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老年 2 型糖尿病患者肌少症的发病机制及综合治疗策略。

Pathogenesis and comprehensive treatment strategies of sarcopenia in elderly patients with type 2 diabetes mellitus.

机构信息

Hunan Provincial Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, Changsha, Hunan, China.

Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, Hunan, China.

出版信息

Front Endocrinol (Lausanne). 2024 Jan 8;14:1263650. doi: 10.3389/fendo.2023.1263650. eCollection 2023.

Abstract

Sarcopenia and diabetes are two age-related diseases that are common in the elderly population, and have a serious effect on their general health and quality of life. Sarcopenia refers to the progressive loss of muscle mass, strength and function, whereas diabetes is a chronic disease characterized by elevated blood sugar levels. The comorbidity of sarcopenia and diabetes is particularly concerning, as people with diabetes have a higher risk of developing sarcopenia due to the combination of insulin resistance, chronic inflammation and reduced physical activity. In contrast, sarcopenia destroyed blood sugar control and exacerbated the development of people with diabetes, leading to the occurrence of a variety of complications. Fortunately, there are a number of effective treatment strategies for sarcopenia in people with diabetes. Physical exercise and a balanced diet with enough protein and nutrients have been proved to enhance the muscular quality and strength of this population. Additionally, pharmacological therapies and lifestyle changes can optimize blood sugar control, which can prevent further muscle loss and improve overall health outcomes. This review aims to summarize the pathogenesis and comprehensive treatment strategies of sarcopenia in elderly patients with type 2 diabetes, which help healthcare professionals recognize their intimate connection and provide a new vision for the treatment of diabetes and its complications in this population. Through early identification and comprehensive treatment, it is possible to improve the muscle function and general quality of life of elderly with diabetes and sarcopenia.

摘要

肌肉减少症和糖尿病是两种与年龄相关的疾病,在老年人群中很常见,严重影响他们的整体健康和生活质量。肌肉减少症是指肌肉质量、力量和功能的逐渐丧失,而糖尿病是一种以血糖水平升高为特征的慢性疾病。肌肉减少症和糖尿病的合并症尤其令人担忧,因为糖尿病患者由于胰岛素抵抗、慢性炎症和体力活动减少的结合,患肌肉减少症的风险更高。相反,肌肉减少症破坏了血糖控制,并加剧了糖尿病患者的病情发展,导致各种并发症的发生。幸运的是,对于患有糖尿病的肌肉减少症患者,有许多有效的治疗策略。已经证明,体育锻炼和富含蛋白质和营养物质的均衡饮食可以提高该人群的肌肉质量和力量。此外,药物治疗和生活方式的改变可以优化血糖控制,从而防止进一步的肌肉损失,并改善整体健康结果。本综述旨在总结 2 型糖尿病老年患者肌肉减少症的发病机制和综合治疗策略,帮助医疗保健专业人员认识到它们的密切联系,并为该人群的糖尿病及其并发症的治疗提供新的视角。通过早期识别和综合治疗,可以改善患有糖尿病和肌肉减少症的老年患者的肌肉功能和整体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bda/10801049/4362df58c694/fendo-14-1263650-g001.jpg

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