Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Osteosarkopenide Beslenme Yaklaşımları: Geleneksel Derleme
Nutritional Approaches in Osteosarcopenia: Traditional Review
Başak CANa, Nevin ŞANLIERb
aİstanbul Gelişim Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye
bAnkara Medipol Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1216-25
doi: 10.5336/healthsci.2022-89244
Article Language: TR
Full Text
ÖZET
 İlk kez 2017 yılında tanımlanmış olan osteosarkopeni; kemik yoğunluğu, kas kütlesi ve bu 2 dokunun fonksiyon kaybı ile karakterize bir geriatrik sendromdur. Klinikte 2 kronik kas-iskelet sistemi sorunu olan osteoporoz ve sarkopeninin birlikteliği ile tanımlanır. Osteosarkopenili bireyler daha yüksek kırık, düşme, morbidite ve mortalite riski ile karşı karşıya olup yaşlı bireylerin yaşam kalitesini düşürmektedir. Çeşitli çalışmalar, osteosarkopeni prevalansının %5-37 arasında değiştiğini göstermektedir. Ülkemizde ise osteosarkopeni oldukça yeni bir kavram olup yapılan prevalans çalışmaları yetersizdir. Osteosarkopeninin patogenezi çok faktörlüdür. Osteoporoz ve sarkopeni mekanizmaları ile benzerlikler gösterirken tanı ve tedavilerinde de aynı yöntemler kullanılabilmektedir. Sendromun yavaşlatılması veya durdurulması için osteoporoz ve sarkopenide olduğu gibi öncelikle kas ve kemik metabolizmasını hedef alan tedavi yöntemlerine odaklanılmalıdır. Bu tedavi yöntemleri arasında egzersiz, farmakolojik müdahaleler, yaşam tarzı değişiklikleri ve spesifik besin ögesi takviyeleri yer almaktadır. Literatürde osteoporoz ve sarkopeninin beslenme tedavisi ile protein, kalsiyum, D vitamini ve omega-3 yağ asitleri hakkında çeşitli çalışmalar mevcuttur. Bu çalışmalarda, yaşlı bireylerin günde en az 1,2 g/kg protein; 1.000 IU D vitamini ve 500-600 mg kalsiyum alması önerilirken, omega-3 yağ asitleri hakkında ortak bir kanıya ulaşılamamıştır. Türkçe literatürde osteosarkopeni ve beslenme yaklaşımları hakkında yapılmış kapsamlı ve güncel bilgilerden oluşan bir derlemeye rastlanmamıştır. Bu derlemenin amacı, güncel araştırmalar ışığında osteosarkopeninin tanımı, epidemiyolojisi ve beslenme tedavisini özetlemektir.

Anahtar Kelimeler: D vitamini; kalsiyum; omega-3 yağ asitleri; osteosarkopeni; protein
ABSTRACT
 Osteosarcopenia, which was first described in 2017; it is a geriatric syndrome characterized by loss of bone density, muscle mass and function of these two tissues. It is clinically defined by the coexistence of chronic musculoskeletal problems, osteoporosis and sarcopenia. Individuals with osteosarcopenia are at higher risk of fractures, falls, morbidity and mortality, and lower the quality of life of elderly individuals. Various studies show that the prevalence of osteosarcopenia varies between 5-37%. In our country, osteosarcopenia is fairly new concept and prevalence studies are insufficient. The pathogenesis of osteosarcopenia is multifactorial. While they show similarities with the mechanisms of osteoporosis and sarcopenia, the same methods can be used in their diagnosis and treatment. In order to slow down or stop the syndrome, first of all, treatment methods that target muscle and bone metabolism should be focused on, as in osteoporosis and sarcopenia. These treatment modalities include exercise, pharmacological interventions, lifestyle changes, and specific nutritional supplements. In the literature, there are various studies on the nutritional treatment of osteoporosis and sarcopenia and on protein, calcium, vitamin D and omega-3 fatty acids. In these studies, at least 1.2 g/kg/day of protein, 1,000 IU of vitamin D and 500-600 mg of calcium; while it is recommended to take, there is no consensus on omega-3 fatty acids. No comprehensive and up-to-date information about osteosarcopenia and nutritional approaches has been found in the Turkish literature. The aim of this review is to summarize the definition, epidemiology and nutritional therapy of osteosarcopenia in the light of current research.

Keywords: Vitamin D; calcium; omega-3 fatty acids; osteosarcopenia; protein
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"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com