与代谢功能障碍相关的肥胖性肝病中的疲劳:与肌肉功能,缺氧和高血压的联系
Anna F Sheptulina1, Adel A Yafarova1, Elvira M Mamutova1
1Laboratory of Experimental and Preventive Gastroenterology, National Medical Research Center for Therapy and Preventive Medicine, Moscow 101990, Russia.
Healthcare (Basel, Switzerland)
|September 13, 2025
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 中的疲劳与炎症,肌肉力量降低和血压升高有关. 综合管理策略对于改善患者的治疗结果至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 疲劳是慢性肝病的主要系统性症状,如MASLD.
- 患者的生活质量,治疗成功和预后受到MASLD相关疲劳的负面影响.
研究的目的:
- 研究MASLD患者临床显著疲劳与各种健康指标之间的关联.
- 分析疲劳和全身炎症,肝功能,身体组成,肌肉力量和血压之间的关系.
主要方法:
- 154名MASLD患者接受了人体测量,实验室测试,超声波和弹性图形的评估.
- 肌肉强度通过手握强度 (GS) 和五次坐立测试 (5TSTS) 来测量.
- 使用DXA量化骨肌肉质量 (SMM);使用疲劳评估量表 (FAS) 评估疲劳.
主要成果:
- 显著疲劳 (FAS≥22) 的患者血红蛋白和红细胞计数较低.
- 在疲劳的MASLD患者中观察到ESR和CRP水平升高.
- 较低的相对握力,更长的5TSTS完成时间和更高的血压与显著的疲劳有关.
结论:
- 在MASLD中,疲劳是多因素的,包括炎症,肌肉功能下降和心血管因素.
- 一种整体的管理方法是必不可少的,包括饮食,运动和并发症管理.
- 解决系统性表现和并发症是管理MASLD相关疲劳的关键.
相关概念视频
Muscle Recovery and Fatigue
4.0K
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
4.0K
Overview of Lipid Metabolism
4.9K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
4.9K
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
185
In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
185
Metabolic States of the Body: Fasting and Starvation
2.7K
During the initial hours of fasting, the body uses up its glycogen stores as an energy source. Once these glycogen reserves are depleted, the body begins breaking down stored triglycerides and structural proteins. During this stage, glycerol becomes a key substrate for gluconeogenesis, while free fatty acids undergo beta-oxidation to provide energy for tissues, such as skeletal muscle. In the fasting state, the body spares protein breakdown as much as possible to conserve muscle and structural...
2.7K
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
217
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
217
Hypoxia
2.0K
Hypoxia is a medical condition characterized by an inadequate oxygen supply to body tissues. It typically manifests as a bluish discoloration of the skin and mucosae, especially in fair-skinned individuals, when hemoglobin (Hb) saturation drops below 75%.
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...
2.0K


