Observations While Traveling Down the Road of Aging

Month: July 2023

Is 8:00 pm the new 10:00 pm?

By Richard Fleming

July 2023

Photo courtesy of Allison Saeng

When people are fortunate enough to retire, clocks start acting funny. Time becomes more fluid. 8:00 pm is no longer necessarily 8:00 pm. Before retirement, each hour of every day is tied to our work schedule. Free time is limited and precious. Scheduling of all activities, hobbies, family events, even sleeping, is dictated by timetables imposed by work. But when these schedule restrictions recede into the past, time becomes a bit loosey-goosey.

It’s not that retirees live lives of leisure, free of responsibilities. We are still required to babysit grandchildren, clean the house and yard, shop for groceries, cook, and keep up with current events. Our schedules can also fill up with hobbies, volunteer work, political activities, non-political activities, and non-active activities. But the rigidity previously imposed by the ticking clock dissipates and our hours become more flexible.

Looking at how bedtimes change for older people provides insight into shifting circadian rhythms. Working people often hit the sack around 11:00 pm, maybe 12:00 midnight. But for many retirees, including my wife and myself, bedtime moves a couple of hours earlier. Our energy starts to wane in the early evening, and by 9:00 or 10:00 pm the siren call of the mattress becomes irresistible. No matter whether the day was active or slow, it just seems harder to maintain alertness, stamina, and an upright posture at night. For us, 8:00 pm is the new 10:00 pm.

This change in circadian rhythm in the elderly is an interesting phenomenon. Our daily cycles are rooted deeply in biology. Every part of our body runs on a 24-hour clock controlled by a region deep in our brain called the anterior hypothalamus. Through hormonal and neurological signaling, this part of the brain orchestrates a complex daily symphony among our organs, tissues, and metabolism which varies on a 24-hour schedule. The body is pretty cool, right?

This circadian rhythm remains relatively stable for most of our lives, until aging starts to creep in. For reasons not well understood, older people’s 24-hour cycles tend to time-shift, usually moving forward a few hours. As an example, let’s look at an older person living in California like myself. In the evening I may look at our wall clock in Benicia and see it reads 7:00 pm. But my body is winding down and feels as though I was back in my hometown, Topeka, where the clocks read 9:00 pm. (A brief clarifying note for any Gen X or younger folks who have stumbled across this blog – older folks usually have large clocks mounted on our walls at home. We use them to tell time. I understand you probably consider wall clocks anachronistic since you are never separated from your cell phone. But you will come to see the importance of wall clocks, with large numbers, as you grow older.)

When unexplained phenomena occur, such as people’s biological clocks resetting with age, researchers are eager to find answers. It should not be surprising that a group of Swiss scientists decided to study this puzzle. Switzerland, of course, is known for its close attention to watches, clocks, and strict time schedules. A little over ten years ago, researchers at the University of Zurich performed skin biopsies on young and old people and grew the skin cells in culture media. They noted that human skin cells have regular 24-hour cycles for functions like how permeable they are and how fast they grow. Skin cells from young and old people both operate on 24-hour cycles, but the older skin cells’ timer was shifted a few hours earlier. This finding confirmed what we older folks experience in real life. We go to bed early, not because we’re sluggish, but because biology insists we do so.

The researchers discovered another interesting finding. They grew the younger folks’ skin cells in broth containing blood from older people. What happened? The young people’s skin cells shifted their circadian rhythm clocks to match those of older people. Some factor in older folks’ blood forced young people’s skin to reset their daily clock to match that of older folks.

The question of why this phenomenon takes place is not yet answered, but I suspect it is due to evolutionary selection. There just isn’t, and never has been, a lot to keep older folks occupied and busy at night. We don’t party much. We don’t spend a lot of time on late night entertainment options. So why not catch some Z’s? We seniors have no reason to feel guilty about heading towards our bedrooms at 10:00 pm. The Swiss have proven it is due to our biological clocks. We can pin the responsibility on our anterior hypothalamus.

In closing I will note there is a very weird, unexplained phenomenon which characterizes some seniors. For a small proportion of retirees, their clocks reset in the opposite direction. They stay up much later than they did when working. Bedtime no longer comes at 11:00 or 12:00 pm, but instead at 1:00 or 2:00 am. Morning alarms become extinct. For them, awakening at 10:00 am or later is no cause for embarrassment. Actually they view it as a badge of honor. The explanation for this peculiar lifestyle is as yet unknown. If any research turns up answers, I will post the findings.

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“You Look Good”

July 2023

By Richard Fleming

Photo courtesy of Huy Phan

As I grow older I become more sensitive about comments younger folks occasionally make. One that irks me at the moment is when a young person tells me, “You look good.” I heard this observation quite a bit recently after living through another birthday. Restaurant staff where we had a small family dinner celebration asked how old I was. When I told them 72, they invariably said, “Oh, you look good.” The same thing happened when some young acquaintances recently asked how old I was. While the next three words were not spoken aloud, they were clearly part of the thought process – “You look good… for your age.”

I try not to be a curmudgeonly old grouch. I understand younger folks intend this as a compliment. They are telling me that, in their opinion, I look younger than my age.

So what bugs me about this comment?

First, what are 72 year olds supposed to look like? Common wisdom says people of that age look withered – wrinkled skin, thinning gray hair, a turkey neck, stooped posture – and looking old is considered unsuitable. Society feels looking younger than one’s age is always to be preferred, even for young people. Many folks in their 40s prefer to appear they’re in their 30s. People in their 30s often prefer to look like they’re in their 20s. Or even their teens.

But what is wrong with a 72-year-old looking 72? It is nothing to be embarrassed about. To me, most people in their early 70s look pretty good. They manifest a wide range of appearances, but looking well-seasoned is, to me, inspiring. And the older I get, the more my standards for presentable appearance evolve. Older people look more and more natural and pleasing to the eye.

Also, of course, there is little correlation between physical appearance and how actively our minds work. Or how full our lives can be. Our body may look like we’ve lived for 70 or 80 years or longer, but our brains may function as though we are in our 40s. And our schedules are often busier than when we were in our 30s.

Actually I feel very fortunate to have reached my current age. Too many family members, friends, and acquaintances never had the opportunity to be – or to look – 72 years old.

Now, I will also acknowledge that when a person in their 70s looks like they’re in their 60s, that is well and good. But it is not virtuous. During three decades serving as the internist for many seniors, it was apparent that whether a person looks their age – or looks younger or older – is often outside their own control. Genetics plays a prominent role. A person’s lifetime of work influences their appearance, with some jobs taking much more of a physical toll. A person’s family and community situation impacts their appearance for better or for worse. Those with higher stress levels tend to look older more quickly than those living in a more secure, comfortable environment. Personal lifestyle choices of course play a role in a person’s appearance, but external factors loom large.

Bottom line, there is nothing wrong with looking one’s age. For those of us fortunate enough to attain older ages, we can celebrate our years of service no matter our appearance.

OK, enough with the sour grapes attitude. I need to learn to politely accept this comment when offered by young people with open hearts. When they say, “You look good,” I should just say, “Thank you.” It’s true I would prefer to hear those words rather than “You look tired” or “You need to take good care of yourself so you can have more birthdays in the future.”

It’s also important to realize that when young people tell a senior “You look good,” they are projecting a measure of anxiety. They know old age is coming for them too. And young folks inevitably wonder how they will look and feel in 30 or 40 years. I get it.

People of all ages share much in common as we journey down the pathway of life. Each generation should honor and learn from those further down the road. And cherish the younger folks who have less experience traveling through time. In this spirit, I’m considering a small change. I want the younger generation to know how much they are valued by older folks. The next time a Gen Z or Millennial tells me I look good, I will respond with a simple, “Thank you. You look good too.” If my reply is met with a look of puzzlement, I will follow up with, “No, really, you look good for your age.” I think this is a positive way to convey appreciation and mutual respect.

What do you think?

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