Department of Human Development and Family Studies.
Health Psychol. 2019 Sep;38(9):791-801. doi: 10.1037/hea0000749.
Multimorbidity is a robust predictor of disability in aging adults, but the mechanisms by which multimorbidity is disabling are not clear. Most existing research focuses on disease-specific phenomena, such as diminished lung capacity in chronic obstructive pulmonary disease, which can result in functional limitations. This review takes a different approach by highlighting the potential role of a biological process-inflammation-that is common to many chronic medical conditions and thus, from a medical perspective, relatively disease nonspecific.
Beginning with a description of inflammation and its measurement, this paper will provide an overview of research on inflammation as a predictor of disease risk in healthy adults and of adverse outcomes (e.g., disability) in those with multimorbidity.
The discussion of inflammation is then situated in the context of biopsychosocial influences on health, as inflammation has been shown to be sensitive to a wide range of social and psychological processes that are thought to contribute to healthy aging, including successful adaptation to multimorbidity and reduced risk of disability.
Finally, implications of this broader perspective for interventions to improve outcomes in aging adults with multimorbidity are briefly considered. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
多种疾病是老年人残疾的有力预测因素,但多种疾病导致残疾的机制尚不清楚。大多数现有研究都集中在特定疾病的现象上,例如慢性阻塞性肺病导致的肺活量下降,这可能导致功能受限。本综述采取了一种不同的方法,强调了一种普遍存在于许多慢性疾病中的生物过程——炎症——的潜在作用,从医学角度来看,这种炎症相对是非特异性疾病的。
本文从炎症及其测量的描述开始,概述了炎症作为健康成年人疾病风险的预测因子,以及对患有多种疾病的人不良后果(如残疾)的预测作用。
然后,将炎症的讨论置于生物心理社会因素对健康的影响背景下,因为炎症对广泛的社会和心理过程很敏感,这些过程被认为有助于健康衰老,包括成功适应多种疾病和降低残疾风险。
最后,简要考虑了从更广泛的角度看待干预措施对改善患有多种疾病的老年人的结果的意义。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。