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Bringing prevention in geriatrics: evidences from cardiovascular medicine supporting the new challenge
Angelo Scuteri1, Edward G Lakatta
1Laboratory Cardiovascular Sciences, National Institute on Aging Intramural Research Program - NIH, Baltimore, USA. angeloelefante@interfree.it
Insights
Preventing cardiovascular disease and disability in older adults is possible by targeting arterial aging. Understanding the interplay between arterial and brain aging offers a model for effective interventions at any life stage.
Area of Science:
- Gerontology
- Cardiovascular Science
- Neuroscience
Background:
- Aging is a heterogeneous, systemic process with potential adaptive components.
- Cardiovascular disease and hypertension are leading causes of disability in the elderly.
- Prevention strategies can be implemented at any age, even before diagnosis.
Purpose of the Study:
- To explore the prevention of cardiovascular disease and disability in older adults.
- To investigate factors modulating arterial aging.
- To examine the cross-talk between arterial and brain aging as a model for prevention.
Main Methods:
- Review of current understanding of aging processes.
- Analysis of factors influencing arterial aging.
- Discussion of the arterial-brain aging axis.
Main Results:
- Interventions targeting arterial aging can prevent age-related disability and cardiovascular disease.
- The aging process exhibits significant inter-individual variability.
- The relationship between arterial and brain aging provides a framework for preventative strategies.
Conclusions:
- Prevention of cardiovascular disease and disability in the elderly is achievable by addressing arterial aging.
- The interplay between arterial and brain aging serves as a key clinical model for promoting healthspan.
- Early and continuous intervention is crucial for mitigating age-related health decline.
Abstract:
Aging is a dynamic and systemic process, with high inter-individual heterogeneity, likely partially adaptive. Cardiovascular disease and hypertension are among the leading conditions causing disabilities in older subjects. If, in accordance with most recent definition, prevention is any intervention before the patient receives a diagnosis, prevention is possible at any age. Additionally, disability and CV disease in the elderly may be prevented by targeting factors underlying and modulating the arterial aging process. Cross-talk between arterial and brain aging will be discussed in this context as a paradigmatic clinical model fostering prevention in older subjects.
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