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代谢相关的脂肪肝疾病和肉症:双重打击
Aditya Viswanath1, Sherouk Fouda2, Cornelius James Fernandez3
1School of Medicine, Leicester University, Leicester LE1 7RH, United Kingdom.
代谢相关的脂肪肝病 (MAFLD) 和肉症经常同时存在,影响患者的健康. 了解它们的复杂关系是开发有效治疗这些相互关联的疾病的关键.
科学领域:
- 肝病学和代谢障碍 肝病和代谢障碍
- 老年医学 老年医学
- 临床营养学 临床营养学
背景情况:
- 与代谢相关的脂肪肝疾病 (MAFLD) 患病率在全球范围内因肥胖而上升.
- MAFLD是慢性肝病的首要原因,加剧了诸如心血管疾病和2型糖尿病等并发症.
- 肉,或肌肉损失,越来越被认为是MAFLD进展的重要因素.
研究的目的:
- 阐明MAFLD和肉症之间的复杂的病理生物学联系.
- 提供全面的临床更新,管理共存的MAFLD和肉症.
- 为患有这两种疾病的患者提出基于证据的治疗策略.
主要方法:
- 关于MAFLD和肉类的当前临床文献的全面审查.
- 分析连接肝脏脂肪积累和肌肉衰竭的病理生物学机制.
- 综合治疗干预的证据.
主要成果:
- 麻症可以是MAFLD的原因和后果,特别是在晚期.
- 麻症和MAFLD之间的相互作用会对运动能力和疾病结果产生负面影响.
- 与肌肉相关的因素有助于MAFLD的恶化.
结论:
- 对MAFLD-sarcopenia轴的彻底理解对于有效的患者管理至关重要.
- 需要综合治疗策略来解决这两种情况.
- 需要进一步研究优化对同时存在的MAFLD和肉症的治疗.
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