Chapters 11 & 12 Flashcards
(43 cards)
What is the ages involved in middle to late adulthood?
Middle: 45-65
Older: 65+
What is the lifespan x gender?
Women: 85.68
Men: 82.32
Why?
Social factors
Health attitudes, habits, lifestyles, and occupations
-what you are putting in your body
Men > women: cancer (respiratory system), motor
vehicle accidents, cirrhosis of liver-linked to alcoholism, emphysema,
heart disease
Men > women: smoking
Who are centenarians?
Century = 100
2021 Canada: 33.5 per 100,000
Japan: 53/100,000
Few centenarians are obese,
habitual smoking is rare, < 15%
had significant changes in their
thinking skills (e.g., Alzheimer)
What is the evolutionary theory?
Process of natural selection – physical traits and
behaviours that enhance reproductive fitness
increase in a population
Those that decrease reproductive fitness are
eliminated
-weak link
-when you get older the fitness aspect if eliminated
Grandmother hypothesis: help with childcare,
household tasks and sharing knowledge – activities
that influence probability of their children
reproducing, increasing grandchildren’s well-being
What are the cellular process theories?
-cells stop reproducing as we get older
- Cellular Clock Theory
-Get older, cells less capable of dividing
-time limit
Free-Radical Theory
Cells metabolize energy
By-products include unstable oxygen molecules
known as free radicals
Free radicals ricochet around cells, damaging
DNA
Damage – cancer, arthritis
-cells start to die
What is apperance?
Hair: thin, grey
Skin: wrinkles, age spots (face, hands)
-due to exposure
Finger/toenails: develop ridges, thicker, more
brittle
-break easier
Getting shorter
Strength deteriorates
What is height and weight?
Men
30 – 50: .5”
50 – 70: 3/4”
Women- more issues with calcium and bone density
25 – 75: 2”Women’s
Bone loss in vertebrae
Increase in overweight, obesity-not as active
Walkable neighbourhoods? (SES)
-how to maintain this
What is mobility and strength?
-Max strength-20,s, the strongest you can get
Sacropenia: age-related loss of muscle, strength
Muscle loss: 1-2%/year from 50 yrs
Lifestyle: ↑ smoking, diabetes, obesity
Bodies look “sagging”
Bones: mid-late 30’s
-most dense and strong
Accelerate during 50’s
↑ fruits, vegetables!
Arthritis: inflammation of joints, pain, stiffness,
movement problems
-break things easier
Hips, knees, ankles, fingers, vertebrae
Affect daily activities
Osteoporosis: loss of bone tissue
Leading cause of broken bones in women
Women > men
Body weight, hormonal factors….loss of estrogen
during menopause ↑ bone density loss
What is mobility?
Falls – leading cause for hospitalization
1/3 hip fracture
Falls lead to mental health outcomes
Fear of falling
Loss of autonomy
-your independance
Greater isolation
-worry about being safe
Confusion
Immobilization
-they don’t go to physio depends on how much the fall impacted them
Depression
What is sensory development?
Vision: ↓ sharply 40-59 yrs
Difficulty viewing close
Tolerance for glare ↓
-eyes become more sensitive
Field vision smaller, peripheral ↓
-what you are able to see
Cataracts: thickening of lens: cloudy, distorted
By 70, 1/3 cataracts
Glaucoma: damage of optic nerve – pressure
buildup of fluid in eye
Eyedrops, untreated – destroy vision
Macular degeneration: deterioration of macula
of retina – focal center of visual field
66 – 74: 1/25-common
75+: 1/6-issuses with the eyes
What is sensory development part 2?
Hearing: start declining by 40
Men > women: lose high pitch sounds sooner
Construction, mining, factory work
-men work in more immense places
Experience ↑ falls, reduction of cognitive
functioning, loneliness
-brain does not work properly
Smell, Taste: ~ age 60
-serious-increases self intake, hypertension
- Touch, pain: impaired touch, some persistent
pain
-don’t have the full feeling in hands
Back, joint
High levels of pain, more likely to develop major
memory impairments
-linked to cognition
What is menopause?
- Average: 51 last period
Hot flashes, nausea, fatigue, decreased libido,
brain fog (temporary changes in cognition)
Hormonal changes x ethnic group
Hormonal replacement therapy: under 60, within
10 years of menopause
Some linked to breast cancer
What is male menopause?
Not like women
↓ testosterone – sexual hormone level, activity
40 – 70 yrs: 50% erectile dysfunction
Smoking, obesity, hypertension, elevated
cholesterol, depression, lack of exercise
-things to cut down on
What is cognitive development?
Crystallized intelligence: accumulated
knowledge, verbal skills
Fluid intelligence: ability to reason abstractly, solve problems
-once you have it you have i
Fluid declines during middle adulthood
Crystallized (solidified) improves until middle/late then
plateaus
-accumilating, solidified knowledge
What are technology and memory?
-increased cognition
Autobiographical memory – more likely to
remember first-time experiences from first 2
decades than last 2 decades
-very detailed experiences
↓ episodic (events) memory – impact sense of
identity, maintaining social relationships
-forget things that happen because memory is failing
HippoCamara: smartphone tech – record 24-sec
videos (e.g., grandchild’s event), replay at 3x
speed; record 8-sec voice….
-ways to improve memory
-video themselves and replay to keep your memory there
-could be on anything important for them to remember
What are cognitive processes?
-things are slowing down
- Speed of processing….decline
Driving?
More likely to decline if don’t use memory
strategies – organization, imagery
Using imagery, aerobic exercise
Selective attention….declines
Sustained attention: Middle = older
What is the aging of the brain?
20-90 yrs: 5-10% brain shrinkage
↓ Brain volume
BUT! Brain is adaptive, brain has remarkable
repair capability
↑ aerobic fitness linked to hippocampus – better
memory
What is dementia?
Umbrella term for brain disorders
affecting memory and/or other
cognitive abilities
Canada: over 500,000
Not just memory loss – can get lost
in familiar places, difficulty
remembering to do tasks like
groceries, laundry
What are dementia characteristics?
At least 2 parts of brain are dying
Chronic-long lasting- consistent
Progressive- gets worse everytime
Terminal- how do you slow it?
-can not be cured
What is Alzheimer’s disease?
-difficult to experience and maintain
Most common type (65%); ~ 50% nursing homes
Beta-amyloid (BA) buildup, replacing healthy
brain cells with amyloid plaques, cumulating in the
blood vessels
-plaque build-up
Neurofibrillary tangles (NT): tau is a protein, helps
to stabilize internal skeleton of neurons, allowing
nutrients reach different parts of neuron
Abnormal tau buildup, internal skeleton of neuron
falls apart, tau proteins form tau tangles
BA + NT = cells die
What are the risk factors?
Young-onset dementia often runs in family
-genetic
Sex: Women > men
-women live longer than men hence why more likely
Age
Vascular health – what’s good for the heart is good
for the brain
-what is the heart doing
Smoking, obesity, physical inactivity
Gene x environment!
Higher cognitive functioning (e.g., cognitive tests)
in childhood, higher education, higher SES..
-when younger less likely to have this
What is Parkinson’s Disease?
-difficult to experience and maintain
- Chronic, progressive disorder – muscle tremors,
slowing of movement, partial facial paralysis
-dropping skin
Triggered by degeneration of dopamine-producing
neurons in brain
Muscle movements impaired – more rigid,
contribute to loss of balance
Other symptoms: depression, anxiety, emotional
change, cognitive impairment, difficulty
swallowing, chewing, speaking, masked facial
expressions, urinary problems, constipation,
fatigue, sleep problems
What is Religion?
Canada: 2/3 pop reported having
religious affiliation
54% religious, spiritual beliefs
somewhat, very important
↑ religious feeling from 50+
Women > men: stronger interest,
participate more in organized and
personal forms of religion, ↑ believe in
higher power or presence, ↑ greater sense
of importance in one’s life
-i.e volunteer
What is spirituality?
-more general as opposed to religion
- Search for meaning in life through a connection to
something larger than ourselves
Uniqueness of spirit, philosophy, and mind
Indigenous spirituality: include presence of
creation stories, the role of tricksters or
supernatural beings in folklore, importance of
sacred organizations
-all inclusive
-how things were made
Creator, Great Spirit, or Great Mystery – a power
or bring that has created the world and
everything in it