References

nogr

Экспериментальная и клиническая гастроэнтерология

Experimental and Clinical Gastroenterology

1682-8658

«Global Media Technologies»

10.31146/1682-8658-ecg-235-3-245-253

nogr-3153

Research Article

МЕТАБОЛИЧЕСКИЙ СИНДРОМ

METABOLIC SYNDROME

Взаимосвязь питания и гериатрических синдромов у пожилых пациентов с сахарным диабетом 2 типа

Relationship between nutrition and geriatric syndromes in elderly patients with type 2 diabetes mellitus

https://orcid.org/0000-0003-0027-1786

Батршина

Л. А.

Batrshina

L. A.

noemail@neicon.ru

Булгакова

С. В.

Bulgakova

S. V.

osteoporosis63@gmail.com

https://orcid.org/0000-0003-4114-5233

Курмаев

Д. П.

Kurmaev

D. P.

noemail@neicon.ru

https://orcid.org/0000-0003-0097-7252

Тренева

Е. В.

Treneva

E. V.

noemail@neicon.ru

https://orcid.org/0009-0006-4531-9682

Косарева

О. В.

Kosareva

O. V.

noemail@neicon.ru

https://orcid.org/0009-0004-6243-6528

Мерзлова

П. Я.

Merzlova

P. Ya.

noemail@neicon.ru

https://orcid.org/0000-0001-8827-4919

Шаронова

Л. А.

Sharonova

L. A.

noemail@neicon.ru

https://orcid.org/0000-0001-6678-6411

Долгих

Ю. А.

Dolgikh

Yu. A.

noemail@neicon.ru

https://orcid.org/0000-0002-9609-2725

Первышин

Н. А.

Pervyshin

N. A.

noemail@neicon.ru

https://orcid.org/0009-0009-2115-0546

Булгаков

А. С.

Bulgakov

A. S.

noemail@neicon.ru

Романенко

Е. А.

Romanenko

E. A.

noemail@neicon.ru

Государственное бюджетное учреждение здравоохранения Самарской области «Самарская городская больница № 6»РоссияSamara Samara City Hospital No. 6Russian Federation

Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSamara State Medical UniversityRussian Federation

Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный технический университет», (ул. МолодогвардейскаяРоссияSamara State Technical UniversityRussian Federation

2025

29102025

03245253

2025

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.

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.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.nogr.org/jour/article/view/3153

Одной из актуальных задач современной медицины, ассоциированных с прогрессирующим старением населения, является формирование стратегии ведения пожилых пациентов с сахарным диабетом 2 типа (СД2), включающей междисциплинарный подход с учетом комплексной гериатрической оценки, оптимизацию гликемического контроля, персонализированные фармакологическую терапию и диетотерапию. Патогенез СД2, старческой астении (СА) и когнитивной дисфункции тесно взаимосвязаны в контексте старения. Инсулинорезистентность, атеросклероз, хроническое воспаление, окислительный стресс и митохондриальная дисфункция неотъемлемо вовлечены в механизм развития патогенетических звеньев СА, когнитивных нарушений и СД2. Диетические рекомендации, направленные на адекватное потребление макро-/микронутриентов, способствуют предотвращению или замедлению развития возраст ассоциированных заболеваний, помогут улучшить качество и увеличить продолжительность жизни у пожилых людей с СД2. В данном обзоре литературы проведен анализ современных данных о важности правильного питания для гликемического контроля, профилактики СА, саркопении и деменции у больных СД2 пожилого возраста.

One of the urgent tasks of modern medicine associated with the progressive aging of the population is the formation of a strategy for managing elderly patients with type 2 diabetes mellitus (T2DM), including an interdisciplinary approach taking into account a comprehensive geriatric assessment, optimization of glycemic control, personalized pharmacological therapy and diet therapy. The pathogenesis of T2DM, frailty (FA) and cognitive dysfunction are closely interrelated in the context of aging. Insulin resistance, atherosclerosis, chronic inflammation, oxidative stress and mitochondrial dysfunction are integrally involved in the mechanism of development of pathogenetic links of FA, cognitive impairment and T2DM. Dietary recommendations aimed at adequate intake of macro-/micronutrients help prevent or slow down the development of age-associated diseases, help improve the quality and increase life expectancy in elderly people with T2DM. This literature review analyzes current data on the importance of proper nutrition for glycemic control, prevention of SA, sarcopenia and dementia in elderly patients with type 2 diabetes.

гериатрические синдромысахарный диабет 2 типастарческая астениясаркопениякогнитивные нарушениямакронутриентымикронутриентырациональное питание

geriatric syndromestype 2 diabetesfrailtysarcopeniacognitive impairmentmacronutrientsmicronutrientsrational nutrition

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The authors declare that there are no conflicts of interest present.