porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo12465porozendo-12465Research ArticleНаучный обзорReviewСаркопения глазами эндокринологаA view at sarcopenia by endocrinologisthttps://orcid.org/0000-0002-9717-9742МокрышеваНаталья ГеоргиевнаMokryshevaNatalia G.

д.м.н., исполнительный директор

MD, PhD

nm70@mail.ruhttps://orcid.org/0000-0001-7963-5022КрупиноваЮлия АлександровнаKrupinovaJulia A.

научный сотрудник отделения патологии околощитовидных желез

MD

j.krupinova@gmail.comhttps://orcid.org/0000-0003-3355-2744ВолодичеваВиктория ЛеонидовнаVolodichevaVictoriya L.

клинический ординатор

MD

volodicheva.v.l@gmail.comhttps://orcid.org/0000-0002-1341-0397МирнаяСветлана СергеевнаMirnayaSvetlana S.

н.с.

MD, research associate

svetlanamirnaya@yahoo.comhttps://orcid.org/0000-0002-5634-7877МельниченкоГалина АфанасьевнаMelnichenkoGalina A.

доктор медицинских наук, профессор, академик РАН, директор института Клинической эндокринологии

MD, PhD, Professor

teofrast2000@mail.ruНациональный медицинский исследовательский центр эндокринологииРоссияEndocrinology Research CentreRussian Federation2019160820202241926Copyright © Мокрышева Н.Г., Крупинова Ю.А., Володичева В.Л., Мирная С.С., Мельниченко Г.А., 20192019Мокрышева Н.Г., Крупинова Ю.А., Володичева В.Л., Мирная С.С., Мельниченко Г.А.Mokrysheva N.G., Krupinova J.A., Volodicheva V.L., Mirnaya S.S., Melnichenko G.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/12465

Одним из синдромов, существенно влияющим на состояние здоровья и жизнь пациента, является саркопения. Саркопения – это мультиэтиологичный синдром со сложным, недостаточно изученным патогенезом, в котором эндокринные факторы играют одну из ведущих ролей. Коморбидность пожилых пациентов создает трудности дифференциальной диагностики имеющейся патологии. Сочетание саркопении с различными эндокринными патологиями, такими как ожирение, остеопороз, гипотиреоз, гипопаратиреоз, дефицит витамина D, приводит к более тяжелому течению заболеваний и худшему прогнозу для качества и продолжительности жизни пациента. При этом вторичный генез саркопении в ряде ситуаций может позволить улучшить состояние пациента путем оценки патогенетических причин и их устранения.

Таким образом, эндокринологу следует уделять более пристальное внимание синдрому саркопении и его коррекции, а также мерам его профилактики на самых ранних стадиях.

Sarcopenia is one of the syndromes that significantly affects the health and life of the patient. Sarcopenia is a polyetiological syndrome with a complex, insufficiently studied pathogenesis, in which endocrine factors play a leading role. Comorbidity of elderly patients creates difficulties in differential diagnosis of existing pathology. The combination of sarcopenia with various endocrine pathologies, such as obesity, osteoporosis, hypothyroidism, hypoparathyroidism, vitamin D deficiency leads to a more severe course of disease and a worse prognosis for the quality and life expectancy of the patient. In this case, in some situations, the patient’s condition can be improved by assessing pathogenetic causes and their elimination. Thus, the endocrinologist should pay more attention to the sarcopenia syndrome and its correction, as well as for its prevention at the earliest stages.

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