Abstract
Purpose of review: Ageing, the accrual of molecular and cellular damage over a lifetime confers progressive physiologic dysfunction of bodily systems, leaving the body in a heightened state of vulnerability to biophysical and psychosocial stressors. The inflection point is frailty which easily leads to disability and death. Interstitial lung disease (ILD) creates biophysical and psychosocial stresses difficult for even optimally fit patients to cope with. With evolving ILD treatment pathways, people with ILD are living longer.
Recent findings: ILD and ageing are bi-directionally influential: ILD, its treatments, complications, and collateral systemic extra-pulmonary damage (hypoxic and oxidative stress) wear on the ageing person and ageing impacts a person's tolerance of ILD. ILD extent may proportionally accelerate age-related vulnerabilities. ILD related to inflammatory systemic diseases, e.g. connective tissue diseases or sarcoidosis, exert an even more complex biophysical impact on the body.
Summary: The present review stresses goals of preventing frailty in ILD and preserving general health and well being of people living with ILD of any age, from time of diagnosis and as they age. The development of a prediction score is proposed to classify those at risk of frailty and guide interventions that preserve successful ageing for all levels of ILD severity.
http://links.lww.com/COPM/A32.
Original language | English |
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Pages (from-to) | 321-336 |
Number of pages | 16 |
Journal | Current Opinion in Pulmonary Medicine |
Volume | 28 |
Issue number | 4 |
DOIs | |
Publication status | Published - 31 Jul 2022 |
Bibliographical note
Funding Information:L.A.S. has received funding and research support from Charles and Elizabeth Wetmore Foundation of Greater New Orleans, and Sarcoidosis Awareness Foundation of Louisiana (SAFOL), Scleroderma Foundation, Federation of European Scleroderma Associations (FESCA), Sarcoidosis UK, Scleroderma and Raynauds Society UK (SRUK).
Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
Keywords
- ageing
- cachexia
- frailty
- health-related quality of life
- interstitial lung disease
- sarcopenia
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine