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Age Related Changes in Endocrine System

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AGE RELATED CHANGES IN ENDOCRINE SYSTEM

1.Describe the effects of aging on the functions of


endocrine pancreas?
Endocrine pancreas produces Insulin. Insulin helps in
the transport of glucose from blood to inside of the cells
which is used as energy. The normal fasting glucose
level rises from 6 to 14 mg/dL after age 50years every
10 years. The cells turn out to be less sensitive to the
effects of insulin.
2. Explain the age related changes in hormones related
to bone metabolism?
Age related changes in hormones related to bone
metabolism are as follows:
Parathyroid hormones increases due to aging and leads
to Osteoporosis. They affect calcium and phosphate
levels which in turn affects the bone strength. Vitamin
D3 decreased production leads to less calcium ion
absorption in the intestines, decreased osteoclasts
production that promotes bone remodelling and
reabsorption. Elderly people are more prone to
fractures due to low bone density.
In women parathyroid hormone in the serum rises due
to deficiency of vitamin D and decrease in renal
absorption of calcium.
3.Describe the changes in glucocorticoids with age and
their biological consequences.
Due to aging the level of cortisol increases by 20 - 50%.
In older people cortisol level rises rapidly but does not
return to normal level for days whereas younger people
it declines to normal. Changes in glucocorticoids is due

to altered neuroendocrine regulation. During aging


there is change in plasma glucocorticoid level. Increase
in nocturnal nadir cortisol levels . Aging leads to
increase in cortisol production rate , weight
independent and increased urinary free cortisol levels in
old age . Secreation of DHEA(Dehydroepiandrosterone)
declines with age and restored partially by
mineralcorticoid antagonism.Glucocorticoids regulates
HPA activity via negative feedback. Changes in HPA
activity results from change in sensitivity to
glucocorticoids. Sensitivity of HPA axis to
dexamethasome. CRH and vasopressin altered during
aging and contributes to hypercortisolism.
Biological consequences: Increase in glucocorticoids
leads to increase in age associated diseases. Excessive
secreation of glucocorticoids leads to prolong catabolic
actions and contribute to onset of disease
(diabetes,osteoporosis,atherosclerosis,reproductive
dysfunction).
4.State the age related changes in hormones concerned
with male reproductive functions?
Age related changes in male reproductive system occurs
in the testes.Testicular tissue mass decreases.
Testosterone level gradually decreases or remains same
and cause slightly slow function.
Due to aging, men experience an increase in aromatose
activity and elevated sex hormone binding globulin
(SHBG). This results in increase in ratio of estrogen to
testosterone and decrease in testosterone levels both
total and free. It is due to the defect of hypothalamicpituitary-testicular axis at all levels; GnRH secreation is
attenuated, response of LH to GnRH decreased and
impaired testicular response to LH. Gradual LH rise with
aging that suggests testis dysfunction main cause of
androgen levels decline.

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