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克罗恩病患者的肌肉减少症和维生素 D 缺乏:应将这些病理状况联系在一起。

Sarcopenia and Vitamin D Deficiency in Patients with Crohn's Disease: Pathological Conditions That Should Be Linked Together.

机构信息

Department of Internal Medicine, AUSL della Romagna, S. Maria delle Croci Hospital, 48121 Ravenna, Italy.

Endocrinology and Diabetes Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy.

出版信息

Nutrients. 2021 Apr 20;13(4):1378. doi: 10.3390/nu13041378.

Abstract

Sarcopenia is a prevalent condition in patients with Crohn's disease (CD), representing an independent predictor factor for the development of major postoperative complications. Thus, a proper assessment of the muscle strength, by using different validated tools, should be deemed an important step of the clinical management of these patients. Patients with CD are frequently malnourished, presenting a high prevalence of different macro- and micro-nutrient deficiencies, including that of vitamin D. The available published studies indicate that vitamin D is involved in the regulation of proliferation, differentiation, and regeneration of muscle cells. The relationship between vitamin D deficiency and sarcopenia has been extensively studied in other populations, with interesting evidence in regards to a potential role of vitamin D supplementation as a means to prevent and treat sarcopenia. The aim of this review was to find studies that linked together these pathological conditions.

摘要

肌肉减少症是克罗恩病(CD)患者中普遍存在的一种病症,是术后发生重大并发症的独立预测因素。因此,使用不同的经过验证的工具对肌肉力量进行适当评估,应被视为对这些患者进行临床管理的重要步骤。CD 患者经常存在营养不良,存在多种宏量和微量营养素缺乏的高患病率,包括维生素 D 缺乏。现有的已发表研究表明,维生素 D 参与调节肌肉细胞的增殖、分化和再生。在其他人群中,广泛研究了维生素 D 缺乏与肌肉减少症之间的关系,有有趣的证据表明维生素 D 补充可能是预防和治疗肌肉减少症的一种手段。本综述的目的是找到将这些病理状况联系在一起的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac51/8074054/cb74597d83fa/nutrients-13-01378-g001.jpg

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