老年肌少性肥胖症对健康影响的研究进展
Identification of sarcopenic obesity and its use in the geriatric health management
  
DOI:10.3969/j.issn.1006-7108.2025.06.022
中文关键词:  肌肉减少性肥胖  老年人  健康管理
英文关键词:sarcopenic obesity  elderly  health management
基金项目:国家自然科学基金联合基金项目(U23A20470);江苏省研究生科研与实践创新计划项目(KYCX24_3601); 中国高校产学研创新基金(2023HT041)
作者单位
周月星1 孙驰2 赵睿3 董晨3 顾志峰4 高建林4* 1南通大学医学院南通大学附属医院护理部江苏 南通 226001 2 南通大学附属医院老年科江苏 南通 226001 3中国南通大学附属医院临床医学研究中心江苏 南通 226001 4 南通大学卫生与健康发展研究院江苏 南通 226001 
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中文摘要:
      随着全球人口老龄化程度的加剧,肥胖症和肌少症成为越来越突出的公共卫生问题。体质量指数(body mass index,BMI)因无法准确量化体脂和肌肉的分布而受到质疑。近年来,肌肉减少性肥胖(sarcopenic obesity, SO)作为一种新型的肥胖分类备受关注。SO,即肌肉减少症与肥胖症并存的状态,显著特征为肌肉损失与脂肪堆积。目前SO的诊断标准尚无统一规范。研究表明,SO在不同地区的流行率存在显著差异。并且SO的存在与多种健康风险相关,包括认知功能下降、代谢紊乱及增加的死亡风险。本文综述了SO的定义、诊断标准、机制研究以及对健康结局的影响,为老年健康管理提供新的视角。
英文摘要:
      With the intensification of global population aging, obesity and sarcopenia have increasingly become prominent public health issues. Body mass index (BMI) is questioned due to its inability to quantify body fat and muscle distribution accurately. In recent years, sarcopenic obesity (SO), a newly classified type of obesity, has garnered significant attention. SO is characterized by the coexistence of muscle loss and fat accumulation, which is marked by a significant reduction in muscle mass and an increase in body fat. Currently, there are no standardized diagnostic criteria for SO. Research has indicated that the prevalence of SO varies significantly across different regions. The presence of SO is linked to various health risks, such as cognitive decline, metabolic disorders, and an increased risk of mortality. This article provides an overview of the definition, diagnostic criteria, mechanism research, and impact on health outcomes of SO, offering a new perspective for the management of health of the elderly.
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