ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	総説
言語種別	英語
査読の有無	査読あり
招待の有無	招待あり
表題	Definition, diagnosis, and treatment of respiratory sarcopenia.
掲載誌名	正式名：Current opinion in clinical nutrition and metabolic care 略　 称：Curr Opin Clin Nutr Metab Care ISSNコード：14736519/13631950
掲載区分	国外
巻・号・頁	pp.1
著者・共著者	Miyazaki Shinjiro, Tamaki Akira, Wakabayashi Hidetaka, Arai Hidenori
担当区分	責任著者
発行年月	2023/11
概要	PURPOSE OF REVIEW:Skeletal muscle weakness and wasting also occurs in the respiratory muscles, called respiratory sarcopenia. Respiratory sarcopenia may lead to worse clinical indicators and outcomes. We present a novel definition and diagnostic criteria for respiratory sarcopenia, summarize recent reports on the association between respiratory sarcopenia, physical and nutritional status, and clinical outcomes, and provide suggestions for the prevention and treatment of respiratory sarcopenia.RECENT FINDINGS:Recently, a novel definition and diagnostic criteria for respiratory sarcopenia have been prepared. Respiratory sarcopenia is defined as a condition in which there is both low respiratory muscle strength and low respiratory muscle mass. Respiratory muscle strength, respiratory muscle mass, and appendicular skeletal muscle mass are used to diagnose respiratory sarcopenia. Currently, it is challenging to definitively diagnose respiratory sarcopenia due to the difficulty in accurately determining low respiratory muscle mass. Decreased respiratory muscle strength and respiratory muscle mass are associated with lower physical and nutritional status and poorer clinical outcomes. Exercise interventions, especially respiratory muscle training, nutritional interventions, and their combinations may effectively treat respiratory sarcopenia. Preventive interventions for respiratory sarcopenia are unclear.SUMMARY:The novel definition and diagnostic criteria will contribute to promoting the assessment and intervention of respiratory sarcopenia.
DOI	10.1097/MCO.0000000000001003
PMID	38126204