Try this...
SELECT CASE WHEN
(DATEADD(year,DATEDIFF(year, @datestart ,@dateend) , @datestart) > @dateend)
THEN DATEDIFF(year, @datestart ,@dateend) -1
ELSE DATEDIFF(year, @datestart ,@dateend)
END
Basically the "DateDiff( year...", gives you the age the person will turn this year, so i have just add a case statement to say, if they have not had a birthday yet this year, then subtract 1 year, else return the value.