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老年科学创新以提高老年人的活动能力。

Innovations in Geroscience to enhance mobility in older adults.

机构信息

University of Florida, Department of Aging and Geriatric Research, 2004 Mowry Road, Gainesville, FL 32611, United States.

University of Florida, Department of Community Dentistry and Behavioral Science, 1329 SW Archer Road, Gainesville, FL 32610, United States.

出版信息

Exp Gerontol. 2020 Dec;142:111123. doi: 10.1016/j.exger.2020.111123. Epub 2020 Oct 22.

Abstract

Aging is the primary risk factor for functional decline; thus, understanding and preventing disability among older adults has emerged as an important public health challenge of the 21st century. The science of gerontology - or geroscience - has the practical purpose of "adding life to the years." The overall goal of geroscience is to increase healthspan, which refers to extending the portion of the lifespan in which the individual experiences enjoyment, satisfaction, and wellness. An important facet of this goal is preserving mobility, defined as the ability to move independently. Despite this clear purpose, this has proven to be a challenging endeavor as mobility and function in later life are influenced by a complex interaction of factors across multiple domains. Moreover, findings over the past decade have highlighted the complexity of walking and how targeting multiple systems, including the brain and sensory organs, as well as the environment in which a person lives, can have a dramatic effect on an older person's mobility and function. For these reasons, behavioral interventions that incorporate complex walking tasks and other activities of daily living appear to be especially helpful for improving mobility function. Other pharmaceutical interventions, such as oxytocin, and complementary and alternative interventions, such as massage therapy, may enhance physical function both through direct effects on biological mechanisms related to mobility, as well as indirectly through modulation of cognitive and socioemotional processes. Thus, the purpose of the present review is to describe evolving interventional approaches to enhance mobility and maintain healthspan in the growing population of older adults in the United States and countries throughout the world. Such interventions are likely to be greatly assisted by technological advances and the widespread adoption of virtual communications during and after the COVID-19 era.

摘要

衰老是导致功能衰退的主要风险因素;因此,了解和预防老年人残疾已成为 21 世纪公共卫生的重要挑战。老年学——或衰老科学——具有“为岁月增添生命”的实际目的。衰老科学的总体目标是延长健康寿命,即延长个体体验快乐、满足和健康的寿命部分。这一目标的一个重要方面是保持行动力,行动力是指独立移动的能力。尽管有明确的目标,但这一目标证明是一项具有挑战性的任务,因为晚年的行动力和功能受到多个领域多种因素的复杂相互作用的影响。此外,过去十年的研究结果强调了行走的复杂性,以及针对多个系统,包括大脑和感觉器官,以及一个人生活的环境,可以对老年人的行动力和功能产生巨大影响。出于这些原因,纳入复杂行走任务和其他日常生活活动的行为干预措施似乎特别有助于改善行动力功能。其他药物干预措施,如催产素,以及补充和替代干预措施,如按摩疗法,可能会通过直接影响与行动力相关的生物学机制,以及通过调节认知和社会情感过程,从而间接增强身体功能。因此,本综述的目的是描述在美国和世界各地不断发展的干预措施,以提高行动力并保持健康寿命,满足不断增长的老年人口的需求。在 COVID-19 时代期间和之后,技术进步和虚拟通信的广泛采用可能会极大地帮助这些干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c91/7581361/e646d4a3f59f/gr1_lrg.jpg

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