Department of Health and Food, Campus Fryslân, University of Groningen, Leeuwarden, the Netherlands.
Center Obesity Northern Netherlands (CON), Department of Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.
Obes Surg. 2021 Jan;31(1):384-393. doi: 10.1007/s11695-020-05082-2. Epub 2020 Nov 6.
Lower muscle mass in populations with obesity is associated obesity-related diseases like hypertension and type 2 diabetes mellitus. Bariatric surgery leads to sustained weight loss. During the weight reduction, loss of muscle should be minimized. Thus reliable quantification of muscle mass is much needed and therefore the also the need for validated methods. Imaging methods, magnetic resonance imaging and computed tomography scan, have been the gold standard for many years. However, these methods are costly and have limitations such as the maximum weight. Dual-energy X-ray absorptiometry is currently the most used alternative. Other, less expensive methods are very limited in their validation in populations with morbid obesity. This narrative review summarizes the current knowledge regarding measuring muscle mass and strength in obesity.
肥胖人群的肌肉量减少与高血压和 2 型糖尿病等肥胖相关疾病有关。减重手术可导致体重持续下降。在减重过程中，应尽量减少肌肉流失。因此，非常需要可靠的肌肉量定量方法，因此也需要验证方法。成像方法，磁共振成像和计算机断层扫描，多年来一直是金标准。然而，这些方法成本高，并且存在诸如最大重量等限制。双能 X 射线吸收法目前是最常用的替代方法。其他，成本较低的方法在病态肥胖人群中的验证非常有限。本叙述性综述总结了目前关于肥胖症肌肉量和力量测量的知识。
