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衰弱、多病共存与多重用药:老年三角新概念提案

Frailty, multimorbidity, and polypharmacy: Proposal of the new concept of the geriatric triangle.

作者信息

Umegaki Hiroyuki

机构信息

Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.

出版信息

Geriatr Gerontol Int. 2025 May;25(5):657-662. doi: 10.1111/ggi.70046. Epub 2025 Apr 14.

DOI:10.1111/ggi.70046
PMID:40229144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12055515/
Abstract

As people age, the prevalence of frailty, multimorbidity, and polypharmacy increases, presenting significant challenges in geriatric medicine. These three elements are interrelated in a bidirectional manner, forming what can be termed the "geriatric triangle." The complexity of their interconnections means that addressing each issue in isolation is insufficient for achieving an effective resolution. Thus, a comprehensive understanding of this geriatric triangle is essential for appropriate geriatric management. This review aims to illuminate the relationships within the geriatric triangle and to offer insights into potential strategies for managing these interconnected challenges. Geriatr Gerontol Int 2025; 25: 657-662.

摘要

随着人们年龄的增长,衰弱、多种疾病并存和多重用药的发生率不断上升,给老年医学带来了重大挑战。这三个因素以双向方式相互关联,形成了所谓的“老年三角”。它们相互联系的复杂性意味着孤立地解决每个问题不足以实现有效解决。因此,全面了解这个老年三角对于适当的老年管理至关重要。本综述旨在阐明老年三角内的关系,并为应对这些相互关联的挑战提供潜在策略的见解。《老年医学与老年学国际杂志》2025年;25: 657 - 662。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/26e3a55ececc/GGI-25-657-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/400a1304f4a2/GGI-25-657-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/3a84caa91b0f/GGI-25-657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/a8e708a90d6a/GGI-25-657-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/26e3a55ececc/GGI-25-657-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/400a1304f4a2/GGI-25-657-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/3a84caa91b0f/GGI-25-657-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/a8e708a90d6a/GGI-25-657-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c3/12055515/26e3a55ececc/GGI-25-657-g005.jpg

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本文引用的文献

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Frailty and chronic diseases: A bi-directional relationship.衰弱与慢性病:一种双向关系。
Aging Med (Milton). 2024 Aug 12;7(4):510-515. doi: 10.1002/agm2.12349. eCollection 2024 Aug.
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Management of older adults with diabetes mellitus: Perspective from geriatric medicine.老年人糖尿病的管理:老年医学视角。
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Frailty in Older Adults.老年人的衰弱
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