肌少症的诊治研究新进展
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(四川大学华西医院神经内科,成都 610041)

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R592

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Research progress in the diagnosis and treatment of sarcopenia
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(Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041,China)

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    摘要:

    肌少症是一种进行性和全身性的骨骼肌疾病,会导致肌肉含量加速损失及躯体功能下降。据报道,全球范围内社区中肌少症的总体患病率约为10%,而中国社区中肌少症的患病率约为12%。肌少症与衰老、激素缺乏、慢性炎症、线粒体功能障碍、营养不足和缺乏身体活动等因素导致的运动神经元、卫星细胞数量减少和肌肉损失有关。肌少症的诊断是四肢骨骼肌含量减少和力量减弱,伴有或不伴有躯体功能降低。肌少症的治疗包括非药物和药物治疗。非药物治疗包括抗阻运动、血流限制性训练和营养补充等,而药物治疗缺乏证据。早期诊断和干预肌少症可减少不良结果的发生。本文从肌少症的流行病学、病理生理学、诊断和治疗等方面展开综述。

    Abstract:

    Sarcopenia is a progressive and generalized skeletal muscle disease that causes accelerated loss of skeletal muscle mass and function. The prevalence of sarcopenia in the community is about 10% globally but about 12% in China. Sarcopenia is associated with the decreased numbers of motor neurons and satellite cells,and muscle loss resulting from factors including aging, hormonal deficiencies, chronic inflammation, mitochondrial dysfunction,nutritional deficiencies, and physical inactivity. The diagnosis of sarcopenia is made based on the lower muscle mass and decreased muscle strength with or without reduced physical performance. Its treatment includes non-pharmaceutical and pharmaceutical options. The former includes resistance exercise, blood flow restriction training, and nutritional supplementation, but effects of medications lack evidence. Early diagnosis and intervention of sarcopenia can reduce the occurrence of adverse outcomes. This review focuses on the epidemiology, pathophysiology, diagnosis, and treatment of sarcopenia.

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尚健民,欧汝威.肌少症的诊治研究新进展[J].中华老年多器官疾病杂志,2023,22(8):637~640

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  • 收稿日期:2022-10-10
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  • 在线发布日期: 2023-08-22
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