Why should the Cockgraft Gault equation to calculate creatinine clearance be avoided in older adults?

The Cockgraft Gault equation is not an accurate method of calculating creatinine clearance in older adults because it does not take into account age-related changes in muscle mass, body composition, and renal function. As a result, the equation may overestimate creatinine clearance in older adults, leading to inaccurate results.