For those not as young as they used to be in this thread... (from:
vestibular.org/article/coping-support/living-with-a-vestibular-disorder/age-related-dizziness-and-imbalance/balance-aging/ )
"The inner ear is a complex structure of fluid filled tubes and chambers. Specialized nerve endings inside these structures sense the position and movement of the head and detect the direction of gravity. Signals sent from the nerves of the vestibular system are critically important to the brain’s ability to control balance in standing and walking. They also control movements of the eyes that make it possible to see clearly while moving.
"Anatomical studies have shown that the number of nerve cells in the vestibular system decreases after about age 55. Blood flow to the inner ear also decreases with age. When the vestibular system is damaged, an individual may experience dizziness and balance problems. However, the gradual loss of vestibular nerve endings with aging can result in balance problems without any associated dizziness. This type of slow loss of vestibular function may be first noticed as difficulty walking or standing, especially in the dark while on soft or uneven surfaces (such as thick carpet or a forest path).
"A decline in balance from inner ear function may be caused by a number of conditions including normal aging, benign paroxysmal positional vertigo (BPPV), infection, Meniere’s disease, or diminished blood flow to specialized nerve cells. Additionally, certain medications such as some antibiotics for severe infections and chemotherapy may damage the inner ear, resulting in temporary or permanent hearing loss, impaired balance, and trouble seeing clearly while in motion. Feelings of dizziness, vertigo, imbalance, and disequilibrium may indicate that the inner ear is not functioning correctly."
In my totally amateur (ie unqualified) opinion, this is also complicated by a marginal loss of both strength and reaction times that decrease agility in older age.
You can offset these up to a point by doing things that require balance and leg/core strength. In my completely unqualified opinion, that includes sailing, especially if it is done regularly in a decent swell.
So sufficient caution and practice getting dinghy to boat and getting on board, supplemented by plenty of offshore miles!
None of this constitutes advice which anyone else should follow. Make you own decisions and balance (sic) your own risks! 😀