Effects of Age on Tissue
With age, many tissue changes occur. With connective tissue, the
collagen and elastic fibers change in quality, making tissue less flexible.
Healing of tissue takes longer in older persons than in younger individuals.
With aging, the water content in ground substance decreases and the
density of fibers increases. As a re-sult, diffusion of substances, as well as
movement of cells through the ground substance, is impaired with age. These
changes impact the supply of nutrients to tissue and the rate of healing.
As tissue ages, collagen fibers increase in number and size. They
also develop cross-linkages, making them less flexible. Elastic fibers undergo
such changes, making them more rigid, with a tendency to fray and fragment.
As a person ages, hyaline cartilage loses water and is slowly
converted to fibrocartilage. Elasticity of the cartilage is lost and certain
regions, such as the artic-ular cartilage, become thinner. The increase in
fiber density encourages deposition of calcium, and calci-fication may be seen
in cartilage and around major blood vessels. (For age-related changes: in
bone,; nervous tissue; and muscletissue,).
The tissue changes reflect as loss of skin elasticity; wrinkle
formation; joint stiffness; lung elastic recoil loss; costal cartilage
rigidity; intervertebral disk shrinkage; height loss; heart chamber elasticity
loss and less forceful contraction; valve stiffening, leading to valvular
dysfunction; and less extensible blood ves-sels, predisposing elderly persons
to hypertension.
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