The medical and health related expenditures related to the aging is a huge burden on the country and the society. The geriatrics gradually becomes a hot spot in the clinical medicine. The core problem in the gerontology and the geriatrics is the senescence, along with related issues. But, the senescence starts actually as early as just after the human sexual maturity. Geriatrics deals with the secondary stage of senescence. If the assessment and the intervention of senescence-related issues can be carried out at a younger age, the senescence process will be delayed, the healthy life span will be extended, and the burden of the aging can be reduced. At the same time, the rapid growth of the elderly chronic diseases, such as the hypertension, the coronary heart disease and the diabetes, happens often in the middle-aged stage. Only by strengthening the comprehensive prevention and control of these diseases as early as possible can we control the progress and complications of these diseases in the long run and effectively reduce the burden of the whole society. Therefore, we might call the population of 45~59 years old the sub-elderly group. For this part of the population, it is important to adopt the method of the comprehensive geriatric assessment, to establish a sub-elderly health evaluation system, and to carry out systematic interventions.
[1] 李小鹰, 郑秋甫. 老年医学与保健(内科卷)[M]. 北京:人民军医出版社, 2013.
[2] 李翔, 刘星, 何涛, 等. 社区不同年龄段女性端粒长度改变规律及其衰老分值变化趋势[J]. 中山大学学报医学版, 2019, 40(1):155-160.
[3] 中国老年学学会衰老与抗衰老科学委员会. 中国衰老与抗衰老专家共识(2013年)[J]. 中国老年学杂志, 2013, 19(22):329-331.
[4] 赵冬. 中国高血压流行病学现状[J]. 中国心血管杂志, 2020, 25(6):513-515.
[5] Halter J B, Ouslander J G, Tinetti M E, et al. 哈兹德老年医学[M]. 6版. 李小鹰, 王建业, 译. 北京:人民卫生出版社, 2015.
[6] 王宇朋, 王欢, 王萍. 健康管理的整体观[J]. 医学与哲学, 2018, 39(24):6-8, 69.
[7] 查理·芒格, 彼得·考夫曼.穷查理宝典:查理·芒格的智慧箴言录[M]. 李继宏, 译. 北京:中信出版社, 2016.