代谢和减肥手术中的肌肉减少性肥胖:范围综述。

IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Reviews Pub Date : 2025-06-24 DOI:10.1111/obr.13973
Flavio T Vieira, Carla M Prado, Jessica Thorlakson, Carlene Johnson Stoklossa, Jennifer Jin, Lorenzo M Donini, Leah Gramlich, Barbara Bielawska
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引用次数: 0

摘要

以过度肥胖和低肌肉质量和功能共存为特征的肌肉减少性肥胖(SO)的风险可能在代谢和减肥手术(MBS)中增加。手术后存在SO发展的可能性,但也存在原有SO加重的可能性,这是一种与不良健康相关结果相关的隐性状况。本综述综合了MBS中SO的现有文献,深入讨论了SO的诊断标准和评估方法,调查了SO的患病率(术前和术后),术后发病率及其对临床结果的影响。根据应用的诊断标准和身体组成/身体功能评估,MBS中SO的患病率具有高度异质性。根据适当的诊断标准,四分之一的人在mbs之前和之后似乎都有SO,因此需要有针对性的干预。SO可能与体重减轻和生活质量降低、胃漏风险增加、手术时间延长和住院时间延长有关。建议提高对术后SO的认识,特别是随着年龄的增长。迫切需要标准化的SO诊断,以提高识别,使研究之间的比较和与临床结果的关联。这对于制定有效的政策、指导方针和干预措施以更好地处理和管理这一状况非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sarcopenic Obesity in Metabolic and Bariatric Surgery: A Scoping Review.

The risk of sarcopenic obesity (SO), characterized by the coexistence of excess adiposity and low muscle mass and function, may be increased in metabolic and bariatric surgery (MBS). There is a possibility of SO development after surgery, but also aggravation of pre-existing SO, a hidden condition associated with poor health-related outcomes. This scoping review synthesizes existing literature on SO in MBS, with a thorough discussion of diagnostic criteria and assessment methods, investigation of SO prevalence (presurgery and postsurgery), incidence postsurgery, and impact on clinical outcomes. SO prevalence in MBS is highly heterogeneous, depending on the applied diagnostic criteria and body composition/physical function assessments. Following appropriate diagnostic criteria, one of four individuals both before and post-MBS seems to have SO, thus requiring targeted interventions. SO may be associated with lower weight loss and quality of life, increased risk of gastric leak, prolonged operation time, and hospital stay. Increased awareness of postsurgery SO is recommended, especially with aging. Standardization of SO diagnosis is urgently needed to improve identification and enable comparisons among studies and associations with clinical outcomes. This is important for developing effective policies, guidelines, and interventions to better address and manage this condition.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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