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胰岛素抵抗与肌肉减少症之间的因果关系。

Causal relationship between insulin resistance and sarcopenia.

作者信息

Liu Zi-Jian, Zhu Cui-Feng

机构信息

Shenzhen Clinical Medical College, Southern Medical University, Guangdong, 518101, China.

Shenzhen Hospital of Southern Medical University, Guangdong, 518101, China.

出版信息

Diabetol Metab Syndr. 2023 Mar 15;15(1):46. doi: 10.1186/s13098-023-01022-z.

Abstract

Sarcopenia is a multifactorial disease characterized by reduced muscle mass and function, leading to disability, death, and other diseases. Recently, the prevalence of sarcopenia increased considerably, posing a serious threat to health worldwide. However, no clear international consensus has been reached regarding the etiology of sarcopenia. Several studies have shown that insulin resistance may be an important mechanism in the pathogenesis of induced muscle attenuation and that, conversely, sarcopenia can lead to insulin resistance. However, the causal relationship between the two is not clear. In this paper, the pathogenesis of sarcopenia is analyzed, the possible intrinsic causal relationship between sarcopenia and insulin resistance examined, and research progress expounded to provide a basis for the clinical diagnosis, treatment, and study of the mechanism of sarcopenia.

摘要

肌肉减少症是一种多因素疾病,其特征为肌肉质量和功能下降,会导致残疾、死亡及其他疾病。近年来,肌肉减少症的患病率大幅上升,对全球健康构成严重威胁。然而,关于肌肉减少症的病因尚未达成明确的国际共识。多项研究表明,胰岛素抵抗可能是导致肌肉衰减发病机制中的一个重要机制,反之,肌肉减少症也可导致胰岛素抵抗。然而,二者之间的因果关系尚不清楚。本文分析了肌肉减少症的发病机制,探讨了肌肉减少症与胰岛素抵抗之间可能存在的内在因果关系,并阐述了研究进展,为肌肉减少症的临床诊断、治疗及发病机制研究提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df8/10015682/0ee07a48f3e1/13098_2023_1022_Fig1_HTML.jpg

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