Brocklehurst's Textbook of Geriatric Medicine and Gerontology

Cellular Mechanisms of Aging

Introduction Aging changes are universal within a species and are intrinsic and progressive. They are universal; each true aging change should develop in all individuals in a species if they live long enough. Aging is intrinsic because these changes occur…

Genetic Mechanisms of Aging

Introduction Our society is experiencing unprecedented demographic changes where improvements in health care and living conditions together with decreased fertility rates have contributed to the aging of the population and a severe demographic redistribution. Over the last 50 years, the…

Geroscience

Introduction From the biologic perspective, aging is a rather complex term to define. Aging is not a disease but, because aging is the main risk factor for so many chronic diseases and conditions, it is difficult to separate the two…

Methodologic Challenges of Research in Older People

Introduction The difficulty of undertaking research involving older people tends to be exaggerated. It is wrongly assumed that too many will have significant comorbidity leading to a poor signal-to-noise ratio, an unacceptably high risk of adverse events, inability to complete…

Evolution Theory and the Mechanisms of Aging

The question “Why does aging occur?” calls for answers at the level of proximate physiologic mechanisms and at the level of ultimate evolutionary origins. This chapter provides an understanding of why aging has evolved and examines what evolution theory can…

Successful Aging: The Centenarians

Demography of Centenarians According to the U.S. Social Security Administration, in 2010, approximately 51,000 people aged 100 years and older collected Social Security benefits. The U.S. census reported a similar number of 53,364 and an overall prevalence of 1.73 centenarians/10,000…

The Future of Old Age

Biogerontology, the field of biologic aging research, is the final biomedical research frontier. The sequencing of the human genome and advancements in molecular technology have provided enormous potential for regenerative medicine. The list of readily replaceable body parts (e.g., eye…