肌肉减少症病因学研究现状与展望
Current status and prospects of the etiology research of sarcopenia
  
DOI:10.3969/j.issn.1006-7108.2020.11.024
中文关键词:  肌肉减少症  病因学  研究现状
英文关键词:sarcopenia  etiology  research status
基金项目:国家重大科技专项(2018YFC2002100);绵阳市第三人民医院重点项目(mysy201901)
作者单位
杨玲1,2 杜娟1,2 刘荣雁2 魏雪梅2 刘艳群2 刘洋贝2 黄乙欢2 马勋龙2 黄昶荃2* 1.川北医学院临床医学系四川 南充 637000 2.绵阳市第三人民医院·四川省精神卫生中心老年医学科四川 绵阳 621000 
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中文摘要:
      肌肉减少症是一种与年龄有关的肌肉力量下降和躯体功能受限的老年综合征,老年人出现跌倒、身体残疾、住院和早逝等不良后果风险增加。人均寿命延长导致老龄化,肌肉减少症的发病率和患病率明显升高。2016年国际卫生组织将其纳入《国际疾病分类第十次修订版:临床修改》(ICD-10-CM),疾病编码为M62.84。目前肌肉减少症最常用的定义是欧洲老年人肌肉减少症工作组(EWGSOP)提出的,表示与增龄相关的进行性的全身肌肉量减少、肌肉强度下降或肌肉生理功能减退,2019年EWGSOP更新肌肉减少症定义。肌肉减少症被认为是晚年负面健康结果的相关决定因素,肌肉力量和活动能力的丧失导致躯体平衡障碍,老年人发生跌倒和骨折的比率升高,增加社会残疾率及医疗负担,明确病因十分重要。近年来国内外学者研究发现肌肉减少症与运动因素、内分泌因素、慢性炎症、营养状况、肠道菌群、遗传因素及社会心理素等相关,但具体病因尚不明确。本文通过查阅大量有关文献,对肌肉减少症病因学研究现状与进展作一综述。
英文摘要:
      Sarcopenia is an age-related senile syndrome of decreased muscle strength and limited physical function. There is an increased risk of adverse consequences such as falls, physical disabilities, hospitalization, and premature death in the elderly. Prolonged life expectancy leads to aging, and the incidence and prevalence of sarcopenia increased significantly. In 2016, the International Health Organization included it in the Tenth Revision of the International Classification of Diseases: Clinical Modification (ICD-10-CM), with the disease code being M62.84[1]. The current most commonly used definition of sarcopenia is proposed by the European Working Group on Sarcopenia of the Elderly (EWGSOP), which means progressive body mass loss, and muscle strength decline or muscle dysfunction related to aging. In 2019, EWGSOP updated the definition of sarcopenia. Sarcopenia is considered to be a relevant determinant of negative health outcomes in old age. Loss of muscle strength and mobility leads to physical balance disorders. The rate of falls and fractures in the elderly increases, thus increasing the rate of social disability and the national medical burden. It is very important to clarify the etiology of the disease. In recent years, scholars at home and abroad have found that sarcopenia is related to exercise factors, endocrine factors, chronic inflammation, nutritional status, intestinal flora, genetic factors, and psychosocial factors. However, the specific etiology is not clear yet. In this paper, by reviewing a large number of relevant literature, the current status and progress of the etiology of sarcopenia is reviewed.
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