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肌少症的预防和管理膳食。

Diet for the prevention and management of sarcopenia.

机构信息

Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, 00168 Rome, Italy.

Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, 00168 Rome, Italy; Department of Medicine and Surgery, LUM University, 70100 Casamassima, Italy.

出版信息

Metabolism. 2023 Sep;146:155637. doi: 10.1016/j.metabol.2023.155637. Epub 2023 Jun 21.

Abstract

Sarcopenia is a geriatric condition characterized by a progressive loss of skeletal muscle mass and strength, with an increased risk of adverse health outcomes (e.g., falls, disability, institutionalization, reduced quality of life, mortality). Pharmacological remedies are currently unavailable for preventing the development of sarcopenia, halting its progression, or impeding its negative health outcomes. The most effective strategies to contrast sarcopenia rely on the adoption of healthier lifestyle behaviors, including adherence to high-quality diets and regular physical activity. In this review, the role of nutrition in the prevention and management of sarcopenia is summarized. Special attention is given to current "blockbuster" dietary regimes and agents used to counteract age-related muscle wasting, together with their putative mechanisms of action. Issues related to the design and implementation of effective nutritional strategies are discussed, with a focus on unanswered questions on the most appropriate timing of nutritional interventions to preserve muscle health and function into old age. A brief description is also provided on new technologies that can facilitate the development and implementation of personalized nutrition plans to contrast sarcopenia.

摘要

肌肉减少症是一种老年疾病,其特征是骨骼肌质量和力量逐渐丧失,增加了不良健康结果(如跌倒、残疾、住院、生活质量降低、死亡率)的风险。目前尚无药物治疗方法可预防肌肉减少症的发生、阻止其进展或阻碍其对健康的不良影响。预防和管理肌肉减少症最有效的策略依赖于采取更健康的生活方式行为,包括坚持高质量的饮食和定期进行身体活动。在这篇综述中,总结了营养在预防和管理肌肉减少症中的作用。特别关注当前的“重磅炸弹”饮食方案和用于对抗与年龄相关的肌肉减少的药物,以及它们的作用机制。还讨论了与有效营养策略的设计和实施相关的问题,重点关注关于在老年时维持肌肉健康和功能的最佳营养干预时间的未解决问题。还简要介绍了可以促进制定和实施个性化营养计划以对抗肌肉减少症的新技术。

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