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Stop Treating 70- and 90-Year-Olds the Same – Aug 2017

New York Times

Vaccinations

  • “There are 17 subgroupings for children from birth through age 18.”
  • “But all Americans 65 and older — including the two fastest-growing segments of our population, the 80- to 90-year-olds and those over 100 — are lumped in a single group, as if bodies and behaviors don’t change over the last half-century of life.”
  • “Older adults who receive tetanus and diphtheria vaccines, for instance, produce less-effective antibodies, and the vaccines’ protective effect fades faster than it does for younger patients.”
  • “There may also come a point toward the end of many lives when vaccination no longer makes sense. Although the C.D.C. recommends that everyone receive an annual flu vaccine, the benefits for the very old and ill are unproven, and for them the shot may produce only pain and inconvenience”

Urological conditions

  • “Studies have shown that procedures used to treat common urological conditions not only had no efficacy in frail older men but also caused permanent functional decline and death.”

Chemotherapy

  • “And changes in the kidneys, heart, skin and other organs steadily decrease older people’s ability to tolerate chemotherapy and radiation.”

Vitamin D and the elderly

Currently people >65 are generally recommended to have 33% more Vitamin D than younger adults
   (800 IU vs 600 IU in the US)
Is 33% more Vitamin D enough – especially if not healthy?
Is >33% needed if >90 years-old?

See also VitaminDWiki

10 reasons why seniors need more vitamin D has the following

  1. Senior skin produces 3X less Vitamin D for the same sun intensity
  2. Seniors have fewer vitamin D receptors as they age
    (The effect of low Vitamin D receptor genes does not show up on vitamin D test results)
  3. Seniors are indoors more than when when they were younger
    not as agile, weaker muscles; frail, no longer enjoy hot temperatures
    (if outside, stay in the shade), however, seniors might start outdoor activities like gardening, biking, etc.
  4. Seniors wear more clothing outdoors than when younger
    fear skin cancer/wrinkles, sometimes avoid bright light after cataract surgery
  5. Seniors often take various drugs which reduce vitamin D (some would not show up on vitamin D test)
    statins, chemotherapy, anti-depressants, blood pressure, beta-blockers, etc
  6. Seniors often have one or more diseases which consume vitamin D ( osteoporosis, diabetes, MS, ...)
  7. Seniors generally put on weight at they age - and a heavier body requires more vitamin D
  8. Seniors often (40%) have fatty livers – which do not process vitamin D as well
  9. Seniors not have as much Magnesium needed to use vitamin D
    (would not show up on vitamin D test)
  10. Seniors with poorly functioning kidneys do not process vitamin D as well
    (would not show up on vitamin D test)
    2009 full text online  Also PDF 2009
  11. Vitamin D is not as bioavailable in senior digestive systems (Stomach acid or intestines?)
Created by admin. Last Modification: Saturday August 12, 2017 14:50:25 UTC by admin. (Version 5)

Stop Treating 70- and 90-Year-Olds the Same – Aug 2017        

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