Introduction: health in old age is related with health in past years of life, from womb to last resting place. For instance Intra-uterine Growth Retardation raises the threat of illness/sickness like diabetes and other diseases related to circulatory system in future. Overweight children in their later life, counter the risk of developing chronic diseases such as diarespiratory and muscular-skeletal disorders to old age. These trends will manifest in a higher burden of no communicable diseases in old age in the coming decades. Challenges in Geriatric Health Care Arthritis: The chance of developing osteoarthritis increases with age. Putting too much stress on a joint that has been previously injured, improper alignment of joints, and excess weight all may contribute to the development of osteoarthritis. Cancer. Geriatric oncology is a branch of medicine that is concerned with the diagnosis and treatment of cancer in the elderly, usually defined as aged 65 and older. This fairly young but increasingly important subspecialty incorporates the special needs of the elderly into the Treatment of cancer. Chronic Kidney Disease: Chronic kidney disease is a very common clinical problem in geriatric patients and is associated with increased morbidity and mortality. As life expectancy continues to improve worldwide, water control level drinking good habit. Chronic Obstructive Pulmonary Disease; Objectives. Depressive and anxiety symptoms are common in elderly patients with chronic obstructive pulmonary disease (COPD). However, true prevalence of clinical depression and anxiety is uncertain. Please follow for spirometry exercise good exercise and doctor advice very important, please avoid self-treatment and oral advice. Spirometry 600cc and 900cc and 1200cc level try better.