‘I am just forty-four years and beginning to feel that real middle age is just around the corner. I don’t mix much with other men and never talk over my symptoms with anybody. But I often speculate as to what may be in store for me in the way of health and sickness. I should be glad if you would tell me some general symptoms of middle age so that should experience them in the coming years I should not be taken by surprise.’
Changes take place so slowly in middle age that it is often difficult to compare conditions from one year to another. The trend of physical life is now downwards, however, gradually, and whether it will be hurried or delayed depends upon the constitution and manner of living. As a rule it becomes more difficult now to plan and carry out personal schemes, the success of which depends upon quick movement and energy. The healthy flush of youth shown in the complexion, gives place to a certain pallor, except when blood pressure gives a florid appearance. Greyness and some degree of baldness begin to show. There may be a bagginess under the eyes and wrinkles at the outer corners. Hearing may not be so keen as formerly and glasses are generally necessarily for reading small print.
Perhaps the most noticeable feature of middle age is the layer of abdominal fat and the general sagging of the body. Unless increasing care is paid to the diet, dyspepsia may give trouble, and various forms of nervous irritability draw attention to the fact that something is wrong. Worry about the physical or economic situation often causes insomnia at this time. The sex life needs careful regulation and all emotional strain should be avoided as far as possible. The sensible man—who should be his own doctor to some extent in middle age—should know that one of the secrets of health and happiness at this period lies in the simplification of one’s needs and demands. Less food and plainer food; less worry because of fewer ambitions and desires; less responsibility because nothing is undertaken without reasonable hope of accomplishment. [RR]