medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»medalphabet-95Research ArticleСтатьиСаркопения в старческом возрастеSarcopenia in very elderly patientsТополянскаяС. В.TopolyanskayaS. V.noemail@neicon.ruГусевИ. А.GusevI. A.noemail@neicon.ruФГБОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова» Минздрава РоссииRussian FederationГБУЗ г. Москвы «Госпиталь для ветеранов войн № 3» Департамента здравоохранения г. МосквыRussian Federation20171403201718Современная поликлиника3540Copyright © Тополянская С.В., Гусев И.А., 20172017Тополянская С.В., Гусев И.А.Topolyanskaya S.V., Gusev I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/95

В статье отражены современные представления о возможных причинах и основных аспектах патогенеза синдрома саркопении у пациентов старческого возраста. Особое внимание уделено современным диагностическим подходам к распознаванию саркопении. Представлены предварительные результаты исследования саркопении у больных ИБС старше 90 лет.

Modern concepts about possible causes and main pathogenetic aspects of sarcopenia in very elderly patients are described in the article. Special attention to the modern diagnostic methods of sarcopenia detection has been devoted. The preliminary results of sarcopenia evaluation in patients older than 90 years suffering from coronary artery disease are presented.

саркопениямышечная массасила мышц скорость ходьбысостав теладвухэнергетическая абсорбциометриядинамометриястарческий возрастsarcopeniamuscle massmuscle strengthgait speedbody compositiondual-energy X-Ray absorptiometrydynamometryvery elderlyReferencesCruz-Jentoft A.J., Baeyens J.P., Bauer J. M., et al. Sarcopenia: European consensus on definition and diagnosis. Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010; 39 (4): 412-423.Cruz-Jentoft A.J., Baeyens J.P., Bauer J. M., et al. Sarcopenia: European consensus on definition and diagnosis. Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010; 39 (4): 412-423.International Working Group on Sarcopenia. Sarcopenia: An Undiagnosed Condition in Older Adults. Current Consensus Definition: Prevalence, Etiology, and Consequences. J. Am. Med. Dir. Assoc. 2011; 12 (4): 249-256.International Working Group on Sarcopenia. Sarcopenia: An Undiagnosed Condition in Older Adults. Current Consensus Definition: Prevalence, Etiology, and Consequences. J. Am. Med. Dir. Assoc. 2011; 12 (4): 249-256.Beaudart C., McCloskey E., Bruyure O., et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr. 2016; 16 (1): 170.Beaudart C., McCloskey E., Bruyure O., et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr. 2016; 16 (1): 170.Walston J. D. Sarcopenia in older adults. Curr. Opin. Rheumatol. 2012; 24 (6): 623-627.Walston J. D. Sarcopenia in older adults. Curr. Opin. Rheumatol. 2012; 24 (6): 623-627.Cruz-Jentoft A.J., Landi F., Schneider S. M., et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing (2014) 43 (6): 748-759.Cruz-Jentoft A.J., Landi F., Schneider S. M., et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing (2014) 43 (6): 748-759.Beaudart C., Reginster J.-Y. Slomian J., et al. Prevalence of sarcopenia: the impact of different diagnostic cut-off limits. J. Musculoskelet. Neuronal. Interact. 2014; 14 (4): 425-431.Beaudart C., Reginster J.-Y. Slomian J., et al. Prevalence of sarcopenia: the impact of different diagnostic cut-off limits. J. Musculoskelet. Neuronal. Interact. 2014; 14 (4): 425-431.Morley J. E. Sarcopenia in the elderly. Fam. Pract. 2012; 29 (suppl. 1): i44-i48.Morley J. E. Sarcopenia in the elderly. Fam. Pract. 2012; 29 (suppl. 1): i44-i48.Sayer A. A., Robinson S. M., Patel S. M., et al. Hew horizons in the Pathogenesis, Diagnosis and Management of Sarcopenia. Age Ageing. 2013; 42 (2): 145-150.Sayer A. A., Robinson S. M., Patel S. M., et al. Hew horizons in the Pathogenesis, Diagnosis and Management of Sarcopenia. Age Ageing. 2013; 42 (2): 145-150.de Paula J. A., Wamser E. L., Gomes A. R.S., et al. Analysis of methods for detecting sarcopenia in independent community-dwelling elderly women. Rev. bras. geriatr. gerontol. 2016; 19 (2). http://dx.doi. org/10.1590/1809-98232016019.140233.de Paula J. A., Wamser E. L., Gomes A. R.S., et al. Analysis of methods for detecting sarcopenia in independent community-dwelling elderly women. Rev. bras. geriatr. gerontol. 2016; 19 (2). http://dx.doi. org/10.1590/1809-98232016019.140233.Müller M. J., Geisler C., Pourhassan M., Glüer C-C., Bosy-Westphal A. Assessment and definition of lean body mass deficiency in the elderly. Eur. J. Clin. Nutr. 2014; 68: 1220-1227.Müller M. J., Geisler C., Pourhassan M., Glüer C-C., Bosy-Westphal A. Assessment and definition of lean body mass deficiency in the elderly. Eur. J. Clin. Nutr. 2014; 68: 1220-1227.lolascon G., Di Pietro G., Gimigliano F., et al. Physical exercise and sarcopenia in older people: position paper of the Italian Society Italian Society of Orthopaedics and Medicine (OrtoMed). Clin. Cases Miner. Bone Metab. 2014; 11 (3): 215-221.lolascon G., Di Pietro G., Gimigliano F., et al. Physical exercise and sarcopenia in older people: position paper of the Italian Society Italian Society of Orthopaedics and Medicine (OrtoMed). Clin. Cases Miner. Bone Metab. 2014; 11 (3): 215-221.World Health Organization. Global Strategy on Diet, Physical Activity and Health. Available at http://www.who.int/dietphysicalac-tivity/factsheet_olderadults/ru. Assessed on 30 Mar 2017.World Health Organization. Global Strategy on Diet, Physical Activity and Health. Available at http://www.who.int/dietphysicalac-tivity/factsheet_olderadults/ru. Assessed on 30 Mar 2017.

The authors declare that there are no conflicts of interest present.