Why Do Older Adults Feel Colder?

Natural Changes in Body Composition

Find YOUR ideal care home NOW!

One of the primary reasons older adults feel colder is the gradual loss of muscle mass and subcutaneous fat. Muscle tissue generates heat. As muscle mass declines with age, the body produces less warmth.

At the same time, thinning skin and reduced fat insulation decrease the body’s ability to retain heat. Even small drops in room temperature may feel significantly colder to someone over 75 than to a younger adult. This shift becomes more pronounced as sarcopenia progresses.

 Care Home Directory

Slower Metabolism and Reduced Heat Production

Ageing affects metabolic rate. The body’s internal “engine” slows down, producing less heat at rest. Hormonal changes also play a role in regulating temperature sensitivity.

Because the metabolic response to cold becomes less efficient, older adults may struggle to warm themselves quickly after exposure to cooler environments.

This is particularly noticeable during winter months in the UK, when indoor and outdoor temperature differences are significant.

Circulatory Changes

Healthy circulation distributes warmth throughout the body. With age, blood vessels may stiffen and circulation may become less efficient. Reduced blood flow to the extremities means hands and feet often feel cold first.

Certain conditions such as peripheral artery disease further limit blood flow, intensifying cold sensitivity. Even without a diagnosed vascular condition, circulation tends to slow with age.

Medication Effects

Some medications prescribed to older adults can influence temperature perception. Blood pressure treatments, sedatives and certain cardiac medications may affect circulation or metabolic function.

If an older adult suddenly begins feeling colder than usual, a medication review may be appropriate.

Underlying Medical Conditions

While increased sensitivity to cold is common, persistent or extreme cold intolerance can signal an underlying issue. Hypothyroidism, a condition in which the thyroid gland produces insufficient hormones, often causes increased sensitivity to cold.

Anaemia, poor nutrition and chronic illness may also reduce the body’s ability to generate heat effectively.

The following table summarises common causes and when concern is warranted.

Why Feeling Colder Matters

Cold sensitivity is not merely uncomfortable. Prolonged exposure to low temperatures can increase blood pressure and strain the cardiovascular system. In frail older adults, excessive cold exposure raises the risk of hypothermia, even indoors.

Cold muscles are also stiffer, which can reduce flexibility and increase fall risk. Seniors who feel cold may move more cautiously or tense their muscles, altering balance and coordination.

Ensuring thermal comfort therefore contributes directly to mobility and safety.

When to Seek Medical Advice

Occasional cold sensitivity during winter is generally not a cause for concern. However, medical advice should be sought if feeling cold is persistent, unexplained or accompanied by fatigue, weight changes, hair thinning or swelling.

A simple blood test can often identify thyroid dysfunction or anaemia, both of which are treatable.

Early evaluation prevents small issues from developing into larger health problems.

Supporting Comfort and Safety

Maintaining adequate indoor temperatures is particularly important for older adults living alone. Layered clothing, warm socks and consistent heating reduce discomfort. Encouraging light physical activity improves circulation and heat production.

If persistent cold sensitivity is combined with weakness, fatigue or reduced mobility, families may need to assess whether additional support is required to maintain safety and wellbeing.

FAQ – Why Do Older Adults Feel Colder?

Is it normal for seniors to feel colder than younger people?

Yes. Age-related loss of muscle mass, slower metabolism and reduced insulation contribute to increased cold sensitivity.

Can feeling cold be a sign of illness?

Yes. Hypothyroidism, anaemia and certain chronic conditions can cause persistent cold intolerance.

Does poor circulation make seniors feel colder?

Reduced circulation limits heat distribution to hands and feet, increasing cold sensation.

Can feeling cold increase fall risk?

Cold muscles become stiffer, which may reduce flexibility and balance, indirectly increasing fall risk.

When should a GP be consulted?

If cold sensitivity is severe, persistent or accompanied by other symptoms such as fatigue or weight changes, medical advice should be sought.

Search for Care Homes by Region in the UK

Share this article :