在癌症中的sarcopenic肥胖症
Mihaela Jurdana1, Maja Cemazar1,2
1Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
Radiology and oncology
|February 20, 2024
概括
肥胖症,一种肌肉损失和多余脂肪的情况,越来越多地影响癌症患者,恶化结果. 本综述澄清了癌症的定义,流行率和癌症的共享机制.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 代谢医学是一种代谢医学.
背景情况:
- 肥胖症 (sarcopenic obesity) 是一种临床疾病,结合了肥胖症 (肌肉质量和功能损失) 和肥胖症 (多余的脂肪质量).
- 它主要影响老年人,但在癌症患者中越来越多地被发现.
- 这种情况与癌症的不良结果有关,包括治疗反应较差,长时间住院治疗,残疾和生存率降低.
研究的目的:
- 审查癌症患者的sarcopenic肥胖的定义和诊断标准.
- 描述不同癌症类型中形肥胖的流行情况.
- 阐明了sarcopenic肥胖和致癌之间共同的潜在机制.
主要方法:
- 关于肉骨肥胖和癌症研究的文献综述.
- 对定义,诊断标准和流行数据的分析.
- 探索生物机制,包括氧化应激,炎症和肌肉蛋白表达.
主要成果:
- 由于定义和诊断方法的差异,癌症患者的sarcopenic肥胖症的患病率估计有很大差异.
- 分享的机制,如氧化应激,脂毒性,全身炎症和改变的肌蛋白信号,都与sarcopenic肥胖症和癌症发展/进展有关.
- 肥胖症与癌症患者的负面临床结果有关.
结论:
- 需要标准化定义和诊断标准,以准确评估癌症中sarcopenic肥胖的流行率.
- 了解共享的病理生理路径对于开发有针对性的干预措施至关重要.
- 巨型肥胖症在癌症治疗中构成了重大挑战,影响了预后和治疗疗效.
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