Gérontopôle, Centre Hospitalier Universitaire de Toulouse, France.
Université de Toulouse III Paul Sabatier, France.
J Gerontol A Biol Sci Med Sci. 2018 Nov 10;73(12):1653-1660. doi: 10.1093/gerona/gly011.
Healthy ageing can be defined as "the process of developing and maintaining the functional ability that enables wellbeing in older age". Functional ability (i.e., the health-related attributes that enable people to be and to do what they have reason to value) is determined by intrinsic capacity (i.e., the composite of all the physical and mental capacities of an individual), the environment (i.e., all the factors in the extrinsic world that form the context of an individual's life), and the interactions between the two. This innovative model recently proposed by the World Health Organization has the potential to substantially modify the way in which clinical practice is currently conducted, shifting from disease-centered toward function-centered paradigms. By overcoming the multiple limitations affecting the construct of disease, this novel framework may allow the worldwide dissemination of a more proactive and function-based approach toward achieving optimal health status. In order to facilitate the translation of the current theoretical model into practice, it is important to identify the inner nature of its constituting constructs. In this article, we consider intrinsic capacity. Using the International Classification of Functioning, Disability and Health (ICF) framework as background and taking into account available evidence, five domains (i.e., locomotion, vitality, cognition, psychological, sensory) are identified as pivotal for capturing the individual's intrinsic capacity (and therefore also reserves) and, through this, pave the way for its objective measurement.
健康老龄化可以被定义为“发展和保持功能能力的过程,这种能力使人们在老年时能够保持良好的状态”。功能能力(即能够使人们成为和做他们有理由重视的事情的与健康相关的属性)取决于内在能力(即个人所有身体和精神能力的总和)、环境(即构成个人生活背景的所有外在世界因素)以及两者之间的相互作用。世界卫生组织最近提出的这一创新模型有可能从根本上改变目前临床实践的方式,从以疾病为中心的模式转向以功能为中心的模式。通过克服影响疾病构建的多种局限性,这一新框架可能允许在全球范围内推广一种更积极主动的、以功能为基础的方法,以实现最佳健康状态。为了促进将当前的理论模型转化为实践,重要的是要确定其构成要素的内在本质。在本文中,我们考虑内在能力。以《国际功能、残疾和健康分类》(ICF)框架为背景,并考虑到现有证据,确定了五个领域(即运动、活力、认知、心理、感官),这些领域对于捕捉个人的内在能力(因此也包括储备)至关重要,并通过这种方式为其客观测量铺平道路。
J Gerontol A Biol Sci Med Sci. 2018-11-10
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