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Sexual life and longevity  ,[object Object],[object Object],[object Object],[object Object]
 
Naked-mole Rat The animal standing is a 24-year-old breeding female that is midway through gestation, and the animal sleeping is her 28.3-year-old naked mole-rat mate.  This picture was taken a few days before he died R. Buffenstein: J Gerontol Biol Sciences, 2005, Vol. 60A, No. 11, 1369–1377
Naked-mole Rat  ,[object Object],[object Object],[object Object],[object Object]
.  Trends in mortality in older women: findings from the Nun Study   Butler, S.M., Snowdon, D.A.,  J Gerontol B Psychol Sci Soc Sci,  1996 ,  51:S201-8.  ,[object Object],[object Object],[object Object]
Sex and death: are they related?
G. Davey Smith, S. Frankel, J. Yarnell,  Sex and death: are they related?  The Caerphilly cohort study  BMJ  1997;315:1641-1644 Sex and death: are they related?
Sex and death: are they related?  The Caerphilly cohort study  G. Davey Smith, S. Frankel, J. Yarnell,  BMJ  1997;315:1641-1644 ,[object Object],[object Object],[object Object],[object Object],A Cohort composed of 918 men aged 45 to 60.
Sex and death: are they related?  The Caerphilly cohort study  G. Davey Smith ,  S. Frankel ,  J. Yarnell ,  BMJ  1997
[object Object],[object Object],G. Davey Smith ,  S. Frankel ,  J. Yarnell ,  BMJ  1997 Sex and death: are they related?  The Caerphilly cohort study
[object Object],[object Object],[object Object],G. Davey Smith ,  S. Frankel ,  J. Yarnell ,  BMJ  1997 Sex and death: are they related?  The Caerphilly cohort study
Sex and death: are they related?  The Caerphilly cohort study   20-year follow-up  S Ebrahim, M May, Y Ben Shlomo, P McCarron, S Frankel, J Yarnell, G Davey Smith J Epidemiol Community Health. 2002;56:99-102
S Ebrahim et al,   Epidemiol Comm Health . 2002;56:99-102 ,[object Object]
Huang-Kuang Chen et al,  Intern J Epidemiol , 2007
Huang-Kuang Chen et al,  Intern J Epidemiol , 2007
Sexual activity and mortality in a Chinese population (>65 ans) Huang-Kuang Chen et al,  Intern J Epidemiol , 2007
Huang-Kuang Chen et al,  Intern J Epidemiol , 2007 Sexual activity and mortality in a Chinese population (>65 ans)
Sexual activity and mortality in a Chinese population (>65 ans) Huang-Kuang Chen et al,  Intern J Epidemiol , 2007
Sexual activity and mortality in a Chinese population (>65 ans)
What is in the mind of younger people… … .Sexual activity in the very elderly is:
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is in the mind of younger people… Sexual activity in the very elderly is:
Is sexual activity risky?  ,[object Object],[object Object]
[object Object]
Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: cross sectional survey of four populations 1971-2001 N. Beckman, M. Waern, I. Skoog  BMJ 2008
N. Beckman,et al,  BMJ, 2008
[object Object],[object Object],[object Object],[object Object],[object Object],The hormonal deficit is not a major factor in the decrease of the libido in women >45 y.o.  Hartmann et al.  Menopause , 2004
Frequent diseases that can influence sexual life ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2007: Dpt of Geriatrics, Nancy Age #Med #Pathol All:  82    5.8  3.2 Men  :  78  5.3  3.2 Women :  84  6.0  3.2 A. Benetos : personal data Number of drugs used in the very elderly
Medications used in the very elderly   2007: Day hospital, Geriatrics, University of Nancy  Benzodiazepines:  27% (H23%,  F29%) Anti-depressors : 32% (H27%, F35%) Diuretics :  42% (H38%, F44%)  Blockers: 24% (H35%, F19%) ACEI :  22% (H19%, F23%) AT1 antag : 18% (H12%, F21%) CCB:  18% (H8%, F23%) Statins :  12% (H15%, F10%) Anti-aggregants :  31% (H27%, F33%)  Anti-coagulants :  15% (H12%, F17%) Pain killers :  30% (H23%, F33%) Anti-cholinesterase:  18% (H27%, 13%)
Sexuality in the elderly  Conclusions (1) ,[object Object],[object Object],[object Object]
[object Object],[object Object],Succesful aging : Adapt your sexual life to your physical capacities  Sexuality in the elderly  Conclusions (2)

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Sexual longevity factors in the elderly

  • 1.
  • 2.  
  • 3. Naked-mole Rat The animal standing is a 24-year-old breeding female that is midway through gestation, and the animal sleeping is her 28.3-year-old naked mole-rat mate. This picture was taken a few days before he died R. Buffenstein: J Gerontol Biol Sciences, 2005, Vol. 60A, No. 11, 1369–1377
  • 4.
  • 5.
  • 6. Sex and death: are they related?
  • 7. G. Davey Smith, S. Frankel, J. Yarnell, Sex and death: are they related? The Caerphilly cohort study BMJ 1997;315:1641-1644 Sex and death: are they related?
  • 8.
  • 9. Sex and death: are they related? The Caerphilly cohort study G. Davey Smith , S. Frankel , J. Yarnell , BMJ 1997
  • 10.
  • 11.
  • 12. Sex and death: are they related? The Caerphilly cohort study 20-year follow-up S Ebrahim, M May, Y Ben Shlomo, P McCarron, S Frankel, J Yarnell, G Davey Smith J Epidemiol Community Health. 2002;56:99-102
  • 13.
  • 14. Huang-Kuang Chen et al, Intern J Epidemiol , 2007
  • 15. Huang-Kuang Chen et al, Intern J Epidemiol , 2007
  • 16. Sexual activity and mortality in a Chinese population (>65 ans) Huang-Kuang Chen et al, Intern J Epidemiol , 2007
  • 17. Huang-Kuang Chen et al, Intern J Epidemiol , 2007 Sexual activity and mortality in a Chinese population (>65 ans)
  • 18. Sexual activity and mortality in a Chinese population (>65 ans) Huang-Kuang Chen et al, Intern J Epidemiol , 2007
  • 19. Sexual activity and mortality in a Chinese population (>65 ans)
  • 20. What is in the mind of younger people… … .Sexual activity in the very elderly is:
  • 21.
  • 22.
  • 23.
  • 24. Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: cross sectional survey of four populations 1971-2001 N. Beckman, M. Waern, I. Skoog BMJ 2008
  • 25. N. Beckman,et al, BMJ, 2008
  • 26.
  • 27.
  • 28. 2007: Dpt of Geriatrics, Nancy Age #Med #Pathol All: 82 5.8 3.2 Men : 78 5.3 3.2 Women : 84 6.0 3.2 A. Benetos : personal data Number of drugs used in the very elderly
  • 29. Medications used in the very elderly 2007: Day hospital, Geriatrics, University of Nancy Benzodiazepines: 27% (H23%, F29%) Anti-depressors : 32% (H27%, F35%) Diuretics : 42% (H38%, F44%)  Blockers: 24% (H35%, F19%) ACEI : 22% (H19%, F23%) AT1 antag : 18% (H12%, F21%) CCB: 18% (H8%, F23%) Statins : 12% (H15%, F10%) Anti-aggregants : 31% (H27%, F33%) Anti-coagulants : 15% (H12%, F17%) Pain killers : 30% (H23%, F33%) Anti-cholinesterase: 18% (H27%, 13%)
  • 30.
  • 31.

Notas do Editor

  1. This map compares the global levels of blood pressure control. In 1998, the Health Survey for England focused on cardiovascular disease. When compared with international values, the UK has the worst record for blood pressure control rates. Only 9% of hypertensive subjects achieve blood pressure <140/90 mm Hg. Sixty per cent of hypertensive patients in this survey remained on monotherapy. The survey suggested that improved detection greater use of non-pharmalogical measures increased use of >1 antihypertensive agent per patient would produce greater success in achieving target levels. This in turn could lead to major reductions in fatal and non-fatal cardiovascular events. References JNC-VI. Arch Intern Med 1997; 157 :2413 – 2446. Burt V et al . Hypertension 1995; 26 :60 – 69. Mancia G et al . Eur Heart J 1999; (suppl L) :L14 – L19. Primatesta et al . Hypertension 2001; 38 :827 –8 32.
  2. This map compares the global levels of blood pressure control. In 1998, the Health Survey for England focused on cardiovascular disease. When compared with international values, the UK has the worst record for blood pressure control rates. Only 9% of hypertensive subjects achieve blood pressure <140/90 mm Hg. Sixty per cent of hypertensive patients in this survey remained on monotherapy. The survey suggested that improved detection greater use of non-pharmalogical measures increased use of >1 antihypertensive agent per patient would produce greater success in achieving target levels. This in turn could lead to major reductions in fatal and non-fatal cardiovascular events. References JNC-VI. Arch Intern Med 1997; 157 :2413 – 2446. Burt V et al . Hypertension 1995; 26 :60 – 69. Mancia G et al . Eur Heart J 1999; (suppl L) :L14 – L19. Primatesta et al . Hypertension 2001; 38 :827 –8 32.
  3. This map compares the global levels of blood pressure control. In 1998, the Health Survey for England focused on cardiovascular disease. When compared with international values, the UK has the worst record for blood pressure control rates. Only 9% of hypertensive subjects achieve blood pressure <140/90 mm Hg. Sixty per cent of hypertensive patients in this survey remained on monotherapy. The survey suggested that improved detection greater use of non-pharmalogical measures increased use of >1 antihypertensive agent per patient would produce greater success in achieving target levels. This in turn could lead to major reductions in fatal and non-fatal cardiovascular events. References JNC-VI. Arch Intern Med 1997; 157 :2413 – 2446. Burt V et al . Hypertension 1995; 26 :60 – 69. Mancia G et al . Eur Heart J 1999; (suppl L) :L14 – L19. Primatesta et al . Hypertension 2001; 38 :827 –8 32.
  4. This map compares the global levels of blood pressure control. In 1998, the Health Survey for England focused on cardiovascular disease. When compared with international values, the UK has the worst record for blood pressure control rates. Only 9% of hypertensive subjects achieve blood pressure <140/90 mm Hg. Sixty per cent of hypertensive patients in this survey remained on monotherapy. The survey suggested that improved detection greater use of non-pharmalogical measures increased use of >1 antihypertensive agent per patient would produce greater success in achieving target levels. This in turn could lead to major reductions in fatal and non-fatal cardiovascular events. References JNC-VI. Arch Intern Med 1997; 157 :2413 – 2446. Burt V et al . Hypertension 1995; 26 :60 – 69. Mancia G et al . Eur Heart J 1999; (suppl L) :L14 – L19. Primatesta et al . Hypertension 2001; 38 :827 –8 32.