肌肉减少症(简称肌少症)在老年人中常见,与跌倒、功能减退、虚弱、死亡等不良结局相关,严重影响老年人生活 质量,增加医疗费用。 早筛查、早诊断、早干预是延缓肌少症发展,维护老年人肌肉健康的重要举措。 营养干预是肌少症治疗 的核心内容,然而营养干预在实践中并未得到足够重视。 人口老龄化加剧和新冠肺炎疫情使肌少症防治形势更为严峻。 为 突显和发挥营养在肌少症防治中的重要作用,亚洲肌肉减少症工作组(AWGS)成立特别兴趣小组( SIG),基于循证医学方法 检索 2016 年至 2021 年发表的与亚洲人肌肉健康相关的文献,分别从 6 个主题,即营养状况(营养不良和筛查)、膳食和膳食模 式、营养补充、生活方式干预、结局和评估,以及新型冠状病毒肺炎的影响,形成 14 条适用于亚洲社区居住老年人(≥60 岁)的 营养共识。 该共识强调了营养和新型冠状病毒肺炎疫情对老年人肌肉健康和肌少症的影响与作用,为解决社区肌肉健康问 题提供了一个实用的框架。 本文对该共识的核心信息和知识要点进行解读分享。

Sarcopenia is a common disease in the elderly population that is associated with increased adverse outcomes including falls functional decline frailty mortality severely affecting quality of life and increasing health care costs. There are crucial steps to delay the development of sarcopenia and maintain the muscle health of the elderly like early screening early diagnosis and early intervention. Nutrition plays a key role in the treatment of sarcopenia. However nutritional interventions have not received sufficient attention in practice. The need for sarcopenia prevention and therapy is becoming more urgent because of the COVID-19 pandemic and the aging of the population. To highlight the important role of nutrition in the prevention and treatment of sarcopenia the Asian Working Group for Sarcopenia AWGS established a Special Interest Group SIG to form 14 nutritional consensuses from 6 themes for the elderly ≥60 years of age based on evidence-based medicine methods to retrieve papers published in 2016-2021 related to muscle health in Asians 1. nutritional status malnutrition and screening 2. diets and dietary patterns 3. nutritional supplementation 4. lifestyle interventions 5. outcomes and assessment 6. impacts of COVID-19. The consensus emphasizes the impact and role of nutrition and the COVID-19 pandemic on muscle health and sarcopenia in older adults providing a practical framework for addressing muscle health in the community. The article interprets the core information of the consensus.