Aging inevitably means physical decline, some of which may be due to lifestyle, such as poor diet and lack of exercise, rather than illness or the aging process. Energy reserves dwindle. Cells decay. Muscle mass decreases. The immune system is no longer as capable as it once was in guarding against disease. Body systems and organs, such as the heart and lungs, become less efficient. Overall, regardless of people 's best hopes and efforts, aging translates into decline.
Even so, the speed at which people age, as well as how aging affects their outlook on life, varies from person to person. In older adulthood, people experience both gains and losses. For instance, while energy is lost, the ability to conserve energy is gained. Age also brings understanding, patience, experience, and wisdom—qualities that improve life regardless of the physical changes that may occur.
Aging in late adulthood profoundly affects appearance, sensation, and motor abilities. An older adult 's appearance changes as wrinkles appear and the skin becomes less elastic and thin. Small blood vessels break beneath the surface of the skin, and warts, skin tags, and age spots (liver spots) may form on the body. Hair thins and turns gray as melanin decreases, and height lessens perhaps by an inch or two as bone density decreases. The double standard of aging applies to men and women in older