Journals of Gerontology Series A: Biological Sciences and Medical Sciences Large Type Edition
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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 60:56 (2005)
© 2005 The Gerontological Society of America


EDITORIAL

An Exciting Thought

Luigi Ferrucci

Longitudinal Studies Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.

Address correspondence to Luigi Ferrucci, MD, PhD, Longitudinal Studies Section, Clinical Research Branch, NIA, NIH, 3001 S. Hanover St., NM540, Baltimore, MD, 21225. E-mail: ferruccilu{at}mail.nih.gov

BEGINNING with this issue, I will be the new Editor-in-Chief of the Journal of Gerontology: Medical Sciences. I feel apprehensive, excited, and honored at the same time. Becoming the Editor of the Journal in which I published my first paper nearly 20 years ago gives me a tremendous sense of pride and responsibility. The previous Editor-in-Chief, Dr. John Morley, provided sound leadership and substantially elevated the scientific reputation of the Journal. My goal is to make the Journal of Gerontology: Medical Sciences not only the top-ranked journal in the field of aging and geriatric research but also one of the most prestigious journals in medical science. Although this goal might appear quite ambitious, the seeds of high-quality scholarship exist, and my role as Editor is merely to create the optimal conditions for their growth.

The initial expansion of geriatric medicine was based on the recognition that older patients develop complex medical syndromes that are best evaluated and managed using a comprehensive approach (1,2). In more recent years, bench scientists, clinicians, and epidemiologists have produced a wealth of scientific data that have increased substantially our understanding of the aging process and the pathophysiology of age-related medical conditions (3). Unfortunately, there has not been a great deal of success in narrowing the gap between scientific discoveries and clinical applications, and our geriatric patients receive little direct benefit from this new knowledge. Thus, there is a tremendous need to expand translational research, and the Journal will be receptive to articles that address this topic. In particular, I will strive to improve the quality and impact of published articles in the areas of geriatric medicine (4), clinical trials in frail older persons (5), and mechanistic studies developed in the context of longitudinal studies (6). I am especially interested in introducing in the Journal research aimed at understanding the development of frailty and functional decline in the older person (7,8), bridging the gap between basic science and clinical applications (3), creating and validating new measurements tools for clinical assessment, and introducing novel techniques of genetics and cellular and molecular biology in epidemiological and clinical studies (9,10). Priority will be given to concise articles that present creative, new hypotheses supported by a solid analytical approach.

I cannot do this alone. However, I am fortunate to have recruited a group of first-rate Associate Editors, each of whom is a leader in the aging field with a different scientific focus. I have the utmost confidence in my colleagues' capacity to produce an informative journal of stellar scientific quality that will also be a pleasure for busy scientists and geriatricians to read. The new Editorial Board, which includes old and new members, complements the expertise of the Associate Editors.

Aging has been conceptualized as declining efficiency of the mechanisms that maintain the homeostatic equilibrium, which is continuously challenged by destabilizing events (11–13). The signaling pathways of this network, including hormones, inflammatory markers, free radicals and antioxidants, and the autonomic nervous system are modulated by nutritional status and physical activity (14–17). Understanding the set of rules that regulate the interaction between these components of the homeostatic network is central to geriatric medicine and to the discovery of new interventions that specifically target the medical problems of frail older persons. I am very optimistic. I predict that geriatric medicine will see the remarkable development of new techniques and novel pharmacological approaches and will keep pace with the rapid new developments in other medical disciplines. My wish is that, over the next few years, the Journal of Gerontology: Medical Sciences will become one of the major protagonists and promoters of this important line of development

References

  1. Rubenstein LZ, Joseph T. Freeman award lecture: comprehensive geriatric assessment: from miracle to reality. J Gerontol Biol Sci Med Sci. 2004;59A:473-477.
  2. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med. 1984;311:1664-1670.[Abstract]
  3. Holliday R. The close relationship between biological aging and age-associated pathologies in humans. J Gerontol Biol Sci Med Sci. 2004;59A:543-546.
  4. Hazzard WR. Geriatrics: specialty, subspecialty, or supraspecialty? J Gerontol Biol Sci Med Sci. 2004;59A:1161-1162.
  5. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB, Jr., Walston JD. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc. 2004;52:625-634.[Medline]
  6. Landi F, Cesari M, Onder G, Lattanzio F, Gravina EM, Bernabei R. Physical activity and mortality in frail, community-living elderly patients. J Gerontol Biol Sci Med Sci. 2004;59A:833-837.
  7. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol Biol Sci Med Sci. 2004;59A:255-263.
  8. Schuurmans H, Steverink N, Lindenberg S, Frieswijk N, Slaets JP. Old or frail: what tells us more? J Gerontol Biol Sci Med Sci. 2004;59A:962-965.
  9. Deocaris CC, Kaul SC, Taira K, Wadhwa R. Emerging technologies: trendy RNA tools for aging research. J Gerontol Biol Sci Med Sci. 2004;59A:771-783.
  10. Karasik D, Hannan MT, Cupples LA, Felson DT, Kiel DP. Genetic contribution to biological aging: the Framingham Study. J Gerontol Biol Sci Med Sci. 2004;59A:218-226.
  11. Lipsitz LA. Physiological complexity, aging, and the path to frailty. Sci Aging Knowledge Environ. 2004;2004:(16): pe16.[Abstract/Free Full Text]
  12. Walston J. Frailty—the search for underlying causes. Sci Aging Knowledge Environ. Jan 28 2004;2004:(4): pe4.
  13. Wilson JF. Frailty—and its dangerous effects—might be preventable. Ann Intern Med. 2004;141:489-492.[Free Full Text]
  14. Chung HY, Kim HJ, Kim KW, Choi JS, Yu BP. Molecular inflammation hypothesis of aging based on the anti-aging mechanism of calorie restriction. Microsc Res Tech. 2002;59:264-272.[Medline]
  15. Jankord R, Jemiolo B. Influence of physical activity on serum IL-6 and IL-10 levels in healthy older men. Med Sci Sports Exerc. 2004;36:960-964.[Medline]
  16. Pedersen BK, Hoffman-Goetz L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev. 2000;80:1055-1081.[Abstract/Free Full Text]
  17. Ferrucci L, Guralnik JM. Inflammation, hormones, and body composition at a crossroad. Am J Med. 2003;115:501-502.[Medline]



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