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- Staying Well — Health-care priorities change as you get older. cople are staying young longer than they used to, As the human life span slowly J increases, so do the starting points of Ls middle and old age, a shift that's forci a reconsideration of which health-care P issues are most important for any given age Vat was once a concer for people in their 40s 4 should sometimes now be a worry for those in their 50s, and on up the line,” says Warren Sanderson, Ph.D., of the State University of New York in Stony Brook, who wrote about | that shift in the British journal Nature. | Unfortunately, few doctors and pa e keeping up jth those changes, For example, more people are staying Jexually active — and thus at risk for sexvally transmitted jiseases — into their 60s, 70s, and beyond. Yet few doctors btk with their “older” patients about that hazard. Similarly, ome doctors still routinely counsel patients over age 75 or 30 to forgo certain drugs and operations, although research creasingly shows that such steps can often be safe and fective for them. It’s not just the new definition of “old” that makes it hard p get age-appropriate care. Some major age-related changes re subtle or contrary to popular belief: ‘The classic symptoms of many health problems — such as 1e crushing chest pain of a heart attack — are often replaced less dramatic complaints in older people, such as weaknes jausea, and less-typical chest pain. Other symptoms, such as Jeadache, joint pain, and insomnia, can signal different LCS or Tea 20s 30s 40s ‘wolen ankles; weight alr lyperthyroidism| thyroid typothyroidism ‘owed pulse pneumonia tomach ulcers Stomach pain, biog in tea, vomiing blood. inary tract fect Pain or baming during uation, fequent Jntorse pain in ight lower par of abdomen, uses, vomiting, fer Feoings of sadnase oF gui, loss of enthusiasm or appa, lethargy Depression 0 fatgue, poor concent, inadequate or excessive seep, ‘uid ought, jeart attack | Sudden, intenso, crushing cantieatne-chest oan, sometimes wth shortness of breath, fans, weakness, nausea, woatng, of intense lagu, palptatons: pain that radates 10 back, shoulders, arms, abdomen, ar jaw. jeart failure | shornaes of breath on exertion: coughing, especialy at night Nenousnoss, intabuty, insomnia, larrhooa. swoatig, weight lose gain, reduced menstrual low, tiemors, bulging ayes, enisged Dry skin or nals haloes. weight gain, put face, hoarseness. ‘sensi Io ld, fatigue, musela emp. reduced appette, constipation, mecstiual problems, mood swings, momory lapses, Fever, chest pain, inlfise coughing lus phlegm, citiculy breathing fo usinate, fever. | concems at different ages. > Exercise requirements change gradually with age, shifting from mainly aerobic activities such as jogging and biking to those that maintain strength and flexibility > Dietary problems often shift from eating too much food to consuming too little after age 70 or so. While younger people frequenily need to control their appetite, older individuals may need to stimulate it. >The recommended tests, exams, and immunizations of the routine checkup vary with age. For example, mammography is most beneficial for women in their 50s and 60s. And prostate- cancer sereening becomes increasingly needless as mem age. The table, “Health Care Through the Ages,” shows how annual exams, symptoms, and exercise and dietary needs change with age. Here we give further guidance on getting the right care for your age. 80s & beyond More-

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