A multifaceted and inclusive methodology for the detection of sarcopenia in patients undergoing bariatric surgery: an in-depth analysis of current evidence.

IF 6.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Reviews in Endocrine & Metabolic Disorders Pub Date : 2024-08-01 Epub Date: 2024-03-01 DOI:10.1007/s11154-023-09864-8
Eunhye Seo, Yeongkeun Kwon, Ahmad ALRomi, Mohannad Eledreesi, Sungsoo Park
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Abstract

Bariatric surgery is widely recognized as the most effective intervention for obesity and offers benefits beyond weight loss. However, not all patients achieve satisfactory weight loss, balanced changes in body composition, and resolution of comorbidities. Therefore, thorough pre- and postoperative evaluations are important to predict success and minimize adverse effects. More comprehensive assessments require broadening the focus beyond body weight and fat measurements to consider quantitative and qualitative evaluations of muscles. Introducing the concept of sarcopenia is useful for assessing the degradative and pathological changes in muscles associated with cardiometabolic function, physical performance, and other obesity-related comorbidities in patients undergoing bariatric surgery. However, there is currently no consensus or definition regarding the research and clinical use of sarcopenia in patients undergoing bariatric surgery. Therefore, this review aimed to define the concept of sarcopenia applicable to patients undergoing bariatric surgery, based on the consensus reached for sarcopenia in the general population. We also discuss the methods and significance of measuring muscle mass, quality, and strength, which are key variables requiring a comprehensive assessment.

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检测减肥手术患者肌肉疏松症的多元包容方法:对现有证据的深入分析。
减肥手术被公认为是治疗肥胖症最有效的干预措施,它带来的好处远不止减轻体重。然而,并非所有患者都能达到令人满意的减重效果、身体成分的均衡变化以及合并症的缓解。因此,全面的术前和术后评估对于预测成功和减少不良影响非常重要。要进行更全面的评估,就必须将重点从体重和脂肪测量扩展到肌肉的定量和定性评估。引入 "肌肉疏松症 "的概念有助于评估肌肉的退化和病理变化,这些变化与接受减肥手术的患者的心脏代谢功能、体能表现和其他肥胖相关合并症有关。然而,目前对减肥手术患者肌肉疏松症的研究和临床应用还没有达成共识或定义。因此,本综述旨在根据对普通人群肌肉疏松症达成的共识,定义适用于减肥手术患者的肌肉疏松症概念。我们还讨论了测量肌肉质量、质量和力量的方法和意义,这些都是需要全面评估的关键变量。
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来源期刊
Reviews in Endocrine & Metabolic Disorders
Reviews in Endocrine & Metabolic Disorders 医学-内分泌学与代谢
CiteScore
14.70
自引率
1.20%
发文量
75
审稿时长
>12 weeks
期刊介绍: Reviews in Endocrine and Metabolic Disorders is an international journal dedicated to the field of endocrinology and metabolism. It aims to provide the latest advancements in this rapidly advancing field to students, clinicians, and researchers. Unlike other journals, each quarterly issue of this review journal focuses on a specific topic and features ten to twelve articles written by world leaders in the field. These articles provide brief overviews of the latest developments, offering insights into both the basic aspects of the disease and its clinical implications. This format allows individuals in all areas of the field, including students, academic clinicians, and practicing clinicians, to understand the disease process and apply their knowledge to their specific areas of interest. The journal also includes selected readings and other essential references to encourage further in-depth exploration of specific topics.
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