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整体方法促进健康老龄化:人们如何才能活得更长、更健康?

A holistic approach to healthy ageing: how can people live longer, healthier lives?

机构信息

Faculty of Medicine, University of Southampton, Southampton, UK.

NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK.

出版信息

J Hum Nutr Diet. 2018 Aug;31(4):439-450. doi: 10.1111/jhn.12566. Epub 2018 Jun 3.

Abstract

BACKGROUND

Although lifespan is increasing, there is no evidence to suggest that older people are experiencing better health in their later years than previous generations. Nutrition, at all stages of life, plays an important role in determining health and wellbeing.

METHODS

A roundtable meeting of UK experts on nutrition and ageing considered key aspects of the diet-ageing relationship and developed a consensus position on the main priorities for research and public health actions that are required to help people live healthier lives as they age.

RESULTS

The group consensus highlighted the requirement for a life course approach, recognising the multifactorial nature of the impact of ageing. Environmental and lifestyle influences at any life stage are modified by genetic factors and early development. The response to the environment at each stage of life can determine the impact of lifestyle later on. There are no key factors that act in isolation to determine patterns of ageing and it is a combination of environmental and social factors that drives healthy or unhealthy ageing. Too little is known about how contemporary dietary patterns and sedentary lifestyles will impact upon healthy ageing in future generations and this is a priority for future research.

CONCLUSIONS

There is good evidence to support change to lifestyle (i.e. diet, nutrition and physical) activity in relation to maintaining or improving body composition, cognitive health and emotional intelligence, immune function and vascular health. Lifestyle change at any stage of life may extend healthy lifespan, although the impact of early changes appears to be greatest.

摘要

背景

尽管寿命在延长,但没有证据表明老年人在晚年的健康状况比前几代人更好。营养在生命的各个阶段都对决定健康和幸福起着重要作用。

方法

英国营养与老龄化专家举行了一次圆桌会议,讨论了饮食与衰老关系的关键方面,并就研究和公共卫生行动的主要优先事项达成了共识,这些行动旨在帮助人们在衰老过程中更健康地生活。

结果

专家组的共识强调了需要采取全生命周期的方法,认识到衰老影响的多因素性质。任何生命阶段的环境和生活方式的影响都受到遗传因素和早期发育的影响。生命每个阶段对环境的反应可以决定以后生活方式的影响。没有孤立的关键因素来决定衰老的模式,而是环境和社会因素的结合推动了健康或不健康的衰老。关于当代饮食模式和久坐不动的生活方式将如何影响未来几代人的健康衰老,人们知之甚少,这是未来研究的重点。

结论

有充分的证据支持改变生活方式(即饮食、营养和身体活动)以维持或改善身体成分、认知健康和情绪智力、免疫功能和血管健康。在生命的任何阶段进行生活方式的改变都可能延长健康寿命,尽管早期改变的影响似乎最大。

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