But she doesn’t really believe these silent Saturday-morning appearances have anything to do with early-onset Alzheimer’s; on any given weekday morning Harvey Stevens is ready and raring to go by six-forty-five, a man of sixty who looks fifty (well, fifty-four) in either of his best suits, and who can still cut a trade, buy on margin, or sell short with the best of them.
I don't understand the meaning of the phrase in bold, does it refer to age and mean: when he become sixty years old or fifty or forty years old?
This passage is from a short story named: Harvey's Dream By Stephen King.