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衰弱与多病共存:两个相关但不同的概念。

Frailty and multimorbidity: Two related yet different concepts.

作者信息

Villacampa-Fernández Patricia, Navarro-Pardo Esperanza, Tarín Juan J, Cano Antonio

机构信息

Department of Developmental and Educational Psychology, University of Valencia, Spain.

Department of Functional Biology and Physical Anthropology, Faculty of Biological Sciences, University of Valencia, Spain.

出版信息

Maturitas. 2017 Jan;95:31-35. doi: 10.1016/j.maturitas.2016.10.008. Epub 2016 Oct 19.

Abstract

The extension of life expectancy is a global phenomenon. The growth in the ageing population has created a new health scenario in which there is a higher prevalence of frailty and multimorbidity. The attention received by both conditions derives from their strong association with disability, hospitalization, and death. The aim of the present paper is to conceptualize and differentiate these terms and to discuss their interrelations. We conclude that, yet related, they represent two different clinical conditions. Frailty identifies the increased vulnerability to stressors due to a dynamic, non-linear, and multidimensional depletion of physiological reserve and redundancy, whereas multimorbidity refers to the coexistence of two or more clinically manifest chronic diseases.

摘要

预期寿命的延长是一种全球现象。老年人口的增长创造了一种新的健康状况,其中衰弱和多种疾病并存的情况更为普遍。这两种情况受到关注是因为它们与残疾、住院和死亡密切相关。本文的目的是对这些术语进行概念化和区分,并讨论它们之间的相互关系。我们得出的结论是,尽管它们相关,但它们代表了两种不同的临床状况。衰弱指的是由于生理储备和冗余的动态、非线性和多维消耗而导致对压力源的易感性增加,而多种疾病并存是指两种或更多种临床显性慢性病的共存。

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