Butler R N, Fossel M, Pan C X, Rothman D, Rothman S M
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, USA.
Geriatrics. 2000 Jun;55(6):36, 39-43.
The growth in popularity of so-called "anti-aging" medicine challenges physicians to examine their attitudes about aging. Does one define aging as a predisposition to pathology or as part of the life cycle? Is longevity without the chronic diseases associated with aging a realistic goal? Anti-aging modalities being prescribed by some practitioners include hormone replacement therapies, vitamin and mineral supplements, diet, and exercise. Although diet, exercise, and some vitamin and mineral supplements are well-recognized as preventive measures, unproven hormone, mega-vitamin, and herbal therapies are controversial. Both the patient and the physician bring biases and values to the discussion of anti-aging medicine, and that combination will influence the treatment decisions.
所谓“抗衰老”医学的日益流行促使医生审视他们对衰老的态度。是将衰老定义为患病的倾向还是生命周期的一部分?没有与衰老相关的慢性疾病的长寿是否是一个现实的目标?一些从业者所开的抗衰老方法包括激素替代疗法、维生素和矿物质补充剂、饮食和运动。尽管饮食、运动以及一些维生素和矿物质补充剂被公认为预防措施,但未经证实的激素、大剂量维生素和草药疗法存在争议。患者和医生在讨论抗衰老医学时都带有偏见和价值观,而这种结合将影响治疗决策。