of the ability to bear children
• Begins in the 40s, as menstrual cycles become irregular and by the
age of 50 to 55 it is usually complete - menopause
• A variety of physical and psychological symptoms
• Men
• Men do not have a physiological & cultural event to mark
reproductive changes.
• Do experience a normative decline in the quantity of sperm
62
• Changes in the Sensory System
• Vision
• The major changes in visual
functioning can be group into 2
classes :
I. changes in the structures of the
eye
• disease: cataracts & glaucoma
II. changes in the retina
• usually begin 50s
• disease: macular degeneration &
diabetic retinopathy
63
• Age related decrease
in the ability to focus
on nearby objects -
presbyopia
• Age related decrease
the ability to see
detail and to
discriminate different
visual patterns -acuity
64
•Hearing
•Hearing loss with age is
greatest for high pitched
tones-presbycusis
•Tinnitus
65
•Taste
•Taste ability changes
with age
66
• Smell
• The ability to detect odors
remains fairly intact until 60s,
when it begins to decline fairly
rapidly
• Touch
• Age-related changes in touch
67
• Changes in Digestive System
• Intestine
• Liver
• Gall-bladder
68
GALL BLADDER DISEASES
69
•Brain
• Age related structural changes in the neuron
• Alzheimer’s disease
70

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Biology of Aging

  • 2. Biological Aging • Biologist & gerontologist used concept of senescence to explain biological aging • Senescence or normal aging refers to a gradual, time related to biological process that takes places as degenerative processes overtake regenerative or growth processes. • or senescence: a change in the behavior of an organism with age leading to a decreased power of survival and adjustment 2
  • 3. • Characteristics of senescence are as follows: • The universal process • The changes comes from organism itself • The process occurred slowly • The process contribute to deficit 3
  • 4. • According to biological approaches, biological aging can be divided into 3 types • Primary aging • Is the basic, shared, inevitable set of gains or declines governed by some kind of maturational process • Secondary aging • Is the product of environmental influences, health habits, or disease and is neither inevitable nor shared by all adults • Tertiary aging • Refers to quickly deficit in the last few years prior to death 4
  • 5. Theories of Aging: Types • Biologic • Sociologic • Psychologic • Moral/Spiritual
  • 7. Biologic Theories: • Concerned with answering basic questions regarding the physiological processes that occur in all living organisms as they chronologically age
  • 8. Foci of Biologic Theories • Explanations of: • 1) deleterious effects leading to decreasing function of the organism • 2) gradually occurring age-related changes that are progressive over time • 3) intrinsic changes that can affect all member of a species because of chronologic age
  • 9. • ALSO: • all organs in any one organism do not age at the same rate • any single organ does not necessarily age at the same rate in difference individuals of the same species
  • 10. Biologic Theories: Divisions • Stochastic: Explain aging as events that occur randomly and accumulate over time • Nonstochastic: View aging as certain predetermined, timed phenomena
  • 11. • Stochastic Theories or environmental theories • Error Theory Free Radical Theory • Cross-Linkage Theory • Wear & Tear Theory
  • 12. Error Theory • Originally proposed in 1963 • Basis: 1)errors can occur in the transcription in any step of the protein synthesis of DNA • 2) error causes the reproduction of an enzyme or protein that is not an exact copy • 3) As transcription errors to occur, the end product would not even resemble the original cell, thereby compromising its functional ability
  • 13. Error, cont’d • More recently the theory has not been supported by research • not all aged cells contain altered or misspecified proteins • nor is aging automatically or necessarily accelerated if misspecified proteins or enzymes are introduced into a cell
  • 14. Free Radical Theory • Free radicals are byproducts of metabolism--can increase as a result of environmental pollutants • When they accumulate, they damage cell membrane, decreasing its efficiency • The body produces antioxidants that scavenge the free radicals
  • 15. Free Rads, cont’d • In animal studies, administration of antioxidants postpones the appearance of diseases such as cardiovascular disease and CA • Free radicals are also implicated in the development of plaques associated with Alzheimer’s
  • 16. Cross-Linkage Theory • Some proteins in the body become cross-linked, thereby not allowing for normal metabolic activities • Waste products accumulate • Result: tissues do not function at optimal efficiency
  • 17. C-L Theory, cont’d • Some research supports a combination of exercise and dietary restrictions in helping to inhibit the cross-linkage process
  • 18. Wear & Tear Theory • Proposed first in 1882 • Cells simply wear out over time because of continued use-- rather like a machine • Would seem to be refuted by the fact that exercise in OA’s actually makes them MORE functional, not less
  • 19. • Nonstochastic Theories: • Programmed Theory • Immunity Theory
  • 20. Programmed (Hayflick Limit) Theory • Based on lab experiments on fetal fibroblastic cells and their reproductive capabilities in 1961 • Cells can only reproduce themselves a limited number of times. • Life expectancies are seen as preprogrammed within a species-specific range
  • 21. Immunity Theory • Immunosenescence: Age-related functional diminution of the immune system • Lower rate of T-lymphocyte (“killer cells”) proliferation in response to a stimulus • & therefore a decrease in the body’s defense against foreign pathogens
  • 22. Immunity, cont’d • Change include a decrease in humoral immune response, often predisposing older adults to: • 1)decreased resistance to a tumor cell challenge and the development of cancer • 2) decreased ability to initiate the immune process and mobilize defenses in aggressively attaching pathogens • 3) increased susceptibility to auto-immune diseases
  • 23. EMERGING THEORIES OF AGING • Neuroendocrine Control (Pacemaker) Theory • Metabolic Theory/Caloric Restriction • DNA-Related Research
  • 24. Neuroendocrine Control • “…examines the interrelated role of the neurologic and endocrine systems over the life-span of an individual”. (p. 24) • there is a decline, or even cessation, in many of the components of the neuroendocrine system over the lifespan
  • 25. Neuro, cont’d • Research has shown • 1) the female reproductive system is controlled by the hypothalamus. What are the mechanisms that trigger changes? • 2) adrenal glands’ DHEA hormone • 3) melatonin (from pineal gland)--a regulator of biologic rhythms and a powerful antioxidant. Declines sharply from just after puberty
  • 26. Metobolic Theory of Aging (Caloric Restriction) • “…proposes that all organisms have a finite amount of metabolic lifetime and that organisms with a higher metabolic rate have a shorter lifespan”. (p. 24) • Rodent-based research has demonstrated that caloric restriction increases the lifespan and delays the onset of age- dependent diseases
  • 27. DNA-Related Research • Major Developments: • Mapping the human genome (“…there may be as many as 200 genes responsible for contolling aging in humans”) • Discovery of telomeres
  • 28. SOCIOLOGIC THEORIES OF AGING • Disengagement Theory • Activity/Developmental Task Theory • Continuity Theory • Age Stratification Theory • Person-Environment Fit Theory
  • 29. • Changing FOCUS of Sociological considerations of aging: • 60’s focus on losses and adaptation to them • 70’s broader global, societal, and structural factors influencing lives of OA’s • 80’s-90’s exploration of interrelationships between OA’s and their physical, political, environmental & socioeconomic mileau
  • 30. Disengagement Theory • Cumming & Henry--1961 • Aging seen as a developmental task in and of itself, with its own norms & appropriate patterns of behavior • “appropriate” behavior patterns involved a mutual agreement between OA’s and society on a reciprocal withdrawal. • No longer supported
  • 31. Activity Theory (Developmental Task Theory) • Havighurst, Neugarten, Tobin ~1963 • “Activity is viewed by this theory as necessary to maintain a person’s life satisfaction and a positive self-concept”. (p.27)
  • 32. Activity, cont’d • Theory based on assumptions: • 1) it’s better to be active than inactive • 2) it is better to be happy than unhappy • 3) an older individual is the best judge of his or her own success in achieving the first two assumptions
  • 33. Continuity Theory • How a person has been throughout life is how that person will continue through the remainder of life • Old age is not a separate phase of life, but rather a continuation and thus an integral component
  • 34. Age Stratification Theory • Riley--1985 • Society consists of groups of cohorts that age collectively • The people & Roles in these cohorts change & influence each other, as does society at large • Thus, there is a high degree of interdependence between older adults & society
  • 35. Person-Environment Fit Theory • Lawton, 1982 • Individuals have personal competencies that assist in dealing with the environment: • ego strength • level of motor skills • individual biologic health • cognitive & sensory-perceptual capacities
  • 36. P-E Fit, cont’d • As a person ages, there may be changes in competencies & these changes alter the ability to interrelate with the environment • Significant implications in a society that is characterized by constantly changing technology
  • 37. PSYCHOLOGIC THEORIES OF AGING • Maslow’s Hierarchy of Human Needs • Jung’s Theory of Individualism • Erikson’s Eight Stages of Life • Peck’s Expansion of Erikson’s Theory • Selective Optimization with Compensation
  • 38. PROGRAMMED AGING RANDOM EVENTS • Genetic life-span theory • Genetic predisposition theory • Telomere theory • Specific system theories (Neuroendocrine theory) • Wear and tear theory • Rate of living theory • Waste product accumulation theory • Cross-linking theory • Free radical theory • Autoimmune theory • Error theories • Order to disorder 38 BIOLOGICAL THEORIES ON AGING
  • 40. Programmed Ageing • Aging and death are genetically determined and are ‘programmed’ in organisms 40 Figure 1: The life history events of mammals, such as development, reproduction, and aging, typically occur in proportion to the entire lifespan.
  • 41. Genetic Life-span Theory • The length of life is genetically programmed. • One example is the lifespan of organisms. • An organism’s life span is part of its genetic makeup. 41
  • 42. 42
  • 43. Telomere theory • Telomere is the tail of chromosome that is made of DNA but has no genetic information. • Telomeres protect the ends of chromosomes from being degraded and fusing with other chromosome ends. 43
  • 44. Telomere theory • Telomere theory is based on the fact that every time a cell replicate, it loses part of its telomere. • The older the cell (the more time it has divided), the shorter the length of telomeres. 44
  • 45. • As the length of a telomere decreases, changes may occur in patterns of gene expression that could affect both the functioning of the cell and the organ system in which it operates. 45
  • 46. Neuroendocrine Theory • Focus on changes in the hypothalamus and pituitary gland that lead to decreased function of the endocrine system and widespread aging effects. 46
  • 47. 47
  • 49. BIOLOGICAL THEORIES OF AGING • Wear and tear theory • Suggest that the body is much like a machine • The human body ages because it “wears out” over time in response to the stresses of life • Some kinds of exertion or activity promote vitality and are essential to long life • Other kinds of stressful activities are detrimental to longevity 49
  • 50. 50
  • 52. Changes in Physical Appearance •Hair • Gradual thinning & graying of the hair results from a cessation of pigment production of both men & women • Hair loss is cause by destruction of the germ centers that produce hair follicles • Men usually do not lose facial hair as they age • Women develop patches of hair on their face especially on their chin 52
  • 53. In women, especially near menopause age as the ovary functions slow down then there can be more DHEA or androgens produced thus causing an increase in facial hair or hirsutism. As the woman begins to produce more androgens rather than estrogens she may begin to experience an increase in facial hair. 53
  • 54. • Skin integumentary system • Wrinkles results from a complex process • 4 steps to make a wrinkle • the outer layer of skin becomes thinner through cell loss • the collagen fibers that make up the connective tissue lose much of their flexibility, making the skin less able to regain its shape after a pinch • elastin fibers in the middle layer of skin lose their ability to keep the skin stretched out • the underlying layer of fat, which helps provide padding to smooth out the contours, diminishes. 54
  • 55. •Body build •2 noticeable changes occur in body build during adulthood • a decrease in height • fluctuations in weight 55
  • 57. •Changes in the Skeletal System •The loss of bone •Osteoporosis –defined as a decrease in bone mass & strength •Osteoarthritis – a degenerative joint disease 57
  • 58. •Changes in the Cardiovascular System •the main function of heart is pumping blood •Age-related structural changes in the heart •the accumulation of fat deposit •the stiffening of the heart muscle due to tissue changes 58
  • 59. • Cardiovascular diseases • Ischemic heart disease • Cardiac Arrhythmias • Angina • Myocardial infarction • Atherosclerosis • Cerebrovascular Disease • Hypertension 59
  • 60. • Changes in the Respiratory System • Age-related to structural and functional • With increasing age, the rib cage and the air passageways become stiffer • Changes in the maximum amount of air we can take into the lungs in a single breath • Respiratory disease • Emphysema 60
  • 61. •Changes in the Immune system •The immune system is a fascinating array of cells and process • lymphocytes • antibodies • autoimmunity •Older adults’ immune systems take longer to build up defense against specific disease 61
  • 62. • Changes in the Reproductive System • Women • The major reproductive change in women during adulthood is the loss of the ability to bear children • Begins in the 40s, as menstrual cycles become irregular and by the age of 50 to 55 it is usually complete - menopause • A variety of physical and psychological symptoms • Men • Men do not have a physiological & cultural event to mark reproductive changes. • Do experience a normative decline in the quantity of sperm 62
  • 63. • Changes in the Sensory System • Vision • The major changes in visual functioning can be group into 2 classes : I. changes in the structures of the eye • disease: cataracts & glaucoma II. changes in the retina • usually begin 50s • disease: macular degeneration & diabetic retinopathy 63
  • 64. • Age related decrease in the ability to focus on nearby objects - presbyopia • Age related decrease the ability to see detail and to discriminate different visual patterns -acuity 64
  • 65. •Hearing •Hearing loss with age is greatest for high pitched tones-presbycusis •Tinnitus 65
  • 67. • Smell • The ability to detect odors remains fairly intact until 60s, when it begins to decline fairly rapidly • Touch • Age-related changes in touch 67
  • 68. • Changes in Digestive System • Intestine • Liver • Gall-bladder 68
  • 70. •Brain • Age related structural changes in the neuron • Alzheimer’s disease 70