Experimental Gerontology,
Год журнала:
2024,
Номер
195, С. 112544 - 112544
Опубликована: Авг. 22, 2024
Sarcopenic
obesity
(SO)
and
osteoporosis
(OP)
are
associated
with
aging
obesity.
The
pathogenesis
of
SO
is
complex,
including
glucolipid
skeletal
muscle
metabolic
disorders
caused
by
inflammation,
insulin
resistance,
other
factors.
Growing
evidence
links
damage
to
bone
loss.
Muscle-lipid
metabolism
disrupt
the
balance
between
formation
resorption,
increasing
risk
OP.
Conversely,
bones
also
play
a
role
in
fat
metabolism.
In
context
obesity,
comprehensive
review
focuses
on
effects
mechanical
stimulation,
mesenchymal
stem
cells
(MSCs),
chronic
myokines,
adipokines
musculoskeletal,
at
same
time,
impact
osteokines
muscle-lipid
were
analyzed.
So
far,
exercise
combined
diet
therapy
most
effective
strategy
for
musculoskeletal
mass.
A
holistic
treatment
diseases
still
preliminary
exploration
stage.
Therefore,
this
article
aims
improve
understanding
-fat
interactions
OP,
explores
targets
that
can
provide
discusses
current
limitations
challenges.
We
hope
relevant
ideas
developing
specific
therapies
improving
disease
prognosis
future.
Military Medical Research,
Год журнала:
2024,
Номер
11(1)
Опубликована: Май 29, 2024
Abstract
Mitochondria,
the
most
crucial
energy-generating
organelles
in
eukaryotic
cells,
play
a
pivotal
role
regulating
energy
metabolism.
However,
their
significance
extends
beyond
this,
as
they
are
also
indispensable
vital
life
processes
such
cell
proliferation,
differentiation,
immune
responses,
and
redox
balance.
In
response
to
various
physiological
signals
or
external
stimuli,
sophisticated
mitochondrial
quality
control
(MQC)
mechanism
has
evolved,
encompassing
key
like
biogenesis,
dynamics,
mitophagy,
which
have
garnered
increasing
attention
from
researchers
unveil
specific
molecular
mechanisms.
this
review,
we
present
comprehensive
summary
of
primary
mechanisms
functions
regulators
involved
major
components
MQC.
Furthermore,
critical
regulated
by
MQC
its
diverse
roles
progression
systemic
diseases
been
described
detail.
We
discuss
agonists
antagonists
targeting
MQC,
aiming
explore
potential
therapeutic
research
prospects
enhancing
stabilize
function.
Pharmacological Reviews,
Год журнала:
2024,
Номер
76(3), С. 454 - 499
Опубликована: Янв. 30, 2024
Steatotic
liver
disease
(SLD)
displays
a
dynamic
and
complex
phenotype.
Consequently,
the
metabolic
dysfunction-associated
steatotic
(MASLD)/metabolic
steatohepatitis
(MASH)
therapeutic
pipeline
is
expanding
rapidly
in
multiple
directions.
In
parallel,
non-invasive
tools
for
diagnosing
monitoring
responses
to
interventions
are
being
studied,
clinically
feasible
findings
explored
as
primary
outcomes
interventional
trials.
The
realization
that
distinct
subgroups
exist
under
umbrella
of
SLD
should
guide
more
precise
personalized
treatment
recommendations
facilitate
advancements
pharmacotherapeutics.
This
review
summarizes
recent
updates
pathophysiology-based
nomenclature
outlines
both
effective
pharmacotherapeutics
those
MASLD/MASH,
detailing
their
mode
action
current
status
phase
2
3
clinical
Of
extensive
arsenal
MASLD/MASH
pipeline,
several
have
been
rejected,
whereas
other,
mainly
monotherapy
options,
shown
only
marginal
benefits
now
tested
part
combination
therapies,
yet
others
still
development
monotherapies.
Although
successful
drug
candidate
(or
combinations)
remains
elusive,
such
approaches
will
ideally
target
MASH
fibrosis
while
improving
cardiometabolic
risk
factors.
Due
urgent
need
novel
strategies
potential
availability
safety
tolerability
data,
repurposing
existing
approved
drugs
an
appealing
option.
Finally,
it
essential
highlight
and,
by
extension,
MASLD
be
recognized
approached
systemic
affecting
organs,
with
vigorous
implementation
interdisciplinary
coordinated
plans.
Significance
Statement
SLD,
including,
among
others,
MASH,
considered
most
prevalent
chronic
condition
than
one-fourth
global
population.
aims
provide
information
regarding
pathophysiology,
diagnosis,
management
line
guidelines
Collectively,
hoped
provided
furthers
understanding
state
direct
implications
stimulates
additional
research
initiatives.
Current Obesity Reports,
Год журнала:
2024,
Номер
13(3), С. 532 - 544
Опубликована: Май 16, 2024
Sarcopenic
obesity
(SO),
defined
as
the
coexistence
of
excess
fat
mass
and
reduced
skeletal
muscle
strength,
has
emerged
an
important
cardiovascular
risk
factor,
particularly
in
older
adults.
This
review
summarizes
recent
findings
on
diagnosis,
prevalence,
health
impacts,
treatment
SO.
Nutrients,
Год журнала:
2025,
Номер
17(1), С. 178 - 178
Опубликована: Янв. 2, 2025
The
connections
between
sarcopenia
and
various
chronic
conditions,
including
type
2
diabetes
(T2DM),
metabolic
syndrome
(MetS),
liver
disease
have
been
highlighted
recently.
There
is
also
a
high
occurrence
of
in
dysfunction-associated
steatotic
(MASLD)
patients,
who
are
often
disregarded.
Both
experimental
clinical
findings
suggest
complex,
bidirectional
relationship
MASLD
sarcopenia.
While
vitamin
D,
testosterone,
specific
drug
therapies
show
promise
mitigating
sarcopenia,
consensus
on
effective
treatments
lacking.
Recent
focus
lifestyle
interventions
emphasizes
dietary
therapy
exercise
for
sarcopenic
obesity
MASLD.
Challenges
arise
as
weight
loss,
primary
treatment,
may
lead
to
muscle
mass
reduction.
therapeutic
approach
morbidly
obese
patients
includes
bariatric
surgery
(BS).
BS
induces
loss
stabilizes
imbalances,
but
its
impact
nuanced,
underscoring
the
need
further
research.
Our
aim
provide
comprehensive
review
interplay
offer
insight
into
most
recent
challenges
discoveries,
overlooked
or
unrecognized
poses
significant
managing
these
patients.
Summary
Introduction
Currently,
trials
are
investigating
the
efficacy
of
nutrient‐stimulated
hormone‐based
therapies
(NuSHs)
in
promoting
weight
loss
people
living
with
overweight
and
obesity.
However,
extent
to
which
nutritional
functional
outcomes
evaluated
remains
uncertain.
Thus,
we
conducted
a
systematic
mapping
assess
presence
randomized
controlled
(RCTs)
NuSHs.
Methods
We
search
on
Cochrane
Central
Register
Controlled
Trials
(CENTRAL),
includes
ClinicalTrials.gov
International
Clinical
Registry
Platform
for
interventional
NuSHs
registered
from
inception
December
31,
2023.
excluded
non‐
quasi‐randomized
trials,
phase
I
that
did
not
include
body
as
primary
or
secondary
outcome,
an
intervention
duration
less
than
6
months,
specify
mass
index
threshold
their
eligibility
criteria.
Outcomes
included:
dietary
intake,
eating
behavior,
composition,
physical
performance,
muscle
strength,
bone
health,
levels
vitamins,
trace
elements,
albumin,
prealbumin,
hemoglobin.
Results
The
identified
2284
417
were
included
analysis.
proportion
RCTs
assessment
other
increased
over
time.
Approximately,
20.4%
reported
measurements
17.3%
albumin/prealbumin/hemoglobin,
17%
intake
behavior.
Evaluations
vitamins/trace
elements
5%
total
each.
Conclusion
present
review
has
shown
sparse
reporting
evaluating
impact
Metabolites,
Год журнала:
2025,
Номер
15(2), С. 85 - 85
Опубликована: Фев. 1, 2025
The
‘Body
Mass
Index’
(BMI)
is
an
anachronistic
and
outdated
ratio
that
used
as
internationally
accepted
diagnostic
criterion
for
obesity,
to
prioritise,
stratify,
outcome-assess
its
management
options.
On
individual
level,
the
BMI
has
potential
mislead,
including
inaccuracies
in
cardiovascular
risk
assessment.
Furthermore,
places
excessive
emphasis
on
a
reduction
overall
body
weight
(rather
than
optimised
composition)
contributes
towards
misunderstanding
of
quiddity
obesity
dispassionate
societal
perspective
response
global
problem.
objective
this
review
provide
overview
transitions
away
from
novel
vista:
viewing
skeletal
muscle
(SM).
We
resurrect
SM
tissue
hidden
plain
sight
key
role
plays
influencing
metabolic
health
efficiency.
discuss
complex
interlinks
between
adipose
(AT)
through
myokines
adipokines,
argue
rather
two
separate
tissues,
AT
should
be
considered
single
entity:
‘Adipo–Muscle
Axis’.
vicious
circle
sarcopenic
which
aging-
obesity-related
decline
mass
worsened
status
insulin
resistance,
turn
further
compounds
function.
approaches
can
mitigate
against
context
negative
energy
balance,
optimisation
dietary
protein
intake
resistance
physical
exercises,
molecules
development
target
SM,
will
play
important
future
obesity.
Finally,
we
Adipo–Muscle
Ratio
(AMR)
would
more
clinically
meaningful
descriptor
definition
help
shift
our
focus
regarding
effective
merely
inducing
loss
optimising
AMR
with
proper
attention
maintenance
augmentation
ABSTRACT
Background
In
recent
years,
immunotherapy
using
immune
checkpoint
inhibitors
(ICIs)
has
revolutionized
the
treatment
of
advanced
malignancies.
As
such,
numerous
ICIs
are
establishing
themselves
as
prospective
therapy
alternatives
for
individuals
with
head
and
neck
cancer
(HNC).
Evidence
suggests
a
potential
correlation
between
body
mass
index
(BMI)
efficacy
in
patients.
However,
this
association
HNC
patients
subjected
to
is
still
unclear.
Aims
To
investigate
effect
BMI
on
survival
outcomes
treated
immunotherapy.
Methods
PubMed,
Web
Science,
Google
Scholar
databases
were
searched
extensively
records
published
until
January
2024.
Full‐text
articles
aligned
research
objective
included,
while
English,
case
reports,
reviews,
editorials,
studies
reporting
combined
other
therapies
excluded.
The
data
required
review
analysis
was
abstracted
Excel
files
by
two
independent
reviewers.
Additionally,
synthesis
carried
out
Review
Manager
program,
evaluation
methodological
quality
done
Newcastle
Ottawa
scale.
statistical
analyses
stratified
according
values,
which
categorized
follows:
Obese
(BMI
≥
27.5),
non‐obese
<
overweight
(BMI:
23.5–27.5),
underweight
18.5),
normal
18.5–23.5),
low
20),
high
20).
Results
Only
six
reviewed
analyzed.
A
subgroup
from
these
showed
that
obese
had
significantly
better
overall
(OS)
rates
than
(HR:
0.51;
95%
CI:
0.29–0.93;
p
=
0.03).
progression‐free
(PFS)
statistically
similar
0.72;
0.39–1.33;
0.30).
addition,
when
either
or
high,
no
significant
difference
observed
OS
PFS
0.99;
0.59–1.66;
0.97
HR:
0.93;
0.61–1.41;
0.42,
respectively).
Similarly,
have
0.53;
0.15–1.92;
0.33
0.55;
0.20–1.52;
0.25,
contrast,
demonstrated
poor
2.56;
1.29–5.12;
0.008
2.76;
1.17–6.52;
0.02,
Discussion
Conclusion
tend
improved
patients,
worse
clinical
prognoses
those
above
BMI.