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Physiologyof the
Aging Process
Painting by Domenico Ghirlandaio (Florence 1449-1494)
Spring 2007
Why study aging?Why study aging?1. Increased length of lifespan & increased number of
the elderly in the human population, worldwide
2. Increased proportion of persons aged 65+ in some populations as compared to those aged 14-19
3. This greater human longevity is acknowledged by developing technologies, markets and professions
4. Need to better educate the population in healthy habits
5. Need to support research in biomedicine
6. Points 4 and 5 must take into consideration the entire life cycle as our health today depends on our health yesterday and will influence our health tomorrow
1. Increased length of lifespan & increased number of the elderly in the human population, worldwide
2. Increased proportion of persons aged 65+ in some populations as compared to those aged 14-19
3. This greater human longevity is acknowledged by developing technologies, markets and professions
4. Need to better educate the population in healthy habits
5. Need to support research in biomedicine
6. Points 4 and 5 must take into consideration the entire life cycle as our health today depends on our health yesterday and will influence our health tomorrow
Age
0
20
40
60
80
100
0 10 20 30 40 50 60 70 80 90 100
1900
Per
cen
t S
urvi
ving
1950
2002
Source: Arias E. United States Life Tables, 2002. National Vital Statistics Reports; vol. 53, no. 6.
Hyattsville, MD: National Center for Health Statistics, 2004.
Survival Curves for U.S. Population, 1900 to 2002
Probability of 50 year old living to 90, 1900 to 2002
Probability of 50 year old living to 90, 1900 to 2002
2.7
5.0
15.2
3.8
9.6
26.6
0
5
10
15
20
25
1900 1950 2002
Percent Men
Women
30
Source: Computed from U.S. life tables in: Arias E. United States life tables, 2002. National vital statistics reports; vol. 53, no. 6. Hyattsville, MD: National Center for health Statistics, 2004.
Life expectancy and infant mortality throughout human history
Life expectancy Infant mortality rate at birth (years) (per 1000 live births)
Prehistoric 20-35 200-300
Sweden, 1750s 37 210
India, 1880s 25 230
U. S., 1900 48 133
France, 1950 66 52
Japan, 1996 80 4
According to the renowned economist,R.W. FogelFogel
“Health care is the growth industry of the 21st century. It will promote economic growth through its demand for high-tech products, skilled personnel, and new technologies”
According to the renowned economist,R.W. FogelFogel
“Health care is the growth industry of the 21st century. It will promote economic growth through its demand for high-tech products, skilled personnel, and new technologies”
Stages of the Lifespan
Prenatal Life
Ovum: Fertilization - end 1st weekEmbryo: 2nd-8th
weekFetus: 3rd-10 lunar
month
Neonatal Period
Newborn: end of 2nd week
Infancy: 3rd week-1st year
Childhood: 2-15 years
Adolescence: 6 yrs after puberty
Postnatal Life Adulthood
Prime & transition (20-65 yrs)
Old age & senescence (65
yrs+)
Chapter 1, Table 1.1
The journey of life is NOT a simple juxtaposition of successive functional timetables
Rather, physiologic competence at each stage of life:
• is influenced by the functional events in preceding stages
and• influences the degree of competence of the stages that follow The genome dictates the
genetic characteristic of the species
but Genetic expression of each individual within the species may be modified throughout life by the environment
Genome meet your environment!
Thus, longevity depends:not only on genetic inheritance
but alsoon gene-environment interactions
Longevity is an important decision nature must make
Usually important decisions in nature are regulated in a complex way
As organisms become more complex so does the need to balance life and death
The genome proposes
and
the phenome disposes
Increase in longevity over centuries may be related to progress in human civilization as exemplified by
progress in physio-technology
Increase in longevity over centuries may be related to progress in human civilization as exemplified by
progress in physio-technology
•Caused by improvements in agriculture, economics, public health, hygiene, etc.
•Resulting in more efficient functional competence:less infant mortality
better growth delayed occurrence of aging- related diseases
• Manipulation of the environment may prolong the lifespan:
better nutritionmore learning
more physical exercise, etc
For the vocabulary of common
terms related to aging,
see Table 1-2
(Handout)
Methods to Study Physiology of Aging
1. Study in humans a. Cross-sectional methods
• Compare characteristics among different individuals of the same age at one time.
• Rapidity but relative accuracy
b. Longitudinal studies• Examine the same individuals at
regular time intervals throughout life (or portion of life).
• Each person is his/her own control.• Accuracy but difficulty of
repeatedly reaching the same people.
c. Activities of Daily Living (ADL) / Instrumental Activities of Daily
Living (IADL)a. Clinical Studies
2. Study in animals (eg. vertebrates, invertebrates, yeast)• Comparison of physiological
characteristics and longevity among animals.
• Creation of transgenic mice for expression or deletion (knock-out) of specific traits
Methods to Study Physiology of Aging (cont.)
3. In vitro studies (eg. cultured cells, tissues, organs)
Methods to Study Physiology of Aging (cont.)
Microglia (immune cells)
Neuroglia: Astrocytes
Neuroglia: Oligodendrocytes