Korean J Gastroenterol.  2011 Jul;58(1):3-8. 10.4166/kjg.2011.58.1.3.

Aging and Digestive Diseases: At the View of the Functional Change of Gastrointestinal Tract

Affiliations
  • 1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. seenae99@dsmc.or.kr

Abstract

Although it is difficult to define the term "aging" consensually, in medical fields, usually it means the progressive accumulation of irreversible degenerative changes leading to loss of homeostasis. It is supposable that there is also modest decline in the structure and function of several digestive organs. However, data about this subject are not enough. Main problem in studying aging digestive organ is that discrimination of primary senile change of the organ with secondary one from other senile diseases is not easy. That is, the prevalence of many non-digestive disorders which can badly affect the digestive functions is increasing by aging; for example, diabetes, malignancy, etc. To prove that some phenomenon is as result of pure senile change, it is necessary to exclude secondary one, but, the process is very complicated and difficult. In spite of this limitation, here, I will discuss the senile change of several digestive organs by aging, especially at the view of the gastrointestinal functions, with review of literatures.

Keyword

Aging; Digestive system diseases; Gastrointestinal tract; Physiology

MeSH Terms

*Aging
Digestive System Diseases/*physiopathology
Esophageal Diseases/physiopathology
Humans
Intestinal Diseases/metabolism/physiopathology
Stomach Diseases/metabolism/microbiology/physiopathology

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Reference

References

1. Statistical Database/Population, Household/Population [Internet]. Daejeon (Korea): Korean Statistical Information Service; [cited 2011 March 20]. Available from:. http://kosis.kr/eng/data-base/database_001000jsp?listid=B&subtitle=Population,Household#.
2. Harman D. Aging: overview. Ann N Y Acad Sci. 2001; 928:1–21.
Article
3. Saffrey MJ. Ageing of the enteric nervous system. Mech Ageing Dev. 2004; 125:899–906.
Article
4. Banning M. Ageing and the gut. Nurs Older People. 2008; 20:17–21.
Article
5. Salles N. Basic mechanisms of the aging gastrointestinal tract. Dig Dis. 2007; 25:112–117.
Article
6. Drozdowski L, Thomson AB. Aging and the intestine. World J Gastroenterol. 2006; 12:7578–7584.
Article
7. Madsen JL, Graff J. Effects of ageing on gastrointestinal motor function. Age Ageing. 2004; 33:154–159.
Article
8. Shaker R, Ren J, Bardan E, et al. Pharyngoglottal closure reflex: characterization in healthy young, elderly and dysphagic patients with predeglutitive aspiration. Gerontology. 2003; 49:12–20.
Article
9. Finiels H, Strubel D, Jacquot JM. Deglutition disorders in the elderly. Epidemiological aspects. Presse Med. 2001; 30:1623–1634.
10. Ren J, Xie P, Lang IM, Bardan E, Sui Z, Shaker R. Deterioration of the pharyngo-UES contractile reflex in the elderly. Laryngo-scope. 2000; 110:1563–1566.
Article
11. Meshkinpour H, Haghighat P, Dutton C. Clinical spectrum of esophageal aperistalsis in the elderly. Am J Gastroenterol. 1994; 89:1480–1483.
12. Kawashima K, Motohashi Y, Fujishima I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia. 2004; 19:266–271.
Article
13. Meciano Filho J, Carvalho VC, de Souza RR. Nerve cell loss in the myenteric plexus of the human esophagus in relation to age: a preliminary investigation. Gerontology. 1995; 41:18–21.
Article
14. Ferriolli E, Oliveira RB, Matsuda NM, Braga FJ, Dantas RO. Aging, esophageal motility, and gastroesophageal reflux. J Am Geriatr Soc. 1998; 46:1534–1537.
Article
15. Jou J, Radowsky J, Gangnon R, et al. Esophageal clearance patterns in normal older adults as documented with videofluoro-scopic esophagram. Gastroenterol Res Pract. 2009; 2009:965062.
Article
16. Grande L, Lacima G, Ros E, et al. Deterioration of esophageal motility with age: a manometric study of 79 healthy subjects. Am J Gastroenterol. 1999; 94:1795–1801.
Article
17. Moore JG, Tweedy C, Christian PE, Datz FL. Effect of age on gastric emptying of liquid–solid meals in man. Dig Dis Sci. 1983; 28:340–344.
Article
18. Madsen JL. Effects of gender, age, and body mass index on gastrointestinal transit times. Dig Dis Sci. 1992; 37:1548–1553.
19. Shimamoto C, Hirata I, Hiraike Y, Takeuchi N, Nomura T, Katsu K. Evaluation of gastric motor activity in the elderly by electro-gastrography and the (13)C-acetate breath test. Gerontology. 2002; 48:381–386.
20. Nakae Y, Onouchi H, Kagaya M, Kondo T. Effects of aging and gastric lipolysis on gastric emptying of lipid in liquid meal. J Gastroenterol. 1999; 34:445–449.
Article
21. Phillips RJ, Kieffer EJ, Powley TL. Aging of the myenteric plexus: neuronal loss is specific to cholinergic neurons. Auton Neurosci. 2003; 106:69–83.
Article
22. Majumdar AP. Regulation of gastrointestinal mucosal growth during aging. J Physiol Pharmacol. 2003; 54(Suppl 4):143–154.
23. Kang JM, Kim N, Kim JH, et al. Effect of aging on gastric mucosal defense mechanisms: ROS, apoptosis, angiogenesis, and sen-sory neurons. Am J Physiol Gastrointest Liver Physiol. 2010; 299:G1147–G1153.
Article
24. Hurwitz A, Brady DA, Schaal SE, Samloff IM, Dedon J, Ruhl CE. Gastric acidity in older adults. JAMA. 1997; 278:659–662.
Article
25. Haruma K, Kamada T, Kawaguchi H, et al. Effect of age and Helicobacter pylori infection on gastric acid secretion. J Gastroenterol Hepatol. 2000; 15:277–283.
26. Pilotto A, Salles N. Helicobacter pylori infection in geriatrics. Helicobacter. 2002; 7(Suppl 1):56–62.
27. Lenaz G, Bovina C, D'Aurelio M, et al. Role of mitochondria in oxi-dative stress and aging. Ann N Y Acad Sci. 2002; 959:199–213.
Article
28. Nwokolo CU, Freshwater DA, O'Hare P, Randeva HS. Plasma ghrelin following cure of Helicobacter pylori. Gut. 2003; 52:637–640.
29. Azuma T, Suto H, Ito Y, et al. Gastric leptin and Helicobacter pylori infection. Gut. 2001; 49:324–329.
30. Altman DF. Changes in gastrointestinal, pancreatic, biliary, and hepatic function with aging. Gastroenterol Clin North Am. 1990; 19:227–234.
Article
31. Fich A, Camilleri M, Phillips SF. Effect of age on human gastric and small bowel motility. J Clin Gastroenterol. 1989; 11:416–420.
Article
32. Corazza GR, Frazzoni M, Gatto MR, Gasbarrini G. Ageing and small-bowel mucosa: a morphometric study. Gerontology. 1986; 32:60–65.
Article
33. Trbojević-Stanković JB, Milić ević NM, Milosević DP, et al. Morphometric study of healthy jejunal and ileal mucosa in adult and aged subjects. Histol Histopathol. 2010; 25:153–158.
34. Parlesak A, Klein B, Schecher K, Bode JC, Bode C. Prevalence of small bowel bacterial overgrowth and its association with nutrition intake in nonhospitalized older adults. J Am Geriatr Soc. 2003; 51:768–773.
Article
35. McEvoy A, Dutton J, James OF. Bacterial contamination of the small intestine is an important cause of occult malabsorption in the elderly. Br Med J (Clin Res Ed). 1983; 287:789–793.
Article
36. van Asselt DZ, van den Broek WJ, Lamers CB, Corstens FH, Hoefnagels WH. Free and protein-bound cobalamin absorption in healthy middle-aged and older subjects. J Am Geriatr Soc. 1996; 44:949–953.
Article
37. Scarlett JD, Read H, O'Dea K. Protein-bound cobalamin absorption declines in the elderly. Am J Hematol. 1992; 39:79–83.
Article
38. Woudstra T, Thomson AB. Nutrient absorption and intestinal adaptation with ageing. Best Pract Res Clin Gastroenterol. 2002; 16:1–15.
Article
39. Holt PR, Balint JA. Effects of aging on intestinal lipid absorption. Am J Physiol. 1993; 264:G1–G6.
Article
40. Gomes OA, de Souza RR, Liberti EA. A preliminary investigation of the effects of aging on the nerve cell number in the myenteric ganglia of the human colon. Gerontology. 1997; 43:210–217.
Article
41. Takahashi T, Qoubaitary A, Owyang C, Wiley JW. Decreased ex-pression of nitric oxide synthase in the colonic myenteric plexus of aged rats. Brain Res. 2000; 883:15–21.
Article
42. Talley NJ, O'Keefe EA, Zinsmeister AR, Melton LJ 3rd. Prevalence of gastrointestinal symptoms in the elderly: a population-based study. Gastroenterology. 1992; 102:895–901.
Article
43. Meier R, Beglinger C, Dederding JP, et al. Influence of age, gender, hormonal status and smoking habits on colonic transit time. Neurogastroenterol Motil. 1995; 7:235–238.
Article
44. Oh SH. Constipation in the elderly. J Korean Geriatr Soc. 2001; 5:209–217.
45. Gullo L, Ventrucci M, Naldoni P, Pezzilli R. Aging and exocrine pancreatic function. J Am Geriatr Soc. 1986; 34:790–792.
Article
46. Gullo L, Simoni P, Migliori M, et al. A study of pancreatic function among subjects over ninety years of age. Pancreatology. 2009; 9:240–244.
Article
47. Zoli M, Magalotti D, Bianchi G, et al. Total and functional hepatic blood flow decrease in parallel with ageing. Age Ageing. 1999; 28:29–33.
Article
48. Schmucker DL. Aging and the liver: an update. J Gerontol A Biol Sci Med Sci. 1998; 53:B315–B320.
Article
49. Popper H. Aging and the liver. Prog Liver Dis. 1986; 8:659–683.
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