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彻头彻尾的下降:在接受减肥手术的老年患者中审查了萨科佩尼亚的结果
Matheo Augusto Morandi Stumpf1, Cintia Cercato2, Maria E de Melo2
1Obesity Unit, Division of Endocrinology and Metabolism, University of São Paulo Medical School Hospital, R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo, SP 05403-010, Brazil. matheoaugusto@hotmail.com.
Reviews in endocrine & metabolic disorders
|February 7, 2025
概括
腹部外科手术可以导致老年患者快速肌肉质量损失,但可以保持肌肉质量. 运动和营养等策略可以帮助减轻这些影响.
科学领域:
- 老年学是一门学科.
- 代谢手术 代谢手术
- 营养科学 营养科学
背景情况:
- 全球老年人肥胖率的上升带来了重大的健康挑战.
- 虽然减肥手术对肥胖有效,但它存在风险,特别是在老年人身上,包括跌倒,骨折和肉.
- 快速的肌肉质量损失发生在减肥手术后,主要发生在最初的3个月内.
研究的目的:
- 审查减肥手术对老年患者肌肉质量和质量的影响.
- 确定减轻腹手术后肌肉损失和功能衰退的策略.
- 要突出在这个人口群体中进一步研究肉类症标准的需要.
主要方法:
- 文献综述,重点关注老年人群的减肥手术结果.
- 对检查肌肉质量,肌肉质量和功能参数变化的研究进行分析.
- 对旨在维护肌肉健康的干预措施的证据综合.
主要成果:
- 手术后观察到显著的肌肉质量减少,但通过力量评估的肌肉质量似乎保持不变.
- 保持肌肉质量与宫外肌内脂肪的减少有关.
- 有效的缓解策略包括联合炼,足够的蛋白质和维生素D,HMB补充剂和必要时的疗法.
结论:
- 腹部外科手术需要在老年人中仔细选择患者,因为潜在的风险.
- 涉及运动,营养和有针对性的补充剂的积极管理对于保持肌肉健康至关重要.
- 进一步的研究是必不可少的,以便为接受腹手术的老年患者制定具体的肉症指南,以防止治疗延迟.
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