老年人慢性疼痛与多维度衰弱相关研究进展

Advances in research on the association between chronic pain and multidimensional frailty in the older adults

衰弱已经从单一强调身体衰弱发展为更为完善的涵盖身体衰弱、认知衰弱以及社会衰弱的多维度概念。慢性疼痛是一个全球性的公共卫生问题,严重影响老年人的生命质量。既往研究发现,慢性疼痛是导致老年人身体衰弱的一个重要危险因素。近年来,关于慢性疼痛与认知衰弱、社会衰弱的研究也逐渐增多。本研究系统梳理了老年人慢性疼痛与多维度衰弱的研究进展,总结归纳老年人慢性疼痛和多维度衰弱的评估方法,探究老年人慢性疼痛与多维度衰弱的相关性及其潜在作用机制,以期有助于老年人多维度衰弱早期预防及其干预,有效促进健康老龄化。

Frailty has evolved from a single concept emphasizing physical frailty to a multidimensional concept,including physical frailty,cognitive frailty,and social frailty.Chronic pain is a global public health issue that negatively impacts older adults′life quality.Previous research has discovered that chronic pain is a significant risk factor for physical frailty in older adults.Studies on chronic pain,cognitive frailty,and social frailty have also increased in recent years.This study systematically reviews the progress of research on chronic pain and multidimensional frailty in older adults,summarizes the assessment methods of chronic pain and multidimensional frailty in older adults,and explores the correlation between chronic pain and multidimensional frailty in older adults and their potential mechanisms,with the aim of contributing to the early prevention of multidimensional frailty and its intervention in older adults,and effectively promoting healthy aging.