Enhancing Cognitive Aging: Clinical Highlights of a Report From the Institute of Medicine

医学 认知 老年学 认知功能衰退 公共卫生 人口 家庭医学 痴呆 疾病 精神科 环境卫生 护理部 病理
作者
Sharon K. Inouye
出处
期刊:Annals of Internal Medicine [American College of Physicians]
卷期号:163 (4): 307-310 被引量:2
标识
DOI:10.7326/m15-1228
摘要

Ideas and Opinions18 August 2015Enhancing Cognitive Aging: Clinical Highlights of a Report From the Institute of MedicineSharon K. Inouye, MD, MPHSharon K. Inouye, MD, MPHFrom Harvard Medical School and Hebrew SeniorLife, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M15-1228 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail With the aging of our population, cognitive aging has emerged as a leading public health concern. In a 2014 AARP survey (1), 93% of respondents identified maintaining brain health as a top priority. Yet a substantial void exists in the fundamental understanding of the cognitive aging process and its distinction from Alzheimer disease and related dementias. Thus, the Institute of Medicine convened a 16-member expert panel, which was charged with making recommendations on the public health aspects of cognitive aging and defining actions required to better maintain the cognitive health of older adults. The committee was tasked with defining cognitive ...References1. AARP Press Center. Brain health important to 93% of Americans, but few know the 5 ways to help maintain or improve it [news release]. Washington, DC: AARP; 2014. Accessed at www.aarp.org/about-aarp/press-center/info-01-2015/staying-sharp-brain-health-survey.html on 21 May 2015. Google Scholar2. Blazer DG, Yaffe K, Liverman CT, eds. Cognitive Aging: Progress in Understanding and Opportunities for Action. Washington, DC: National Academies Pr; 2015. Accessed at www.iom.edu/cognitiveaging on 21 May 2015. Google Scholar3. Grossmann I, Na J, Varnum ME, Park DC, Kitayama S, Nisbett RE. Reasoning about social conflicts improves into old age. Proc Natl Acad Sci USA. 2010;107:7246-50. [PMID: 20368436] doi:10.1073/pnas.1001715107 CrossrefMedlineGoogle Scholar4. Cordell CB, Borson S, Boustani M, Chodosh J, Reuben D, Verghese J, et al; Medicare Detection of Cognitive Impairment Workgroup. Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting. Alzheimers Dement. 2013;9:141-50. [PMID: 23265826] doi:10.1016/j.jalz.2012.09.011 CrossrefMedlineGoogle Scholar5. American Society of Consultant Pharmacists. ASCP fact sheet. Alexandria, VA: American Society of Consultant Pharmacists; 2015. Accessed at www.ascp.com/articles/about-ascp/ascp-fact-sheet on 21 May 2015. Google Scholar6. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012;60:616-31. [PMID: 22376048] doi:10.1111/j.1532-5415.2012.03923.x CrossrefMedlineGoogle Scholar7. Administration on Aging; Administration for Community Living; U.S. Department of Health and Human Services. A profile of older Americans: 2013. Washington, DC: U.S. Department of Health and Human Services; 2013. Accessed at www.aoa.acl.gov/Aging_Statistics/Profile/2013/docs/2013_Profile.pdf on 21 May 2015. Google Scholar8. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014;383:911-22. [PMID: 23992774] doi:10.1016/S0140-6736(13)60688-1 CrossrefMedlineGoogle Scholar9. National Committee for the Prevention of Elder Abuse; Virginia Tech; MetLife Mature Market Institute. The MetLife study of elder financial abuse: crimes of occasion, desperation, and predation against America's elders. New York: MetLife Mature Market Institute; 2011. Accessed at www.metlife.com/assets/cao/mmi/publications/studies /2011/mmi-elder-financial-abuse.pdf 2011 on 21 May 2015. Google Scholar10. Max Planck Institute for Human Development; Stanford Center on Longevity. A consensus on the brain training industry from the scientific community. Stanford, CA: Stanford Center on Longevity; 2014. Accessed at longevity3.stanford.edu/blog/2014/10/15/the-consensus-on-the-brain-training-industry-from-the-scientific-community on 21 May 2015. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Harvard Medical School and Hebrew SeniorLife, Boston, Massachusetts.Acknowledgment: The author thanks the members of the Institute of Medicine Committee on the Public Health Dimensions of Cognitive Aging who authored the report (available at www.iom.edu/cognitiveaging). This article is dedicated to the memory of Joshua Bryan Inouye Helfand.Grant Support: In part by the National Institute on Aging (grants P01AG031720, K07AG041835, and R01AG044518). Dr. Inouye holds the Milton and Shirley F. Levy Family Chair.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-1228.Corresponding Author: Sharon K. Inouye, MD, MPH, Aging Brain Center, Institute for Aging Research, Hebrew SeniorLife, 1200 Centre Street, Boston, MA 02459; e-mail,[email protected]harvard.edu.Author Contributions: Conception and design: S. Inouye.Analysis and interpretation of the data: S. Inouye.Drafting of the article: S. Inouye.Critical revision of the article for important intellectual content: S. Inouye.Final approval of the article: S. Inouye.Provision of study materials or patients: S. Inouye.Statistical expertise: S. Inouye.Obtaining of funding: S. Inouye.Administrative, technical, or logistic support: S. Inouye.Collection and assembly of data: S. Inouye.This article was published online first at www.annals.org on 23 June 2015. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrevention of cognitive impairment: scientific guidance and windows of opportunityClinical-grade human umbilical cord-derived mesenchymal stem cells reverse cognitive aging via improving synaptic plasticity and endogenous neurogenesis 18 August 2015Volume 163, Issue 4Page: 307-310KeywordsAgingBrainCognitionDeliriumElderlyHealth careMedical risk factorsMemoryPrevention, policy, and public healthSafety ePublished: 18 August 2015 Issue Published: 18 August 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
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