与年龄相关的胃分泌量下降:事实和争议
Francisco Vara-Luiz1,2, Ivo Mendes1,2, Carolina Palma1,2
1Gastroenterology Department, Hospital Garcia de Orta, 2805-267 Almada, Portugal.
Biomedicines
|July 29, 2025
概括
老年人的胃分泌经常受到损害,通常是由于与年龄相关的疾病而不是直接的衰老影响. 对于胃酸减少的老年人来说,抗分泌疗法可能不那么有益,而且风险更大.
科学领域:
- 胃肠病学 胃肠病学
- 老年学是一门学科.
- 身体生理学 身体生理学
背景情况:
- 衰老会影响胃肠结构和功能,但其对胃分泌物的影响尚未完全理解.
- 胃分泌物,包括酸,素和内在因子,对于消化和营养吸收至关重要.
研究的目的:
- 审查现有的关于胃分泌是否随着年龄的增长而下降的文献.
- 探索与年龄相关的胃分泌物变化的临床影响.
主要方法:
- 按照PRISMA指南进行系统范围审查.
- 搜索了PubMed,科学网,Embase和谷歌学者从创立到2024年12月.
- 包括15项动物和人类研究,用GRADE评估证据强度.
主要成果:
- 动物研究表明,老老鼠的酸分泌减少与粘膜缩和胃素反应有关.
- 人类研究表明,衰老不会直接减少酸的产量;诸如缩性胃炎和PPI使用等条件是关键因素.
- 随着年龄的增长,由于主要细胞功能的减少,素的产量下降,但临床影响尚不清楚.
- 内在因子的分泌仍然足以防止科巴拉缺乏,即使输出量减少.
结论:
- 与年龄相关的胃分泌量下降通常与相关疾病有关,而不是老化本身.
- 衰弱的分泌功能在老年人中很常见.
- 抗分泌疗法可能在老年患者中提供有限的益处和增加的风险.
- 未来的研究需要纵向研究,更大的队列和组织学分层分析.
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