多领域干预对肌肉减少症的影响。

Effects of Multidomain Interventions on Sarcopenia.

作者信息

Nunes-Pinto M, Bandeira de Mello R G

机构信息

Gerontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, France.

Postgraduate Program in Medical Sciences (Endocrinology), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

出版信息

JAR Life. 2024 May 22;13:65-72. doi: 10.14283/jarlife.2024.9. eCollection 2024.

Abstract

Sarcopenia, a complex muscular condition driven by multi-systemic dysregulation and its interactions with lifestyle, physical attributes, and mental health, lacks effective drug treatments, relying primarily on non-pharmacological interventions. Fragmented approaches may prove suboptimal due to its complexity, underscoring the potential for multidomain interventions-a combination of two or more strategies to improve individual health-as a promising treatment option. This review examines the possible roles of multidomain interventions in sarcopenia, specifically addressing their effects on muscle mass and quality, muscle strength, and physical performance in older adults. While the updated literature highlights the beneficial consequences of multidomain interventions in enhancing physical performance outcomes, gaps persist in understanding their influence on the biological aspects of sarcopenia. Promising initial findings suggest changes in plasma inflammatory markers or muscle turnover networks, but further research is necessary to clarify the disease-modifying effects of multidomain intervention in sarcopenic patients.

摘要

肌肉减少症是一种由多系统失调及其与生活方式、身体特征和心理健康的相互作用所驱动的复杂肌肉状况,缺乏有效的药物治疗方法,主要依赖非药物干预措施。由于其复杂性,零散的方法可能效果欠佳,这凸显了多领域干预措施(即两种或更多策略的组合以改善个体健康)作为一种有前景的治疗选择的潜力。本综述探讨了多领域干预措施在肌肉减少症中可能发挥的作用,特别关注它们对老年人肌肉质量和质量、肌肉力量以及身体机能的影响。虽然最新文献强调了多领域干预措施在改善身体机能结果方面的有益影响,但在理解它们对肌肉减少症生物学方面的影响方面仍存在差距。有前景的初步研究结果表明血浆炎症标志物或肌肉更新网络发生了变化,但需要进一步研究以阐明多领域干预措施对肌肉减少症患者疾病修饰作用的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb30/11130642/f851d162b7d4/jarlife-13-0009-f1.jpg

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