Geriatrician Lists 8 Signs of Aging That Warrant Medical Attention
Not every change in older adults is simply due to getting older, according to Dr. Anita Chandra.
While some changes are a natural part of aging, geriatrician Dr. Anita Chandra advises that eight specific signs should prompt a closer look and a conversation with a doctor. She notes that patients often attribute new changes in themselves or loved ones to simply getting older, but this assumption can sometimes mask underlying medical issues.
Slowing Down
A gradual decrease in physical speed is typical with age, as older individuals may require more energy for movement. Factors such as a slower metabolism, loss of muscle mass, and reduced activity levels can contribute to this. However, a significant decline over a short period, such as weeks or months, is not considered normal aging. Changes in walking speed, the ability to climb stairs, or stand up from a chair warrant medical attention.
Forgetfulness
Memory issues can be a hallmark of aging. While psychological functioning may begin to decline around age 65, memory changes can also stem from other causes, including medications, hearing loss, depression, illness, or cognitive impairment.
Reduced Appetite
Appetites naturally decrease with age due to metabolic and activity level changes, which can lead to weight loss and nutritional deficiencies. However, unintentional weight loss can signal depression, physical illness, or difficulties with meal preparation.
Stubbornness
An increase in stubbornness can be a way for individuals to maintain a sense of control, but it can also be a warning sign of conditions like Alzheimer's disease, especially when accompanied by other behavioral changes. This behavior can sometimes be related to fear, hearing loss, or comprehension difficulties.
Falls
Falls are common among older adults but are not a normal aspect of aging. A fall can indicate an underlying issue, such as poor eyesight, balance problems associated with conditions like diabetes or dementia, or age-related muscle loss (sarcopenia), which can impair balance during daily activities.
Increased Sleep
Sleep patterns often change with age, with many older adults experiencing less sleep due to difficulties falling asleep or frequent nighttime awakenings. However, sleeping significantly more than usual or for extended periods during the day could indicate illness, depression, medication side effects, or other medical problems.
Withdrawal from Activities
As people age, their engagement in hobbies and activities may change, particularly after retirement. Justifying withdrawal by feeling one has earned the right to slow down can sometimes mask underlying issues. Physical limitations, mental health conditions, or cognitive decline can cause older adults to disengage from activities they once enjoyed.
Loss of Independence
The ability to make decisions and participate in daily activities, often referred to as independence, tends to decline gradually. Most older adults adapt to these changes before they become obvious to others. Recognizing subtle shifts in independence is crucial for early evaluation and intervention, if necessary.