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预防中国体弱老年人群的残疾

Prevention of Disability in the Frail Chinese Older Population.

作者信息

Chhetri J K, Chan P, Ma L, Peng D, Rodríguez-Mañas L, Cesari M, Vellas B

机构信息

Jagadish K Chhetri M.D, Department of Neurobiology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing 100053, China Email:

出版信息

J Frailty Aging. 2019;8(1):2-6. doi: 10.14283/jfa.2018.27.

Abstract

As aging is becoming a global phenomenon, the burden of population aging is increasing rapidly, and is soon expected to be the highest in low-and middle-income countries. China represents the world's largest population, and will face the largest number of older individuals, while the economy still remains developing. There is an urgent need to address the negative consequences of aging such as disability, that creates a myriad of challenges, including financial burden to the economy. In order to achieve successful aging-i.e., aging without being frail or disabled, the traditional healthcare model based on a disease-centered approach is not enough, but require a more holistic course. Here, we briefly outline the current scenario of aging and disability in the Chinese older population, its impact and challenges. We strongly believe that public health initiatives centered on frailty, a clinically distinguishable state of extreme vulnerability in older adults, could be the most relevant approach to meet the current needs of the aging population. Such initiatives are immediately needed to reshape the existing model of geriatric healthcare, to promote healthy aging and to reduce the burden of disability in the Chinese population.

摘要

随着老龄化成为一种全球现象,人口老龄化的负担正在迅速增加,预计很快低收入和中等收入国家将面临最重的负担。中国是世界上人口最多的国家,将面临数量最多的老年人,而其经济仍处于发展阶段。迫切需要应对老龄化带来的诸如残疾等负面后果,这些后果带来了无数挑战,包括给经济造成的财政负担。为了实现成功老龄化,即老龄但不虚弱或残疾,基于以疾病为中心方法的传统医疗模式是不够的,而是需要一个更全面的过程。在此,我们简要概述中国老年人口老龄化和残疾的现状、其影响及挑战。我们坚信,以衰弱(老年人临床上可区分的极度脆弱状态)为中心的公共卫生举措可能是满足当前老龄人口需求的最相关方法。迫切需要此类举措来重塑现有的老年医疗模式,促进健康老龄化,并减轻中国人口的残疾负担。

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