Coker Robert H, Wolfe Robert R
Institute of Arctic Biology, University of Alaska-Fairbanks, Fairbanks, Alaska, USA.
Essential Blends, LLC, Fairbanks, Alaska, USA.
Obesity (Silver Spring). 2018 Jan;26(1):22-28. doi: 10.1002/oby.21961.
The age-related concomitant loss of skeletal muscle and accumulation of excess adipose tissue have been commonly referred to as sarcopenic obesity. While weight loss may help mitigate the metabolic abnormalities linked to obesity, low fitness levels and muscle atrophy complicate the effectiveness of lifestyle interventions. Because of low levels of compliance, suboptimal economic efficiency, and low functional capacity, there has been no consensus on optimal therapy. This includes the use of high-protein diets that do not ensure muscle preservation during weight loss in this segment of the population. The primary objectives of this review are to discuss the relevance of sarcopenic obesity, examine the feasibility of weight loss in the elderly, and highlight new approaches to the problem.
与年龄相关的骨骼肌伴随性流失和过多脂肪组织的蓄积通常被称为肌少症性肥胖。虽然体重减轻可能有助于缓解与肥胖相关的代谢异常，但低体能水平和肌肉萎缩使生活方式干预的效果变得复杂。由于依从性差、经济效率欠佳以及功能能力低下，对于最佳治疗方法尚无共识。这包括使用高蛋白饮食，但这类饮食并不能确保该人群在体重减轻期间肌肉得以保留。本综述的主要目的是讨论肌少症性肥胖的相关性，研究老年人减重的可行性，并强调解决该问题的新方法。
