肌肉减少型肥胖的诊疗进展  

Progress in diagnosis and treatment of sarcopenic obesity

作　　者：王超珺[1] 刘昭晖[1] Wang Chaojun;Liu Zhaohui(Department of Metabolic and Bariatric Surgery,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院减重代谢外科,厦门361003

出　　处：《中华肥胖与代谢病电子杂志》2024年第4期269-275,共7页Chinese Journal Of Obesity and Metabolic Diseases:Electronic Edition

摘　　要：肌肉减少症(sarcopenia)是一种年龄相关的肌肉量流失和肌肉力量减退的病理性改变。肌肉减少症和肥胖具有共同的病理学机制且存在相互增强的机制,肌肉减少型肥胖(SO)这一概念获得了广泛的认可,主要表现为肌肉量下降伴随着脂肪量绝对或者相对的增加。SO发病率的增加是老龄化社会的一个重要的公共健康风险。因为诊断标准存在一定差异,东西方国家的SO流行情况并不一致。低肌肉力量是SO最重要的诊断标准,饮食干预和体育锻炼是治疗SO的主要措施。本文针对SO的定义、流行病学、诊断方法、治疗等方面进行综述,为SO进一步的研究提供基础和方向。Sarcopenia is an age-related pathological change in muscle mass and strength loss.Sarcopenia and obesity share a common pathological mechanism,and there are mutually reinforcing mechanisms.The concept of sarcopenic obesity(SO)has been widely recognized,which is mainly manifested by a decrease in muscle mass accompanied by an absolute or relative increase in fat mass.The increasing incidence of SO is a significant public health risk in aging societies.Because of some differences in diagnostic criteria,the prevalence of SO in the East and the West is inconsistent.Low muscle strength is the most important diagnostic criteria for SO,and dietary intervention and physical exercise are the main measures to treat SO.This article reviews the definition,epidemiology,diagnostic methods,treatment,and other aspects of SO,so as to provide the basis and direction for further research in the future.

关 键 词：肌肉减少型肥胖 肌肉减少症 肥胖 肌肉 

分 类 号：R589.2[医药卫生—内分泌]