Fries J F
Department of Medicine, Stanford University School of Medicine, CA, USA.
J R Soc Med. 1996 Feb;89(2):64-8. doi: 10.1177/014107689608900202.
The Compression of Morbidity hypothesis envisions a potential reduction of overall morbidity, and of health care costs, now heavily concentrated in the senior years, by compression of morbidity between an increasing age of onset of disability and the age of death, increasing perhaps more slowly. For this scenario to be able to be widely achieved, largely through prevention of disease and disability, we need to identify variables which predict future ill health, modify these variables, and document the improvements in health that result. Physical activity is perhaps the most obvious of the variables which might reduce overall lifetime morbidity.
疾病压缩假说设想,通过将残疾发病年龄与死亡年龄之间的发病期进行压缩(发病期增长速度可能更慢),有可能降低总体发病率以及目前主要集中在老年阶段的医疗保健成本。要使这种设想能够广泛实现,很大程度上要通过预防疾病和残疾,我们需要识别那些能够预测未来健康不佳状况的变量,改变这些变量,并记录由此带来的健康改善情况。身体活动可能是最明显的一个有望降低总体终生发病率的变量。