Aging and Multimorbidity: New Tasks, Priorities, and Frontiers for Integrated Gerontological and Clinical Research

Aging is characterized by rising susceptibility to development of multiple chronic diseases and, therefore, represents the major risk factor for multimorbidity. From a gerontological perspective, the progressive accumulation of multiple diseases, which significantly accelerates at older ages, is a m...

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Veröffentlicht in:Journal of the American Medical Directors Association Jg. 16; H. 8; S. 640 - 647
Hauptverfasser: Fabbri, Elisa, Zoli, Marco, Gonzalez-Freire, Marta, Salive, Marcel E, Studenski, Stephanie A, Ferrucci, Luigi
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.08.2015
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ISSN:1538-9375
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Abstract Aging is characterized by rising susceptibility to development of multiple chronic diseases and, therefore, represents the major risk factor for multimorbidity. From a gerontological perspective, the progressive accumulation of multiple diseases, which significantly accelerates at older ages, is a milestone for progressive loss of resilience and age-related multisystem homeostatic dysregulation. Because it is most likely that the same mechanisms that drive aging also drive multiple age-related chronic diseases, addressing those mechanisms may reduce the development of multimorbidity. According to this vision, studying multimorbidity may help to understand the biology of aging and, at the same time, understanding the underpinnings of aging may help to develop strategies to prevent or delay the burden of multimorbidity. As a consequence, we believe that it is time to build connections and dialogue between the clinical experience of general practitioners and geriatricians and the scientists who study aging, so as to stimulate innovative research projects to improve the management and the treatment of older patients with multiple morbidities.
AbstractList Aging is characterized by rising susceptibility to development of multiple chronic diseases and, therefore, represents the major risk factor for multimorbidity. From a gerontological perspective, the progressive accumulation of multiple diseases, which significantly accelerates at older ages, is a milestone for progressive loss of resilience and age-related multisystem homeostatic dysregulation. Because it is most likely that the same mechanisms that drive aging also drive multiple age-related chronic diseases, addressing those mechanisms may reduce the development of multimorbidity. According to this vision, studying multimorbidity may help to understand the biology of aging and, at the same time, understanding the underpinnings of aging may help to develop strategies to prevent or delay the burden of multimorbidity. As a consequence, we believe that it is time to build connections and dialogue between the clinical experience of general practitioners and geriatricians and the scientists who study aging, so as to stimulate innovative research projects to improve the management and the treatment of older patients with multiple morbidities.
Author Gonzalez-Freire, Marta
Fabbri, Elisa
Zoli, Marco
Studenski, Stephanie A
Salive, Marcel E
Ferrucci, Luigi
Author_xml – sequence: 1
  givenname: Elisa
  surname: Fabbri
  fullname: Fabbri, Elisa
  organization: Translational Gerontology Branch, Longitudinal Study Section, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, MD; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
– sequence: 2
  givenname: Marco
  surname: Zoli
  fullname: Zoli, Marco
  organization: Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
– sequence: 3
  givenname: Marta
  surname: Gonzalez-Freire
  fullname: Gonzalez-Freire, Marta
  organization: Translational Gerontology Branch, Longitudinal Study Section, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, MD
– sequence: 4
  givenname: Marcel E
  surname: Salive
  fullname: Salive, Marcel E
  organization: Division of Geriatrics and Clinical Gerontology, National Institute on Aging, Bethesda, MD
– sequence: 5
  givenname: Stephanie A
  surname: Studenski
  fullname: Studenski, Stephanie A
  organization: Translational Gerontology Branch, Longitudinal Study Section, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, MD
– sequence: 6
  givenname: Luigi
  surname: Ferrucci
  fullname: Ferrucci, Luigi
  email: ferrucilu@grc.nia.nih.gov
  organization: Translational Gerontology Branch, Longitudinal Study Section, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, MD. Electronic address: ferrucilu@grc.nia.nih.gov
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25958334$$D View this record in MEDLINE/PubMed
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Aging - physiology
Biomedical Research
Chronic Disease
Comorbidity
Humans
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Title Aging and Multimorbidity: New Tasks, Priorities, and Frontiers for Integrated Gerontological and Clinical Research
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