Effects of Aging
Respiratory fitness decreases with age. Maximum breathing capacities decline, while the likelihood of fatigue increases. Inspiration and expiration are not as effective in older persons. With age, weakened intercostal muscles and increased inelasticity of the rib cage combine to reduce the inspiratory reserve volume, while the lungs' inability to recoil reduces the expiratory reserve volume. More residual air is found in the lungs of older people.
With age, gas exchange in the lungs is not as efficien not only due to changes in the lungs but also due to changes in the blood capillaries. The walls of the alveoli and capillaries thicken, and the gases cannot diffuse as rapidly as they once did.
In the elderly, the ciliated cells of the trachea are reduced in number, and those remaining are not as effective as they once were. Respiratory diseases, such as those discussed in the chapter, are more prevalent in older people than in the general public. Pneumonia and other respiratory infections are among the leading causes of death in older persons.
