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Old age

Old age is the range of ages for people nearing and surpassing life expectancy. People of old age are also referred to as: old people, elderly, elders, seniors, senior citizens, or older adults.[1] Old age is not a definite biological stage: the chronological age denoted as "old age" varies culturally and historically.[2] Some disciplines and domains focus on the aging and the aged, such as the organic processes of aging (senescence),[3] medical studies of the aging process (gerontology),[4] diseases that afflict older adults (geriatrics),[5] technology to support the aging society (gerontechnology), and leisure and sport activities adapted to older people (such as senior sport).

"Elderly" and "Old people" redirect here. For other uses, see Elder (disambiguation). For the Khmer Rouge term, see New People (Cambodia).

Old people often have limited regenerative abilities and are more susceptible to illness and injury than younger adults. They face social problems related to retirement, loneliness, and ageism.[6][7]


In 2011, the United Nations proposed a human-rights convention to protect old people.[8]

Bone and joint problems: Old bones are marked by "thinning and shrinkage". This might result in a loss of height (about two inches (5 cm) by age 80), a stooping posture in many people, and a greater susceptibility to bone and joint diseases such as and osteoporosis.[46][47]

osteoarthritis

Chronic diseases: Some older people have at least one and many have multiple conditions. In 2007–2009, the most frequently occurring conditions among older people in the United States were uncontrolled hypertension (34%), arthritis (50%), and heart disease (32%).[48]

chronic condition

Chronic mucus hypersecretion (CMH), defined as "coughing and bringing up ", is a common respiratory symptom in elderly people.[49]

sputum

Dental problems: Older people may have less and reduced ability to maintain oral hygiene, consequently increasing the chance of tooth decay and infection.[50]

saliva

Digestive system issues: About 40% of the time, old age is marked by digestive disorders such as difficulty in swallowing, inability to eat enough and to absorb nutrition, constipation and bleeding.

(ET): An uncontrollable shaking in a part of the upper body. It is more common in the elderly and symptoms worsen with age.[51]

Essential tremor

Eyesight deterioration: can occur by age 50 and it hinders reading, especially of small print in low lighting. The speed with which an individual reads and the ability to locate objects may also be impaired.[52] By age 80, more than half of all Americans either have a cataract or have had cataract surgery.[53][54][55]

Presbyopia

: Old age increases the risk of injury from falls.[56] Every year, about a third of those 65 years old and more than half of those 80 years old fall.[57] Falls are the leading cause of injury and death for old people.[58]

Falls

Gait change: Some aspects of normally change with old age. Speed slows after age 70. Time with both feet on the ground ("double stance") increases. Old people sometimes move as if they were walking carefully on ice.[59]

gait

Hair usually turns gray and may become thinner.[61] About age 50, about 50% of Europeans have 50% grey hair.[62] Many men are affected by balding.

[60]

Women enter .

menopause

Hearing loss: By age 75, 48% of men and 37% of women have lost at least some significant hearing. Of the 26.7 million people [where?] over age 50 with a hearing impairment, one seventh use hearing aids. In the 70–79 age range, partial hearing loss affecting communication rises to 65%, mostly in low-income men.[63]

[52]

Hearts can become less efficient in old age, lessening stamina. Atherosclerosis can constrict blood flow.[64]

[60]

Immune-function loss ().[65]

immunosenescence

Lungs may expand less efficiently, providing less oxygen.[66]

[46]

Mobility impairment or loss: "Impairment in mobility affects 14% of those between 65 and 74, [and] half of those over 85." Loss of mobility is common in old people and has serious "social, psychological, and physical consequences".[68]

[67]

Pain: 25% of seniors have chronic pain, increasing with age, up to 80% of those in nursing homes. Most pains are rheumatological or malignant.[70]

[69]

in both men and women.[71] Increasing research on sexual behavior and desires in later life is challenging the "asexual" image of older adults. People aged 75–102 do experience sensuality and sexual pleasure.[72] Sexual attitudes and identity are established in early adulthood and change little.[73] Sexuality remains important throughout life, and the sexual expression of "typical, healthy older persons is a relatively neglected topic of research".[74] Other known sexual behaviors in older age groups include sexual thoughts, fantasies, and dreams;[75] masturbation; oral sex; and vaginal and anal intercourse.[74]

Decreases in sexual drive

Skin loses elasticity and gets drier and more lined and wrinkled.

[60]

Wounds take longer to heal and are likelier to leave permanent scars.

Trouble sleeping and daytime sleepiness affect more than half of seniors. In a study of 9,000 people with a mean age of 74, only 12% reported no sleep complaints.[77] By age 65, deep sleep drops to about 5% of sleep time.[78]

[76]

diminish by up to half by the age of 80. Food becomes less appealing and nutrition can suffer.[46][47]

Taste buds

Over the age of 85, perception decreases, so that 41% of the elderly don't drink enough.[79]

thirst

Urinary incontinence is often found in old age.

[80]

Vocal cords weaken and vibrate more slowly. This results in a weakened, breathy voice, "old person's voice".

[81]

Perspectives[edit]

Middle age[edit]

Many books written by authors in middle adulthood depict a few common perceptions on old age.[92] One writer notices the change in his parents: They move slowly, they have less strength, they repeat stories, their minds wander, and they fret.[93] Another writer sees her aged parents and is bewildered: They refuse to follow her advice, they are obsessed with the past, they avoid risk, and they live at a "glacial pace".[94]


In her The Denial of Aging, Dr. Muriel R. Gillick, a baby boomer, accuses her contemporaries of believing that by proper exercise and diet they can avoid the scourges of old age and proceed from middle age to death.[95] Studies find that many people in the 65–84 range can postpone morbidity by practicing healthy lifestyles. However, at about age 85, most people experience similar morbidity.[96] Even with healthy lifestyles, most 85+ people will undergo extended "frailty and disability".[88]

Old age[edit]

Early old age can be a pleasant time; children are grown, work is over, and there is time to pursue other interests.[14]: 603  Many old people are also willing to get involved in community and activist organizations to promote their well-being. In contrast, perceptions of old age by writers 80+ years old tend to be negative.[97]


Georges Minois writes that the first man known to talk about his old age was an Egyptian scribe who lived 4,500 years ago. The scribe addressed God with a prayer of lament:[98]: 14 

Religiosity[edit]

Generally speaking, old people have always been more religious than young people.[140] At the same time, wide cultural variations exist.[14]: 608 


In the United States, 90% of old age Hispanics view themselves as very, quite, or somewhat religious.[141]: 125  The Pew Research Center's study of black and white old people found that 62% of those in ages 65–74 and 70% in ages 75+ asserted that religion was "very important" to them. For all 65+ people, more women (76%) than men (53%) and more blacks (87%) than whites (63%) consider religion "very important" to them. This compares to 54% in the 30–49 age range.[142]


In a British 20-year longitudinal study, less than half of the old people surveyed said that religion was "very important" to them, and a quarter said they had become less religious in old age.[14]: 608  The late-life rise in religiosity is stronger in Japan than in the United States, but in the Netherlands it is minimal.[14]: 608 


In the practice of religion, a study of 60+ people found that 25% read the Bible every day and over 40% watch religious television.[141]: 12  Pew Research found that in the age 65+ range, 75% of whites and 87% of blacks pray daily.[142] When comparing religiosity, the individual practice may be a more accurate measure than participation in organized religion. With organized religion, participation may often be hindered due to transportation or health problems.[141]: 125 

Demographic changes[edit]

In the industrialized countries, life expectancy and, thus, the old age population have increased consistently over the last decades.[143] In the United States the proportion of people aged 65 or older increased from 4% in 1900 to about 12% in 2000.[144] In 1900, only about 3 million of the nation's citizens were 65 or older (out of 76 million total American citizens). By 2000, the number of senior citizens had increased to about 35 million (of 280 million US citizens). Population experts estimate that more than 50 million Americans—about 17 percent of the population—will be 65 or older in 2020.[145] By 2050, it is projected that at least 400,000 Americans will be 100 or older.[146]


The number of old people is growing around the world chiefly because of the post–World War II baby boom and increases in the provision and standards of health care.[147] By 2050, 33% of the developed world's population and almost 20% of the less developed world's population will be over 60 years old.[148]


The growing number of people living to their 80s and 90s in the developed world has strained public welfare systems and has also resulted in increased incidence of diseases like cancer and dementia that were rarely seen in premodern times. When the United States Social Security program was created, people older than 65 numbered only around 5% of the population and the average life expectancy of a 65-year-old in 1936 was approximately 5 years, while in 2011 it could often range from 10 to 20 years. Other issues that can arise from an increasing population are growing demands for health care and an increase in demand for different types of services.[149]


Of the roughly 150,000 people who die each day across the globe, about two thirds—100,000 per day—die of age-related causes.[150] In industrialized nations, the proportion is much higher, reaching 90%.[150]

Life expectancy[edit]

Life expectancy by nation at birth in the year 2011 ranged from 48 years to 82. Low values indicate high death rates for infants and children.[158]


In most parts of the world women live, on average, longer than men; even so, the disparities vary between 12 years in Russia to no difference or higher life expectancy for men in countries such as Zimbabwe and Uganda.[159]


The number of elderly people worldwide began to surge in the second half of the 20th century. In developed countries before then, five or less percent of the population was over 65. Few lived longer than their 70s and people who attained advanced age (i.e. their 80s) were rare enough to be a novelty and were revered as wise sages. The worldwide over-65 population in 1960 was one-third of the under-5 population. By 2013, the over-65 population had grown to equal the under-5 population and is projected to double the under-5 population by 2050.[160]


Before the surge in the over-65 population, accidents and disease claimed many people before they could attain old age, and health problems in those over 65 meant a quick death in most cases. If a person lived to an advanced age, it was due to genetic factors and/or a relatively easy lifestyle, since diseases of old age could not be treated before the 20th century.[161]


In October 2016, a group of scientists identified the maximum human lifespan at an average age of 115, with an absolute upper limit of 125 years.[162] However, the concept of a maximum lifespan of humans is still widely debated among the scientific community.[163]

Benefits[edit]

German chancellor Otto von Bismarck created the world's first comprehensive government social safety net in the 1880s, providing for old age pensions.[164]


In the United States of America, and the United Kingdom, 65 (UK 60 for women) was traditionally the age of retirement with full old age benefits.[165][166]


In 2003, the age at which a United States citizen became eligible for full Social Security benefits began to increase gradually, and will continue to do so until it reaches 67 in 2027. Full retirement age for Social Security benefits for people retiring in 2012 is age 66.[167] In the United Kingdom, the state pension age for men and women will rise to 66 in 2020 with further increases scheduled after that.


Originally, the purpose of old age pensions was to prevent elderly people from being reduced to beggary, which is still common in some underdeveloped countries, but growing life expectancies and older populations have brought into question the model under which pension systems were designed.[168] By 1990, the United States was spending 30 per cent of its budget on the elderly, compared with 2 per cent on education.[169] The dominant perception of the American old age population changed from "needy" and "worthy" to "powerful" and "greedy", old people getting more than their share of the nation's resources.[170] However, in 2011, using a Supplemental Poverty Measure (SPM), the old age American poverty rate was measured as 15.9%.[48]

Titian, Self-Portrait, c. 1567

Titian, Self-Portrait, c. 1567

Brody, Elaine M. (2010). . The Gerontologist. 50 (1): 2–10. doi:10.1093/geront/gnp143. PMID 20071402.

"On Being Very, Very Old: An Insider's Perspective"

Milton Crum, at Association of Hospice & Palliative Care Chaplains or at The Center for Spiritual Resources, http://thecsr.org/resource-directory/im-old-an-essay-on-aging-by-milton-crum/#sthash.e87C5Jyc.dpuf Archived 2015-06-10 at the Wayback Machine.

"I'm Old"

Laura Carstensen – research at Stanford university's , and Stanford Center on Longevity Archived 2019-08-25 at the Wayback Machine.

Life-span Development Laboratory

Milton Crum, "I'm Frail" at Association of Hospice & Palliative Care Chaplains, .

http://www.ahpcc.org.uk/wp-content/uploads/2013/04/imfrail.pdf

Scams targeting the elderly (NCOA)

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National Institute of Senior Centers

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National Service – Senior Corps