Aging changes in the bones - muscles - joints: MedlinePlus Medical Encyclopedia (2024)

Changes in posture and gait (walking pattern) are common with aging. Changes in the skin and hair are also common.

The skeleton provides support and structure to the body. Joints are the areas where bones come together. They allow the skeleton to be flexible for movement. In a joint, bones do not directly contact each other. Instead, they are cushioned by cartilage in the joint, synovial membranes around the joint, and fluid.

Muscles provide the force and strength to move the body. Coordination is directed by the brain, but is affected by changes in the muscles and joints. Changes in the muscles, joints, and bones affect the posture and walk, and lead to weakness and slowed movement.

AGING CHANGES

People lose bone mass or density as they age, especially women after menopause. The bones lose calcium and other minerals.

The spine is made up of bones called vertebrae. Between each bone is a gel-like cushion (called a disk). With aging, the middle of the body (trunk) becomes shorter as the disks gradually lose fluid and become thinner.

Vertebrae also lose some of their mineral content, making each bone thinner. The spinal column becomes curved and compressed (packed together). Bone spurs caused by aging and overall use of the spine may also form on the vertebrae.

The foot arches become less pronounced, contributing to a slight loss of height.

The long bones of the arms and legs are more brittle because of mineral loss, but they do not change length. This makes the arms and legs look longer when compared with the shortened trunk.

The joints become stiffer and less flexible. Fluid in the joints may decrease. The cartilage may begin to rub together and wear away. Minerals may deposit in and around some joints (calcification). This is common around the shoulder.

Hip and knee joints may begin to lose cartilage (degenerative changes). The finger joints lose cartilage and the bones thicken slightly. Finger joint changes, most often bony swelling called osteophytes, are more common in women. These changes may be inherited.

Lean body mass decreases. This decrease is partly caused by a loss of muscle tissue (atrophy). The speed and amount of muscle changes seem to be caused by genes. Muscle changes often begin in the 20s in men and in the 40s in women.

Lipofuscin (an age-related pigment) and fat are deposited in muscle tissue. The muscle fibers shrink. Muscle tissue is replaced more slowly. Lost muscle tissue may be replaced with a tough fibrous tissue. This is most noticeable in the hands, which may look thin and bony.

Muscles are less toned and less able to contract because of changes in the muscle tissue and normal aging changes in the nervous system. Muscles may become rigid with age and may lose tone, even with regular exercise.

EFFECT OF CHANGES

Bones become more brittle and may break more easily. Overall height decreases, mainly because the trunk and spine shorten.

Breakdown of the joints may lead to inflammation, pain, stiffness, and deformity. Joint changes affect almost all older people. These changes range from minor stiffness to severe arthritis.

The posture may become more stooped (bent). The knees and hips may become more flexed. The neck may tilt, and the shoulders may narrow while the pelvis becomes wider.

Movement slows and may become limited. The walking pattern (gait) becomes slower and shorter. Walking may become unsteady, and there is less arm swinging. Older people get tired more easily and have less energy.

Strength and endurance change. Loss of muscle mass reduces strength.

COMMON PROBLEMS

Osteoporosis is a common problem, especially for older women. Bones break more easily. Compression fractures of the vertebrae can cause pain and reduce mobility.

Muscle weakness contributes to fatigue, weakness, and reduced activity tolerance. Joint problems ranging from mild stiffness to debilitating arthritis (osteoarthritis) arevery common.

The risk of injury increases because gait changes, instability, and loss of balance may lead to falls.

Some older people have reduced reflexes. This is most often caused by changes in the muscles and tendons, rather than changes in the nerves. Decreased knee jerk or ankle jerk reflexes can occur. Some changes, such as a positive Babinski reflex, are not a normal part of aging.

Involuntary movements (muscle tremors and fine movements called fasciculations) are more common in the older people. Older people who are not active may have weakness or abnormal sensations (paresthesias).

People who are unable to move on their own, or who do not stretch their muscles with exercise, may get muscle contractures.

PREVENTION

Exercise is one of the best ways to slow or prevent problems with the muscles, joints, and bones. A moderate exercise program can help you maintain strength, balance, and flexibility. Exercise helps the bones stay strong.

Talk to your health care provider before starting a new exercise program.

It is important to eat a well-balanced diet with plenty of calcium. Women need to be particularly careful to get enough calcium and vitamin D as they age. Postmenopausal women and men over age 70 should take in 1,200 mg of calcium per day. Women and men over age 70 should get 800 international units (IU) of vitamin D daily. If you have osteoporosis, talk to your provider about prescription treatments.

RELATED TOPICS

Alternative Names

Osteoporosis and aging; Muscle weakness associated with aging; Osteoarthritis

References

Di CesarePE, Haudenschild DR, Abramson SB, Samuels J. Pathogenesis of osteoarthritis. In:Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein & Kelley's Textbook ofRheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 104.

Gregson CL.Bone and joint aging. In: Fillit HM, Rockwood K, Young J, eds. Brocklehurst'sTextbook of Geriatric Medicine and Gerontology. 8th ed. Philadelphia, PA:Elsevier; 2017:chap 20.

WalstonJD. Common clinical sequelae of aging. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed.Philadelphia, PA: Elsevier; 2020:chap 22.

Weber TJ. Osteoporosis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed.Philadelphia, PA: Elsevier; 2020:chap 230. USDepartment of Health & Human Services. National Institutes of Health,Office of Dietary Supplements website. Vitamin D: fact sheet for healthprofessionals. ods.od.nih.gov/factsheets/VitaminD-HealthProfessional. Updated September11, 2020. Accessed September 27, 2020.

Review Date 7/25/2020

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Aging changes in the bones - muscles - joints: MedlinePlus Medical Encyclopedia (2024)

FAQs

How does Ageing affect the bones joints and muscles? ›

Muscles may become rigid with age and may lose tone, even with regular exercise. Bones become more brittle and may break more easily. Overall height decreases, mainly because the trunk and spine shorten. Breakdown of the joints may lead to inflammation, pain, stiffness, and deformity.

What are three aging related changes in the muscular system? ›

Age-related changes in muscle

Muscle fibres reduce in number and shrink in size. Muscle tissue is replaced more slowly and lost muscle tissue is replaced with a tough, fibrous tissue. Changes in the nervous system cause muscles to have reduced tone and ability to contract.

What is the effect of aging on joints? ›

With ageing, joint movements becomes stiffer and less flexible because the amount of synovial fluid inside the synovial joints decreases and the cartilage becomes thinner. Ligaments also tend to shorten and lose some flexibility, making joints feel stiff.

What is a change in bone that occurs with age? ›

Osteoporosis is a condition characterized by progressive loss of bone density, thinning of bone tissue and increased vulnerability to fractures. Osteoporosis may result from disease, dietary or hormonal deficiency or advanced age.

Why do muscles weaken during Ageing? ›

The calcium poisons mitochondria — organelles that power the cell — leading to the release of even more free radicals. This, in turn, causes more calcium leakage. With less calcium available for contraction, the muscles get weaker,” says first author Daniel C. Andersson, M.D., Ph.

How does aging affect muscle mass and function? ›

Muscle mass decreases approximately 3–8% per decade after the age of 30 and this rate of decline is even higher after the age of 60 [4,5]. This involuntary loss of muscle mass, strength, and function is a fundamental cause of and contributor to disability in older people.

What happens to an aging muscle? ›

As muscles age, they begin to shrink and lose mass. This is a natural process, but a sedentary lifestyle can accelerate it. The number and size of muscle fibers also decrease. Thus, it takes muscles longer to respond in our 50s than they did in our 20s.

What are the 4 factors of aging? ›

They found people tend to fall into one of four biological aging pathways, or ageotypes: immune, kidney, liver or metabolic. Snyder said that metabolic agers, for example, may be at a higher risk for type 2 diabetes as they grow older.

What are the 3 D's of aging? ›

The three Ds of geriatric psychiatry—delirium, dementia, and depression are common and challenging diagnoses among elderly. Delirium is often difficult to diagnose and is an independent risk factor for morbidity and mortality in older adults.

Is joint pain part of aging? ›

Aging and your joints

Ligaments tend to stiffen, while the muscles you need to support and stabilize the joint weaken. These changes can lead to varying degrees of inflammation, pain, and stiffness. For many people, this age-related degeneration turns into osteoarthritis, the most common cause of joint pain.

What are 5 degenerative changes in the body of an elderly person? ›

Degenerative diseases of the nervous system are: Alzheimer's disease, amyotrophic lateral sclerosis, Friedrich's ataxia, Huntington's disease, the LBD, Parkinson's disease and spinal muscle atrophy (5).

What are the physical signs of aging? ›

Natural changes happen in the body as we age, such as skin damage from sun exposure, loss of muscle and physical strength, loss of some sight and hearing, as well as changes to our sleep patterns, energy levels and appetite.

What is it called when bones age? ›

The bone age (also called the skeletal age) is measured in years. Children's bones have areas of new bone growth called growth plates at both ends. They add length and width to the bone.

What are the 2 main age related changes in a skeleton? ›

In the ageing skeleton, bone volume and mass declines in both sexes and in people of all ethnic backgrounds, often manifesting as osteoporosis and an increased risk of fracture.

What are three changes that occur in the bones during development? ›

The process of bone formation is called osteogenesis or ossification. After progenitor cells form osteoblastic lines, they proceed with three stages of development of cell differentiation, called proliferation, maturation of matrix, and mineralization.

What vitamin stops age related muscle loss? ›

Vitamin D may be protective for muscle loss; a more alkalinogenic diet and diets higher in the anti-oxidant nutrients vitamin C and vitamin E may also prevent muscle loss.

What are the 3 main diseases that affect the muscles? ›

Types of neuromuscular disorders include: Amyotrophic lateral sclerosis (ALS) Charcot-Marie-Tooth disease. Multiple sclerosis.

How do you stop stiffness in old age? ›

Ensure you exercise at least three times a week.

Healthy muscles optimise our joint mechanics and exercise is crucial for increasing strength and flexibility, reducing joint pain and helping to combat fatigue. It also helps you to maintain a good body weight that will not put too much pressure on your joints.

Why are my arms and legs getting thinner? ›

With muscle atrophy, your muscles look smaller than normal. Muscle atrophy can occur due to malnutrition, age, genetics, a lack of physical activity or certain medical conditions. Disuse (physiologic) atrophy occurs when you don't use your muscles enough.

Can an older person regain muscle? ›

Luckily, the loss of muscle mass is mostly reversible. Numerous experts recommend resistance and weight training as the best ways to rebuild muscle. And in addition to building muscle mass, this type of exercise increases bone mass, which is another key to remaining mobile as you age.

What happens to your body at age 70? ›

Your Bones, Joints, and Muscles

Your muscles get weaker, and the tendons -- which connect muscles to your skeleton -- get stiffer. This will decrease your strength and flexibility. In your 70s, you might lose an inch or two off your height as disks in your back flatten.

What is the biggest cause of aging? ›

Exposure to light is a top cause of premature aging: Sun exposure causes many skin problems. Ultraviolet (UV) light and exposure to sunlight age your skin more quickly than it would age naturally. The result is called photoaging, and it's responsible for 90% of visible changes to your skin.

What is the #1 cause of aging? ›

Age, Sun, Cold, and Moisture

Sun damage is the number one cause of wrinkles and skin that has been permanently damaged. Age spots and other forms of discoloration can be seriously exacerbated by the sun's harmful UV rays.

What is the main cause of aging? ›

Aging is likely caused by a combination of reasons. Some theories suggest cells have a predetermined lifespan, while others claim it's caused by error and damage. Other theories say that aging is due to genetic, evolution, or biochemical reactions.

What are the 7 pillars of aging? ›

They also identify “seven pillars” of aging, intertwined processes driving the aging process. They are: adaption to stress, epigenetics, inflammation, macromolecular damage, metabolism, proteostasis, and stem cells and regeneration. Through study of these processes, experts hope to find ways to slow down aging.

What developmental stage is a 70 year old? ›

Late adulthood spans the time when we reach our mid-sixties until death. This is the longest developmental stage across the lifespan.

What are 2 of reasons behind aging? ›

Such causes of aging include but are not limited to oxidative stress, glycation, telomere shortening, side reactions, mutations, aggregation of proteins, etc. In other words, it is the progressive damage to these structures and functions that we perceive and characterize as aging.

What is the most common arthritis that occurs as a result of aging? ›

Osteoarthritis (OA) is the most common form of arthritis. Some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees.

What pain is caused by aging? ›

One of the most common complaints with aging is osteoarthritis. It typically affects the hands, knees or hips. The onset of osteoarthritis is gradual and is usually experienced as a dull, achy pain, rather than sudden severe pains.

At what age do your bones start aching? ›

Starting around age 30, you begin to lose bone density and muscle mass, both of which can create strain and pain in your joints.

Can you reverse degenerative changes? ›

Unfortunately you cannot reverse degenerative disc disease, but you do have other options to reduce pain and enjoy your life. Begin by losing some weight if you are overweight, stop smoking, maintain good posture, and avoid activities that put stress on that area of your back.

Does degenerative changes mean arthritis? ›

Yes. The phrase "degenerative changes" in the spine refers to osteoarthritis of the spine. Osteoarthritis is the most common form of arthritis. Doctors may also refer to it as degenerative arthritis or degenerative joint disease.

What causes degenerative changes in joints? ›

Condition: Degenerative joint disease, also known as osteoarthritis (OA), is a common “wear and tear” disease. The underlying cause of this condition is typically chronic repetitive motion that results in inflammation and structural joint damage. Inflammation causes pain, redness, and swelling.

What are 3 common disorders of the muscular system? ›

Muscular dystrophy. Myasthenia gravis. Myopathy. Myositis, including polymyositis and dermatomyositis.

What are 3 types of conditions that affect the muscle? ›

Injury or overuse, such as sprains or strains, cramps or tendinitis. A genetic disorder, such as muscular dystrophy. Some cancers. Inflammation, such as myositis.

What are the 3 main muscular system functions? ›

The muscular system is a complex network of muscles vital to the human body. Muscles play a part in everything you do. They control your heartbeat and breathing, help digestion, and allow movement.

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