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Table 1 Age-related changes according to Priebe and Lakatta [5, 6].

From: Head and Neck Cancer in the Elderly: A Retrospective Study over 10 Years (1999 - 2008)

 

Influence

Age-related change

Organ function

Respiratory

- Increased chest wall rigidity

- Decreased functional alveolar surface area, decreased gas exchange

- Decreased respiratory muscle strength and endurance

Hepatic

- Decreased activity of hepatic cholinesterase

- Decrease in microsomal demethylation pathway

Renal

- Reduced glomerular filtration rate

- Decreased renal blood flow

- Reduction in total body water

Miscellaneous

- Reduced skeletal mass

- Reduced cortisol secretion

Cardiac

- Increased myocardial stiffness

- Increased aortic impedance

- Increased left atrium size

Vascular

- Increased vascular stiffness

- Decreased β-adrenoceptor responsiveness

Drug Disposition

Drug distribution

- Reduced total body water

- Reduced body mass

- Reduced serum albumin

Renal excretion

- Reduced glomerular filtration rate

- Reduced renal blood flow

- Reduced concentrating ability

Hepatic metabolism

- Reduced hepatic blood flow

- Reduced activity of microsomal oxidizing system