Aging Changes in Vital Signs: What Seniors Need to Know

Aging Changes in Vital Signs: What Seniors Need to Know




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Vital signs

include body temperature, heart rate (pulse), breathing (respiratory) rate, and blood pressure. As you age, your vital signs may change, depending on how healthy you are. Some medical problems can cause changes in one or more vital signs.

Understanding aging changes vital signs is important for seniors and their caregivers. checking your vital signs helps your health care provider monitor your health and any medical problems you may have.

BODY TEMPERATURE

Normal body temperature

does not change much with aging. But as you get older, it becomes harder for your body to control its temperature. A decrease in the amount of fat below the skin makes it harder to stay warm. You may need to wear layers of clothing to feel warm.

Aging decreases your ability to sweat. You may have difficulty telling when you are becoming overheated. This puts you at high risk of overheating (

heat stroke

). You can also be at risk for dangerous drops in body temperature.

Fever

is an important sign of illness in older people. It is often the only symptom for several days of an illness. See your provider if you have a fever that is not explained by a known illness.

A fever is also a sign of infection. When an older person has an infection, their body may not be able to produce a higher temperature. For this reason, it is important to check other vital signs, as well as any symptoms and signs of infection.

HEART RATE AND BREATHING RATE

As you grow older, your pulse rate is about the same as before. But when you exercise, it may take longer for your pulse to increase and longer for it to slow down afterward. Your highest heart rate with exercise is also lower than it was when you were younger.

Breathing rate usually does not change with age. But

lung function

decreases slightly each year as you age. Healthy older people can usually breathe without effort.

BLOOD PRESSURE

Older people may become

dizzy

when standing up too quickly. This is due to a drop in blood pressure with standing. This kind of drop in blood pressure when standing is called orthostatic

hypotension

. It is often related to medicines, particularly blood pressure drugs.

Risk of having high blood pressure (

hypertension

) increases as you get older. Other heart-related problems common in older adults include:

  • Very

    slow pulse

    or very fast pulse

  • Heart rhythm problems such as

    atrial fibrillation

EFFECTS OF MEDICINES ON VITAL SIGNS

Medicines that are used to treat health problems in older people can affect the vital signs. For example, the medicine digoxin, which is used for

heart failure

, and blood pressure medicines called beta-blockers may cause the pulse to slow.

Diuretics (water pills) can cause low blood pressure, most often when changing body position too quickly.

OTHER CHANGES

As you grow older, you will have other changes, including:

  • In organs, tissues, and cells

  • In the heart and blood vessels

  • In the lungs

  • Aerobic exercise

    Aerobic exercise

  • Taking your carotid pulse

    Taking your carotid pulse

  • Radial pulse

    Radial pulse

  • Warming up and cooling down

    Warming up and cooling down

  • Effects of age on blood pressure

    Effects of age on blood pressure

Schiger DL. Approach to the patient with abnormal vital signs. In: Goldman L, Cooney KA, eds.

Goldman-Cecil Medicine.

27th ed. Philadelphia, PA: Elsevier; 2024:chap 7. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 179.

Southerland LT, Fath JJ. Geriatric trauma. In: Walls RM, ed.

Rosen’s Emergency Medicine: Concepts and Clinical Practice

Walston JD. Common clinical sequelae of aging. In: Goldman L, Cooney KA, eds.

Goldman-Cecil Medicine

. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 24.

Updated by: Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.


  • Older Adult Health

  • Vital Signs


About the Author: This article was researched and written by the SilverWell Hub editorial team. It was medically reviewed by Dr. Sarah Mitchell, MD, Geriatrics.

Sources: This article is adapted from MedlinePlus, a service of the National Library of Medicine.

Disclaimer: This information is for educational purposes only. See our full Medical Disclaimer.

Published: July 20, 2026 | Next review: January 2027

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