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Research shows that many of the changes attributed to aging are actually caused in large part by disuse. No man can stop the clock, but every man can slow its tick.
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Men with medical problems start to age earlier and slow down even more. It sounds grim - and these changes happen to healthy men.
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Not surprisingly, spirits often sag as the body slows down. The average person gets less sleep in maturity than in youth, even if he no longer needs to set his alarm clock. Reflexes are slower, coordination suffers, and memory lapses often crop up at embarrassing times. The nervous system also changes over time. Though most men continue to have normal testosterone levels and reproductive capacity throughout life, many experience a gradual decline in libido and sexual vigor. One reason for the drop in muscle mass and bone density is a drop in the male hormone testosterone, which declines by about 1% per year after the age of 40. Although men have a lower risk of osteoporosis ("thin bones") than women, they do lose bone calcium as they age, increasing the risk of fractures. At the same time, muscles and ligaments get stiff and tight. The loss of muscle continues, eventually reducing a man's musculature by up to 50%, which contributes to weakness and disability. It also helps explain why blood sugar levels rise by about 6 points per decade, making type 2 diabetes distressingly common in senior citizens. This extra fat contributes to a rise in LDL ("bad") cholesterol and a fall in HDL ("good") cholesterol. But since men start to lose muscle in their 40s, that extra weight is all fat. Most Americans begin to gain weight in midlife, putting on 3–4 pounds a year. His blood itself changes, becoming more viscous (thicker and stickier) and harder to pump through the body, even though the number of oxygen-carrying red blood cells declines. Starting in middle age, a man's blood vessels begin to stiffen and his blood pressure often creeps up as well. In everyday terms, this diminished aerobic capacity can produce fatigue and breathlessness with modest daily activities. That's why a healthy 25-year-old heart can pump 2½ quarts of blood a minute, but a 65-year-old heart can't get above 1½ quarts, and an 80-year-old heart can pump only about a quart, even if it's disease-free. After age 25–30, for example, the average man's maximum attainable heart rate declines by about one beat per minute, per year, and his heart's peak capacity to pump blood drifts down by 5%–10% per decade. Some of the changes of aging start as early as the third decade of life.
Here are some things that aging can do to you - if you give up and let Father Time take his toll. For men who manage to avoid major medical problems, the changes are slow and gradual, but they do add up. The clock ticks for all men, and with each tick comes change.