McMaster Immunology Research Centre, McMaster University, Hamilton, ON, Canada; M. G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, ON, Canada.
Chest. 2019 Feb;155(2):391-400. doi: 10.1016/j.chest.2018.09.003. Epub 2018 Sep 22.
The prevalence of lung conditions, such as COPD and pulmonary fibrosis, and lung infections, such as pneumonia, increases sharply with age. The physiologic, cellular, and immunologic changes that occur during aging contribute to the development of lung disease. Studies of age-related changes in physiology and function are not only key to preventing or ameliorating disease, they are also essential for understanding healthy aging. Individuals with good lung function live longer, healthier lives, although the mechanisms by which this scenario occurs are not understood. The present article reviews changes in the aging lung that facilitate development of disease and the evidence supporting the idea that robust lung function reduces the risk of developing chronic inflammatory conditions that occur with age.
肺部疾病(如 COPD 和肺纤维化)和肺部感染(如肺炎)的患病率随着年龄的增长急剧上升。衰老过程中发生的生理、细胞和免疫变化导致了肺部疾病的发展。研究生理和功能的年龄相关性变化不仅是预防或改善疾病的关键,也是理解健康衰老的关键。肺功能良好的人寿命更长,生活更健康,尽管其发生机制尚不清楚。本文综述了促进疾病发展的衰老肺部变化,以及支持强健的肺功能降低发生年龄相关慢性炎症风险的证据。