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== Biological Ageing  ==
== Introduction ==
[[File:Old lady EUNICE BOWMAN 2008.jpg|right|frameless]]
[[Older People Introduction|Ageing]] is a ubiquitous, intrinsic and ongoing process. Theories of ageing have been debated since the time of the ancient Greeks, and researchers now feel that no one theory exists that explains all aspects of ageing. Instead several theories may be combined to explain various aspects of the complex phenomena we call ageing .<ref>Viña J, Borrás C, Miquel J. [https://iubmb.onlinelibrary.wiley.com/doi/abs/10.1080/15216540601178067 Theories of ageing]. IUBMB life. 2007;59(4‐5):249-54. Available:https://iubmb.onlinelibrary.wiley.com/doi/abs/10.1080/15216540601178067 (accessed 1.12.2022)</ref>


Most people will live to experience aging. Age-related deterioration is affecting an ever-growing number of people. Although the process is unavoidable, it is important to understand the&nbsp;process. As a physiotherapist, we might be able to&nbsp;positively influence aspects that maintain or engender better health and wellness as a&nbsp;person ages, treating and ameliorating symptoms of common conditions associated with&nbsp;aging.  
Why do we grow old?  In recent years, scientific research has established some really interesting biological ageing theories. Why we age at the cellular level.  This video looks 12 theories current on the causes of ageing, namely: Genome damage to DNA; Telemere shortening; epigenetic malfunctions; Misfolding of proteins; Cell senescence; Stem cell exhaustion; Glycation; AMPK pathways; [[Inflammaging]]; MTOR pathways; Sirtuins (longivity genes). Some of these theories are outlined later.
{{#ev:youtube|https://www.youtube.com/watch?v=CprWXAQZRTc|width}}<ref>Lance Hitchings. Biological Aging Theories | Causes Of Ageing Available from: https://www.youtube.com/watch?v=CprWXAQZRTc (last accessed 2.12.2022)</ref>


In the past, maximum life span (the maximum biological limit of life in an ideal environment) was not thought to be subject to change with the process of aging&nbsp;considered non-adaptive, and subject to genetic traits. In the early 1900s, a series of&nbsp;flawed experiments by researcher Alexis Carrel demonstrated that in an optimal&nbsp;environment, cells of higher organisms (chickens) were able to divide continually, leading&nbsp;people to believe our cells to potentially possess immortal properties.&nbsp;In the 1960’s Leonard&nbsp;[http://www.smartskincare.com/aging/aging-mechanisms_cellular-clock.html Hayflick]<ref>Hayflick L. [https://s3.amazonaws.com/academia.edu.documents/50083996/0531-5565_2885_2990032-420161103-6488-1pyoojc.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1537858092&Signature=Z7PPUTQr2bbzirSboDey1gKOjP8%3D&response-content-disposition=inline%3B%20filename%3DTheories_of_biological_aging.pdf Theories of biological aging]. Experimental Gerontology. 1985; 20:145-159. Accessed 25 September 2018.</ref> disproved this theory by identifying a maximal number of divisions a human cell could undergo in culture (known as the Hayflick limit), which set our maximal life span&nbsp;at around 115 years. Life span is the key to the intrinsic biological causes of aging, as these factors ensure an individual’s survival to a certain point until biological aging eventually causes death.&nbsp;
== Categories: Ageing Theories ==
Ageing may be seen as a sequence of events that occur from conception to death. Categories of ageing theories all seek to explain and explore the many dimensions of ageing.


There are many theories about the mechanisms of age-related changes, and they are mutually exclusive, no one theory is sufficiently able to explain the process of aging, and they often contradict one another. A literature review<ref>Borras C, Ingles M, Mas-Bargues C, Dromant M, Sanz-Ros J, Román-Domínguez A, Mallench-Gimeno L, Gambini J, Viña J. [https://pubmed.ncbi.nlm.nih.gov/31899226-centenarians-an-excellent-example-of-resilience-for-successful-ageing/ Centenarians: An excellent example of resilience for successful ageing.] Mechanisms of Ageing and Development. 2019 Dec 31:111199.</ref> highlights that centenarians have healthy ageing because of the delay in processes like physiological decline and age-related diseases or syndromes. The review discusses that genetic component which plays an important role in longevity. The researchers suggest that biology of centenarians yields a key for intervention to promote healthy ageing in the general population.<br>  
# '''Biologic''': Interested with answering fundamental questions with respect to the physiologic processes that occur in all living organisms over time (Hayflick, 1996).
# '''Sociologic''': Looking at the roles and relationships within which individuals engage in later life.
# '''Psychologic''': Controlled by biology and sociology; address how a person responds to the engagements of their age.
# '''Moral/Spiritual''': Study how individuals seeks to validate his or her existence.<ref name=":4">Nurse key Theories of Ageing Available:https://nursekey.com/theories-of-aging-3/ (accessed 2.12.2022)</ref>


Modern biological theories of aging in humans currently fall into two main categories: programmed and damage or error theories. <br>The '''programmed theories''' imply that aging follows a biological timetable (regulated by changes in gene expression that affect the systems responsible for maintenance, repair and defense responses), and the '''damage or error theories''' emphasize environmental assaults to living organisms that induce cumulative damage at various levels as the cause of aging<ref name="Jin 2010">Jin K. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995895/ Modern biological theories of ageing]. Aging Dis. 2010; 1(2): 72–74. Accessed 25 September 2018.</ref>.  
== Biological Theories of Ageing ==
Biologic theories are concerned with answering questions regarding the physiologic processes that occur in all living organisms as they chronologically age. These age-related changes arise independent of any external or pathologic effects, and the quest is to uncover these inciting factors that cause the actual ageing process in organisms.  


These two categories of theory<ref name="Goldsmith 2014">Goldsmith TC. Modern evolutionary mechanics theories and resolving the programmed/non-programmed aging controversy. Biochemistry (Mosc). 2014; 79 (10): 1049 - 55.</ref>&nbsp;are also referred to as ''non-programmed aging'' theories based on evolutionary concepts (where ageing is considered the result of an organism’s inability to better combat natural deteriorative processes), and ''programmed ageing'' theories (which consider ageing to ultimately be the result of a biological mechanism or programme that purposely causes or allows deterioration and death in order to obtain a direct evolutionary benefit achieved by limiting lifespan beyond a species-specific optimum lifespan (Figure 1). &nbsp;
'''The Programmed Theories'''
# '''Programmed Longevity''', which considers ageing to be the result of a sequential switching on and off of certain genes, with senescence being defined as the time when age-associated deficits are manifested.
# '''[[Endocrine System|Endocrine]] Theory''', where biological clocks act through hormones to control the pace of ageing.
# '''Immunological Theory''', which states that the [[Immune System|immune system]] is programmed to decline over time, leading to an increased vulnerability to infectious disease and thus ageing and death. See [[immunosenescence]]


[[Image:PP Ageing Fig1.png|300px|center]]  
==== Damage or Error Theories ====
[[File:Free radical damage.png|thumb|Free Radicals]]
Include:
#'''The [[Free Radicals|Free Radical]] Theory: I'''mplicates the gradual accumulation of oxidative cellular damage as a fundamental driver of cellular aging. This theory has evolved over time to emphasize the role of free radical induced [[mitochondria]]<nowiki/>l DNA (mtDNA) mutations and the accumulation of mtDNA deletions. Given the proximity of mtDNA to the electron transport chain, a primary producer of free radicals, it postulates that the mutations would promote mitochondrial dysfunction and concomitantly increase free radical production in a positive feedback loop. It is known that diet, lifestyle, drugs (e.g. tobacco and alcohol) and radiation etc., are all accelerators of free radical production within the body.<ref name=":0">Weinert BT, Timiras PS. [https://www.physiology.org/doi/pdf/10.1152/japplphysiol.00288.2003 Invited review: theories of aging]. Appl Physiol. 2003; 95: 1706–1716. Accessed 25 September.</ref>
# '''Error theory''': based on the idea that errors can occur in the transcription of the synthesis of DNA. These errors are perpetuated and eventually lead to systems that do not function at the optimum level. The organism’s aging and death are attributable to these events (Sonneborn, 1979).
#'''The Cross-Linking Theory''':<ref>Zs.-Nagy I, Nagy K. On the role of cross-linking of cellular proteins in aging. Mech Ageing Dev. 1980; 14 (1–2): 245-251.
</ref> also referred to as the Glycosylation Theory of Aging. In this theory it is the binding of glucose (simple sugars) to protein, (a process that occurs under the presence of oxygen) that causes various problems. Once this binding has occurred the protein becomes impaired and is unable to perform as efficiently. Living a longer life is going to lead to the increased possibility of oxygen meeting glucose and protein and known cross-linking disorders include senile cataract and the appearance of tough, leathery and yellow skin.
#'''The Neuroendocrine Theory'''<ref name=":0" /><ref>Dean W. Neuroendocrine Theory of Aging: Chapter 2 Adaptive Homeostat Dysfunction. Accessed 25 September 2018 from<nowiki/>https://warddeanmd.com/articles/neuroendocrine-theory-of-aging-chapter-2/</ref> First proposed by Professor Vladimir Dilman and Ward Dean MD, this theory elaborates on wear and tear by focusing on the neuroendocrine system. This system is a complicated network of biochemicals that govern the release of hormones which are altered by the walnut sized gland called the hypothalamus located in the brain. The hypothalamus controls various chain-reactions to instruct other organs and glands to release their hormones etc. The hypothalamus also responds to the body hormone levels as a guide to the overall hormonal activity.&nbsp;But as we grow older the hypothalamus loses it precision regulatory ability and the receptors which uptake individual hormones become less sensitive to them. Accordingly, as we age the secretion of many hormones declines and their effectiveness (compared unit to unit) is also reduced due to the receptors down-grading
#<span>'''The Membrane Theory of Aging''':</span> According to this theory it is the age-related changes of the cell's ability to transfer chemicals, heat and electrical processes that impair it. As we grow older the cell membrane becomes less lipid (less watery and more solid). This impedes its efficiency to conduct normal function and in particular there is a toxic accumulation
#'''The Decline Theory''': The [[mitochondria]] are the power producing organelles found in every cell of every organ. Their primary job is to create Adenosine Triphosphate ([[Adenosine triphosphate (ATP)|ATP]]) and they do so in the various energy cycles that involve nutrients such as Acetyl-L-Carnitine, CoQ10 (Idebenone), NADH and some B vitamins etc.<ref name=":0" /> Enhancement and protection of the mitochondria is an essential part of preventing and slowing aging. Enhancement can be achieved with the above mention nutrients, as well as ATP supplements themselves.
Now watch these interesting videos


'''Figure 1''': Evolutionary cost/ benefit of additional lifespan vs. age.  
How to beat cellular ageing: examines the relationship between sirtuins, NAD+ and aging.  Also takes a look at resveratrol and pterostilbene, and how these supplements can help turn back the clock.
{{#ev: youtube|v=auuYUPx4uK4|300}}The ageing Academy’s series on Aging: Stem Cells, long Lived Proteins, Cell Programming, Gene Expression. 8 minutes viewing.{{#ev:youtube|fydm7d2NNcM|300}}


* Curve 1: Modern non-programmed aging theories&nbsp;– The evolutionary value of further life and reproduction is effectively zero beyond some species-specific age.  
== Emerging Theories ==
[[File:Dehydroepiandrosterone sulfate levels throughout life in human males and females.png|thumb|DHEA levels throughout life]]
[[File:Rate of living.png|thumb|As metabolic rate increases lifespan decreases]]
[[File:Telomere end replication problem.jpeg|thumb|349x349px|Telomere end replication problem]]
Emerging theories include:
# '''Neuroendocrine Control or Pacemaker Theory''': The neuroendocrine system controls many crucial activities concerning growth and development. Researchers are looking into the roles that the [[hypothalamus]] and the [[hormones]] DHEA (dehydroepiandrosterone) and [[melatonin]] play in the ageing process.  DHEA, secreted by the [[Adrenal Glands|adrenal glands]], reduces over the lifetime of an individual. Giving this hormone to laboratory mice increases longevity, bolsters immunity, and makes the animals appear younger. These mice also ate less, so possibly DHEA-fed mice display the effect of calorie restriction. Melatonin, a hormone, is produced by the pineal gland, is a regulator of biologic rhythms and a powerful antioxidant that may enhance immune function. The level of melatonin production in the body declines dramatically from just after puberty until old age.
# '''Metabolic Theory of Aging/Caloric Restriction''': This theory proposes that all organisms have a limited metabolic lifetime and that organisms with a higher metabolic rate have a shorter life span. Research showing that certain fish, when the water temperature is lowered, live longer than their warm water counterparts is used to validate this. Extensive experimentation on the effects of caloric restriction on rodents has demonstrated that caloric restriction increases the life span and delays the onset of age-dependent diseases
# '''DNA-Related Research''': Two developments are occurring at this time in relationship to DNA and the ageing process: One, as scientists continue to map the human genome, they are identifying certain [[Genetics and Health|genes]] that play a role in the aging process: Two, the discovery of [[Telomere|telomeres]], located at the ends of chromosomes, which may function as the cells’ biologic clocks (Hayflick, 1996).<ref name=":4" />


* Curve 2: Modern programmed aging theories – There is an evolutionary cost associated with surviving beyond a species-specific age.  
== Spiritual Theories ==
[[File:Spiritual.jpeg|right|frameless|201x201px]]
Examine how an individual seeks to explain and validate his or her existence. The research on religiosity or spirituality and health is controversial. Some consider it to to be unscientific to study religiosity among other health determinants. Despite this it seems an intensification of spiritual affectations occurs with ageing, and the scientific community need to explore the connection between religiosity, spirituality and health in order to more fully understand spiritualities effect on ageing.<ref name=":4" /><ref>Zimmer Z, Jagger C, Chiu CT, Ofstedal MB, Rojo F, Saito Y. Spirituality, religiosity, aging and health in global perspective: A review. SSM-population health. 2016 Dec 1;2:373-81.Available:https://www.sciencedirect.com/science/article/pii/S2352827316300179 (accessed 2.12.2022)</ref>


* Curve 3: Medawar’s concept&nbsp;– The evolutionary value of survival and reproduction declines with age following a species-specific age<ref name="Goldsmith 2014" />.
== Psychological Theories ==
 
Influenced by both biology and sociology; address how a person responds to the tasks of his or her age<ref name=":4" />. The earliest known theories on ageing were known to be psychological theories. <ref name=":1">Lange J, Grossman S. [https://samples.jbpub.com/9781284104479/Chapter_3.pdf Theories of aging. Gerontological nursing competencies for care.] 2010 Oct 25:50-73.</ref>They include:
Goldsmith's review of modern programmed (adaptive) theories of biological ageing investigates how organisms have evolved mechanisms that purposely limit their lifespans in order to obtain an evolutionary benefit.  
* Human Needs Theory: focuses on the fact that human behavior is motivated by their needs with age. Namely; physiological, safety and security, love and belongingness, self-esteem, and actualization.<ref name=":1" /><ref name=":2">Thielke S, Harniss M, Thompson H, Patel S, Demiris G, Johnson K. [https://cs.uwaterloo.ca/~jhoey/teaching/cs793/wiki/uploads/s12126-011-9121-4.pdf Maslow’s hierarchy of human needs and the adoption of health-related technologies for older adults. Ageing international.] 2012 Dec;37(4):470-88.</ref>
 
* Life-Course (Lifespan development) Theory: Came into existence in 1980s by behavioral psychologists who decided to shift from personality development as the basis of understanding aging to the concept of ‘life course’. This theory divides life course into predictable pattern of stages that are formed according to goals, relationships and internal values. This theory focuses on the interconnectedness of individual and society.<ref name=":3">Meiner SE. [https://ogg.osu.edu/media/documents/sage/handouts/SAGE%20Theories%20of%20Aging%20geron%20nurs.pdf Gerontologic nursing-e-book. Elsevier Health Sciences]; 2013 Aug 7.</ref>
== Theories of Ageing ==
* Disengagement Theory: Refers to an inevitable process in which many of the relationships between a person and other members of society are severed &amp; those remaining are altered in quality. Withdrawal may be initiated by the ageing person or by society, and may be partial or total. It was observed that older people are less involved with life than they were as younger adults. As people age they experience greater distance from society &amp; they develop new types of relationships with society. In America there is evidence that society forces withdrawal on older people whether or not they want it. Some suggest that this theory does not consider the large number of older people who do not withdraw from society. This theory is recognised as the first formal theory that attempted to explain the process of growing older.<ref>Achenbaum WA, Bengtson VL. Re-engaging the Disengagement Theory of Aging: on the history and assessment of theory. Development in Gerontology. Gerontologist. 1994; 34(6): 756–763.
This video gives a good introduction to the theories of aging
</ref>
{{#ev:youtube|https://www.youtube.com/watch?v=jc4yK0zZ-cQ|width}}<ref>Piled higher and deeper. Theories if ageing Available from: https://www.youtube.com/watch?v=jc4yK0zZ-cQ (last accessed 23.5.2019)</ref>
* <span>Activity Theory</span>: describes the psychosocial ageing process. emphasises the importance of ongoing social activity. Suggests that a person's self-concept is related to the roles held by that person i.e. retiring may not be so harmful if the person actively maintains other roles, such as familial roles, recreational roles, volunteer &amp; community roles. To maintain a positive sense of self the person must substitute new roles for those that are lost because of age. And studies show that the type of activity does matter, just as it does with younger people.<ref>Diggs J. Activity Theory of Aging. In: Loue S.J., Sajatovic M. (eds) Encyclopedia of Aging and Public Health. Springer, Boston, 2008. </ref>
<br>In his review of the modern theories of ageing, Jin<ref name="Jin 2010" /> highlights three sub-categories of the programmed theory, and four sub-categories of the damage or error theory, and also relates some to how these might be observed in ageing populations.
 
== Biological Theories of Aging ==
 
==== The Programmed Theory ====
1) Programmed Longevity, which considers ageing to be the result of a sequential switching on and off of certain genes, with senescence being defined as the time when age-associated deficits are manifested. <br>2) Endocrine Theory, where biological clocks act through hormones to control the pace of ageing. <br>3) Immunological Theory, which states that the immune system is programmed to decline over time, leading to an increased vulnerability to infectious disease and thus ageing and death.
 
==== The Damage or Error Theory ====
1) Wear and tear theory, where vital parts in our cells and tissues wear out resulting in ageing. <br>2) Rate of living theory, that supports the theory that the greater an organism's rate of oxygen basal, metabolism, the shorter its life span <br>3) Cross-linking theory, according to which an accumulation of cross-linked proteins damages cells and tissues, slowing down bodily processes and thus result in ageing. <br>4) [[Free Radicals|Free radicals]] theory, which proposes that superoxide and other free radicals cause damage to the macromolecular components of the cell, giving rise to accumulated damage causing cells, and eventually organs, to stop functioning.         
 
==== Further Theories ====
<br>Trindade et al<ref name="Trindade 2013">Trindade LS, Aigaki T, Peixoto AA. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589719/ A novel classification system for evolutionary aging theories]. Front Genet. 2013; 6 (4): 25. Accessed 25 September 2018.</ref> provide a different viewpoint again, stating that to understand the evolution of ageing, we have to understand the environment-dependent balance between the advantages and disadvantages of extended lifespan in the process of spreading genes. These researchers have developed a fitness-based framework in which they categorise existing theories into four basic types: secondary (beneficial), maladaptive (neutral), assisted death (detrimental), and senemorphic aging (varying between beneficial to detrimental).
 
Some of the more commonly discussed theories and their relation to ageing are summarised below:<br>
 
===== Disengagement Theory<ref>Achenbaum WA, Bengtson VL. Re-engaging the Disengagement Theory of Aging: on the history and assessment of theory. Development in Gerontology. Gerontologist. 1994; 34(6): 756–763.
</ref> =====
 
*Refers to an inevitable process in which many of the relationships between a person and other members of society are severed &amp; those remaining are altered in quality.  
*Withdrawal may be initiated by the ageing person or by society, and may be partial or total.  
*It was observed that older people are less involved with life than they were as younger adults.  
*As people age they experience greater distance from society &amp; they develop new types of relationships with society.  
*In America there is evidence that society forces withdrawal on older people whether or not they want it.  
*Some suggest that this theory does not consider the large number of older people who do not withdraw from society.  
*This theory is recognised as the first formal theory that attempted to explain the process of growing older.<br>
 
===== <span>Activity Theory</span><ref>Diggs J. Activity Theory of Aging. In: Loue S.J., Sajatovic M. (eds) Encyclopedia of Aging and Public Health. Springer, Boston, 2008. </ref> =====
 
*Is another theory that describes the psychosocial ageing process.  
*Activity theory emphasises the importance of ongoing social activity.  
*This theory suggests that a person's self-concept is related to the roles held by that person i.e. retiring may not be so harmful if the person actively maintains other roles, such as familial roles, recreational roles, volunteer &amp; community roles.  
*To maintain a positive sense of self the person must substitute new roles for those that are lost because of age. And studies show that the type of activity does matter, just as it does with younger people.<br>
 
===== The Neuroendocrine Theory<ref name=":0">Weinert BT, Timiras PS. [https://www.physiology.org/doi/pdf/10.1152/japplphysiol.00288.2003 Invited review: theories of aging]. Appl Physiol. 2003; 95: 1706–1716. Accessed 25 September.</ref><ref>Dean W. Neuroendocrine Theory of Aging: Chapter 2 Adaptive Homeostat Dysfunction. Accessed 25 September 2018 from<nowiki/>https://warddeanmd.com/articles/neuroendocrine-theory-of-aging-chapter-2/</ref>  =====
* First proposed by Professor Vladimir Dilman and Ward Dean MD, this theory elaborates on wear and tear by focusing on the neuroendocrine system. 
* This system is a complicated network of biochemicals that govern the release of hormones which are altered by the walnut sized gland called the hypothalamus located in the brain.
* The hypothalamus controls various chain-reactions to instruct other organs and glands to release their hormones etc. The hypothalamus also responds to the body hormone levels as a guide to the overall hormonal activity.&nbsp;But as we grow older the hypothalamus loses it precision regulatory ability and the receptors which uptake individual hormones become less sensitive to them. Accordingly, as we age the secretion of many hormones declines and their effectiveness (compared unit to unit) is also reduced due to the receptors down-grading
 
===== The Free Radical Theory<ref name=":0" />    =====
 
*This now very famous theory of aging was developed<ref>Harman, D. Aging: a theory based on free radical and radiation chemistry. J Gerontol. 1956;11 (3): 298–300.</ref> by Denham Harman MD at the University of Nebraska in 1956. The term free radical describes any molecule that has a free electron, and this property makes it react with healthy molecules in a destructive way.
*Because the free radical molecule has an extra electron it creates an extra negative charge. This unbalanced energy makes the free radical bind itself to another balanced molecule as it tries to steal electrons. In so doing, the balanced molecule becomes unbalanced and thus a free radical itself.
*It is known that diet, lifestyle, drugs (e.g. tobacco and alcohol) and radiation etc., are all accelerators of free radical production within the body.
 
===== <span>The Membrane Theory of Aging</span>  =====
* The membrane theory of aging was first described<ref>Zs.-Nagy I. The Membrane Hypothesis of Aging. Florida: CRC Press, 1994.
</ref> by Professor Imre Zs.-Nagy of Debrechen University, Hungary. According to this theory it is the age-related changes of the cell's ability to transfer chemicals, heat and electrical processes that impair it.
* As we grow older the cell membrane becomes less lipid (less watery and more solid). This impedes its efficiency to conduct normal function and in particular there is a toxic accumulation
 
===== The Decline Theory =====
* The [[mitochondria]] are the power producing organelles found in every cell of every organ. Their primary job is to create Adenosine Triphosphate ([[Adenosine triphosphate (ATP)|ATP]]) and they do so in the various energy cycles that involve nutrients such as Acetyl-L-Carnitine, CoQ10 (Idebenone), NADH and some B vitamins etc.<ref name=":0" />
* Enhancement and protection of the mitochondria is an essential part of preventing and slowing aging. Enhancement can be achieved with the above mention nutrients, as well as ATP supplements themselves<br>
 
===== The Cross-Linking Theory =====
<div>
* The Cross-Linking Theory of Aging<ref>Zs.-Nagy I, Nagy K. On the role of cross-linking of cellular proteins in aging. Mech Ageing Dev. 1980; 14 (1–2): 245-251.
</ref> is also referred to as the Glycosylation Theory of Aging. In this theory it is the binding of glucose (simple sugars) to protein, (a process that occurs under the presence of oxygen) that causes various problems.
* Once this binding has occurred the protein becomes impaired and is unable to perform as efficiently. Living a longer life is going to lead to the increased possibility of oxygen meeting glucose and protein and known cross-linking disorders include senile cataract and the appearance of tough, leathery and yellow skin.
</div>
=== Further information on video  ===
 
<span>In addition to these explanations, you can see several presentations about the biological theories of ageing on YouTube:</span> &nbsp;
<div></div><div>The Wear and Tear Theory:</div>
<br> {{#ev: youtube|ZrLr9RONMP4|300}}
 
The ageing Academy’s series on Aging: Stem Cells, long Lived Proteins, Cell Programming, Gene Expression:{{#ev:youtube|fydm7d2NNcM|300}}
 
<br>
 
A Big Think monologue by Michio Kaku looking at what enzymes like Telomerase and Resveratrol offer:
 
{{#ev:youtube|DV3XjqW_xgU|300}}<ref>Big ThinkMichio Kaku: How to Reverse Aging | Big Think Available fromhttps://www.youtube.com/watch?v=DV3XjqW_xgU&feature=emb_logo</ref>
 
 
<br> <br>
 
*'''See also - [[Policy and Initiatives Focused on the Older Population|Policy and Initiatives Focused on the Older Population]]'''<br>
 
== Psychological Theories of Aging ==
The earliest known theories on aging were known to be psychological theories. As the age increases these theories deals with the changes in the behavior, attitude towards life and personality modifications or ego development in an individual. The psychological theories of aging focus on the changes in mental processes, emotions, attitudes, motivation and personality adaptations as per the physical, social or environmental demands. This ability of adaptation is believed to be influences by changing roles with age, relationship changes, status change in a society. <ref name=":1">Lange J, Grossman S. [https://samples.jbpub.com/9781284104479/Chapter_3.pdf Theories of aging. Gerontological nursing competencies for care.] 2010 Oct 25:50-73.</ref>
 
=== Human Needs Theory ===
Developed by Maslow in 1954, this theory focuses on the fact that human behavior is motivated by their needs with age. These needs are; physiological, safety and security, love and belongingness, self-esteem, and actualization. <ref name=":1" />
 
* Physiological needs: The desire to obtain food, water, and shelter is great, and the type of behaviors that ensure these things are reinforced. Most people don't need help with this, but some people, particularly those with cognitive disabilities, may need it.<ref name=":2">Thielke S, Harniss M, Thompson H, Patel S, Demiris G, Johnson K. [https://cs.uwaterloo.ca/~jhoey/teaching/cs793/wiki/uploads/s12126-011-9121-4.pdf Maslow’s hierarchy of human needs and the adoption of health-related technologies for older adults. Ageing international.] 2012 Dec;37(4):470-88.</ref>
* Safety and Security: This kind of need has both short-term and long-term repercussions, such as staying away from harmful places and attempting to establish a safer society. These are more abstract requirements than food, water, and shelter, and continuing to seek them requires some projective reasoning. While hunger, thirst, and exposure to the elements are instinctive, it can be difficult to notice and adjust to subtle threats to safety or security. Because the rewards of acquiring food are immediate and visceral, the sorts of training connected with these requirements are also significantly different than those related with physical needs, because the need for security is often realized only when it is threatened or lost.<ref name=":2" /><ref name=":3">Meiner SE. [https://ogg.osu.edu/media/documents/sage/handouts/SAGE%20Theories%20of%20Aging%20geron%20nurs.pdf Gerontologic nursing-e-book. Elsevier Health Sciences]; 2013 Aug 7.</ref>
* Belongingness and Love: The capacity to interact via phone, e-mail, or social networking sites significantly boosts the chances of belonging. Families of patients with cognitive impairments frequently seek out ways to meet their loved ones' demands for belonging and love, remaining "virtually" connected across location and time. Patients with even severe cognitive disabilities value human contact because the rewards of belonging and affection are quick and straightforward.<ref name=":2" />
* Esteem needs: People want to be believed in and respected. In terms of money, this entails accomplishing activities that a person values. Restricting someone's ability to engage in such activities can lower their self-esteem.<ref name=":2" />
* Self-actualization needs: Being loyal to one's own nature and pursuing self-fulfillment via creativity are the greatest levels of human wants. When all previous levels of need have been met, self-actualization can be attained by engaging in things that make you feel fully alive or participating in something with greater meaning. Artistic interests, professional jobs, humanitarian activities, social projects, and hobbies, as well as mature and tolerant attitudes to dealing and communicating, are all ways to meet this desire.<ref name=":2" />
 
[[File:Expanded Maslow's Needs.webp|center|frameless]]
 
=== Individualism Theory ===
Proposed by Jung in 1960, Our personality evolves over time and is made up of ego and self-identity, which are both personal and collectively unconscious. A private emotion or perception surrounding important people or life events is known as personal unconsciousness.<ref name=":2" />
 
=== Life-Course (Lifespan development) Theory ===
Came into existence in 1980s by behavioral psychologists who decided to shift from personality development as the basis of understanding aging to the concept of ‘life course’. This theory divides life course into predictable pattern of stages that are formed according to goals, relationships and internal values. This theory focuses on the interconnectedness of individual and society.<ref name=":3" />
 
=== Selective Optimization and Compensation Theory ===
Proposed by Baltes in 1987. He believed that people over time learn to cope up with the individual losses of aging through a process of selection, optimization and compensation. As an individual age, the adaptation is done by the process of optimizing more satisfying roles in life. Baltes believes that selected optimization combined with compensation is a healthy coping strategy that helps people age successfully.<ref name=":2" /><ref name=":3" />


== References  ==
== References  ==

Latest revision as of 23:32, 2 December 2022

Introduction[edit | edit source]

Ageing is a ubiquitous, intrinsic and ongoing process. Theories of ageing have been debated since the time of the ancient Greeks, and researchers now feel that no one theory exists that explains all aspects of ageing. Instead several theories may be combined to explain various aspects of the complex phenomena we call ageing .[1]

Why do we grow old?  In recent years, scientific research has established some really interesting biological ageing theories. Why we age at the cellular level.  This video looks 12 theories current on the causes of ageing, namely: Genome damage to DNA; Telemere shortening; epigenetic malfunctions; Misfolding of proteins; Cell senescence; Stem cell exhaustion; Glycation; AMPK pathways; Inflammaging; MTOR pathways; Sirtuins (longivity genes). Some of these theories are outlined later.

[2]

Categories: Ageing Theories[edit | edit source]

Ageing may be seen as a sequence of events that occur from conception to death. Categories of ageing theories all seek to explain and explore the many dimensions of ageing.

  1. Biologic: Interested with answering fundamental questions with respect to the physiologic processes that occur in all living organisms over time (Hayflick, 1996).
  2. Sociologic: Looking at the roles and relationships within which individuals engage in later life.
  3. Psychologic: Controlled by biology and sociology; address how a person responds to the engagements of their age.
  4. Moral/Spiritual: Study how individuals seeks to validate his or her existence.[3]

Biological Theories of Ageing[edit | edit source]

Biologic theories are concerned with answering questions regarding the physiologic processes that occur in all living organisms as they chronologically age. These age-related changes arise independent of any external or pathologic effects, and the quest is to uncover these inciting factors that cause the actual ageing process in organisms.

The Programmed Theories

  1. Programmed Longevity, which considers ageing to be the result of a sequential switching on and off of certain genes, with senescence being defined as the time when age-associated deficits are manifested.
  2. Endocrine Theory, where biological clocks act through hormones to control the pace of ageing.
  3. Immunological Theory, which states that the immune system is programmed to decline over time, leading to an increased vulnerability to infectious disease and thus ageing and death. See immunosenescence

Damage or Error Theories[edit | edit source]

Free Radicals

Include:

  1. The Free Radical Theory: Implicates the gradual accumulation of oxidative cellular damage as a fundamental driver of cellular aging. This theory has evolved over time to emphasize the role of free radical induced mitochondrial DNA (mtDNA) mutations and the accumulation of mtDNA deletions. Given the proximity of mtDNA to the electron transport chain, a primary producer of free radicals, it postulates that the mutations would promote mitochondrial dysfunction and concomitantly increase free radical production in a positive feedback loop. It is known that diet, lifestyle, drugs (e.g. tobacco and alcohol) and radiation etc., are all accelerators of free radical production within the body.[4]
  2. Error theory: based on the idea that errors can occur in the transcription of the synthesis of DNA. These errors are perpetuated and eventually lead to systems that do not function at the optimum level. The organism’s aging and death are attributable to these events (Sonneborn, 1979).
  3. The Cross-Linking Theory:[5] also referred to as the Glycosylation Theory of Aging. In this theory it is the binding of glucose (simple sugars) to protein, (a process that occurs under the presence of oxygen) that causes various problems. Once this binding has occurred the protein becomes impaired and is unable to perform as efficiently. Living a longer life is going to lead to the increased possibility of oxygen meeting glucose and protein and known cross-linking disorders include senile cataract and the appearance of tough, leathery and yellow skin.
  4. The Neuroendocrine Theory[4][6] First proposed by Professor Vladimir Dilman and Ward Dean MD, this theory elaborates on wear and tear by focusing on the neuroendocrine system. This system is a complicated network of biochemicals that govern the release of hormones which are altered by the walnut sized gland called the hypothalamus located in the brain. The hypothalamus controls various chain-reactions to instruct other organs and glands to release their hormones etc. The hypothalamus also responds to the body hormone levels as a guide to the overall hormonal activity. But as we grow older the hypothalamus loses it precision regulatory ability and the receptors which uptake individual hormones become less sensitive to them. Accordingly, as we age the secretion of many hormones declines and their effectiveness (compared unit to unit) is also reduced due to the receptors down-grading
  5. The Membrane Theory of Aging: According to this theory it is the age-related changes of the cell's ability to transfer chemicals, heat and electrical processes that impair it. As we grow older the cell membrane becomes less lipid (less watery and more solid). This impedes its efficiency to conduct normal function and in particular there is a toxic accumulation
  6. The Decline Theory: The mitochondria are the power producing organelles found in every cell of every organ. Their primary job is to create Adenosine Triphosphate (ATP) and they do so in the various energy cycles that involve nutrients such as Acetyl-L-Carnitine, CoQ10 (Idebenone), NADH and some B vitamins etc.[4] Enhancement and protection of the mitochondria is an essential part of preventing and slowing aging. Enhancement can be achieved with the above mention nutrients, as well as ATP supplements themselves.

Now watch these interesting videos

How to beat cellular ageing: examines the relationship between sirtuins, NAD+ and aging.  Also takes a look at resveratrol and pterostilbene, and how these supplements can help turn back the clock.

The ageing Academy’s series on Aging: Stem Cells, long Lived Proteins, Cell Programming, Gene Expression. 8 minutes viewing.

Emerging Theories[edit | edit source]

DHEA levels throughout life
As metabolic rate increases lifespan decreases
Telomere end replication problem

Emerging theories include:

  1. Neuroendocrine Control or Pacemaker Theory: The neuroendocrine system controls many crucial activities concerning growth and development. Researchers are looking into the roles that the hypothalamus and the hormones DHEA (dehydroepiandrosterone) and melatonin play in the ageing process. DHEA, secreted by the adrenal glands, reduces over the lifetime of an individual. Giving this hormone to laboratory mice increases longevity, bolsters immunity, and makes the animals appear younger. These mice also ate less, so possibly DHEA-fed mice display the effect of calorie restriction. Melatonin, a hormone, is produced by the pineal gland, is a regulator of biologic rhythms and a powerful antioxidant that may enhance immune function. The level of melatonin production in the body declines dramatically from just after puberty until old age.
  2. Metabolic Theory of Aging/Caloric Restriction: This theory proposes that all organisms have a limited metabolic lifetime and that organisms with a higher metabolic rate have a shorter life span. Research showing that certain fish, when the water temperature is lowered, live longer than their warm water counterparts is used to validate this. Extensive experimentation on the effects of caloric restriction on rodents has demonstrated that caloric restriction increases the life span and delays the onset of age-dependent diseases
  3. DNA-Related Research: Two developments are occurring at this time in relationship to DNA and the ageing process: One, as scientists continue to map the human genome, they are identifying certain genes that play a role in the aging process: Two, the discovery of telomeres, located at the ends of chromosomes, which may function as the cells’ biologic clocks (Hayflick, 1996).[3]

Spiritual Theories[edit | edit source]

Spiritual.jpeg

Examine how an individual seeks to explain and validate his or her existence. The research on religiosity or spirituality and health is controversial. Some consider it to to be unscientific to study religiosity among other health determinants. Despite this it seems an intensification of spiritual affectations occurs with ageing, and the scientific community need to explore the connection between religiosity, spirituality and health in order to more fully understand spiritualities effect on ageing.[3][7]

Psychological Theories[edit | edit source]

Influenced by both biology and sociology; address how a person responds to the tasks of his or her age[3]. The earliest known theories on ageing were known to be psychological theories. [8]They include:

  • Human Needs Theory: focuses on the fact that human behavior is motivated by their needs with age. Namely; physiological, safety and security, love and belongingness, self-esteem, and actualization.[8][9]
  • Life-Course (Lifespan development) Theory: Came into existence in 1980s by behavioral psychologists who decided to shift from personality development as the basis of understanding aging to the concept of ‘life course’. This theory divides life course into predictable pattern of stages that are formed according to goals, relationships and internal values. This theory focuses on the interconnectedness of individual and society.[10]
  • Disengagement Theory: Refers to an inevitable process in which many of the relationships between a person and other members of society are severed & those remaining are altered in quality. Withdrawal may be initiated by the ageing person or by society, and may be partial or total. It was observed that older people are less involved with life than they were as younger adults. As people age they experience greater distance from society & they develop new types of relationships with society. In America there is evidence that society forces withdrawal on older people whether or not they want it. Some suggest that this theory does not consider the large number of older people who do not withdraw from society. This theory is recognised as the first formal theory that attempted to explain the process of growing older.[11]
  • Activity Theory: describes the psychosocial ageing process. emphasises the importance of ongoing social activity. Suggests that a person's self-concept is related to the roles held by that person i.e. retiring may not be so harmful if the person actively maintains other roles, such as familial roles, recreational roles, volunteer & community roles. To maintain a positive sense of self the person must substitute new roles for those that are lost because of age. And studies show that the type of activity does matter, just as it does with younger people.[12]

References[edit | edit source]

  1. Viña J, Borrás C, Miquel J. Theories of ageing. IUBMB life. 2007;59(4‐5):249-54. Available:https://iubmb.onlinelibrary.wiley.com/doi/abs/10.1080/15216540601178067 (accessed 1.12.2022)
  2. Lance Hitchings. Biological Aging Theories | Causes Of Ageing Available from: https://www.youtube.com/watch?v=CprWXAQZRTc (last accessed 2.12.2022)
  3. 3.0 3.1 3.2 3.3 Nurse key Theories of Ageing Available:https://nursekey.com/theories-of-aging-3/ (accessed 2.12.2022)
  4. 4.0 4.1 4.2 Weinert BT, Timiras PS. Invited review: theories of aging. Appl Physiol. 2003; 95: 1706–1716. Accessed 25 September.
  5. Zs.-Nagy I, Nagy K. On the role of cross-linking of cellular proteins in aging. Mech Ageing Dev. 1980; 14 (1–2): 245-251.
  6. Dean W. Neuroendocrine Theory of Aging: Chapter 2 Adaptive Homeostat Dysfunction. Accessed 25 September 2018 fromhttps://warddeanmd.com/articles/neuroendocrine-theory-of-aging-chapter-2/
  7. Zimmer Z, Jagger C, Chiu CT, Ofstedal MB, Rojo F, Saito Y. Spirituality, religiosity, aging and health in global perspective: A review. SSM-population health. 2016 Dec 1;2:373-81.Available:https://www.sciencedirect.com/science/article/pii/S2352827316300179 (accessed 2.12.2022)
  8. 8.0 8.1 Lange J, Grossman S. Theories of aging. Gerontological nursing competencies for care. 2010 Oct 25:50-73.
  9. Thielke S, Harniss M, Thompson H, Patel S, Demiris G, Johnson K. Maslow’s hierarchy of human needs and the adoption of health-related technologies for older adults. Ageing international. 2012 Dec;37(4):470-88.
  10. Meiner SE. Gerontologic nursing-e-book. Elsevier Health Sciences; 2013 Aug 7.
  11. Achenbaum WA, Bengtson VL. Re-engaging the Disengagement Theory of Aging: on the history and assessment of theory. Development in Gerontology. Gerontologist. 1994; 34(6): 756–763.
  12. Diggs J. Activity Theory of Aging. In: Loue S.J., Sajatovic M. (eds) Encyclopedia of Aging and Public Health. Springer, Boston, 2008.