Physical changes over time [1]


June 2003

Body system

18 – 50 years

50 – 70 years

Over 70 years

Bones, muscles and joints

  1. Bones are at maximum density during early adulthood
  2. After the age of 25, muscle bulk and strength start to decrease
  1. Bones become weaker, particularly in postmenopausal women
  2. Muscle strength and bulk continue to decrease
  1. Wear and tear on joints leads to increasing stiffness and pain
  2. Muscle strength at the age of 85 is about half the strength at the age of 25

Digestive organs and daily energy needs

  1. After the age of 30, energy needs drop by 5 per cent every decade. Decreasing energy needs cause many people to gain weight in middle age unless diet is adjusted
  1. The volume of digestive fluids decreases and the intestines work less efficiently, leading to harder faeces that may require straining to expel
  1. Sense of taste becomes less acute as fewer than half the taste buds remain active. Chewing and swallowing may be more difficult due to tooth loss and gum disease

Brain and nerves

  1. Ability to learn declines gradually , but life experiences accumulate and intellectual abilities continue to develop
  1. Short-term memory and ability to concentrate may become less efficient
  2. Physical reactions become slower
  1. By the age of 90, the brain has lost up to a tenth of its tissue, making it less efficient and leading to some loss of intellectual ability and physical co-ordination

Eyes and ears

  1. By the age of 40, the lenses of the eyes become less elastic, leading to difficulty in focusing on close objects
  2. Loss of hearing begins in the 30s
  1. After the age of 50, it may be harder to see in low light or to see moving objects
  2. By the age of 70, it may be difficult to hear faint or high-pitched sounds
  1. Ability to distinguish fine visual detail continues to decline
  2. Deterioration in hearing may make a hearing aid necessary

Heart and blood vessels

  1. After the age of 40, artery walls lose elasticity, causing a rise in blood pressure. High blood pressure is one factor that may potentially lead to heart disease
  1. Heart muscle becomes less elastic; the heart pumps harder but is less able to respond to increased effort
  1. By the age of 85, the heart is unable to support long periods of strenuous activity. As stamina decreases, elderly people become tired more easily

Lungs and airways

  1. Peak lung function is reached at 20-30 years. By 45 years, the lungs may not expand fully due to loss of some alveoli (air sacs) and weakening of rib muscles
  1. By the age of 65, lung efficiency has decreased to about three-fifths of its optimum level
  1. By the age of 80, the lungs function only half as effectively as the lungs of a young adult, and moderate exertion may cause shortness of breath

Reproductive organs

  1. Women usually go through the menopause at 45-55 years and afterwards are no longer fertile. In men, testosterone levels start to decline at the age of 40-50
  1. In men, the prostate gland usually starts to enlarge after the age of 50; it may constrict the bladder outlet, making the passing of urine difficult
  1. A decreasing level of testosterone in men reduces sexual desire. Fewer viable sperm are produced

Urinary organs

  1. Women who have given birth may have reduced pelvic muscle strength and tone, which may cause problems with urination
  1. In women, falling estrogen levels also reduce pelvic muscle strength and tone. This may cause further difficulty in controlling urination
  1. After the age of 75-80, kidneys become less efficient, and it takes longer for them to clear toxic chemicals from the blood

Skin, hair and teeth

  1. By the late 40s, the skin is less elastic and wrinkles appear
  2. Half of people over 40 years have grey hair. Some men begin to lose their hair
  1. Surface of the skin becomes drier
  2. Hair may become considerably thinner, especially in men
  3. Teeth may begin to fall out
  1. Skin becomes less able to regulate body temperature by retaining or losing heat, making people more susceptible to the effects of cold or hot weather

© British Medical Association 2008

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