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衰老生物标志物与健康和风险的测量。

Aging biomarkers and the measurement of health and risk.

机构信息

Section for History and Philosophy of Science, Department of Science Education, University of Copenhagen, Copenhagen, Denmark.

Centre for Medical Science and Technology Studies, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

出版信息

Hist Philos Life Sci. 2021 Feb 23;43(1):28. doi: 10.1007/s40656-021-00367-w.

Abstract

Prevention of age-related disorders is increasingly in focus of health policies, and it is hoped that early intervention on processes of deterioration can promote healthier and longer lives. New opportunities to slow down the aging process are emerging with new fields such as personalized nutrition. Data-intensive research has the potential to improve the precision of existing risk factors, e.g., to replace coarse-grained markers such as blood cholesterol with more detailed multivariate biomarkers. In this paper, we follow an attempt to develop a new aging biomarker. The vision among the project consortium, comprising both research and industrial partners, is that the new biomarker will be predictive of a range of age-related conditions, which may be preventable through personalized nutrition. We combine philosophical analysis and ethnographic fieldwork to explore the possibilities and challenges of managing aging through bodily signs that are not straightforwardly linked to symptomatic disease. We document how the improvement of measurement brings about new conceptual challenges of demarcating healthy and unhealthy states. Moreover, we highlight that the reframing of aging as risk has social and ethical implications, as it is generative of normative notions of what constitutes successful aging and good citizenship.

摘要

预防与年龄相关的疾病越来越受到卫生政策的关注,人们希望通过早期干预衰退过程来促进更健康和更长的寿命。随着个性化营养等新领域的出现,出现了延缓衰老过程的新机会。数据密集型研究有可能提高现有风险因素的准确性,例如,用更详细的多元生物标志物代替粗糙的标记物(如血液胆固醇)。在本文中,我们遵循了开发新的衰老生物标志物的尝试。该项目联合体由研究和工业合作伙伴组成,他们的愿景是,新的生物标志物将能够预测一系列与年龄相关的疾病,这些疾病可能可以通过个性化营养来预防。我们结合哲学分析和民族志实地调查,探索通过与症状性疾病没有直接关联的身体迹象来管理衰老的可能性和挑战。我们记录了测量方法的改进如何带来健康和不健康状态界定的新概念挑战。此外,我们还强调,将衰老重新定义为风险具有社会和伦理意义,因为它产生了成功衰老和良好公民身份的规范性概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed77/7901506/22ee25ebeec6/40656_2021_367_Fig1_HTML.jpg

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