[肌肉减少症:一种影响泌尿科的老年综合症]。

Der Urologe. Ausg. A Pub Date : 2022-01-01 Epub Date: 2021-11-04 DOI:10.1007/s00120-021-01703-5
Hans Jürgen Heppner, H Hag
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引用次数: 0

摘要

随着年龄的增长,人们会失去肌肉力量和肌肉质量。急性疾病、手术干预或慢性疾病会迅速导致行动不便,甚至更多的肌肉损失。对于老年人来说,存在功能和日常技能下降的风险。这种综合征被称为肌肉减少症,其特征是肌肉质量和力量的进行性和全身性损失,并伴有功能损害和虚弱等负面后果。在严重疾病或手术干预的情况下,这在长期恢复期尤为明显。骨骼肌减少症与生活质量下降和死亡率增加有关。通过具体的记忆问题和临床功能检查来诊断肌肉减少症是很重要的,如果可能的话,可以在术前进行适当的干预。除了治疗潜在的疾病外,始终注意均衡的富含蛋白质的饮食和适当的体育锻炼的结合是至关重要的。仅使用其中一种成分或甚至药物治疗方法是无效的。
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[Sarcopenia: a geriatric syndrome that impacts urology].

With increasing age, people lose muscle strength and muscle mass. Acute illnesses, surgical interventions or chronic illnesses can quickly lead to immobility and even more muscle loss. For the elderly, there is a risk of reduced functionality and everyday skills. This syndrome, referred to sarcopenia, is characterized by a progressive and generalized loss of muscle mass and strength with negative consequences such as functional impairment and frailty. In the case of serious illnesses or surgical interventions, this is particularly noticeable in prolonged convalescence. Sarcopenia is associated with reduced quality of life and increased mortality. It is important to diagnose sarcopenia with the help of specific anamnesis questions and clinical functional examinations and to initiate adequate interventions, if possible preoperatively, for example. In addition to treating the underlying disease, it is crucial to always pay attention to the combination of a balanced protein-rich diet and appropriate physical training. Use of only one of the components or even the drug therapy approach is not effective.

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