在MASLD中 Sarcopenia-Eat以击败肥胖症,移动以证明自己的力量
Dana Crişan1,2, Lucreţia Avram1,2, Andreea Morariu-Barb1,3
1Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Nutrients
|January 11, 2025
概括
肉症或肌肉损失在代谢功能障碍相关的脂肪性肝病 (MASLD) 中很常见. 了解它们的双向联系以及优化饮食,运动和减肥手术等治疗方法对于患者护理至关重要.
科学领域:
- 肝病学和老年病学 肝病学和老年病学
- 代谢和营养障碍 代谢和营养障碍
背景情况:
- 标志着与年龄相关的肌肉质量和力量丧失的萨科佩尼亚,与2型糖尿病 (T2DM) 和代谢综合征 (MetS) 等慢性疾病一起越来越多地得到认可.
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 经常与肉症共存,但这种关联往往被忽视,使患者管理复杂化.
- 新出现的证据表明,MASLD和肉症之间存在复杂的,双向的相互作用,这表明共享的病理生理机制.
研究的目的:
- 综合回顾萨科佩尼亚和MASLD之间的复杂关系.
- 阐明当前治疗策略和新发现,用于管理MASLD患者的肉症.
- 突出治疗肉症的挑战,特别是在肥胖和MASLD管理的背景下.
主要方法:
- 文献综述综合了关于肉病和MASLD的实验和临床发现.
- 分析当前和潜在的治疗干预措施,包括药理学,生活方式和外科手术方法.
- 检查减肥干预措施,如减肥手术,对MASLD中肉症的影响.
主要成果:
- 维生素D,丸激素和某些药物疗法显示出缓解肉症的潜力,但缺乏治疗共识.
- 包括饮食和炼在内的生活方式干预措施对于管理MASLD.中sarcopenic肥胖症至关重要.
- 腹腔外科手术对MASLD和代谢健康有好处,但对缩症有复杂的,尚未完全理解的影响.
结论:
- MASLD和肉症之间的双向关系需要综合管理方法.
- 在MASLD患者中有效的治疗策略仍然是需要进一步研究和临床共识的领域.
- 解决被忽视的肉症对于改善MASLD患者和相关代谢疾病患者的治疗结果至关重要.
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