- 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 upjth 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-