A holistic approach to healthy ageing: how can people live longer, healthier lives?
A holistic approach to healthy ageing: how can people live longer, healthier lives?
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DOI：
10.1111/jhn.12566
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发表时间：
2018-08-01
影响因子：
3.3
通讯作者：
McNulty, H.
中科院分区：
文献类型：
--
作者：
Calder, P. C.;Carding, S. R.;McNulty, H.
背景虽然寿命在增加，但没有证据表明老年人晚年的健康状况比前几代人更好。在生命的各个阶段，营养在决定健康和幸福方面扮演着重要的角色。方法英国营养和老龄化专家圆桌会议讨论了饮食和衰老关系的关键方面，并就研究和公共卫生行动的主要优先事项达成了共识，这是帮助人们随着年龄的增长过上更健康生活所必需的。结果小组共识强调了生命过程方法的必要性，认识到老龄化影响的多因素性质。任何生命阶段的环境和生活方式的影响都会受到遗传因素和早期发育的影响。生活的每个阶段对环境的反应可以决定以后生活方式的影响。没有单独决定老龄化模式的关键因素，推动健康或不健康老龄化的是环境和社会因素的综合作用。关于当代饮食模式和久坐不动的生活方式将如何影响后代的健康老龄化，我们知之甚少，这是未来研究的重点。结论有充分证据支持改变生活方式(即饮食、营养和身体)活动，以维持或改善身体成分、认知健康和情商、免疫功能和血管健康。在生命的任何阶段改变生活方式都可能延长健康的寿命，尽管早期改变的影响似乎最大。
BackgroundAlthough lifespan is increasing, there is no evidence to suggest that older people are experiencing better health in their later years than previous generations. Nutrition, at all stages of life, plays an important role in determining health and wellbeing.MethodsA roundtable meeting of UK experts on nutrition and ageing considered key aspects of the diet-ageing relationship and developed a consensus position on the main priorities for research and public health actions that are required to help people live healthier lives as they age.ResultsThe group consensus highlighted the requirement for a life course approach, recognising the multifactorial nature of the impact of ageing. Environmental and lifestyle influences at any life stage are modified by genetic factors and early development. The response to the environment at each stage of life can determine the impact of lifestyle later on. There are no key factors that act in isolation to determine patterns of ageing and it is a combination of environmental and social factors that drives healthy or unhealthy ageing. Too little is known about how contemporary dietary patterns and sedentary lifestyles will impact upon healthy ageing in future generations and this is a priority for future research.ConclusionsThere is good evidence to support change to lifestyle (i.e. diet, nutrition and physical) activity in relation to maintaining or improving body composition, cognitive health and emotional intelligence, immune function and vascular health. Lifestyle change at any stage of life may extend healthy lifespan, although the impact of early changes appears to be greatest.