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肌少症非药物治疗前沿:病理机制及最新治疗策略综述

Frontiers in Nondrug Treatment of Sarcopenia: A Review of Pathological Mechanisms and the Latest Treatment Strategies.

作者信息

Kuang Qi-Fei, Ni Yu-Qing, Liu You-Shuo

机构信息

Institute of Aging and Age-Related Disease Research, Central South University Changsha Hunan China.

Department of Geriatrics The Second Xiangya Hospital of Central South University Changsha Hunan China.

出版信息

Aging Med (Milton). 2025 Apr 18;8(3):200-209. doi: 10.1002/agm2.70011. eCollection 2025 Jun.

Abstract

Sarcopenia refers to the progressive decline and wasting of skeletal muscle function, typically linked to aging or as a secondary effect of various conditions, including systemic inflammation, oxidative stress, and mitochondrial dysfunction. Recent scientific research underscores that skeletal muscle function is regulated by multiple factors. These include not only physical activity, environmental exposures, and genetic tendencies, but also nutritional deficiencies. Currently, pharmacological interventions for sarcopenia remain a matter of ongoing debate; the recommended strategies for promoting muscle health center on nutritional support therapy and physical exercise. This review offers an insightful examination of the molecular pathways and Pathophysiology contributing to skeletal muscle atrophy and highlights recent progress in employing nonpharmacological approaches (particularly, nutritional supplementation and physical exercise) for its prevention and management. To provide new scientific evidence and effective strategies for the prevention and treatment of sarcopenia, help to bolster the preservation of skeletal muscle function, and improve the quality of life and health of the elderly.

摘要

肌肉减少症是指骨骼肌功能的进行性衰退和消耗,通常与衰老相关,或作为包括全身炎症、氧化应激和线粒体功能障碍在内的各种病症的继发效应。最近的科学研究强调,骨骼肌功能受多种因素调节。这些因素不仅包括身体活动、环境暴露和遗传倾向,还包括营养缺乏。目前,针对肌肉减少症的药物干预仍然是一个持续争论的问题;促进肌肉健康的推荐策略以营养支持疗法和体育锻炼为中心。本综述对导致骨骼肌萎缩的分子途径和病理生理学进行了深入研究,并强调了采用非药物方法(特别是营养补充和体育锻炼)预防和管理肌肉减少症的最新进展。为肌肉减少症的预防和治疗提供新的科学证据和有效策略,有助于加强骨骼肌功能的维持,并改善老年人的生活质量和健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/785f/12226425/5833019ab029/AGM2-8--g001.jpg

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