Stick up in the old age?This is easy to be ignored, healthy killers who are easy to be ignored were underestimated

As the saying goes, "It is difficult to buy the old age", which means that people are old, and they are most afraid of obesity. It is a good thing to be thin. However, some elderly people have a lighter weight, but they are not like the healthy performance expected by "Lao Lian". They are becoming more and more tired, often can't move, do not do things, and even can't even afford things, and the memory is getting worse and worse. The most troublesome thing is that I can't hold the disease. Not only do I often come to the door, but I also fall into the door. Deputy Chief Physician Zhou Ye of the Department of General Medicine of the First People's Hospital of Hangzhou reminded whether to be careful about suffering from muscle muscle.

Long -term making up for 82 -year -old grandmother's malnutrition diagnosis as muscle laxation

The 82 -year -old Grandma Zhao (pseudonym) was the "top beam" of the family when she was young. Every day, I am busy, and in the impression of the children, she is busy in and out.

After finally pulling the four brothers and sisters, the children are still successful. Seeing that her mother is getting aging, her body is becoming thinner, and she discusses asking for a nanny to take care of her. But Grandma Zhao, who was going to be strong in her life, said that I can move, so you can save money. But in the end, she is not forgiving. As she grows up, she is more and more difficult to walk, walking slower and slower, and she can make it casually. She often cooks porridge noodles for one day. The family found that Grandma Zhao has lost a lot recently.

On this day, Grandma Zhao suddenly stood up from the chair, and suddenly felt dizzy, fell forward suddenly, and broke her face. The family sent her to the first People's Hospital of Hangzhou. Then she found that she had fever to find her grandmother, and it was further checked. It turned out to be pneumonia. During the hospitalization of the general medical clinic (elderly sick medical department), Deputy Chief physician Zhou Ye made a comprehensive assessment of his grandmother to find his grandmother, and judged that Grandma Zhao's skeletal muscle content was significantly lower than the normal level. Common diseases of people -muscle is young.

With the improvement of living standards, "rich and rich diseases such as high blood sugar, hyperlipidemia, high uric acid, and superb obesity are becoming more and more commonplace, but in fact, there are many elderly people around us. Patients with myopia.

Zhou Ye introduced that muscle muscle is also known as skeletal muscle reduction. As the name suggests, it refers to a syndrome caused by continuous skeletal muscle loss and decreased strength and function as the age increases. (Or) decline in physical function. In October 2016, myosyosis has been officially incorporated into the ICD-10 disease coding in the classification of international diseases, marking that the medical community regards it as a disease with independent characteristics.

The prevalence of muscle dysfunction is high, progressive, gradually aggravating, and severe prognosis. Studies have found that muscle quality can be reduced by 15%per year after the age of 70, and the prevalence of muscle minor illness is about 20%, which means that one person is sick every 5 people. The elderly over 80 are as high as 50%.

"We have hardly encountered patients who came to the clinic due to muscle disorder in the clinic. Most of them were proactively screened when they were diagnosed by other diseases." Zhou Ye said, "In fact, the number of such patients may be far away. Far undervalued. "

In addition, muscle muscle dysfunction has reduced the ability of the elderly. It is difficult to complete the daily activities such as sitting, walking, moving, and higher in high. Because muscle is often coexisted with osteoporosis, it is easy to cause the elderly to fall and fracture, and then disable and death.

Not only that, muscle is also closely related to many chronic clinical diseases. Zhou Ye explained that when skeletal muscles are reduced, malnutrition and damage to the immune system are prone to cause endocrine metabolism abnormalities, increasing the risk of influenza, pneumonia, and tumor in the elderly. At the same time, muscular disease is significantly related to chronic clinical diseases such as chronic obstructive pulmonary diseases, diabetes, tumors, and heart failure. Moreover, the elderly in myocardium and the elderly of the elderly in various stress and response capabilities are poor. A small adverse event can produce a series of Domino card effects, which seriously endangers the health of the elderly.

How big is the risk of muscle laxation

Zhou Ye introduced that at present, the International Guidelines for Clinical Practice (ICFSR) of muscle reduction is recommended to use SARC-F questionnaires to screen muscle laxia.

S-Power (Stringth):

Is there any difficulty in raising or carrying 10 pounds of objects (about 4.5kg)

0 points -no difficulty

1 point -a little difficulty

2 points -the difficulty is large or cannot be completed

A-Auxiliary Walking (Assistance Walking):

Whether there is difficulty in walking through the room and whether it needs help

0 points -no difficulty

1 point -a little difficulty

2 points -the difficulty is large, you need to use auxiliary appliances, you need help

R-stand up from chair (Rise from a chair):

Whether it is difficult to stand from a chair or bed, and whether it needs help

0 points -no difficulty

1 point -a little difficulty

2 points -the difficulty is large, you need to use auxiliary appliances, you need help

C-climbing stairs (climb stails):

Is there any difficulty in climbing 10th floor?

0 points -no difficulty

1 point -a little difficulty

2 points -the difficulty is large or cannot be completed

F-Falls:

Falling in the past year

0 points — have not fell 1 point in the past year-1-3 times in the past year

2 points -fell 4 times and above in the past year

The above five total scores are added. The higher the score, the worse the physical fitness. For example, the SARC-F total ≥4 points indicate the risk of muscle liberation, and the muscle strength assessment is required.

It is important to save the muscles of the elderly well.

Zhou Ye said that if you want to prevent muscle youth in advance, it is recommended to prevent and intervene from the following 4 aspects:

1. Increase high -quality protein and foods rich in vitamin D, such as eggs, milk, fish, chicken, etc.

2. Drug treatment: supplement androgen, testosterone to improve the muscle attenuation syndrome of the elderly. For middle -aged and elderly women after menopause, estrogen can be used to replace the muscle attenuation. 3. Increase outdoor sports, perform 3-5 days a week, at least 10 minutes a day, such as walking, jogging, cycling, swimming, etc., combined with the age of the elderly, it is recommended that the elderly walk. 4. Anti -resistance training: including gradual resistance training, such as sitting legs, raising dumbbells, pulling elastic bands, etc.; Fast resistance training, involving single or more joint power training; flexibility and balance training, involving shoulders, elbows, elbows , Wrist, iliac, knee, ankle, etc.

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