Lim Seung-Taek, Kang Sunghwun
Institute of Sports and Arts Convergence (ISAC), Inha University, Incheon 22212, South Korea.
Waseda Institute for Sport Sciences, Waseda University, Saitama 341-0018, Japan.
World J Diabetes. 2023 May 15;14(5):565-572. doi: 10.4239/wjd.v14.i5.565.
Aging is characterized by the gradual deterioration of function at the molecular, cellular, tissue, and organism levels in humans. The typical diseases caused by changes in body composition, as well as functional decline in the human body's organs due to aging include sarcopenia and metabolic disorders. The accumulation of dysfunctional aging β cells with age can cause decreased glucose tolerance and diabetes. Muscle decline has a multifactorial origin, involving lifestyle habits, disease triggers, and age-dependent biological changes. The reduced function of β cells in elderly people lowers insulin sensitivity, which affects protein synthesis and interferes with muscle synthesis. The functional decrease and aggravation of disease in elderly people with less regular exercise or physical activity causes imbalances in food intake and a continuous, vicious cycle. In contrast, resistance exercise increases the function of β cells and protein synthesis in elderly people. In this review, we discuss regular physical activities or exercises to prevent and improve health, which is sarcopenia as decreased muscle mass and metabolic disorders as diabetes in the elderly.
衰老的特征是人类在分子、细胞、组织和机体水平上功能逐渐衰退。身体成分变化以及人体器官因衰老而出现的功能下降所引发的典型疾病包括肌肉减少症和代谢紊乱。随着年龄增长,功能失调的衰老β细胞积累会导致葡萄糖耐量降低和糖尿病。肌肉衰退有多种成因,涉及生活习惯、疾病诱因以及年龄相关的生物学变化。老年人β细胞功能减退会降低胰岛素敏感性,影响蛋白质合成并干扰肌肉合成。缺乏规律运动或体育活动的老年人,其功能下降和疾病加重会导致食物摄入失衡,并形成持续的恶性循环。相比之下,抗阻运动可增强老年人β细胞功能和蛋白质合成。在本综述中,我们讨论了预防和改善健康状况的规律体育活动或锻炼,即老年人中肌肉量减少的肌肉减少症和糖尿病等代谢紊乱。