Frangos Emilia, Graf Christophe, Samaras Nikolaos
Division of Internal Medicine and Rehabilitation Loëx-Joli-Mont, Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva 1211, Switzerland.
Division of Geriatrics, Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva 1211, Switzerland.
Curr Gerontol Geriatr Res. 2023 Jan 28;2023:9409918. doi: 10.1155/2023/9409918. eCollection 2023.
Worldwide, the number of old adults will peak in the coming decades. Relying solely on the chronological age to make treatment decisions and shape general or specific societal and medical considerations may reinforce ageism and lead to flawed reasoning. Defining physiological age using biological markers is not yet reliable, and an approach based on comorbidities without considering their impact on quality of life is inadequate. A multidimensional approach with strong integration of functionality is presented here to draw a real-world aging approach, easily accessible, clinically relevant, and of societal value.
在全球范围内，老年人数量将在未来几十年达到峰值。单纯依靠实际年龄来做出治疗决策以及形成一般或特定的社会和医学考量，可能会强化年龄歧视并导致有缺陷的推理。使用生物标志物来定义生理年龄尚不可靠，而基于合并症却不考虑其对生活质量影响的方法也并不充分。本文提出一种高度整合功能的多维方法，以勾勒出一种贴近现实的衰老方法，这种方法易于理解、具有临床相关性且具有社会价值。
