I guess when you're 40 you have to start to learn how to work the body you occupy. You take everything for granted until then...if you're lucky. I guess some will have to learn much earlier, but I think the regular experience for humans is around 40. It all seems to catch up to you at this time.
All the stresses and anxieties come to a head. You are no longer free from the ignorance of your mortality. Again, if you are lucky, like me, all the aches and pains are new, unknown and terrifying. The accumulation of your neurosis meets a threshold and the body can no longer cope. You are in a phase of tearing down your personality, if you're lucky, in order to shed the derangement of your psychosis.
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