健康老龄化背景下衰弱与内在能力研究新进展

New advances in frailty and intrinsic capacity under healthy ageing framework

为应对人口老龄化挑战,世界卫生组织提出内在能力的概念,标志着目前医疗模式的重大转变。在老年医学中,衰弱与内在能力的概念互为补充、相辅相成,但两者之间的关系尚未完全明晰,使得它们在识别和应用上存在一定的复杂性。现有研究显示两者密切相关,并对老年人多项健康指标有重要预测价值。目前,还需要进一步研究来阐释这两个概念之间的复杂关联。本文探讨了衰弱与内在能力的概念在健康老龄化背景下的应用,并对两者的定义、评估方法、检出率和干预措施进行了比较。

In response to the challenges of population ageing,the World Health Organization has introduced the concept of intrinsic capacity,marking a significant shift in the current healthcare paradigm.In geriatrics,frailty and intrinsic capacity are conceptually complementary and mutually reinforcing,but the relationship between the two concepts is still entirely unclear,which leading to complexity in their identification and application.Current evidence has shown that the two are closely associated and have important prognostic value for health indicators in older adults.Further research is needed to elucidate the complex link between the two concepts.In this article,we explore the application of the concepts of frailty and intrinsic capacity in the context of healthy aging,and compare their definitions,assessment methods,detection rates,and interventions.