接近与非酒精性胆固醇肝炎相关的肝硬化患者
Paolo Gallo1, Valentina Flagiello1, Andrea Falcomatà1
1Operative Research Unit of Clinical Medicine and Hepatology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Roma, Italy.
Journal of clinical and translational hepatology
|March 1, 2024
概括
肉症或肌肉损失在慢性肝病 (CLD) 中很常见. 与代谢功能障碍相关的肥胖性肝病 (MASLD) 的增加意味着类病经常与肥胖症并存,使患者的结果恶化.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 老年病的医生 老年病的医生
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 肉症是慢性肝病 (CLD) 的常见并发症,特别是在肝硬化中.
- 与代谢功能障碍相关的脂肪性肝病 (MASLD),以前称为NAFLD,越来越普遍,并与肥胖和肉症有关.
- 萨尔科佩尼亚和MASLD之间的相互作用导致不良结果,包括肝肌脂肪组织轴的放松调节.
研究的目的:
- 审查代谢功能障碍相关的脂肪性肝病 (MASLD) 中的萨尔科佩尼亚的新兴情景.
- 为了突出萨尔科佩尼亚和MASLD中糟糕的结果之间的关联.
- 讨论在MASLD中对萨尔科佩尼亚的潜在治疗策略.
主要方法:
- 文献综述,重点关注慢性肝病和MASLD中的肉类.
- 在MASLD和肉症的背景下分析肝-肌肉-脂肪组织轴.
- 讨论当前的知识差距和未来的研究方向.
主要成果:
- 在与MASLD相关的CLD的背景下,sarcopenia经常与肥胖症共存.
- 麻症和MASLD之间的相互作用与增加的发病率和死亡率有关.
- 目前尚缺少针对MASLD中肉症的具体治疗指南.
结论:
- 在MASLD中,对肉类的有效管理策略应侧重于减少脂肪质量,同时保持瘦体质量.
- 饮食干预,营养补充和体育炼是有希望的方法.
- 需要进一步的研究,以建立最佳的评估和治疗方案,在MASLD. sarcopenia.
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