Procter & Gamble, Cincinnati, OH, USA.
Duke University, Raleigh-Durham, NC, USA.
Eur J Nutr. 2018 Jun;57(Suppl 2):15-34. doi: 10.1007/s00394-018-1723-0.
Many countries are witnessing a marked increase in longevity and with this increased lifespan and the desire for healthy ageing, many, however, suffer from the opposite including mental and physical deterioration, lost productivity and quality of life, and increased medical costs. While adequate nutrition is fundamental for good health, it remains unclear what impact various dietary interventions may have on prolonging good quality of life. Studies which span age, geography and income all suggest that access to quality foods, host immunity and response to inflammation/infections, impaired senses (i.e., sight, taste, smell) or mobility are all factors which can limit intake or increase the body's need for specific micronutrients. New clinical studies of healthy ageing are needed and quantitative biomarkers are an essential component, particularly tools which can measure improvements in physiological integrity throughout life, thought to be a primary contributor to a long and productive life (a healthy "lifespan"). A framework for progress has recently been proposed in a WHO report which takes a broad, person-centered focus on healthy ageing, emphasizing the need to better understand an individual's intrinsic capacity, their functional abilities at various life stages, and the impact by mental, and physical health, and the environments they inhabit.
许多国家的人口寿命都在显著延长。随着寿命的延长和对健康老龄化的渴望,许多人却面临着相反的情况,包括身体和精神的恶化、生产力和生活质量的下降,以及医疗费用的增加。虽然充足的营养是健康的基础,但目前仍不清楚各种饮食干预措施对延长高质量生活的影响。跨越年龄、地理和收入的研究都表明,获得优质食品、宿主免疫力和对炎症/感染的反应、感觉(即视觉、味觉、嗅觉)或行动能力受损,都是限制摄入或增加身体对特定微量营养素需求的因素。需要开展新的健康老龄化临床研究,定量生物标志物是一个重要组成部分,特别是可以衡量整个生命周期生理完整性改善的工具,这被认为是长寿和富有成效的生活(健康“寿命”)的主要贡献者。世界卫生组织(WHO)的一份报告最近提出了一个进展框架,该框架从广泛的、以人为中心的角度关注健康老龄化,强调需要更好地了解个人的内在能力、他们在各个生命阶段的功能能力,以及心理健康和身体健康以及他们所处的环境的影响。
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