类风湿关节炎合并肌少症的营养治疗

doi:10.16138/j.1673-6087.2026.01.14

摘要/Abstract

摘要：

类风湿关节炎合并肌少症在临床上较为常见，肌少症在类风湿关节炎患者中的发病率较高。随着类风湿关节炎病情的进展，肌少症的发展也会加速，增加患者功能障碍、失能、跌倒、衰弱以及死亡的风险，严重降低其生活质量。两者相互影响并互相加重。营养不良是肌少症的重要原因，类风湿关节炎患者常存在不同程度的营养不良、贫血及免疫功能低下，尤其多见于老年人。本文从膳食营养干预的角度综述类风湿关节炎合并肌少症的治疗方法，旨在提高临床医师对该病的认识，并为相关营养防治提供参考。

关键词: 类风湿关节炎, 肌少症, 营养治疗

Abstract:

Rheumatoid arthritis complicated with sarcopenia is common in clinical practice, and incidence of sarcopenia is high among patients with rheumatoid arthritis. As rheumatoid arthritis progresses, the development of sarcopenia also accelerates, and the two conditions can influence and exacerbate each other, increasing the risk of dysfunction, disability, falls, frailty, mortality, and severely reducing quality of life in patients. Malnutrition plays a crucial role in the development of sarcopenia. Patients with rheumatoid arthritis often experience varied degrees of malnutrition, anemia, and immune compromise, especially in the elderly. This article reviews the management of rheumatoid arthritis complicated by sarcopenia from the perspective of dietary intervention strategies. The aim is to enhance clinicians' understanding of the diseases and provide a reference for nutritional prevention and treatment.

Key words: rheumatoid arthritis, sarcopenia, nutritional therapy

中图分类号:

R593.2
R592

杨东明, 李慧凛. 类风湿关节炎合并肌少症的营养治疗[J]. 内科理论与实践, 2026, 21(01): 91-97.

YANG Dongming, LI Huilin. Nutritional therapy for sarcopenia in rheumatoid arthritis patients[J]. Journal of Internal Medicine Concepts & Practice, 2026, 21(01): 91-97.

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