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[The time of our lives]
1Stichting Groenhuysen, Roosendaal.
Nederlands Tijdschrift Voor Geneeskunde
|December 18, 2015
Summary
Human lifespan has significantly increased, yet the rate of aging remains constant. Modern medicine medicalizes old age, prompting a reevaluation of treatment goals and the concept of wisdom in elderly care.
Area of Science:
- Gerontology
- Public Health
- Medical Ethics
Background:
- Human lifespan has dramatically increased since the Industrial Revolution, with life expectancy at age 75 rising from 6 years to over 14 years.
- High child mortality rates significantly impacted historical life expectancy, which was approximately 35 years.
- Increased longevity has added an average of eight years to old age.
Purpose of the Study:
- To analyze the relationship between increased longevity and the rate of aging.
- To critically examine the medicalization of old age and its implications for treatment goals.
- To explore the concept of wisdom in the context of elderly care and medical management.
Main Methods:
- Historical demographic data analysis.
- Comparative analysis of life expectancy across different age groups and time periods.
- Conceptual analysis of aging, disease, and medical intervention.
Main Results:
- The rate of aging, defined as the increase in mortality risk with age, has remained remarkably constant despite increased lifespan.
- Preventive strategies often target age-related diseases, effectively treating increasing age itself.
- Old age is increasingly viewed as a disease, leading to extensive medicalization.
Conclusions:
- Despite increased lifespan, the biological aging process remains unchanged.
- Current medical approaches may inadvertently 'treat' aging rather than specific diseases.
- Rethinking the goals of medical management for the elderly is necessary, incorporating concepts like wisdom.
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