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炎症性肠病中骨-肌减少症的恶性循环:病因、临床意义和治疗观点。

A Vicious Cycle of Osteosarcopeniain Inflammatory Bowel Diseases-Aetiology, Clinical Implications and Therapeutic Perspectives.

机构信息

Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 49 Przybyszewskiego Street, 60-355 Poznan, Poland.

出版信息

Nutrients. 2021 Jan 20;13(2):293. doi: 10.3390/nu13020293.

Abstract

Sarcopenia is a disorder characterized by a loss of muscle mass which leads to the reduction of muscle strength and a decrease in the quality and quantity of muscle. It was previously thought that sarcopenia was specific to ageing. However, sarcopenia may affect patients suffering from chronic diseases throughout their entire lives. A decreased mass of muscle and bone is common among patients with inflammatory bowel disease (IBD). Since sarcopenia and osteoporosis are closely linked, they should be diagnosed as mutual consequences of IBD. Additionally, multidirectional treatment of sarcopenia and osteoporosis including nutrition, physical activity, and pharmacotherapy should include both disorders, referred to as osteosarcopenia.

摘要

肌肉减少症是一种以肌肉质量下降为特征的疾病,导致肌肉力量减弱,肌肉质量和数量减少。以前人们认为肌肉减少症是衰老所特有的。然而,肌肉减少症可能会影响患有慢性疾病的患者一生。患有炎症性肠病 (IBD) 的患者中,肌肉和骨骼的质量减少很常见。由于肌肉减少症和骨质疏松症密切相关,因此应将它们诊断为 IBD 的相互后果。此外,包括营养、身体活动和药物治疗在内的针对肌肉减少症和骨质疏松症的多方位治疗应同时包含这两种疾病,称为骨肌减少症。

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