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韧性:生物学基础及临床意义——来自国际虚弱和肌少症研究会议(ICFSR)工作组的观点报告。

Resilience: Biological Basis and Clinical Significance - A Perspective Report from the International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force.

机构信息

Matteo Cesari Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, University of Milan (UNIMI), Via Camaldoli 64, 20138, Milano, Italy. Email:

出版信息

J Frailty Aging. 2022;11(4):342-347. doi: 10.14283/jfa.2022.62.

Abstract

The Resilience is a construct receiving growing attention from the scientific community in geriatrics and gerontology. Older adults show extremely heterogeneous (and often unpredictable) responses to stressors. Such heterogeneity can (at least partly) be explained by differences in resilience (i.e., the capacity of the organism to cope with stressors). The International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force met in Boston (MA,USA) on April 20, 2022 to discuss the biological and clinical significance of resilience in older adults. The identification of persons with low resilience and the prompt intervention in this at-risk population may be critical to develop and implement preventive strategies against adverse events. Unfortunately, to date, it is still challenging to capture resilience, especially due to its dynamic nature encompassing biological, clinical, subjective, and socioeconomic factors. Opportunities to dynamically measure resilience were discussed during the ICFSR Task Force meeting, emphasizing potential biomarkers and areas of intervention. This article reports the results of the meeting and may serve to support future actions in the field.

摘要

韧性是一个在老年医学和老年学领域受到科学界越来越多关注的概念。老年人对压力源的反应表现出极大的异质性(且常常是不可预测的)。这种异质性在一定程度上可以用韧性(即生物体应对压力源的能力)的差异来解释。衰弱和肌少症研究国际会议(ICFSR)工作组于 2022 年 4 月 20 日在马萨诸塞州波士顿举行会议,讨论了老年人韧性的生物学和临床意义。识别出韧性较低的人群,并在这一高危人群中及时进行干预,对于制定和实施预防不良事件的策略可能至关重要。不幸的是,迄今为止,韧性仍然难以捕捉,尤其是由于其动态性质包含了生物、临床、主观和社会经济因素。在 ICFSR 工作组会议期间讨论了动态测量韧性的机会,强调了潜在的生物标志物和干预领域。本文报告了会议的结果,可能有助于支持该领域的未来行动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76be/9589704/28ec378929e9/42415_2022_62_Fig1_HTML.jpg

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