Schoene Daniel, Kiesswetter Eva, Sieber Cornel C, Freiberger Ellen
Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408, Nürnberg, Deutschland.
Klinik für Allgemeine Innere Medizin und Geriatrie, Krankenhaus Barmherzige Brüder, Regensburg, Deutschland.
Z Gerontol Geriatr. 2019 Feb;52(1):37-44. doi: 10.1007/s00391-017-1283-6. Epub 2017 Jun 29.
Falls in older adults are a major public health problem with a high incidence and severe consequences for the older individual. The age-related loss of muscle strength as well as muscle mass and muscle function (sarcopenia) are i) risk factors for falling, ii) associated with physical function and iii) markers of the frailty syndrome. Muscle function appears to play a bigger role than muscle mass. The operationalization of sarcopenia using the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm is consistently associated with falling events. Structured physical exercise plays the key role in the prevention of falls and the management of functional decline caused by sarcopenia and frailty. The combined supplementation with proteins and vitamin D supports muscle protein synthesis in undersupplied persons and improves aspects of physical function.
老年人跌倒问题是一个重大的公共卫生问题，发生率高，对老年人个体造成严重后果。与年龄相关的肌肉力量、肌肉质量和肌肉功能丧失（肌少症）：一是跌倒的风险因素；二是与身体功能相关；三是衰弱综合征的标志物。肌肉功能似乎比肌肉质量发挥着更大的作用。使用欧洲老年人肌少症工作组（EWGSOP）算法对肌少症进行操作化定义，始终与跌倒事件相关。有组织的体育锻炼在预防跌倒以及管理由肌少症和衰弱引起的功能衰退方面起着关键作用。蛋白质和维生素D联合补充剂可支持蛋白质供应不足人群的肌肉蛋白质合成，并改善身体功能的各个方面。
