肌肉减少症、肌肉减少性肥胖与骨关节炎:肌肉、脂肪、骨骼与衰老之间的探讨

Sarcopenia and Sarcopenic Obesity and Osteoarthritis: A Discussion among Muscles, Fat, Bones, and Aging.

作者信息

Spanoudaki Maria, Giaginis Constantinos, Mentzelou Maria, Bisbinas Alexia, Solovos Evangelos, Papadopoulos Konstantinos, Paliokas Ioannis, Zidrou Christiana, Cheimaras Antonis, Hassapidou Maria, Papadopoulos Athanasios N, Papadopoulou Sousana K

机构信息

Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece.

Clinical Dietetics & Nutrition Department, 424 General Military Hospital, New Efkarpia Ring Road, 56429 Thessaloniki, Greece.

出版信息

Life (Basel). 2023 May 24;13(6):1242. doi: 10.3390/life13061242.

Abstract

Aging is a physical procedure for people and nature. Our aging world is expanding because of the life span extension. Aging has a crucial relationship with our body composition (muscles, bones, and adipose tissue), which is characterized by an increase in fat mass and a gradual decrease in muscle mass and strength and bone density. These alterations affect physical performance and impact quality of life enhancing the risk for non-communicable diseases, immobilization, and disability. As far we know, osteoarthritis of lower limbs, sarcopenic obesity, and muscle mass and/or strength loss are treated separately. However, bones, muscles, adipose tissue, and aging appear to have an interconnection through a dialogue as they talk to each other. Health disorders are coming into the surface when this relationship is disrupted. The aim of our study is to search deeper into this interconnection, so that when adipose tissue increases, we have to take a look into the condition of muscle mass, bone, and connective tissue and vice versa, through the assessment of physical performance. Consequently, the triad muscle-bone-adipose tissue disorders by aging should be treated as a single entity.

摘要

衰老对人类和自然界而言是一个生理过程。由于寿命延长,我们这个老龄化的世界正在不断扩大。衰老与我们的身体组成(肌肉、骨骼和脂肪组织)有着至关重要的关系,其特征是脂肪量增加,肌肉量、力量和骨密度逐渐下降。这些变化会影响身体机能,对生活质量产生影响,增加患非传染性疾病、行动不便和残疾的风险。据我们所知,下肢骨关节炎、肌少症性肥胖以及肌肉量和/或力量丧失都是分别进行治疗的。然而,骨骼、肌肉、脂肪组织和衰老似乎通过相互交流而存在一种内在联系。当这种关系被破坏时,健康问题就会显现出来。我们研究的目的是更深入地探究这种内在联系,以便当脂肪组织增加时,我们能够通过评估身体机能来了解肌肉量、骨骼和结缔组织的状况,反之亦然。因此,由衰老引起的肌肉 - 骨骼 - 脂肪组织三联症应作为一个整体来治疗。

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