肌少症的篩檢與診治

Screening, Diagnosis and Management of Sarcopenia

10.6320/FJM.202307_27(4).0008

郭惠伶(Hui-Ling Kuo)；詹鼎正(Ding-Cheng Chan)

肌少症 ； 肌少症診斷 ； 肌少症治療 ； 亞洲肌少症工作小組 ； 老年病症候群 ； sarcopenia ； sarcopenia diagnosis ； sarcopenia treatment ； Asian Working Group for Sarcopenia ； geriatric syndrome

台灣醫學

27卷4期（2023 / 07 / 25）

461 - 469

繁體中文;英文

本文將介紹肌少症的源起、診斷以及現今治療進展。肌少症已被證實與老年人一系列的不良健康影響有關，如功能喪失、衰弱症與死亡率增加等。因此，如何發掘、介入和治療肌少症成為老年醫學領域重要的議題。本文回顧現今肌少症相關文獻，建議肌少症治療策略，包括運動與營養介入，多項藥物治療之研究也正在進行中。此外，本文也將探討如何進行亞洲族群肌少症的篩檢、早期辨識及診斷，進而以病人為中心訂定個別化治療目標。期盼透過對於肌少症的認識與介入，提升高齡長者之生活品質，促進健康老化。

This article aims to introduce the origin, diagnosis, and current treatment progress of sarcopenia. Sarcopenia has been confirmed to be associated with a range of negative health impacts in older adults, such as functional impairment, frailty, and increased mortality rates. Therefore, identifying, intervening, and treating sarcopenia has become an important issue in geriatric medicine. This article reviews current sarcopenia-related literature and suggests that treatment strategies for sarcopenia should include exercise and nutritional interventions, while research on multiple pharmacological treatments is also underway. Additionally, this article will explore how Asian populations can screen, identify, and diagnose sarcopenia to further establish individualized treatment goals centered on patients. It is hoped that by understanding and intervening in sarcopenia, the quality of life of older adults can be improved, promoting healthy aging.