老年人内在能力的研究现状

Research progress of intrinsic capacity in the elderly

随着年龄增长,人体组织和器官功能减退,老年人的躯体功能也逐渐下降,部分老年人出现日常生活活动能力下降甚至完全失能。为此,世界卫生组织提出健康老龄化概念,打破传统的疾病诊疗观念,转向维护老年人的功能状态,特别是内在能力状态。本文针对内在能力的概念,内在能力与衰弱、躯体复原力的关系,以及内在能力对老年人不良健康结局的影响进行综述,以期为社区高龄衰弱老年人开展更恰当的内在能力筛查、评估与干预提供参考依据,支持老年人居家生活自立。

With ageing,the function of organs and tissues declines,the physical function of the elderly gradually decreases,and some of them show a decline in activities of daily living or even disability.The World Health Organization put forward the concept of healthy ageing to break traditional stereotype of disease-free model,and focuse on maintaining functional ability,especially intrinsic capacity.In the paper,we summarize the multidimensional concept of intrinsic capacity,its relationship with frailty and resilience,and its effect on prediction for adverse health outcomes,so as to provide the references for its more appropriate screening,evaluation and intervention to support to be self-reliant at home for older people in communities.