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Sunday, September 6, 2026

What happens in our bodies as we age

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  • Years of chewing and grinding wear down the hard outer layer of the teeth, exposing the yellow dentin underneath, making teeth appear darker and more sensitive to hot or cold foods.

  • Teeth can get chipped, worn or cracked.

Dry mouth

  • Saliva production decreases, making the mouth more prone to bacterial infection, tooth decay and bad breath. To combat dry mouth, dentists advise chewing sugar-free gum to stimulate saliva production or sipping water throughout the day.

Receding gums

  • Gums pull back from the teeth over time, exposing sensitive roots that are highly vulnerable to decay.

Change in taste

  • Reduced senses of taste and smell are common in older adults, affecting appetite and nutrition.

What you can do: To combat ageing teeth and gums, use a soft-bristled toothbrush and fluoride toothpaste twice daily. Dental implants, bridges and dentures can replace damaged or missing teeth.

Brain

Structural and cellular changes

  • The overall volume of the brain decreases.

  • The protective, insulating coat on nerve fibres breaks down and individual neurons shrink, disrupting brain circuits responsible for learning, perception and memory.

Chemical changes

  • Fewer chemical messengers, such as dopamine and serotonin, are produced, impacting mood, memory and focus.

  • Falling hormone levels affect brain function and cognition.

Cognitive changes

  • Deeply ingrained habits and long-term memories stay largely intact, while retention of new, short-term information becomes a challenge.

What you can do: Aerobic exercises increase blood flow and grow the brain’s memory centre; learning a new skill challenges the mind; and a nutrient-rich diet can promote new brain cell growth and protect neural pathways.

Heart

Stiffening of vessels can raise blood pressure and increase the workload on the heart muscle.

Less flexible heart muscle means the heart takes longer to relax after each beat, which impacts its ability to fill with blood properly.

Lungs

  • The lungs lose elasticity, the ribcage stiffens and breathing muscles weaken, making it harder for the lungs to fully expand and contract. This reduces overall lung capacity, decreases oxygen absorption and weakens the immune system, making it harder to breathe, especially during physical exertion.

  • The lungs’ natural clearing mechanisms, such as the cough reflex, become less sensitive, increasing vulnerability to respiratory infections.

What you can do: Practising specific breathing exercises, staying physically active and maintaining good hydration can prevent these issues from developing.

Bones/Spine/Joints

  • Bones shrink in size, lose essential minerals like calcium and decrease in density. They become brittle, significantly raising the risk of fractures even from minor bumps or falls.

  • The body removes old bone faster than it can create new bone, leading to osteoporosis.

What you can do: To protect ageing bones, focus on dietary nutrition, weight-bearing exercise and fall prevention. With weight training, bones can increase in density.

Spine

  • Loses mineral content and becomes thinner.

  • Gel-like discs between the vertebrae lose fluid and flatten, which is why people often lose height and develop a more curved posture as they age.

What you can do: By focusing on core stability, low-impact back extensions and lower-body strength, the spine can be strengthened.

Knees, hips and shoulders

  • These joints lose their flexible cushioning from cartilage wear.

  • Synovial fluid – the lubricating fluid in joints – decreases.

These lead to stiffness; restricted range of motion; and osteoarthritis – wearing down of the protective cartilage cushioning the ends of bones.

Sexual function/Hormones

  • Erectile changes include taking a longer time to achieve erection and less rigidness than in younger years.

  • Need for more direct stimulation.

  • Drop in testosterone levels, sexual desire and semen volume.

In women

  • Decrease in oestrogen levels leads to a decline in fertility and triggers physical changes in the reproductive organs.

  • Vaginal walls become thinner and less elastic, and natural lubrication decreases, making intercourse painful.

What you can do: Improving ageing sexual function requires a combination of lifestyle changes, targeted medical treatments and adapted intimacy.

While ageing is often linked to physical decline, the older body and mind actually undergo several positive changes. These include having a stronger immune memory to fight recurring infections, improved emotional regulation and stronger social skills. The mature brain also creates new neural pathways, helping an older person to solve problems better.

View the original on The Straits Times

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