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内在健康是健康科学的基础。

Intrinsic health as a foundation for a science of health.

作者信息

Cohen Alan A, Picard Martin, Beard John R, Belsky Daniel W, Herbstman Julie, Kuryla Christine L, Liu Molei, Makarem Nour, Malinsky Daniel, Pei Sen, Wei Ying, Fried Linda P

机构信息

Robert N. Butler Columbia Aging Center, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.

Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.

出版信息

Sci Adv. 2025 Jun 20;11(25):eadu8437. doi: 10.1126/sciadv.adu8437. Epub 2025 Jun 18.


DOI:10.1126/sciadv.adu8437
PMID:40532003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12175904/
Abstract

The health sciences largely focus on disease. However, the interconnected determinants of diseases suggest that we need a science of health, a framework to examine the biology of homeodynamics in a changing environment and how this affects the health we value. We build on first principles and recent discoveries on biological system dynamics to develop the concept of intrinsic health, a field-like state emerging from the dynamic interplay of energy, communication, and structure within the organism, giving rise to robustness/resilience, plasticity, performance, and sustainability. Intrinsic health is a quantifiable property of individuals that declines with age and interacts with context. We propose a measurement framework and describe how it will contribute to achieving the shared goals of medicine and public health.

摘要

健康科学主要关注疾病。然而,疾病相互关联的决定因素表明,我们需要一门健康科学,一个在不断变化的环境中审视内稳态生物学以及这如何影响我们所珍视的健康的框架。我们基于生物学系统动力学的第一原理和最新发现,来发展内在健康的概念,内在健康是一种类似场的状态,它源于生物体内部能量、通讯和结构的动态相互作用,产生稳健性/恢复力、可塑性、性能和可持续性。内在健康是个体的一种可量化属性,会随着年龄增长而下降,并与环境相互作用。我们提出了一个测量框架,并描述了它将如何有助于实现医学和公共卫生的共同目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/a168bdfc9e04/sciadv.adu8437-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/27726cd30b08/sciadv.adu8437-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/061e806fcc7f/sciadv.adu8437-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/8c5cb79e947c/sciadv.adu8437-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/7dfe59a55326/sciadv.adu8437-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/a168bdfc9e04/sciadv.adu8437-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/27726cd30b08/sciadv.adu8437-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/061e806fcc7f/sciadv.adu8437-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/8c5cb79e947c/sciadv.adu8437-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/7dfe59a55326/sciadv.adu8437-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6951/12175904/a168bdfc9e04/sciadv.adu8437-f5.jpg

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本文引用的文献

[1]
The evolution of ageing: classic theories and emerging ideas.

Biogerontology. 2024-10-29

[2]
A platform to map the mind-mitochondria connection and the hallmarks of psychobiology: the MiSBIE study.

Trends Endocrinol Metab. 2024-10

[3]
The brain-body energy conservation model of aging.

Nat Aging. 2024-10

[4]
A neurometabolic mechanism involving dmPFC/dACC lactate in physical effort-based decision-making.

Mol Psychiatry. 2025-3

[5]
Psilocybin desynchronizes the human brain.

Nature. 2024-8

[6]
The energetics of cellular life transitions.

Life Metab. 2024-6

[7]
Associations Between Self-Rated Health and Mortality in the Norwegian Women and Cancer (NOWAC) Study.

Clin Epidemiol. 2024-2-20

[8]
Validation of biomarkers of aging.

Nat Med. 2024-2

[9]
Hypermetabolism and energetic constraints in mitochondrial disorders.

Nat Metab. 2024-2

[10]
Health as Complete Well-Being: The WHO Definition and Beyond.

Public Health Ethics. 2023-7-27

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