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Cachexia in chronic obstructive pulmonary disease: new insights and therapeutic perspective

机译:慢性阻塞性肺疾病的恶病质:新见解和治疗观点

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Abstract Cachexia and muscle wasting are well recognized as common and partly reversible features of chronic obstructive pulmonary disease (COPD), adversely affecting disease progression and prognosis. This argues for integration of weight and muscle maintenance in patient care. In this review, recent insights are presented in the diagnosis of muscle wasting in COPD, the pathophysiology of muscle wasting, and putative mechanisms involved in a disturbed energy balance as cachexia driver. We discuss the therapeutic implications of these new insights for optimizing and personalizing management of COPD-induced cachexia.
机译:摘要恶病质和肌肉消瘦是公认的慢性阻塞性肺疾病(COPD)的常见且部分可逆的特征,对疾病的进展和预后产生不利影响。这主张在患者护理中整合体重和维持肌肉。在这篇综述中,最近的见解提出了COPD肌肉消瘦的诊断,肌肉消瘦的病理生理学以及作为恶病质驱动因素参与了能量平衡紊乱的推定机制。我们讨论了这些新见解对COPD诱导的恶病质的优化和个性化管理的治疗意义。

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