糖尿病老年人的营养:专注于肉症
Almog Shalit1, Eleni Gerontiti2, Georgios Boutzios3
1Endocrine Unit and Diabetes Center, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece; Section of Integrative Physiology and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
Maturitas
|March 24, 2024
概括
本综述概述了饮食策略,用于同时管理糖尿病和肉症. 关键建议包括适当的卡路里和蛋白质摄入量,优先考虑健康的脂肪,并保持维生素D水平以改善肌肉质量和代谢健康.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 人口老龄化面临着越来越多的慢性疾病负担,如糖尿病.
- 麻症或与年龄相关的肌肉损失,影响28%的50岁以上的糖尿病患者.
- 这些疾病的综合管理构成了医疗保健的重大挑战.
研究的目的:
- 审查当前对缩症和糖尿病综合管理的营养建议.
- 确定需要进一步研究这一群体的营养干预措施的领域.
- 为临床医生提供有关饮食优化的指导.
主要方法:
- 对关于营养管理的现有文献的系统综述 肉类和糖尿病.
- 分析当前的饮食指南和研究结果.
- 综合基于证据的建议.
主要成果:
- 建议包括每天卡路里摄入量>30千卡/千克和蛋白质摄入量为1-1.2克/千克/天,重点是每餐分配.
- 优先考虑多不和脂肪酸和足够的维生素D水平可以支持新陈代谢健康和肌肉力量.
- 肥胖管理需要低热量饮食,增加蛋白质.
结论:
- 统一的饮食建议可以帮助管理糖尿病和肉症.
- 需要对特定营养相互作用进行进一步的研究,例如分支链氨基酸和胰岛素耐药性.
- 对饮食优化的临床指导至关重要,尽管补充剂的证据有限.
相关概念视频
Carbohydrate Metabolism
11.1K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.1K
Diabetes: Symptoms, Diagnosis, and Complications
530
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
530
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Diabetes: Management and Pharmacotherapy
277
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
277
Psychoneuroimmunology: Diabetes and Cancer
28
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
28
Pathophysiology of Diabetes
926
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
926


