老年人运动认知风险综合征健康管理中国专家共识(2025)  

Chinese expert consensus on health management of motoric cognitive risk syndrome in the elderly(2025)

作　　者：马丽娜[1] 邢怡文 张丽[1] 陈彪[1] 张存泰[2] 于普林[3] 中华医学会老年医学分会 国家老年疾病临床医学研究中心(宣武医院) MA Li′na;XING Yiwen;ZHANG Li;CHAN Piu;ZHANG Cuntai;YU Pulin;Chinese Geriatrics Society;National Clinical Research Center for Geriatric Diseases(Xuanwu Hospital)(Department of Geriatrics,Xuanwu Hospital Capital Medical University,National Clinical Research Center for Geriatric Diseases,Beijing 100053,China;Department of Geriatrics,Tongji Hospital,Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Institute of Geriatrics of Tongji Hospital,Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Beijing Hospital,National Center of Gerontology,National Clinical Research Center for Geriatric Diseases,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;不详)

机构地区：[1]首都医科大学宣武医院老年医学科,国家老年疾病临床研究中心,北京100053 [2]华中科技大学同济医学院附属同济医院老年医学科,武汉430030 [3]北京医院,国家老年医学中心,国家老年疾病临床医学研究中心,中国医学科学院老年医学研究院,北京100730 [4]不详

出　　处：《中国临床保健杂志》2025年第1期1-12,共12页Chinese Journal of Clinical Healthcare

基　　金：国家重点研发计划项目(2023YFC3603400,2023YFC3603404)。

摘　　要：运动认知风险综合征(motoric cognitive risk syndrome,MCR)是一种以步速缓慢、主观认知下降、日常生活活动能力正常、无痴呆为特征的综合征,在老年人群中较常见。MCR受衰老、慢性疾病、生活方式等多种因素的影响,增加老年人跌倒甚至死亡等不良临床结局的发生风险。然而,目前对于MCR的识别、诊断及防治的重要性认识不足,缺乏相应的规范化诊疗流程及健康管理方法。该共识专家组查阅国内外文献,综合循证医学证据并反复论证,提出老年人MCR健康管理指导意见,旨在为老年MCR人群提供规范化的健康管理策略,延缓痴呆发生,维持内在能力,促进健康老龄化。Motoric cognitive risk syndrome(MCR),a syndrome characterized by slow gait and cognitive complaints in individuals without dementia or mobility disability,is common in the elderly.MCR is affected by a variety of factors including aging,chronic diseases,and lifestyle behaviors,and increases the risk of adverse clinical outcomes,such as dementia,falls,and death.However,there is still a lack of sufficient awareness regarding the importance of identifying,diagnosing,and managing MCR in clinical practice,coupled with an absence of standardized diagnostic/therapeutic protocols as well as systematic health management strategies.To address these gaps,the expert panel of this consensus conducted a thorough review of existing literature,integrated evidence-based medical findings,and engaged in iterative discussions to establish health management guidelines tailored for older adults with MCR.This consensus aims to provide standardized health management strategies for older populations with MCR,delay the onset of dementia,maintain intrinsic capacity,and promote healthy aging.

关 键 词：运动认知风险综合征 运动功能 认知功能 健康管理 日常生活活动 老年人 

分 类 号：R47[医药卫生—护理学]