Muscular involvement in long term type 1 diabetes: does it represent an underestimated complication?

Artículo Materias > Biomedicina
Materias > Educación física y el deporte
Materias > Alimentación
Universidad Europea del Atlántico > Investigación > Artículos y libros Cerrado Inglés Background Structural, metabolic and functional signs of skeletal muscle damage have been identified in subjects affected by type 1 diabetes (T1D), but, to date, no guidelines for the diagnosis and treatment of muscle impairment exist and studies on T1D and muscle health are still limited. The aim of this cross-sectional study was to evaluate the prevalence of sarcopenia in a long-term T1D population and to assess the impact of some clinical parameters on muscle mass and function. Methods 39 patients affected by T1D were enrolled, and Body Mass Index (BMI), body composition (Appendicular Lean Mass Index-ALMI and Fat Mass-FM) and muscle strength were measured. Additionally, the relationship between Mediterranean Diet (MD) adherence and sarcopenia was assessed. Results In our sample (mean age 49.32±13.49 years, 41.1% women, mean duration of diabetes 30.13±12.28 years), the prevalence of sarcopenia was 7.7% (12.5 % in women and 4.35% in men), while the prevalence of low ALMI was 23.1% (25% in women and 21.74% in men). We found significant inverse correlations between ALMI and duration of diabetes and ALMI vs. FM; and significant positive correlations between ALMI and BMI, physical activity level and muscle strength. At the same time, significant inverse correlations were observed between muscle strength and duration of diabetes and muscle strength vs. FM. Conclusions We observed a high prevalence of low muscle mass, similar to those found in the older age groups of the general population (25 years in advance) and our findings suggest a possible pathogenetic role of T1D duration on muscle trophism and function. metadata Pollakova, Daniela; Tubili, Claudio; Folco, Ugo Di; De Giuseppe, Rachele; Battino, Maurizio y Giampieri, Francesca mail SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, maurizio.battino@uneatlantico.es, francesca.giampieri@uneatlantico.es (2023) Muscular involvement in long term type 1 diabetes: does it represent an underestimated complication? Nutrition. p. 112060. ISSN 08999007

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Resumen

Background Structural, metabolic and functional signs of skeletal muscle damage have been identified in subjects affected by type 1 diabetes (T1D), but, to date, no guidelines for the diagnosis and treatment of muscle impairment exist and studies on T1D and muscle health are still limited. The aim of this cross-sectional study was to evaluate the prevalence of sarcopenia in a long-term T1D population and to assess the impact of some clinical parameters on muscle mass and function. Methods 39 patients affected by T1D were enrolled, and Body Mass Index (BMI), body composition (Appendicular Lean Mass Index-ALMI and Fat Mass-FM) and muscle strength were measured. Additionally, the relationship between Mediterranean Diet (MD) adherence and sarcopenia was assessed. Results In our sample (mean age 49.32±13.49 years, 41.1% women, mean duration of diabetes 30.13±12.28 years), the prevalence of sarcopenia was 7.7% (12.5 % in women and 4.35% in men), while the prevalence of low ALMI was 23.1% (25% in women and 21.74% in men). We found significant inverse correlations between ALMI and duration of diabetes and ALMI vs. FM; and significant positive correlations between ALMI and BMI, physical activity level and muscle strength. At the same time, significant inverse correlations were observed between muscle strength and duration of diabetes and muscle strength vs. FM. Conclusions We observed a high prevalence of low muscle mass, similar to those found in the older age groups of the general population (25 years in advance) and our findings suggest a possible pathogenetic role of T1D duration on muscle trophism and function.

Tipo de Documento: Artículo
Palabras Clave: muscle mass; muscle function; type 1 diabetes; accelerated muscle aging; sarcopenia
Clasificación temática: Materias > Biomedicina
Materias > Educación física y el deporte
Materias > Alimentación
Divisiones: Universidad Europea del Atlántico > Investigación > Artículos y libros
Depositado: 05 May 2023 23:30
Ultima Modificación: 21 Oct 2024 23:31
URI: https://repositorio.uneatlantico.es/id/eprint/6978

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