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肌肉减少症与非酒精性脂肪性肝病有何关联?

What Does Sarcopenia Have to Do with Nonalcoholic Fatty Liver Disease?

作者信息

Ferenc Katarzyna, Jarmakiewicz-Czaja Sara, Filip Rafał

机构信息

Institute of Medicine, Medical College of Rzeszow University, 35-959 Rzeszow, Poland.

Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland.

出版信息

Life (Basel). 2023 Dec 25;14(1):37. doi: 10.3390/life14010037.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease. As the second stage of developing steatosis, nonalcoholic hepatitis (NASH) carries the risk of fibrosis, cirrhosis, and hepatocellular carcinoma. Sarcopenia is defined as a condition characterized by a decrease in muscle mass and functional decline. Both NAFLD and sarcopenia are global problems. The pathophysiological mechanisms that link the two entities of the disease are insulin resistance, inflammation, nutritional deficiencies, impairment of myostatin and adiponectin, or physical inactivity. Furthermore, disorders of the gut-liver axis appear to induce the process of developing NAFLD and sarcopenia. The correlations between NAFLD and sarcopenia appear to be bidirectional, so the main objective of the review was to determine the cause-and-effect relationship between the two diseases.

摘要

非酒精性脂肪性肝病(NAFLD)是慢性肝病最常见的病因之一。作为脂肪变性发展的第二阶段,非酒精性肝炎(NASH)存在纤维化、肝硬化和肝细胞癌的风险。肌肉减少症的定义是一种以肌肉量减少和功能衰退为特征的病症。NAFLD和肌肉减少症都是全球性问题。将这两种疾病联系起来的病理生理机制是胰岛素抵抗、炎症、营养缺乏、肌肉生长抑制素和脂联素受损或身体活动不足。此外,肠-肝轴紊乱似乎会诱发NAFLD和肌肉减少症的发展过程。NAFLD和肌肉减少症之间的相关性似乎是双向的,因此本综述的主要目的是确定这两种疾病之间的因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/10820621/3b81d8b6e4c9/life-14-00037-g001.jpg

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