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Aging: What to expect as you get older

Ears

Hearing loss is one of the most common conditions affecting adults who are middle-aged and older. About half of all people older than age 85 experience hearing loss. Over the years, noises can damage the sensory hair cells of your inner ears.

Also, the walls of your auditory canals thin, and your eardrums thicken. You may have difficulty hearing high frequencies. Some people find it difficult to follow a conversation in a crowded room. Changes in the inner ear or in the nerves attached to it, earwax buildup and various diseases can all affect your hearing.

Teeth

How your teeth and gums respond to age depends on how well you've cared for them over the years. But even if you're meticulous about brushing and flossing, you may notice that your mouth feels drier and your gums have pulled back (receded). Your teeth may darken slightly and become more brittle and easier to break.

Most adults can keep their natural teeth throughout their lives. But with less saliva to wash away bacteria, your teeth and gums become slightly more vulnerable to decay and infection. If you've lost most or all of your natural teeth, you might use dentures or dental implants as a replacement.

Some older adults experience dry mouth (xerostomia), which can lead to tooth decay and infection. Dry mouth can also make speaking, swallowing and tasting difficult. Oral cancer is more common among older adults. Your dentist checks for oral cancer when you go for regular cleanings and checkups.

Skin, nails and hair

With age, your skin thins and becomes less elastic and more fragile. You'll likely notice that you bruise more easily. Decreased production of natural oils may make your skin drier and more wrinkled. Age spots can occur, and small growths called skin tags are more common. Your nails grow at about half the pace they once did. Your hair may gray and thin. In addition, you likely perspire less — making it harder to stay cool in high temperatures and putting you at increased risk of heat exhaustion and heat stroke.

How fast your skin ages depends on many factors. The most significant factor is sun exposure over the years. The more sun your skin has been exposed to, the more damaged it may be. Smoking adds to skin damage, such as wrinkles. Skin cancer also is a concern. Your risk of skin cancer increases as you age.

Sleep

Sleep needs change little throughout adulthood. If you need six hours of sleep nightly, chances are you'll always need six hours — give or take 30 minutes. However, as you age, you'll likely find that you sleep less soundly, meaning you'll need to spend more time in bed to get the same amount of sleep. By age 75, some people wake up several times each night.

Weight

As you age, maintaining a healthy weight — or losing weight if you're overweight — may be more difficult. Your metabolism generally slows, meaning that your body burns fewer calories. Calories that were once used to meet your daily energy needs instead are stored as fat. Your level of activity may decrease, resulting in unwanted weight gain.

Sexuality

With age, sexual needs, patterns and performance may change. Women's vaginas tend to shrink and narrow, and the walls become less elastic. Vaginal dryness is a problem. All of this can make sex painful.

Impotence becomes more common in men as they age. By age 65, as many as one in four men has difficulty getting or keeping an erection. In others, it may take longer to get an erection, and it may not be as firm as it used to be.

Healthy changes can improve quality of life as you age

If you think you've already done too much damage to yourself to hope for a long life, think again. Researchers say it's never too late to adopt a healthy lifestyle. For example, if you quit smoking now, your risk of heart disease begins to fall almost immediately.

Living a healthy lifestyle can improve how you age. Try the following:

  • Stop smoking.
  • Eat a healthy diet full of fruits, vegetables and whole grains.
  • Exercise for at least 30 minutes most days of the week.
  • Maintain a healthy weight.
  • Get enough sleep so that you wake feeling rested.
  • Follow your doctor's guidance for checkups and health screenings.
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HA00040

Aug. 9, 2008

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