作为NAFLD死亡风险因素的萨尔科佩尼亚:我们应该如何诊断它?
Catherine Stankevicius1,2, Rachel H Davis1,2, Dep Huynh3
1Department of Nutrition and Dietetics, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Journal of digestive diseases
|February 3, 2025
概括
在非酒精性脂肪性肝病 (NAFLD) 患者中诊断肉类症缺乏标准化的方法. 本次审查强调了需要一致的定义,以改善这种常见的并发症的护理和结果.
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
- 代谢疾病 代谢疾病
背景情况:
- 肉类是非酒精性脂肪肝炎 (NASH) 和非酒精性脂肪肝疾病 (NAFLD) 患者肝硬化的一个危险因素.
- 生活方式干预措施对NAFLD和肉类的治疗都有效,但在NAFLD患者中,肉类的诊断尚未明确.
- 管理不善的NAFLD可能会导致不良的健康结果.
研究的目的:
- 检查非酒精性脂肪性肝病 (NAFLD) 患者的萨尔科佩尼亚目前的诊断方法.
主要方法:
- 对MEDLINE,EMBASE和CINAHL数据库进行了系统审查,对2023年7月之前发表的文章进行了系统审查.
- 搜索术语包括"非酒精性脂肪肝病"",NAFLD"",脂肪肝"",肉类"和"肌缩".
- 基于儿科群体,缺乏NAFLD和肉类的诊断,或肝病的其他原因,研究被排除在外.
主要成果:
- 包括20项涉及68848名参与者的研究,主要来自亚洲国家.
- 在不同工作组的NAFLD诊断工具 (最常见的是腹部超声波) 和肉症定义中观察到异质性.
- 肌肉质量被普遍测量 (通常是通过生物电阻分析),而肌肉力量 (手握) 和功能 (步行速度,定时起动) 被评估的频率较低.
结论:
- 在诊断NAFLD患者的肉类症方面存在显著的标准化缺乏.
- 在这个人群中建立一个一致的萨尔科佩尼亚定义至关重要.
- 标准化将有助于防止忽视这种并发症,从而改善患者的护理和结果.
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