When Does Old Age Begin?

July 2, 2009 RSS Feed Print
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When does someone become old? At age 68. That’s the average of 2,969 answers provided to this question in a recent Pew Research Center telephone survey of Americans age 18 and older. But the responses varied depending on the age and gender of the person answering the question. Most people under age 30 (60 percent) said the typical person becomes old before reaching their 60th birthday. Those currently age 65 and older say old age begins at age 74. Women, on average, say a person becomes old at age 70, while men say age 66 is old.

To complicate matters further, only a fraction of the survey participants said that their chronological age captured how old they feel. Among adults 65 and older, only 32 percent say they feel exactly their age. Most (60 percent) feel younger than their age, and only 3 percent feel older. Even among 18 to 29-year-olds, only about half say they feel their age, while a quarter feel both older and younger. The survey then asked about other potential markers of old age including retirement, forgetfulness, experiencing bladder control problems, getting gray hair, and having grandchildren. The survey respondents said a person is old when he or she:

  • Turns 85 (79 percent)
  • Can’t live independently (76 percent)
  • Can’t drive a car (66 percent)
  • Turns 75 (62 percent)
  • Frequently forgets familiar names (51 percent)
  • Has failing health (47 percent)
  • Has trouble climbing stairs (45 percent)
  • Has bladder control problems (42 percent)
  • Is no longer sexually active (33 percent)
  • Turns 65 (32 percent)
  • Retires (23 percent)
  • Has grandchildren (15 percent)
  • Has gray hair (13 percent)

Source: Pew Research Center

But there was also an age gap when using these markers as indicators of what makes someone old. For example, while 44 percent of people between the ages of 18 and 29 said that retiring from work makes someone old, only 10 percent of those age 65 and older agreed. There was more agreement among the age groups when health problems were used as an indicator of aging, including failing health, an inability to live independently, an inability to drive, and difficulty with stairs.

In general, the share of adults under age 64 who feared aging problems was much larger than the number of older adults actually living with them. Those age 65 and older said they had experienced only a few of the burdens of old age including memory loss (25 percent), a serious illness (21 percent), not being sexually active (21 percent), and feeling sad or depressed (20 percent).  Far greater numbers of the older adults experienced positive aspects of aging including spending more time with family (70 percent), not working (66 percent), more time for hobbies and interests (65 percent), and more financial security (64 percent). Most of the adults age 65 and older in the survey said their daily activities include talking with family or friends every day (90 percent), reading a book, newspaper, or magazine (83 percent), taking a prescription drug daily (83 percent), watching over an hour of television (77 percent), and praying (76 percent).

When asked what age they would ideally like to live to, the average response among all age groups was 89. About 20 percent of the respondents said they would like to live into their 90s and only 8 percent hope to see their 100th birthday.

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warm-hearted answers i like it

Wrevyerance of AL 6:22PM January 05, 2010

The diversity of answers to the Pew survey likely reflects the diversity of our population and how we view aging. What we do know right now is that we are not yet able to prevent the common syndromes – like loss of bladder control, difficulty with gait and balance, and memory loss – that contributes to the burden of older adults. We can also predict that older adults who live into their mid-70s are likely to suffer from one or more common diseases of aging such as osteoarthritis, osteoporosis, or some form of cardiovascular disease. The congruence among respondents – that someone is old when s/he turns 85 (79 percent) or can no longer live independently (76 percent) – mirrors the thinking from members of the American Geriatrics Society (AGS) about the ways in which older persons benefit when cared for by a geriatrician.

Geriatricians are those physicians with special training in care of older adults. In a recent survey of geriatricians who are members of the AGS, we found that 75 percent of our physician members chose the same groups that would benefit from care by a geriatrician. The patients selected were older than 85, had severe functional impairments, complex biomedical programs, were frail, or had geriatric syndromes. Geriatrics, with its emphasis on care management and care coordination, helps older people maintain functional independence in performing daily activities and improve their overall quality of life.

Alarmingly, the United States is facing a shortage of geriatricians. According to data from our AGS Geriatrics Workforce Policy Studies Center, there are less than 7,500 certified geriatricians in the United States – less than half the number needed to care for the almost 11 million older adults who are frail and in need of their care. By 2030, when we estimate there will be 21 million Americans in need of a geriatrician, the demand, given current recruitment trends – will far exceed the available supply.

Given our increasing longevity, Americans should take their potential future medical needs into account when planning for retirement – including the likely possibility that they will need care from someone who is especially trained to provide that care. For this reason, AGS works together with leaders and lawmakers to raise awareness and offer potential solutions to pressing problems in elder health care – such as the growing shortage of geriatrics health care professionals and Medicare financing and reimbursement problems.

To learn more about the geriatrician shortage visit the AGS’ Web site at www.americangeriatrics.org. Through our Foundation for Health in Aging (www.healthinaging.org), we offer resources and materials for patients and their families.

Nancy Lundebjerg

Deputy Executive Vice President & COO for the AGS

Nancy Lundebjerg of NY 12:29PM July 15, 2009

I know that American culture would say that I am old. I turned 72 today. When I think about my chronological age, it seems so unreal. 73 was how old my grandmother was when she died. I am so far away from that that it is incomprehensible that I am considered old.

I work, go to school, go to the gym, garden, bike ride, want to learn how to dance better than I do, and play tennis as well as occasionally walk dogs for other people.I work as a Sign Painter, and have been painting all of my life. As a Sign Painter I climb ladders and haven't noticed any difficulty in carrying ladders or climbing up on them. . I am not overweight. Have absolutely nothing wrong with me physically, and don't intend to ever get sick. I don't know what is going to kill me but it sure a'int gonna be something related to the typical American diet. I don't eat meat because I hate the way the animals are treated and I don't like the fact that cattle are supposed to eat grass and not corn that turns into sugar in their body and subsequently in the person who consumes it. I eat lots of vegetables and fruit, a little bit of fish, and no more chicken. I used to eat chicken until I found out that they fatten up the chickens so much that they can't walk on their own two legs.

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I think one of the main reasons that I feel so young is because I never had children. Maybe I just refused to grow old because I refused to grow up. Maybe I'll just get hit by a truck. Hopefully I won't feel it.

Ellen Korak of CA 3:29PM July 10, 2009

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