PChinese General Practice·1422https:/heww.chinagp.net E-mail:gqkyx@chinagp.net.cnApril 2023,Vol.26 No.12指南解读·2022年欧洲临床营养与代谢学会和欧洲肥胖研究学会▣义▣《肌肉减少性肥胖的定义和诊断标准共识》解读及启示扫描二维码刘妍慧'，陈树春”查看原文【摘要】近年来，欧洲临床营养与代谢学会(ESEN)和欧洲肥胖研究学会(EASO)的专家组成员对肌肉减少性肥胖(S0)的相关研究进行了系统地评价。2022年2月，ESPEN和EAS0共同发布了《肌肉减少性肥胖的定义和诊断标准共识》，该共识对$0的定义和诊断进行了详细的阐述，旨在就$0的定义和诊断达成共识，为研究人员和临床工作者提供参考依据，以推进$0预防和治疗的发展。本文主要对《肌肉减少性肥胖的定义和诊断标准共识》中$0的定义，诊断流程包括筛查、诊断和分期标准，拟采用的方法和相关的参数等主要内容进行梳理和解读，旨在为国内医务工作者提供更多参考。【关键词】肥胖症；肌肉减少性肥胖；指南；肌少症；肌，骨骼；骨骼肌质量；身体成分；脂肪【中图分类号】R589.25【文献标识码】AD0I:10.121145.issn.1007-9572.2022.0604刘妍慧，陈树春.2022年欧洲临床营养与代谢学会和欧洲肥胖研究学会《肌肉减少性肥胖的定义和诊断标准共识》解读及启示[J].中国全科医学，2023,26(12)：1422-1428.[www.chinagp.net]LIU Y H,CHEN S C.Interpretation and clinical significance of the Definition and Diagnostic Criteria for SarcopenicObesity:ESPEN and EASO Consensus Statement J Chinese General Practice,2023,26 (12):1422-1428.Interpretation and Clinical Significance of the Definition and Diagnostic Criteria for Sarcopenic Obesity:ESPEN andEASO Consensus Statement LIU Yanhui,CHEN Shuchun"1.Graduate School,Hebei North Unirersity,Zhangjiakou 075000,China2.Department of Endocrinology,Hebei General Hospital,Shijiazhuang 050051,ChinaCorresponding author:CHEN Shuchun,Chiefphysician/Professor;E-mail:guang6701@sina.com[Abstract In recent years,panelists from the European Society for Clinical Nutrition and Metabolism ESPENand the European Association for the Study of Obesity (EASO)have conducted a systematic review of studies about sarcopenicobesity SO )Then in February 2022,ESPEN and EASO jointly released the Definition and Diagnostic Criteria for SarcopenicObesity,in which the definition and diagnosis of SO were detailed,aiming to reach expert consensus on a definition anddiagnostic criteria for SO,thereby providing a reference for researchers and clinicians to facilitate the development of preventionand treatment of SO.We primarily interpreted the definition and diagnostic procedure (including screening,diagnosis and stagingwith proposed implementation method and relevant parameters for SO in the Definition and Diagnostic Criteria for SarcopenicObesity,providing Chinese medical workers with guidance for coping with SO.Key words Obesity;Sarcopenic obesity;Guidebook;Sarcopenia;Muscle,skeletal;Skeletal muscle mass;Body composition;Fat肌肉减少性肥胖(sarcopenic obesity,SO)是过度合并症等。这种肌肉减少与脂肪蓄积的双重压力会引起肥胖和肌肉减少症（以下简称肌少症）并存的一种慢性虚弱、残疾、跌倒、骨折、代谢性疾病和癌症等并发症，疾病，其中肌少症是一种骨骼肌运动系统疾病，其主要因此相关死亡率不断增长【23.61。随着人口老龄化程度特征是肌肉质量、肌肉力量和肌肉功能的下降]。的进一步加深，肥胖者日益增多，S0的发病率不断增加，S0的发病因素复杂，包括衰老、不当的生活方式（久已成为全球重要的公共卫生问题【3)】坐不动、饮食不当、缺乏运动)、炎症、急慢性疾病的由于目前缺乏统一的$0的定义和诊断标准，不利1.075000河北省张家口市.河北北方学院研究生院于$0的治疗和预防，为此欧洲临床营养与代谢学会2.050051河北省石家庄市，河北省人民医院内分泌科(ESPEN)联合欧洲肥胖研究学会(EASO)(以下简·通信作者：陈树春。主任医师/教授：称该小组)发起了一项倡议，旨在就以下问题达成共识，E-mail:guang6701@sina.com本文数字出版日期：2022-10-27(1)S0的定义；(2)诊断流程：包括筛查、诊断和
