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衰弱与心血管疾病的危险因素:两者相同吗?

Risk Factors for Frailty and Cardiovascular Diseases: Are They the Same?

机构信息

Department of Internal Medicine and Gerontology, Medical College, Jagiellonian University, Kraków, Poland.

出版信息

Adv Exp Med Biol. 2020;1216:39-50. doi: 10.1007/978-3-030-33330-0_5.

Abstract

Cardiovascular disease burden increases with the increasing age of populations. Also, with increasing longevity, some individuals are ageing along an unfavourable path developing frailty syndrome. Epidemiologic studies indicate that frailty is overrepresented among the persons with cardiovascular disease. On the other hand, frail subjects tend to be burdened with cardiovascular disease to a greater degree than their biologically better-off peers. Hypertension, diabetes, and obesity, especially abdominal, and at least some other risk factors appear to be shared between frailty and cardiovascular disease. The probable common underlying pathophysiologic feature is inflammation and associated phenomena, possibly having its root in the inflammageing. We discuss these issues based on the results of original studies, comprehensive literature reviews, and metaanalyses, by hundreds of dedicated researchers worldwide.

摘要

心血管疾病负担随着人群年龄的增长而增加。此外,随着寿命的延长,一些人沿着不利的路径衰老,发展为衰弱综合征。流行病学研究表明,衰弱在心血管疾病患者中更为常见。另一方面,虚弱的受试者比他们在生物学上更好的同龄人更容易受到心血管疾病的影响。高血压、糖尿病和肥胖症,尤其是腹部肥胖症,以及至少其他一些危险因素似乎在衰弱和心血管疾病之间共享。可能共同的潜在病理生理特征是炎症及其相关现象,其根源可能在于炎症衰老。我们根据全球数百名敬业研究人员的原始研究、全面文献综述和荟萃分析的结果来讨论这些问题。

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