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老年人虚弱的研究进展。

Research Progress on Frailty in Elderly People.

机构信息

Department of Geriatric Medicine, The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250014, People's Republic of China.

Department of Traditional Chinese Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, 250014, People's Republic of China.

出版信息

Clin Interv Aging. 2024 Aug 29;19:1493-1505. doi: 10.2147/CIA.S474547. eCollection 2024.

Abstract

Global aging is rapidly accelerating, which significantly influences the health systems worldwide. Frailty emerges as the most conspicuous hallmark of aging, imposing novel global health challenges. Characterized by a multifaceted decline across physiological system, frailty diminishes an individual's capacity to maintain equilibrium in the presence of stressors, which leads to adverse outcomes such as falls, delirium, and disability. Several screening tools and interventions have been developed to mitigate the harm caused by frailty to human health, but research on frailty in mainland China commences belatedly with scant studies conducted. Therefore, it is imperative to explore screening methods and treatment modalities tailored to the Chinese context, thereby enhancing the older adults' quality of life and advancing social medicine. This review aims to elucidate the evolution, diagnosis, and management of frailty, alongside the challenges it poses, with the overarching goal of guiding future diagnostic and therapeutic endeavors. Specifically, we summarized the mechanisms of frailty and intervention strategies in elderly people, and meanwhile, we evaluated the advantages and disadvantages of different measurement tools.

摘要

全球老龄化正迅速加速,这对全球卫生系统产生了重大影响。衰弱是衰老最显著的特征,带来了新的全球健康挑战。衰弱的特点是生理系统全面衰退,个体在面对压力源时维持平衡的能力下降,导致跌倒、谵妄和残疾等不良后果。已经开发了几种筛查工具和干预措施来减轻衰弱对人类健康造成的危害,但中国大陆对衰弱的研究起步较晚,研究较少。因此,探索适合中国国情的筛查方法和治疗方式至关重要,从而提高老年人的生活质量,推进社会医学的发展。本综述旨在阐明衰弱的演变、诊断和管理,以及它所带来的挑战,旨在为未来的诊断和治疗努力提供指导。具体来说,我们总结了老年人衰弱的机制和干预策略,同时评估了不同测量工具的优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4677/11368114/f865d75d8ae6/CIA-19-1493-g0001.jpg

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