Age-Related Change in Mobility: Perspectives From Life Course Epidemiology and Geroscience
Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility...
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| Vydané v: | The journals of gerontology. Series A, Biological sciences and medical sciences Ročník 71; číslo 9; s. 1184 |
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| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.09.2016
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| ISSN: | 1758-535X, 1758-535X |
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| Abstract | Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility can be acquired during development even by children affected by severe impairments. Analogously, age-associated impairments in mobility-related physiological systems are compensated and overt limitations of mobility only occur when the severity can no longer be compensated. Mobility loss in older persons usually results from multiple impairments in the central nervous system, muscles, joints, and energetic and sensory physiological systems. Early preclinical changes in these physiological systems that precede mobility loss have been poorly studied. Peak performance, rate of decline, compensatory behaviors, or subclinical deterioration of physiological resources may cumulatively influence both timing of mobility loss and chances of recovery, but their role as risk factors has not been adequately characterized. Understanding the natural history of these early changes and intervening on them would likely be the most effective strategy to reduce the burden of disability in the population. For example, young women with low bone peak mass could be counseled to start strength resistance exercise to reduce their high risk of developing osteoporosis and fracture later in life. Expanding this approach to other physiological domains requires collecting and interpreting data from life course epidemiological studies, establishing normative measures of mobility, physical function, and physical activity, and connecting them with life course trajectories of the mobility-relevant physiological domains. |
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| AbstractList | Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility can be acquired during development even by children affected by severe impairments. Analogously, age-associated impairments in mobility-related physiological systems are compensated and overt limitations of mobility only occur when the severity can no longer be compensated. Mobility loss in older persons usually results from multiple impairments in the central nervous system, muscles, joints, and energetic and sensory physiological systems. Early preclinical changes in these physiological systems that precede mobility loss have been poorly studied. Peak performance, rate of decline, compensatory behaviors, or subclinical deterioration of physiological resources may cumulatively influence both timing of mobility loss and chances of recovery, but their role as risk factors has not been adequately characterized. Understanding the natural history of these early changes and intervening on them would likely be the most effective strategy to reduce the burden of disability in the population. For example, young women with low bone peak mass could be counseled to start strength resistance exercise to reduce their high risk of developing osteoporosis and fracture later in life. Expanding this approach to other physiological domains requires collecting and interpreting data from life course epidemiological studies, establishing normative measures of mobility, physical function, and physical activity, and connecting them with life course trajectories of the mobility-relevant physiological domains.Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility can be acquired during development even by children affected by severe impairments. Analogously, age-associated impairments in mobility-related physiological systems are compensated and overt limitations of mobility only occur when the severity can no longer be compensated. Mobility loss in older persons usually results from multiple impairments in the central nervous system, muscles, joints, and energetic and sensory physiological systems. Early preclinical changes in these physiological systems that precede mobility loss have been poorly studied. Peak performance, rate of decline, compensatory behaviors, or subclinical deterioration of physiological resources may cumulatively influence both timing of mobility loss and chances of recovery, but their role as risk factors has not been adequately characterized. Understanding the natural history of these early changes and intervening on them would likely be the most effective strategy to reduce the burden of disability in the population. For example, young women with low bone peak mass could be counseled to start strength resistance exercise to reduce their high risk of developing osteoporosis and fracture later in life. Expanding this approach to other physiological domains requires collecting and interpreting data from life course epidemiological studies, establishing normative measures of mobility, physical function, and physical activity, and connecting them with life course trajectories of the mobility-relevant physiological domains. Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility can be acquired during development even by children affected by severe impairments. Analogously, age-associated impairments in mobility-related physiological systems are compensated and overt limitations of mobility only occur when the severity can no longer be compensated. Mobility loss in older persons usually results from multiple impairments in the central nervous system, muscles, joints, and energetic and sensory physiological systems. Early preclinical changes in these physiological systems that precede mobility loss have been poorly studied. Peak performance, rate of decline, compensatory behaviors, or subclinical deterioration of physiological resources may cumulatively influence both timing of mobility loss and chances of recovery, but their role as risk factors has not been adequately characterized. Understanding the natural history of these early changes and intervening on them would likely be the most effective strategy to reduce the burden of disability in the population. For example, young women with low bone peak mass could be counseled to start strength resistance exercise to reduce their high risk of developing osteoporosis and fracture later in life. Expanding this approach to other physiological domains requires collecting and interpreting data from life course epidemiological studies, establishing normative measures of mobility, physical function, and physical activity, and connecting them with life course trajectories of the mobility-relevant physiological domains. |
| Author | Cooper, Rachel Simonsick, Eleanor M Kuh, Diana Shardell, Michelle Schrack, Jennifer A Ferrucci, Luigi |
| Author_xml | – sequence: 1 givenname: Luigi surname: Ferrucci fullname: Ferrucci, Luigi email: ferruccilu@mail.nih.gov organization: National Institute on Aging, Baltimore, Maryland. ferruccilu@mail.nih.gov – sequence: 2 givenname: Rachel surname: Cooper fullname: Cooper, Rachel organization: Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK – sequence: 3 givenname: Michelle surname: Shardell fullname: Shardell, Michelle organization: National Institute on Aging, Baltimore, Maryland – sequence: 4 givenname: Eleanor M surname: Simonsick fullname: Simonsick, Eleanor M organization: National Institute on Aging, Baltimore, Maryland – sequence: 5 givenname: Jennifer A surname: Schrack fullname: Schrack, Jennifer A organization: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland – sequence: 6 givenname: Diana surname: Kuh fullname: Kuh, Diana organization: Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26975983$$D View this record in MEDLINE/PubMed |
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| PublicationDecade | 2010 |
| PublicationPlace | United States |
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| PublicationTitle | The journals of gerontology. Series A, Biological sciences and medical sciences |
| PublicationTitleAlternate | J Gerontol A Biol Sci Med Sci |
| PublicationYear | 2016 |
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| Snippet | Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural... |
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| SubjectTerms | Aged Aging Evidence-Based Medicine Exercise Geriatric Assessment Geriatrics Humans Italy - epidemiology Mobility Limitation Osteoporosis - complications Osteoporosis - epidemiology Osteoporosis - prevention & control Persons with Disabilities - statistics & numerical data Quality of Life Risk Assessment Risk Factors United States - epidemiology |
| Title | Age-Related Change in Mobility: Perspectives From Life Course Epidemiology and Geroscience |
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