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KMID : 1141720200080020059
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폐쇄성폐질환
2020 Volume.8 No. 2 p.59 ~ p.63
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Beyond Pulmonary Function: The Importance of Sarcopenia and Frailty in Elderly Airway Diseases
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Jang Il-Young
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Abstract
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Characteristic physiological changes in older adults often show a different clinical course of known disease than younger patients in similar situation. In particular, it is difficult to not only interpret between the symptoms and test-results in elderly airway disease, but predict the prognosis due to complicated comorbidities. In older patients, physiologic changes of muscle tissue and recruitment rate are different from younger population, and sarcopenia state in which muscle mass and muscle strength decreases is common, often resulting in a vicious cycle in elderly airway disease. Defined as a decrease in physiological reserve capacity, frailty, which represents the overall health status of older patients, may determine not only the vulnerability to harmful external stress, but also the long-term prognosis of airway disease. This article is intended to summarize the results of studies applied with sarcopenia and frailty, which are representative elderly-specific concepts in airway disease.
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KEYWORD
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Airway disease, Elderly, Frailty, Sarcopenia
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