糖尿病與肌少症

Diabetes Mellitus and Sarcopenia

黃兆山(Jawl-Shan Hwang) ； 陳榮福(Jung-Fu Chen)

《台灣醫學》 27卷4期 (2023/07) Pp. 440-446

https://doi.org/10.6320/FJM.202307_27(4).0005

摘要

隨著人口高齡化以及糖尿病人數逐年上升，老年糖尿病族群逐漸增加，成為許多國家和台灣的重大公共衛生議題。近來許多研究發現糖尿病老年病人，常伴隨發生肌少症，肌力下降、活動力減弱等生理功能逐漸退化，進而影響生活品質。老年糖尿病患合併肌少症時，會發生較明顯的功能障礙，所以需特別重視。本文探討第2型糖尿病和肌少症關係，建議及早對這些糖尿病患者進行肌少症篩檢，並經由營養及運動的介入，防止或減緩第2型糖尿病患發生肌少症。

關鍵字

第2型糖尿病 ； 肌少症 ； 胰島素阻抗

並列摘要

The aging population and diabetes are major public health problem in many countries, as well as in Taiwan. In recent years, there is evidence that older adults with diabetes often suffer from sarcopenia that gradual loss of muscle mass, strength, and mobility, can significantly impact their quality of life. We should pay much attention to care such elderly diabetic patients with sarcopenia who have more functional impairments. This article discusses the relationship of type 2 diabetes (T2DM) and sarcopenia, and recommends early screening for sarcopenia and risk factors in patients with T2DM. Through appropriate therapeutic approaches including nutrional and exercise intervention to prevent and treat associated sarcopenia in T2DM patients.

並列關鍵字

type 2 diabetes ； sarcopenia ； insulin resistance