Air Travel in the Elderly: Recommendation and Preventive Strategies

With increasing life expectancy and the desire to maintain an active social life, the number of older adults (>65 years) undertaking long-haul air travel is steadily growing. This mode of transportation exposes this population, often burdened with comorbidities, to a hypobaric and hypoxic environment, as well as other specific risks (immobility, dehydration, disorientation). This Narrative Review aims to analyze, based on recent medical literature the main health risks associated with air travel for older adults (venous thrombosis, cardiorespiratory decompensation, neurocognitive disorders) and to propose practical recommendations for safe preparation and travel. Particular attention is paid to the crucial role of pre-flight consultation, standardized geriatric assessment, and preventive measures to be implemented before, during, and after the flight. The analysis of studies and international guidelines confirms that individualized medical planning is the primary determinant of successful travel, minimizing risks while preserving the autonomy and quality of life of older travelers.