Why Do Seniors Feel So Cold?

Many older adults say they feel cold even when others in the room are comfortable. While this can seem like a minor complaint, increased sensitivity to cold in seniors is common – and sometimes it can signal an underlying health concern.

Why Aging Adults Feel Colder

As we age, the body undergoes physiological changes that affect temperature regulation:

• Lower metabolic rate: The body produces less heat at rest.
• Thinning skin: Aging skin provides less insulation.
• Loss of subcutaneous fat: The fat layer beneath the skin decreases, reducing the body’s ability to conserve heat.
• Reduced circulation: Blood vessels lose elasticity, limiting efficient blood flow to extremities.

Because of these changes, older adults may feel cold at temperatures that feel comfortable to younger people.

Understanding Hypothermia

Cold sensitivity can sometimes progress to hypothermia, a serious medical condition.

• Hypothermia occurs when body temperature drops below 95°F.
• Even mild hypothermia can be dangerous in seniors.
• Older adults may not always recognize early symptoms.

Prompt medical attention is essential if hypothermia is suspected.

Medical and Physical Factors That Increase Cold Sensitivity

Several health conditions and medications can make seniors more vulnerable to feeling cold:

Medical Conditions:

• Anemia
• Poor circulation
• Diabetes
• Thyroid disorders
• Low blood pressure
• High cholesterol

Medications:

• Beta blockers
• Calcium channel blockers
• Other medications that affect circulation or metabolism

Other Contributing Factors:

• Exposure to cold air or cold water
• Wet clothing
• Decreased mobility
• Overall frailty

Warning Signs of Cold Stress or Hypothermia

Caregivers should watch for:

• Shivering
• Pale skin
• Slowed breathing
• Drowsiness or unusual fatigue
• Confusion or memory problems
• Slurred speech
• Loss of coordination
• Clumsiness or fumbling hands
• Unusual exhaustion

These symptoms require prompt evaluation, especially in older adults.

Tips to Help Keep Seniors Warm

Taking proactive steps can help protect older adults from cold stress:

• Keep indoor temperatures comfortably warm.
• Offer warm (non-alcoholic) beverages if the person can safely swallow.
• Remove any wet clothing immediately and replace it with dry garments.
• Dress in layers to trap body heat.
• Use blankets or an electric blanket safely.
• Avoid placing very hot objects directly on the skin.
• Do not massage cold extremities, as this can damage fragile skin and tissues.

If a senior frequently feels cold even in warm climates, it is important to consult a physician. Persistent cold intolerance may indicate an underlying medical issue that requires evaluation.

If you have questions about caring for an older loved one or need help navigating senior resources in Central Florida, the Orlando Senior Help Desk at Jewish Pavilion Senior Services is here to assist you.

Call 407-678-9363 for guidance, referrals, and compassionate support.