An opinion paper on the maintenance of robustness: Towards a multimodal and intergenerational approach using digital twins.
An opinion paper on the maintenance of robustness: Towards a multimodal and intergenerational approach using digital twins.
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DOI：
10.1002/agm2.12115
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Vayatis N
中科院分区：
文献类型：
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作者：
Vidal PP;Vienne-Jumeau A;Moreau A;Vidal C;Wang D;Audiffren J;Bargiotas I;Barrois R;Buffat S;Dubost C;Ghidaglia JM;Labourdette C;Mantilla J;Oudre L;Quijoux F;Robert M;Yelnik AP;Ricard D;Vayatis N
在我们的老龄化社会中，虚弱的老年人数量不断增加，这正在成为一个问题：大约11%的社区居住老年人身体虚弱，另外42%的老年人处于虚弱前期。因此，未来几年的一个主要挑战将是测试60岁以上的人，以在最早的阶段检测到脆弱前，并使用越来越多的有针对性的干预措施使他们恢复健康。这一挑战需要采用定量方法对社区居住的老年人进行个人纵向监测或随访。本文简要介绍了应对这一挑战的努力。还建议将虚弱前阶段的检测扩展到其他人群。已使用适当的算法开始跟踪微弱的生理信号，以检测从稳健性到脆弱前状态以及从脆弱前状态到脆弱状态的转变。希望这些研究将使老年人能够尽早在适当的机构和适当的专业人员接受预防性治疗，这将防止丧失自主性。总之，ILM被认为是数据库的一个新兴属性（“数字孪生”），而不是相反。此外，ILM还应促进照料者采取一系列协调一致的行动，这本身就是一项复杂的挑战。这种方法应该逐渐扩展到所有年龄，因为脆弱没有年龄，正如过度劳累，倦怠和创伤后综合征所证明的那样。
The increasing number of frail elderly people in our aging society is becoming problematic: about 11% of community‐dwelling older persons are frail and another 42% are pre‐frail. Consequently, a major challenge in the coming years will be to test people over the age of 60 years to detect pre‐frailty at the earliest stage and to return them to robustness using the targeted interventions that are becoming increasingly available. This challenge requires individual longitudinal monitoring (ILM) or follow‐up of community‐dwelling older persons using quantitative approaches. This paper briefly describes an effort to tackle this challenge. Extending the detection of the pre‐frail stages to other population groups is also suggested. Appropriate algorithms have been used to begin the tracing of faint physiological signals in order to detect transitions from robustness to pre‐frailty states and from pre‐frailty to frailty states. It is hoped that these studies will allow older adults to receive preventive treatment at the correct institutions and by the appropriate professionals as early as possible, which will prevent loss of autonomy. Altogether, ILM is conceived as an emerging property of databases (“digital twins”) and not the reverse. Furthermore, ILM should facilitate a coordinated set of actions by the caregivers, which is a complex challenge in itself. This approach should be gradually extended to all ages, because frailty has no age, as is testified by overwork, burnout, and post‐traumatic syndrome.