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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-235-3-236-244</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-3152</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТАБОЛИЧЕСКИЙ СИНДРОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METABOLIC SYNDROME</subject></subj-group></article-categories><title-group><article-title>Метаболические фенотипы старческой астении и течение сахарного диабета 2 типа</article-title><trans-title-group xml:lang="en"><trans-title>Metabolic phenotypes of frailty and the course of type 2 diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Батршина</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Batrshina</surname><given-names>L. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0027-1786</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Булгакова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bulgakova</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">osteoporosis63@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курмаев</surname><given-names>Д. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurmaev</surname><given-names>D. P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0097-7252</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тренева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Treneva</surname><given-names>E. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-4531-9682</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Косарева</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosareva</surname><given-names>O. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-6243-6528</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мерзлова</surname><given-names>П. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Merzlova</surname><given-names>P. Ya.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8827-4919</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаронова</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharonova</surname><given-names>L. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6678-6411</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Долгих</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolgikh</surname><given-names>Yu. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9609-2725</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Первышин</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pervyshin</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-2115-0546</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Булгаков</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bulgakov</surname><given-names>A. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романенко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanenko</surname><given-names>E. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение здравоохранения Самарской области «Самарская городская больница № 6»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Samara Samara City Hospital No. 6</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Samara State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный технический университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Samara State Technical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный технический университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Samara State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>236</fpage><lpage>244</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Батршина Л.А., Булгакова С.В., Курмаев Д.П., Тренева Е.В., Косарева О.В., Мерзлова П.Я., Шаронова Л.А., Долгих Ю.А., Первышин Н.А., Булгаков А.С., Романенко Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Батршина Л.А., Булгакова С.В., Курмаев Д.П., Тренева Е.В., Косарева О.В., Мерзлова П.Я., Шаронова Л.А., Долгих Ю.А., Первышин Н.А., Булгаков А.С., Романенко Е.А.</copyright-holder><copyright-holder xml:lang="en">Batrshina L.A., Bulgakova S.V., Kurmaev D.P., Treneva E.V., Kosareva O.V., Merzlova P.Y., Sharonova L.A., Dolgikh Y.A., Pervyshin N.A., Bulgakov A.S., Romanenko E.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nogr.org/jour/article/view/3152">https://www.nogr.org/jour/article/view/3152</self-uri><abstract><p>Распространенность сахарного диабета (СД) увеличивается с возрастом. В настоящее время синдром старческой астении (ССА, хрупкость) у больных СД 2 типа считается дополнительным осложнением к традиционным микро- и макрососудистым. ССА вызывает изменения состава тела и метаболизма, формируя определенные фенотипы, которые влияют на течение СД 2 типа, выбор целевых показателей гликемии и сахароснижающей терапии. Анализу метаболических изменений и фенотипов, связанных с ССА, их влиянию на течение СД 2 типа, выбор сахароснижающей терапии и целевых значений гликемии посвящена данная статья.</p></abstract><trans-abstract xml:lang="en"><p>The prevalence of diabetes mellitus (DM) increases with age. Currently, frailty syndrome (FSS, frailty) in patients with type 2 DM is considered an additional complication to traditional micro- and macrovascular complications. FSS causes changes in body composition and metabolism, forming certain phenotypes that affect the course of type 2 DM, the choice of target glycemic values and hypoglycemic therapy. This article is devoted to the analysis of metabolic changes and phenotypes associated with FSS, their impact on the course of type 2 DM, the choice of hypoglycemic therapy and target glycemic values.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>синдром старческой астении</kwd><kwd>пожилые люди</kwd><kwd>сахароснижающая терапия</kwd><kwd>гликемия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>frailty syndrome</kwd><kwd>elderly people</kwd><kwd>hypoglycemic therapy</kwd><kwd>glycemia</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Sun H., Saeedi P., Karuranga S. et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res. Clin. 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