Hilmer Sarah N, Ferrucci Luigi, Cherubini Antonio
Kolling Institute, Northern Sydney Local Health District and The University of Sydney, St. Leonards, Australia.
Intramural Research Program, National Institute on Aging, Baltimore, MD, 21224, USA.
Drugs Aging. 2025 Jul;42(7):591-598. doi: 10.1007/s40266-025-01208-2. Epub 2025 Jul 3.
Appropriate drug treatment can enhance the likelihood of experiencing healthy aging and maintaining functional ability up to very late in life. Strong evidence exists that overall drugs can help prevent and manage diseases. However, such evidence is mostly available from studies that are not representative of older people and do not include functional/well-being outcomes. Therapeutic drugs can also impair physical and cognitive function and social interactions, particularly in the context of polypharmacy, multimorbidity and frailty. Certain drugs can affect the ability to exercise and consume a healthy diet, which are key nonpharmacological interventions that promote healthy aging. Yet, exercise and nutritional interventions can help manage adverse drug reactions. In the future, drugs (gerotherapeutics) may be developed that slow the aging process, which should prevent or delay the incidence and progression of many chronic diseases, improving healthy aging.
适当的药物治疗可以增加健康老龄化的可能性,并在很大程度上维持老年人的功能能力。有充分的证据表明,药物总体上有助于预防和管理疾病。然而,这类证据大多来自那些不能代表老年人且未纳入功能/健康状况结果的研究。治疗药物也可能损害身体和认知功能以及社会交往,尤其是在多重用药、多种疾病并存和身体虚弱的情况下。某些药物会影响运动能力和健康饮食,而运动和健康饮食是促进健康老龄化的关键非药物干预措施。然而,运动和营养干预有助于管理药物不良反应。未来,可能会研发出减缓衰老过程的药物(老年治疗药物),这将预防或延缓许多慢性病的发生和发展,改善健康老龄化状况。