Department of Endocrinology, National Health Commission Key Laboratory of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
MRC Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK.
Aging Clin Exp Res. 2019 Oct;31(10):1351-1373. doi: 10.1007/s40520-019-01282-8. Epub 2019 Aug 2.
Healthy aging is defined as the process of developing and maintaining the functional ability that enables wellbeing in older age. Healthy aging is dependent upon intrinsic capacity, a composite of physical and mental capacities, and the environment an individual inhabits and their interactions with it. Maintenance of musculoskeletal health during aging is a key determinant of functional ability. Sarcopenia, osteoporosis and osteoarthritis, are a triad of musculoskeletal diseases of aging that are major contributors to the global burden of disease and disability worldwide. The prevention and management of these disorders is of increasing importance with pressure mounting from the aging population. In a new initiative, the Chinese Medical Association, Chinese Society of Osteoporosis and Bone Mineral Research, and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases jointly organized a symposium to discuss current practices and policies in the management of musculoskeletal aging. The meeting allowed experts from Europe and China to share their experience and recommendations for the management of these three major diseases. Discussing and analyzing similarities and differences in their practice should lead, through a mutual enrichment of knowledge, to better management of these diseases, in order to preserve intrinsic capacity and retard the age-related degradation of physical ability. In future, it is hoped that sharing of knowledge and best practice will advance global strategies to reduce the burden of musculoskeletal disease and promote healthy aging tailored to meet the individual patient's needs.
健康老龄化是指发展和保持功能能力的过程，使老年人能够保持健康。健康老龄化取决于内在能力，即身体和精神能力的综合，以及个体所处的环境及其与环境的相互作用。在衰老过程中保持肌肉骨骼健康是功能能力的关键决定因素。肌肉减少症、骨质疏松症和骨关节炎是衰老相关的三种肌肉骨骼疾病，是全球疾病和残疾负担的主要原因。随着人口老龄化的压力不断增加，这些疾病的预防和管理变得越来越重要。在中国医学协会、中国骨质疏松和骨矿盐疾病学会以及欧洲临床和经济骨质疏松、骨关节炎和肌肉骨骼疾病学会的共同倡议下，组织了一次专题讨论会，讨论肌肉骨骼老龄化管理方面的现行做法和政策。会议使来自欧洲和中国的专家能够分享他们在这三种主要疾病管理方面的经验和建议。通过讨论和分析实践中的异同，通过知识的相互丰富，应该能够更好地管理这些疾病，以保持内在能力并延缓与年龄相关的身体能力下降。今后，希望通过知识和最佳实践的共享，能够推进全球战略，减轻肌肉骨骼疾病的负担，并根据个体患者的需求促进健康老龄化。
