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营养与身体活动在衰弱中的作用:综述。

The role of nutrition and physical activity in frailty: A review.

机构信息

Department of Biological Sciences, Cork Institute of Technology, Rossa Avenue, Bishopstown, Cork, Ireland.

Department of Sport, Leisure and Childhood Studies, Cork Institute of Technology, Rossa Avenue, Bishopstown, Cork, Ireland.

出版信息

Clin Nutr ESPEN. 2020 Feb;35:1-11. doi: 10.1016/j.clnesp.2019.11.003. Epub 2019 Dec 6.

Abstract

Frailty is a clinical syndrome with a worldwide prevalence of 5-27% among those aged over 65 years. Frailty is characterised by loss of muscle strength and impaired physical function, and is associated with increased falls, hospitalisation and death. Nutritional deficiencies and low physical activity are common in this age group due to ill health, disability and reductions in enthusiasm, food intake and therefore, energy availability. Both low physical activity and inadequate dietary intake have a significant role to play in the onset and progression of frailty, primarily through bone and muscle health implications. Frailty is, however, preventable and reversible, and several interventions have been carried out to offset and reverse the condition. This article reports the recent evidence on the role of nutrition and physical activity in the pathogenesis of frailty and provides a critical review of previously implemented interventions focussed on physical activity and nutrition to prevent and reduce frailty among older adults.

摘要

衰弱是一种临床综合征,在 65 岁以上人群中的全球患病率为 5-27%。衰弱的特征是肌肉力量丧失和身体功能受损,与跌倒、住院和死亡的风险增加有关。由于健康状况不佳、残疾以及热情、食物摄入和能量供应的减少,营养不足和身体活动不足在这一年龄组中很常见。低身体活动和饮食摄入不足在衰弱的发生和进展中都起着重要作用,主要通过对骨骼和肌肉健康的影响。然而,衰弱是可以预防和逆转的,已经进行了多项干预措施来抵消和逆转这种情况。本文报告了营养和身体活动在衰弱发病机制中的作用的最新证据,并对以前实施的侧重于预防和减少老年人衰弱的身体活动和营养干预措施进行了批判性回顾。

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