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Chapter 17

Physical Development in Late Adulthood

The meaning of longevity

  • Longevity = duration, or length, of life

  • Life expectancy = average number of years a perosn, or cohort, is expected to live

  • Life span = maximum number of years a species can live

Life Expectancy

  • The average number of years a person is expected to live can be affected by several factors (cultural, geographical, biological, etc.)

    • What are some examples of these factors?

    • Would your example increase or decrease life expectancy?

Life Expectancy (in years) changing

Life Span

  • What is the maximum time (in years) a person can live?

  • Centenarians = living the age of 100

    • There were approximately 97,000 centenarians in the US in 2020

    • Projected to reach 6000,000 by 2060

    • The US has the most centenarians, followed by Japan, China, and England/Whales

  • Supercentenarians = living to the age of 110

    • There are about 60 supercentarians alive in given year in the US and about 300 in the world

  • The world record for the oldest person with a documented birth record in Jeanne Calment of Arles, France. She was 122 years and 164 days old when she died.

Stages within Late adulthood

  • Young-old = 65-74

  • old-old = 75-84

  • Oldest-old = 85+

    • Older adults, retired, boomers = refer to young-old

    • Alderly, seniors, golden-agers = refer to old-old and oldest-old

Definitions of Age

  • Previously learned age definitions

    • Chronological age - time elapsed since birth (months/years)

    • Biological age - in terms of biological health

    • Psychological age - adaptive capacities compared to those of same chronological age

    • Social age - based on societal expectations of an individual’s involvement in social roles

    • Functional age - how a person compared to others of similar age in competence while carrying out tasks

    Biological Theories of Aging

The Brain

  • On average, the brain loses 5-10% of its weight between the ages of 20 and 90

  • Brain volume also decreases.

    • It is 15% less in older adults than in young adults

    • Mainly due to shrinkage of neurons, lower number of synapses, reduces length and complexity of axons that connect schemas

    • More significant brain volume loss occurs in those with dementia

  • Brain atrophy occurs less in women than in men

Sleep

  • About 50% of older adults complain of having difficulty sleeping

    • Can result in earlier death

    • It is linked to a lower cognitive functioning

  • Strategies to sleep better at night:

    • Avoid caffeine

    • Avoid over-the-counter sleep remedies

    • Staying physically active during the day

    • Staying mentally active

    • Limiting naps

Physical Health and Appearance

  • Immune system:

    • Declines in functioning with age

    • Extended duration of stress and malnutrition (low levels of protein) can influence the decline

    • Exercise and vaccinations can improve its functioning

  • Physical appearance and movement:

    • Most noticeable changes are wrinkles and age spots

    • People get shorter with age due to loss in bone density

    • Older adults move slower than young adults

Sensory Development

  • VIsion:

    • Visual acquity, color, vision, and depth perception decrease even with corrective lenses (especially after age 75).

  • Diseases of the eye:

    • Cataracts: Thickening od the lenses of the eye that cause vision to become cloudy

    • Glaucoma: damage to the optic nerve because of pressure created by buildup of the fluid in the eye

    • Macular degenerations: deterioration of the macula of the retina, which corresponds with the focal center of the visual field.

  • Hearing

    • Severe impairments can become an impediment

    • Hearing aids and cochlear implants minimize the problems linked to hearing loss

  • Smell and taste

    • Decline of the chemical senses begin at about age 60-65 but it is very minimal

  • Touch and pain:

    • Older adults detect touch less in the lower extremeties

    • Decrease sensitivity to pain can help cope with disease and injury

    • But can also mask conditions that need treatment

Health

  • Probability of having some disease or illness increases with age, this is known as compression or morbidity

  • Chronic diseases with a slow onset and long duration are more common in late adulthood

    • Arthritis is the inflammation of the joints accompanied by pain, stiffness, and movement problems

    • Osteopenia and osteoperosis

Death in Late Adulthood

  • Causes of death in older adults:

    • Nearly 60% of the young-old (65-74) die of cancer or cardiovascular disease

    • For the old-old (75-84) and the oldest-old (85+), the leading cause of death is cardiovascular disease

  • Accidents are the 9th leading cause of death in late adulthood with falls being the leading cause of injury death

Chapter 17

Physical Development in Late Adulthood

The meaning of longevity

  • Longevity = duration, or length, of life

  • Life expectancy = average number of years a perosn, or cohort, is expected to live

  • Life span = maximum number of years a species can live

Life Expectancy

  • The average number of years a person is expected to live can be affected by several factors (cultural, geographical, biological, etc.)

    • What are some examples of these factors?

    • Would your example increase or decrease life expectancy?

Life Expectancy (in years) changing

Life Span

  • What is the maximum time (in years) a person can live?

  • Centenarians = living the age of 100

    • There were approximately 97,000 centenarians in the US in 2020

    • Projected to reach 6000,000 by 2060

    • The US has the most centenarians, followed by Japan, China, and England/Whales

  • Supercentenarians = living to the age of 110

    • There are about 60 supercentarians alive in given year in the US and about 300 in the world

  • The world record for the oldest person with a documented birth record in Jeanne Calment of Arles, France. She was 122 years and 164 days old when she died.

Stages within Late adulthood

  • Young-old = 65-74

  • old-old = 75-84

  • Oldest-old = 85+

    • Older adults, retired, boomers = refer to young-old

    • Alderly, seniors, golden-agers = refer to old-old and oldest-old

Definitions of Age

  • Previously learned age definitions

    • Chronological age - time elapsed since birth (months/years)

    • Biological age - in terms of biological health

    • Psychological age - adaptive capacities compared to those of same chronological age

    • Social age - based on societal expectations of an individual’s involvement in social roles

    • Functional age - how a person compared to others of similar age in competence while carrying out tasks

    Biological Theories of Aging

The Brain

  • On average, the brain loses 5-10% of its weight between the ages of 20 and 90

  • Brain volume also decreases.

    • It is 15% less in older adults than in young adults

    • Mainly due to shrinkage of neurons, lower number of synapses, reduces length and complexity of axons that connect schemas

    • More significant brain volume loss occurs in those with dementia

  • Brain atrophy occurs less in women than in men

Sleep

  • About 50% of older adults complain of having difficulty sleeping

    • Can result in earlier death

    • It is linked to a lower cognitive functioning

  • Strategies to sleep better at night:

    • Avoid caffeine

    • Avoid over-the-counter sleep remedies

    • Staying physically active during the day

    • Staying mentally active

    • Limiting naps

Physical Health and Appearance

  • Immune system:

    • Declines in functioning with age

    • Extended duration of stress and malnutrition (low levels of protein) can influence the decline

    • Exercise and vaccinations can improve its functioning

  • Physical appearance and movement:

    • Most noticeable changes are wrinkles and age spots

    • People get shorter with age due to loss in bone density

    • Older adults move slower than young adults

Sensory Development

  • VIsion:

    • Visual acquity, color, vision, and depth perception decrease even with corrective lenses (especially after age 75).

  • Diseases of the eye:

    • Cataracts: Thickening od the lenses of the eye that cause vision to become cloudy

    • Glaucoma: damage to the optic nerve because of pressure created by buildup of the fluid in the eye

    • Macular degenerations: deterioration of the macula of the retina, which corresponds with the focal center of the visual field.

  • Hearing

    • Severe impairments can become an impediment

    • Hearing aids and cochlear implants minimize the problems linked to hearing loss

  • Smell and taste

    • Decline of the chemical senses begin at about age 60-65 but it is very minimal

  • Touch and pain:

    • Older adults detect touch less in the lower extremeties

    • Decrease sensitivity to pain can help cope with disease and injury

    • But can also mask conditions that need treatment

Health

  • Probability of having some disease or illness increases with age, this is known as compression or morbidity

  • Chronic diseases with a slow onset and long duration are more common in late adulthood

    • Arthritis is the inflammation of the joints accompanied by pain, stiffness, and movement problems

    • Osteopenia and osteoperosis

Death in Late Adulthood

  • Causes of death in older adults:

    • Nearly 60% of the young-old (65-74) die of cancer or cardiovascular disease

    • For the old-old (75-84) and the oldest-old (85+), the leading cause of death is cardiovascular disease

  • Accidents are the 9th leading cause of death in late adulthood with falls being the leading cause of injury death

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