Bezdenezhnykh A V, Sumin A N
Klin Med (Mosk). 2012;90(10):16-23.
Population aging is a most important demographic process in the recent decades. The elderly subjects constitute an increasingly greater fraction of the patients staying at multifield hospitals. They are characterized not only by having multiple pathologies but also by age-related changes in peripheral tissues. These physiological changes may considerably aggravate the clinical conditions of the patients. One of the processes accompanying aging is sarcopenia or the loss of muscular mass leading to deterioration of the quality of life and physical independence, disablement and a poor life prognosis. Sarcopenia has been extensively studied in recent decades with reference to it social and economic consequences. At the same time the efficacy of measures designed to control sarcopenia is impaired by concomitant diseases and age-related changes in the muscular tissue. The problem of sarcopenia is insufficiently dealt with in the Russian-language literature despite its clinical significance. This review is intended for a wide circle of clinicians dealing with aged patients in their practical work.
人口老龄化是近几十年来最重要的人口过程。老年患者在综合医院住院患者中所占比例越来越大。他们不仅具有多种病理状况,还具有外周组织的年龄相关变化。这些生理变化可能会大大加重患者的临床病情。与衰老相关的过程之一是肌肉减少症,即肌肉质量的丧失,这会导致生活质量下降、身体独立性丧失、残疾以及不良的生活预后。近几十年来,人们对肌肉减少症的社会和经济后果进行了广泛研究。与此同时,旨在控制肌肉减少症的措施的效果受到伴随疾病和肌肉组织年龄相关变化的影响。尽管肌肉减少症具有临床意义,但俄语文献对该问题的探讨并不充分。这篇综述旨在为广大在实际工作中诊治老年患者的临床医生提供参考。