Assessment of lower extremity muscle mass, muscle strength, and exercise therapy in elderly patients with diabetes mellitus.

Assessment of lower extremity muscle mass, muscle strength, and exercise therapy in elderly patients with diabetes mellitus.
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DOI:
10.1186/s12199-018-0710-7
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发表时间:
2018-05-17
影响因子:
4.7
通讯作者:
Ikeda Y
Ikeda Y
中科院分区:
医学3区
文献类型:
--
作者:
Nomura T;Kawae T;Kataoka H;Ikeda Y

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老年人在人口中所占比例的增加是21世纪最显著的社会人口现象之一。随着人口统计学的变化,全球糖尿病患者的数量也在增加。鉴于这些事实,考虑一般老年人在糖尿病管理中面临的问题是至关重要的。在这篇综述文章中,我们专注于肌肉减少症,这是下肢肌肉质量和肌肉力量随着年龄的增长而减少,描述肌肉减少症和糖尿病之间的关系,并强调糖尿病导致肌肉力量损失的具体因素。并对下肢肌力的定量评价方法进行了介绍。这些方法是评估运动疗法有效性和优化日常生活活动自主程度评估的关键。运动是2型糖尿病的基本治疗方法之一,也可以预防和改善肌肉减少症。这篇综述讨论了这两种健康状况的共同点,并阐明了运动作为老年人糖尿病预防措施的有效性和必要性。
The increase in the proportion of elderly people in the population is one of the most remarkable sociodemographic phenomena of the twenty-first century. The number of patients with diabetes is also increasing worldwide with this demographic change. Given these facts, consideration of the problems the general elderly population is facing in the management of diabetes is essential. In this review article, we focus on sarcopenia, which is the decrease in lower extremity muscle mass and muscle strength accompanying aging, describe the relationship between sarcopenia and diabetes, and highlight the specific factors through which diabetes contributes to loss of muscle strength. The quantitative methods for evaluating lower extremity muscle strength will also be described. These methods hold the key to assessing the effectiveness of exercise therapy and optimizing the assessment of the degree of autonomy in the activities of daily living. Exercise is one of the basic treatments for type 2 diabetes and may also prevent and improve sarcopenia. This review discusses the aspects common to the two health conditions and elucidates the effectiveness and necessity of exercise as a preventive measure against diabetes among the elderly.
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