patmedfarПациентоориентированная медицина и фармацияPatient-Oriented Medicine and Pharmacy2949-1924LLC Izdatelstvo OKI10.37489/2949-1924-0003patmedfar-7Research ArticleФИЗИЧЕСКАЯ И РЕАБИЛИТАЦИОННАЯ МЕДИЦИНАPHYSICAL AND REHABILITATION MEDICINEЭффективность нутритивной поддержки и её роль в процессе лечения лиц с саркопениейThe efficacy of nutritional support and its role in the treatment of persons with sarcopeniahttps://orcid.org/0000-0002-1737-7328ПлещёвИ. Е.PleshchevI. E.

Плещёв Игорь Евгеньевич — старший преподаватель кафедры физической культуры и спорта

Ярославль

Pleshchev Igor E. — M. D., Senior lecturer of the Department of Physical Culture and Sports

Yaroslavl

doctor.pleshyov@gmail.comhttps://orcid.org/0000-0001-9532-9957НиколенкоВ. Н.NikolenkoV. N.

Николенко Владимир Николаевич — д. м. н., проф., зав. кафедрой анатомии человека, ФГАО ВО Первый Московский государственный медицинский университет имени И. М. Сеченова Минздрава России (Сеченовский университет); зав. кафедрой нормальной и топографической анатомии Факультета фундаментальной медицины ФГБОУ ВО «Московский государственный университет им. М. В. Ломоносова»

Москва

Nikolenko Vladimir N. — Dr. Sci. (Med.), Professor, Head of the Department of Human Anatomy, Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University); Head of the Department of Normal and Topographic Anatomy, Fundamental Medicine Faculty, Moscow State University named after M. V. Lomonosov

Moscow

vn.nikolenko@yandex.ruhttps://orcid.org/0000-0001-9964-5199АчкасовЕ. Е.AchkasovE. E.

Ачкасов Евгений Евгеньевич — д. м. н., проф., зав. кафедрой спортивной медицины и медицинской реабилитации

Москва

Achkasov Evgeny E. — Dr. Sci. (Med.), Professor, Head of the Department of Sports Medicine and Medical Rehabilitation, Sklifosovsky Institute of Clinical Medicine

Moscow

2215.g23@rambler.ruhttps://orcid.org/0000-0002-0234-0768ШкребкоА. Н.ShkrebkoA. N.

Шкребко Александр Николаевич — д. м. н., проф., проректор, зав. кафедрой медицинской реабилитации и спортивной медицины

Ярославль

Shkrebko Aleksandr N. — Dr. Sci. (Med.), Professor, Vice-Rector, Head of the Department of Medical Rehabilitation and Sports Medicine

Yaroslavl

anshkrebko@mail.ruhttps://orcid.org/0000-0002-7303-3810ПлещёваТ. Н.PleshchevаT. N.

Плещёва Татьяна Николаевна — старший преподаватель кафедры общей гигиены с экологией

Ярославль

Pleshchevа Tatyana N. — M. D., Senior lecturer of the Department of General hygiene with ecology

Yaroslavl

Chuvachko@mail.ruhttps://orcid.org/0000-0002-7841-9579БиргА. Б.BirgA. B.

Бирг Анна Борисовна — студентка 2-го курса

Москва

Birg Anna B. — Student Clinical medicine 2th years

Moscow

annettabirg@gmail.comhttps://orcid.org/0000-0002-9801-8203СиньлянЧ.XinliangZ.

Сильнян Чжан — студент 6-го курса

Москва

Xinliang Z. — Student Clinical medicine 6th years

Moscow

zhangxinliang980620@gmail.comhttps://orcid.org/0000-0002-5221-7450ГрековД. А.GrekovD. A.

Греков Дмитрий Александрович — врач-ординатор кафедры травматологии и ортопедии

Ярославль

Grekov Dmitrij A. — resident doctor of the Department of Traumatology and Orthopedics

Moscow

greckov.dmitry2018@yandex.ruФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияYaroslavl State Medical UniversityRussian FederationФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава России (Сеченовский университет); ФГБОУ ВО «Московский государственный университет имени М. В. Ломоносова»РоссияSechenov First Moscow State Medical University (Sechenov University); Moscow State University named after M. V. LomonosovRussian FederationФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава России (Сеченовский университет)РоссияSechenov First Moscow State Medical University (Sechenov University)Russian FederationФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation202323012023111222Copyright © Плещёв И.Е., Николенко В.Н., Ачкасов Е.Е., Шкребко А.Н., Плещёва Т.Н., Бирг А.Б., Синьлян Ч., Греков Д.А., 20232023Плещёв И.Е., Николенко В.Н., Ачкасов Е.Е., Шкребко А.Н., Плещёва Т.Н., Бирг А.Б., Синьлян Ч., Греков Д.А.Pleshchev I.E., Nikolenko V.N., Achkasov E.E., Shkrebko A.N., Pleshchevа T.N., Birg A.B., Xinliang Z., Grekov D.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.pomph.ru/jour/article/view/7

Цель текущего описательного обзора — выявить роль питания в профилактике и лечении саркопении у пожилых людей. Большинство публикаций, которые были включены в этот обзор, показывают, что потребление белка и витамина D, а также здоровое и сбалансированное питание играют важную протективную роль против развития саркопении. Однако современных научных данных недостаточно для того, чтобы сделать обоснованные выводы. Хотя роль питания при саркопении в значительной степени оценивалась по научным публикациям за последние 10 лет, всё-таки большинство проведённых исследований отличаются высокой гетерогенностью и небольшими размерами выборки. Необходимы более масштабные метаанализы и рандомизированные исследования со строгими критериями включения, для более точного описания роли питания в развитии и лечении саркопении. Был проведён поиск литературы в трёх электронных базах данных: PubMed, Cochrane Library, Scopus — за период c 2012 по 1 декабря 2022 года. Вторичные источники включали статьи, цитируемые в статьях, извлечённых из вышеупомянутых источников. Критериями включения были перекрёстные или когортные исследования с участием лиц в возрасте ≥60 лет. Ограничений на языковой уклон публикации введено не было. Стратегия поиска: ключевыми словами, использованными для описания состояния участников, были: «пожилой возраст», «немощность», «саркопения».

The aim of the current descriptive review was to identify the role of nutrition in the prevention and treatment of sarcopenia in the elderly. Most of the publications included in this review show that protein and vitamin D intake, as well as a healthy and balanced diet, plays an important protective role against the development of sarcopenia. However, current scientific evidence is insufficient to draw sound conclusions. Although the role of nutrition in sarcopenia has been assessed in scientific publications over the past decade, most of the studies conducted are highly heterogeneous and had small sample sizes. Larger meta-analyses and randomized trials with strict inclusion criteria must better describe the role of nutrition in the development and treatment of sarcopenia. In conclusion, general recommendations on nutrition are given. A literature search was conducted in three electronic databases PubMed, Cochrane Library, Scopus, for the period from 2012 to December 1, 2022. Secondary sources included articles cited in articles extracted from the above sources. Inclusion criteria were crossover or cohort studies involving individuals ≥60 years of age. There were no restrictions on the language bias of the publication. Search strategy: key words used to describe the condition of the participants were: «old age», «infirmity», and «sarcopenia».

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