摘要运动能力下降（失动）是一种增龄相关的老年综合征，受衰老、共病、营养状况、慢性疼痛、心理和社会因素等多种因素的影响，可增加老年人压疮、静脉血栓、便秘、衰弱、失能、跌倒及死亡等不良事件的风险。早期识别运动能力下降并积极予以个体化的综合管理对维持老年人的功能状态和生活质量具有重要意义。然而，目前对老年人运动能力下降防治的重要性普遍认识不足，且缺乏规范化诊疗的标准。本共识专家组以循证医学为依据，整合了国内外运动能力下降相关内容的最新研究进展与指南和共识推荐意见，经过反复探讨论证，从筛查、评估、干预和综合管理等多方面提出了20条推荐意见，强调了“筛查-综合评估-多重干预-联合管理”的多学科决策模式，旨在为老年人运动能力下降的规范化管理提供指导建议。

abstractsMobility limitation is an age-related geriatric syndrome that is affected by multiple factors such as aging, multimorbidity, nutritional status, chronic pain, psychological and social factors, which increases the risk of adverse events such as pressure ulcers, venous thrombosis, constipation, frailty, disability, falls and death in older adults. Early identification of mobility limitation and individualized comprehensive management are of great significance to maintain the functional status and quality of life of older adults. However, the understanding of the importance of mobility limitation prevention and treatment in older adults is insufficient, and there is a lack of standardized diagnosis and treatment standards for mobility limitation. Based on evidence-based medicine, this consensus expert group integrated the latest research progress, guidelines and consensus recommendations on mobility limitation and proposed 20 recommendations containing screening, assessment, intervention and comprehensive management, emphasizing the multidisciplinary decision-making model of "screening-comprehensive assessment-multiple interventions-joint management". We aimed to provide guidance and suggestions for the standardized management of mobility limitation in older adults.