Frailty and senile apathy in the everyday clinical practice in the conditions of COVID-19

Sarcopenia is a multifactorial syndrome with an insufficiently studied pathogenesis, manifested by a generalized loss of muscle mass and skeletal muscle strength. Despite the fact that sarcopenia is a risk factor for mortality and disability, especially in the elderly, pathology is rarely diagnosed. The lack of uniform criteria for diagnosis and the comorbidity of elderly people creates difficulties in the differential diagnosis of this condition. Sarcopenia is most often combined with endocrine pathologies, such as obesity and diabetes mellitus. An accelerated decrease in muscle mass leads to a decrease in insulin sensitivity, resulting in insulin resistance, which, in turn, leads to excessive accumulation of adipose tissue sarcopenic obesity. The results of studies indicate a higher risk of developing metabolic syndrome, type 2 diabetes mellitus and atherosclerosis among people with sarcopenic obesity, as opposed to people with simple obesity or sarcopenia. A vicious circle consisting of age-related changes in skeletal muscles, obesity and impaired glucose regulation leads to a more severe course of diseases and a negative impact on people's life expectancy. Due to the fact that at the moment there are no clear criteria for the diagnosis of sarcopenic obesity, there is no unambiguous data on its prevalence. A search for modern methods of research, prevention and treatment of this condition is required.

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Sarcopenic obesity in comorbid patients

Зуйкова

Шевцова

Шевцов

et al. 2023

Journal of Clinical Practice

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Post-COVID asthenia, sarcopenia and muscle weakness among geriatric patients

Belopasov,

Veselova

2024

Journal of Clinical Practice

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Sarcopenia, asthenia, and motor activity restriction are considerably common among geriatric patients in the post-covid period. The introduction of Sars-CoV-2 into the human body triggers a "cytokine storm", has a direct viral effect on skeletal muscles. Hypoxemia, comorbidity and prolonged inactivity contribute to changes in the structure and functionality of the muscular fibers. One of the newest studies is ALMI-index, which indicates that an obvious decrease in muscle mass of the upper and lower extremities is the suspected cause of the development of functional limitations in patients with long-COVID conditions.

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Features of Sociological Research on Aging in Post-Pandemic Time

Galkin

2024

Bulletin of Kemerovo State University. Series: Political, Sociological and Economic Sciences

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The new coronavirus infection, general uncertainty and constant variability of the post-pandemic world influenced transformations in the understanding of age and aging, as well as the emergence of new perspectives in aging research and understanding of this process in the social sciences. Defining age boundaries, understanding the activities of elderly people in the post-pandemic reality and the prospects for researching such activities are important issues for the domestic and foreign scientific community. The article examines the latest publications on the sociology of aging, social policy, health of elderly people and their necessary activities. In total, the author analyzes 1,000 publications released in 2022 and 2023 and devoted to the peculiarities of elderly people’s life after the pandemic. The author uncovers important factors for better integration of elderly people into social life and overcoming the problems caused by the pandemic: activating the social life of elderly people; developing the integration of elderly people into social life; understanding the employment of elderly people as a multi-vector direction, which may include hobbies and their monetization, non-permanent employment or employment for pleasure and communication.

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Frailty and senile apathy in the everyday clinical practice in the conditions of COVID-19

Cited by 4 publications

References 102 publications

Sarcopenic obesity in comorbid patients

Sarcopenic obesity in comorbid patients

Post-COVID asthenia, sarcopenia and muscle weakness among geriatric patients

Features of Sociological Research on Aging in Post-Pandemic Time

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