少肌症的诊治及其与糖尿病的关系

Diagnosis and Treatment of Sacropenia and Its Relationship with Diabetes Mellitus

少肌症包括各种原因尤其是增龄导致肌量减少、肌力降低及肌肉功能的减退,进而导致身体功能及生活质量下降,严重者甚至死亡。少肌症发病率高,危害性大,目前多学科协会对少肌症有着不同的认识。少肌症与糖尿病尤其是老年2型糖尿病关系极为密切,两者可通过多种机制相互影响、互为因果。少肌症的正确诊治近年来逐渐得到重视,包括饮食、运动及药物等方法,对于提高老年人群生活质量、预防摔倒、甚至促进老年人群糖尿病的管理尤为重要。

Sacropenia includes a variety of reasons, especially aging,which leads to the reduction of muscle mass, the reduction of muscle strength, and the decline of muscle function, and thus leads to decreased physical function or quality of life or even death. Sacropenia has high incidence and serious harm, and the multidisciplinary associations currently have different understanding of this disease. There is a dose relationship between sacropenia and diabetes, especially in elderly patients with type 2 diabetes, and they can influence and promote each other through a variety of mechanisms. The correct diagnosis and treatment of sacropenia in recent years has gradually been valued, including diet treatment, exercise treatment and drug treatment, which is also important to improve the quality of life, prevent falls, and promote the management of diabetes in the elderly patients.