Difficulty in communication can lead to social withdrawal and depression. While hearing loss is often recognized as a significant issue with aging, voice problems related to getting older are equally important. Vocal fold atrophy, diminished lung power, and overall health decline contribute to aging voice issues, known as presbyphonia or presbylaryngis. Duke Health speech pathologist Cristen Paige provides guidance on maintaining vocal health.
Paige advises being aware of the signs of voice changes, such as needing to repeat oneself more often or feeling like running out of air while talking. Proactivity can help maintain a stronger voice over time.
Maintaining overall health is crucial. Conditions affecting breathing, like asthma, allergies, and COPD, can impact the voice since breath powers it. Regular exercise increases stamina and improves posture, contributing to vocal health.
Practicing good vocal hygiene involves keeping the larynx moist by drinking six to eight glasses of water daily and limiting caffeine and alcohol intake. “Incorporate ‘wet snacks’ — things like grapes, melons, cucumbers — that have a lot of water content,” said Paige. Using a humidifier at home also helps.
Using the voice regularly is essential for its maintenance. Activities like reading aloud or singing can provide necessary exercise for the voice.
Voice therapy may benefit many older adults with voice problems. A comprehensive evaluation can rule out other causes for issues. An ENT specialist might suggest therapy to improve function and quality, which is typically covered by insurance but should be confirmed with providers.



