Sarcopenia Osteoporosis MEDAC (17 de Febrero de 2012)

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D| O}j` dm Degs Lmjs Oehå`m



Hêstm| ]`eqm|setj|eg m`

R|msc|erceó` dmn Mom|cecegMom|ceceg Tm|jrå}tecg

O}j` dm Degs Lmjs Oehå`mMsrmcejnestj m` Hmdece`j dm nj Md}cjceó` Aèsecj u mn Dmrg|tm

Hêstm| m` Hmdece`j dm nj Md}cjceó` Aèsecj u mn Dmrg|tmHêstm| m` T|j}hjtgngièj dmn Dmrg|tm

o}j`dlmjsBo}`tjdmj`djn}cejms

Omam Smcceó` Hmdece`j Dmrg|teqjCm`t|g J`djn} dm Hmdece`j dmn Dmrg|tm

R|msedm`tm Sgcemdjd J`djn}j dm Hmdece`j dmn Dmrg|tm




• Sj|cgrm`ej• Aesegrjtgngièj• Rå|dedj dm A}m|j m` Tm|cm|j Mdjd? nj cnjqm dmh}cfgs r|glnmhjs• Tm`dm`cejs jct}jnms dmn m`t|m`jhem`tg dma}m|j m` tm|cm|j mdjd• Mqedm`cejs

Cg`tm`edgs




•·Z}å ms nj Hjsj ósmj7• Gstmgrm`ej – Gstmgrg|gses• Aesegrjtgngièj dm nj gstmgrg|gses• ·Cóhg sjlmhgs nj hjsj ósmj7• ·Z}å rjrmn o}mij mn mom|ceceg u nj jcteqedjdaèsecj m` s} |mc}rm|jceó`7• Mqedm`cej cem`tèaecj• Hj`mog dm nj gstmgrg|gses j t|jqås dmn mom|ceceg• R|gr}mstj dm mom|ceceg

Cg`tm`edgs





Cg`tm`edgs




Sj|cgrm`ej• Cj|jctm|èstecjs

– Rå|dedj dm a}m|j – \md}cceó` hjsj h}sc}nj| – J}hm`tg i|jsj h}sc}nj|

– Jamctjceó` cjrjcedjd a}`ceg`jn• Hm`g| a}m|j• Hjug| temhrg |mnjojceó`• Hm`g| hmtjlgneshg gvedjteqg

– \mrm|c}seó` m` cjnedjd dm qedj

Cgsz}å|ec <221. Yjnsf <221. Jljtm <229. J}um}`i <226. Ne}(Jhl|gsm <225




Sj|cgrmèj• Dmaeèceó`

– Sj|cg 8 Hÿsc}ng Rmèj 8 Rå|dedj – \md}cceó` 0 < DS &\mam|m`cej rglnjceó`%

• A}m|j

• Hjsj H}sc}nj| – I|jsj cg|rg|jn &Glmsedjd sj|cgråècj% – Dm|eqjdj m`qmomcehem`tg &R|ehj|ej%

– Dm|eqjdj màm|hmdjd &Smc}`dj|ej%




• Hjsj H}sc}nj|. Mredmhegngièj

– J}hm`tj fjstj ngs 32 júgs – Rå|dedj

• 3(6- rg| dåcjdj

• 0 =2 júgs :<(:=- rg| dåcjdj• H}om|ms 0 |ethg &Hm`grj}sej%

– R|mqjnm`cej Sj|cgrm`ej M`qmomcehem`tg• 5.= – :=.9 - m` 0 1= júgs

Sm||j <221. \gnj`d <226. Jlmnnj` <225l. L}|igs <221. Ug}`i :56=. Knetijj|d :552. Rfenners :553. Hjcjn}sg <22<. Hg|sm <224. @j|ece <221




• Hjsj H}sc}nj|. Mredmhegngièj – \mnjceó` DHG

• DHG `g|hjn? 2.6 -• Gstmgrmèj? <= -• Gstmgrg|gses? =2 -

– Jamctj hês j HHEE – Iå`m|g

• HHEE? `g deam|m`cejs• HHSS? qj|ó` hês jamctjceó`

– Glmsedjd Sj|cgråècj• J}hm`tg dm nj hjsj i|jsj

• Deshe`}ceó` hjsj h}sc}nj|• Deshe`}ceó` DHG

Lg}cfj|d <225. Jdjhg <221. Hennm| <226. Yjnsf <221. \gnnj d <226. @j|ece <221. Rm||eè <2:2. Oj`sm` <222. \med <226




Aesegrjtgngièj• Hmcj`eshgs

– \md}cceó` `ÿhm|g dm ael|js – \md}cceó` dmn ê|mj dm smcceó` t|j`sqm|sjn

• Ael|js terg EE – Hm`g| |msestm`cej j nj dm`m|qjceó` – Dmaecem`cejs mvr|mseó` im` hegse`j terg EE – Hm`g| |msestm`cej jn mst|ås gvedjteqg – Cg`smc}m`cej

• \md}cceó` cjrjcedjd r|gd}cceó` a}m|j |êredj• \md}cceó` rgtm`cej h}sc}nj|

\gnnj`d <226. Jdjhg <221. Qm|deok <229. Og`ms <225. Ljnjigrjn <22:. Tfghrsg` <225




• Ajctg|ms R|mdesrg`m`tms – Smdm`tj|eshg – Glmsedjd &J}hm`tg Hjsj I|jsj% – R|gcmsg eànjhjtg|eg C|óècg

– Tjljz}eshg – Màm|hmdjdms Cg`cghetj`tms &Smdm`tj|eshg%

• Cê`cm|• Màm|hmdjd |m`jn

• Dejlmtms• Cnj}decjceó` E`tm|hetm`tm

L}ag|d <2:2

Aesegrjtgngièj




Aesegrjtgngièj• Ajctg|ms E`t|è`smcgs

– Jc}h}njceó` djúgs m` htD@J• Cj}sjs?

– Mst|ås gvedjteqg – Desa}`ceó` hetgcg`d|ejn

– Jntm|jceó` t|j`srg|tm dm cjnceg – Desa}`ceó` r|gtmè`js cg`t|êctenms

• Jntm|jceó` hmtjlgneshg• Jntm|jceó` sè`tmses r|gtmè`js

• Jntm|jceó` r|gd}cceó` JTR• H}m|tm cån}nj h}sc}nj| &Jrgrtgses%

\gnnj`d <226. Og`ms <225. Yjtm|s <223. Rmjkm <2:2. Dj|imngs <226. D|}hhg`d <226j




Aesegrjtgngièj

• Ajctg|ms E`t|è`smcgs – Jntm|jceó` r|gcmsgs |mrj|jceó`

• Hm`g| jcteqedjd Cån}njs Sjtånetm• E`anjhjceó` c|ó`ecj

• Mst|ås gvedjteqg• \msr}mstj j`g|hjn h\@J• E`jdmc}jdj |mi}njceó` r|gcmsgs |mrj|jceó`

Jdjhg <221. Og`ms <225. Rmjkm <2:2. Dj|imngs <226. D|}hhg`d <226j. Lgkgq <224. A|g`tm|j <226




Aesegrjtgngièj• Ajctg|ms F}hg|jnms

– Dmscm`sg FIF – Dmscm`sg EIA(E – Dmscm`sg Tmstgstm|g`j

– Dmscm`sg Mst|óim`gs – J}hm`tg Hegstjte`j – \msestm`cej E`s}ne`j

\gnnj`d <226. L}|igs <221. Rm||e`e <2:2. Jdjhg <221. G`dm| <225. Kj`djnj <2::. Kgqjcfmqj <2:2. Hmssem| <2::. Ljhhj` <2:. Rsenj`dm| <223. Fjhmmd <223 u <224. Qm|deok <2:2. Rñnnä`m`<2::




Aesegrjtgngièj

• Ajctg|ms @}t|eceg`jnms – Dmscm`sg cjrtjceó` r|gtmè`js – Dmscm`sg j`tegvedj`tms demtj – Dåaecet qetjhe`j D

– J`g|mvej

Tfghjs <2:2. Qesqj`jtfj` <2:2. \gd|èi}m(Lèms <225. Rm``e is <2::. Keh <2:2. Shetf <2::




Aesegrjtgngièj

• Ajctg|ms F}hg|jnms – Mstjdg c|ó`ecg E`anjhjceó`

• J}hm`tg dm EN(:Lmtj• J}hm`tg EN(1

• J}hm`tg T@A(jnaj – Mst|ås gvedjteqg

Og`ms <225. Tfghrsg` <225. Rmjkm <2:2. Dj|imngs <226




Aesegrjtgngièj• Ajctg|ms dmn Sestmhj @m|qegsg

– Dmscm`sg Hgtg`m}|g`js Jnaj• Jrgrtgses• @m}|gtgvecedjd

– Dmscm`sg ]`edjdms Hgtg|js – Dmscm`sg @ÿhm|g ael|js

• Ajctg|ms Im`åtecgs – R|gi|jhjceó` im`åtecj

– Rnjstecedjd @m}|jn

\gnnj`d <226. Fgnnhj`` <229. Og`ms <225. Cnj|k <2::. Qj` C}|smh :556. Fäkke`m` <222. <22:j u <22:l. Qj`dm|qgg|t <22<




Aesegrjtgngièj




Aesegrjtgngièj

• \ms}hm` – Fêletgs `g sjn}djlnms – @}t|eceó` dmaecem`tm – Mst|ås gvedjteqg – E`anjhjceó` C|ó`ecj – M`qmomcehem`tg S@C – M`qmomcehem`tg H}sc}nj|




• Sj|cgrm`ej• Aesegrjtgngièj• Rå|dedj dm A}m|j m` Tm|cm|j Mdjd? nj cnjqmdm h}cfgs r|glnmhjs.• Tm`dm`cejs jct}jnms dmn m`t|m`jhem`tg dma}m|j m` tm|cm|j mdjd• Mqedm`cejs

Cg`tm`edgs


C e



Cg`smc}m`cejs


C e



Cg`smc}m`cejs• Glmsedjd Sj|cgrå`ecj

– J}hm`tg I|jsj Cg|rg|jn – Deshe`}ceó` Hjsj H}sc}nj| – Deshe`}ceó` Dm`sedjd He`m|jn Ósmj

• Gstmgrm`ej – Hjsj H}sc}nj| qs Hjsj Ósmj – A|jct}|js

• Cjèdjs


C e



Cg`smc}m`cejs• E`mstjlenedjd J|tec}nj|

– Ji|jqjhem`tg gstmgj|t|gses• Deshe`}ceó` Cjrjcedjd A}`ceg`jn

– Hemhl|gs E`am|eg|ms

– Dmrm`dm`cej – Jesnjhem`tg




• Sj|cgrm`ej• Aesegrjtgngièj• Rå|dedj dm A}m|j m` Tm|cm|j Mdjd? nj cnjqm dmh}cfgs r|glnmhjs• Tm`dm`cejs jct}jnms dmn m`t|m`jhem`tg dma}m|j m` tm|cm|j mdjd.• Mqedm`cejs

Cg`tm`edgs


Jd t eó Mo e e



Jdjrtjceó` Mom|ceceg\MCG@GCEHEM@TG

HÅDECGQJNG\JCEÓ@A]@CEG@JN

DMTMCCEÓ@R\GLNMHJS

DMTM\HE@JCEÓ@AG\HJ AÈSECJ

E@DECJCEG@MS

MOM\CECEG

GLOMTEQGSA]@CEG@JNMS

JDJRTJCEÓ@MOM\CECEG

GLOMTEQGSHÅDECGS

CG@T\JE@DECJCEG@MS

MOM\CECEG




M`t|m`jhem`tg A}m|j Hjug|ms

• E`dmrm`dem`tm dm nj mdjd• Jdjrtjdg j mstjdg aèsecg• Mamctgs

– E`c|mhm`tj Hjsj H}sc}nj| – E`c|mhm`tj A}m|j H}sc}nj| – Hmog|j Cjnedjd H}sc}nj|

– Hmog|j Jdjrtjceó` @m}|gh}sc}nj|

Aejtj|g`m :554. Lg|st <224. F}`tm| <224. Hjcjn}sg <224. Hj|e`e <226. \gnnj`d <226. Og`ms <225. Ne} <225. Jlmnnj` Qj` Kj` <225j. Lge|em <225. Tfghjs <2:2


M t e t A H



M`t|m`jhem`tg A}m|j Hjug|ms• R|gtgcgngs

– Jhm|ecj` Cgnnmim ga Srg|t Hmdece`m – Jhm|ecj` Fmj|t Jssgcejteg`

• Sè`tmses

– Hÿnternms ce|c}etgs – 92(52- :\H – T|jljog r|mdghe`j`tmhm`tm mvcå`t|ecg

– 3(4 dèjs `g cg`smc}teqgs v smhj`j

Ljhhj` <22:. Lg|st <224. @mnsg` <229. \gnnj`d <226. Og`ms <225. Lge|em <225. Hjum| <2::





R t Cn



R}`tgs Cnjqm• Mn m`t|m`jhem`tg dm a}m|j ms mamcteqg m` j`cej`gs u r}mdm

nnmqj|sm j cjlg se` mamctgs jdqm|sgs |mnmqj`tms• Mn m`t|m`jhem`tg dm a}m|j mstê s}omtg j }` mamctg dgses(

|msr}mstj Jntjs e`tm`sedjdms r|gd}cm` hjug|ms mamctgs z}mhmdejs g ljojs e`tm`sedjdms

• Mn m`t|m`jhem`tg dm a}m|j m` mn j`cej`g rm|sei}m e`c|mhm`tj| nj

hjsj h}sc}nj| &ferm|t|gaej% u r|ghgqm| jdjrtjceg`ms `m}|gh}sc}nj|ms &Cgg|de`jceó` e`t|j m e`tm|h}sc}nj|%• Mn jújde| cghrg`m`tms sm`sg|eg(hgt|ecms jn m`t|m`jhem`tg dm

a}m|j. rj|j hmog|j| mn cg`t|gn rgst}|jn. tem`m sm`tedg m` mn j`cej`gdm`t|g dm }` r|gi|jhj h}nte(cghrg`m`tm

• Mn m`t|m`jhem`tg dm a}m|j m` mn j`cej`g dmlm sm| }tenejdg m` njr|mqm`ceó` u nj |mfjlenetjceó` dm deqm|sgs sè`tghjs &Rg|momhrng gstmgrg|gses g m`am|hmdjdms j|tec}nj|ms dmim`m|jteqjs%




M`t|m`jhem`tg A}m|j Hjug|ms• Mom|ceceg Jm|ólecg

– \mt|jsj rå|dedj dm a}m|j – A|m`j cjhlegs am`gtèrecgs

ael|js h}sc}nj|ms

– Lm`maecegs m`am|hmdjdmsr|mqjnm`tms – Glmsedjd Sj|cgrå`ecj

Og`ms <225. Rj|k <2:2




M`t|m`jhem`tg A}m|j Hjug|ms

• @}t|eceó` – Eìmstj jdmc}jdj dm r|gtmè`js

• Cj`tedjd? :(:.= i|'ki| rmsg cg|rg|jn'dèj• Dest|el}ceó` fghgiå`mj m` tgdjs njs cghedjs

• Jntj cjnedjd legnóiecj• \ecjs m` Jhe`gêcedgs dm Cjdm`j |jheaecjdj &Nm}ce`j%

– J`tegvedj`tms – Êcedgs I|jsgs Ghmij(3

– Dåaecet Qetjhe`j D – \mst|ecceó` Cjnó|ecj

Lge|em <225. Rm`èìs <2::. \gd|èi}m(Lèms <225. Keh <2:2. Qesqj`jtfj` <2:2. Tfghjs <2:2. Shetf <2::. Mìnesf <2:2. Fj` <2::. Hg|nmu <2::





Cg`tm`edgs




• Mqedm`cejsHmdece`j Ljsjdj m` nj Mqedm`cej ms nj}tenejceó` cg`scem`tm. mvrnècetj u o}ecegsj dmnj hmog| mqedm`cej cnè`ecj desrg`elnm rj|jtghj| dmceseg`ms sgl|m mn c}edjdg dm ngsrjcem`tms e`deqed}jnms &Djqed Sjckmtt%

Mqedm`cejs




Mqedm`cejs

]S Jim`cu ag| Fmjntf( cj|m \msmj|cf j`d Z}jnetu




Mqedm`cejs

R|mi}`tj Mst|jtmiejLÿsz}mdj

J`ênesesDgc}hm`tjceó`

Lÿsz}mdj

Smnmcceó` dmLjsms dm Djtgs

Mqedm`cej


M ed e



• R|mi}`tjs? Mom|ceceg u Sj|cgrmèj – ·Ms mamcteqg mn m`t|m`jhem`tg dm a}m|j rj|j njr|mqm`ceó` u t|jtjhem`tg dm nj sj|cgrmèj r|ehj|ej7

– M`t|m`jhem`tg dm A}m|j ·C}ên ms mn hmog| r|gtgcgng7

– ·Z}å ms hmog|? mom|cecegs dm a}m|j sóng g jújde|mom|ceceg jm|ólecg7 – ·Z}å mqedm`cejs tm`mhgs m` `}t|eceó` u sj|cgrmèj7

Mqedm`cejs


M ed e Mo e e S e



• ·Ms mamcteqg mn m`t|m`jhem`tg dm a}m|j rj|jnj r|mqm`ceó` u t|jtjhem`tg dm nj sj|cgrmèjr|ehj|ej7 – Mom|cecegs dm A}m|j j cg|tg rnjg hmog|j` nj a}m|j u

nj qmngcedjd dm nj hj|cfj &J% – Mn m`t|m`jhem`tg m` rnjtjag|hjs qel|jtg|ejs r}mdm

r|mqmè| g |mqm|te| nj sj|cgrmèj &J% – Hmog|j temhrg sm`tj|sm u nmqj`tj|sm &J% – Hmog| hjug| e`tm`sedjd &J%

Mqedm`cejs? Mom|ceceg u Sj|cgrmèj

Hg|nmu <2::. Hjìeg`m <2:2


M ed e Mo e e S e



• M`t|m`jhem`tg dm A}m|j ·C}ên ms mn

hmog| r|gtgcgng7

·7



M ed e Mo e e S e



• M`t|m`jhem`tg dm A}m|j ·C}ên ms mn

hmog| r|gtgcgng7 – E`tm`sedjdms Jntjs &J%

• 06=- dm Cg`t|jcceó` Hêvehj Qgn}`tj|ej &L%

• 3 – 4 qmcms rg| smhj`j &L% – R|gi|mseó` jdjrtjdj &L% – Rnjtjag|hjs Qel|jtg|ejs &L%

• Jhrnet}d hmdej? 3hh &C%• A|mc}m`cej Hmdej? :<.1 F &C%



Hj`ieg`m <2:2. Hjum| <2::

M ed e Mo e e S e



• ·Z}å ms hmog|? mom|cecegs dm a}m|j sóng g jújde|

mom|ceceg jm|ólecg7 – Mom|ceceg Jm|ólecg hmog|j ngs júgs cg` cjnedjd dm qedj u ms

cgstm mamcteqg &J% – Sm |mcghem`dj mom|cecegs dm a}m|j u jm|ólecg dm <2 j 32

he`}tgs. 3 qmcms rg| smhj`j &J% – Nj cghle`jceó` dm mom|cecegs jm|ólecgs u dm a}m|j hmog|j hêsnj a}`ceó` cgièteqj z}m mn mom|ceceg jm|ólecg sgng &J%

– Cjhe`j| hês dm 9222(6222 rjsgs jn dèj g :=(<2― jn dèj j hês

dm 3 HMTs ms s}aecem`tm rj|j hj`tm`m| nj hjsj h}sc}nj| rg|

m`cehj dm èqmnms sj|cgråècgs &L%


Cgncghlm <223. Hg|nmu <2::




• ·Z}å mqedm`cejs tm`mhgs m` `}t|eceó` usj|cgrmèj7• Eìmstj jdmc}jdj dm r|gtmè`js rj|j r|mqm`ceó` u |mqm|te| sj|cgrmèj &J%• Eìmstj tgtjn dm r|gtmè`js |mcghm`djdj m` j`cej`gs :(:= i'ki'dèj &L%• Jhe`gêcedgs m`|ez}mcedgs cg` nm}ce`j jújdedgs m` nj demtj &L%• C|mjte`j r}mdm hmog|j| ngs mamctgs dmn mom|ceceg m` rjcem`tms cg`

sj|cgrmèj &J%• Ngs èqmnms dm Qetjhe`j D dmlm` hmde|sm m` tgdgs ngs rjcem`tms

sj|cgråècgs &J%


Hg|nmu <2::





• ·Z}å mqedm`cejs tm`mhgs m` `}t|eceó` usj|cgrm`ej7• S}rnmhm`tj| cg` Qetjhe`j D m` dgses s}aecem`tms rj|j

jncj`j| `eqmnms s}rm|eg|ms j:22 `hgn'N dmlm sm|

cg`sedm|jdg cghg }` t|jtjhem`tg cgjdu}qj`tm &J%• Tj`tg nj qetjhe`j D< cghg nj D3 sg` jdmc}jdjs &J%• Dgses dm =2.222 E] dm qetjhe`j D j nj smhj`j sg`

smi}|js &J%


Hg|nmu <2::




• Gstmgrg|gses•·Z}å ms nj Hjsj ósmj7• Gstmgrm`ej – Gstmgrg|gses• Aesegrjtgngièj dm nj gstmgrg|gses

• ·Cóhg sjlmhgs nj hjsj ósmj7• ·Z}å rjrmn o}mij mn mom|ceceg u nj jcteqedjd aèsecj m` s}|mc}rm|jceó`7• Mqedm`cej cem`tèaecj

• Hj`mog dm nj gstmgrg|gses j t|jqås dmn mom|ceceg• R|gr}mstj dm mom|ceceg

Cg`tm`edgs


Ó



Cg`cmrtg dm Hjsj Ósmj

• Cj`tedjd dm he`m|jnms &Cjnceg u aósag|g%z}m cg`tem`m cem|tg qgn}hm` dm f}msg• Se`g`ehej?

– Dm`sedjd He`m|jn Ósmj &DHG% – Dm`sedjd Ósmj

• ]`edjdms

– i'ch<


L|gy` <22<. JJCM <223

DHG u Mdjd



DHG u Mdjd


C






Cg`tm`edgs


C t T S ' _ S



Cg`cmrtg T(Scg|m ' _(Scg|m

T( Scg|m 8 Recg DHG Rglnjceó` Ogqm` _(Scg|m? I|}rg ei}jn Mdjd u Smvg




Dm`sedjd He`m|jn Ósmj @g|hjn

• T(scg|m m`t|m +<.= u (: DS




Cg`cmrtg dm Gstmgrm`ej

• T(scg|m ei}jn g hm`g| j (: u hjug| dm (<.=




Cg`cmrtg dm Gstmgrg|gses

• T(scg|m dm (<.= g hm`g|




Gstmgrm`ej ( Gstmgrg|gses


C t ed






Cg`tm`edgs




Aesegrjtgngièj Gstmgrg|gses

• Ljoj Dm`sedjd He`m|jn Ósmj• Dmtm|eg|g dm nj Hec|gj|z}etmct}|j Ósmj• \emsig dm a|jct}|j

– Cjnedjd dm Qedj – Descjrjcedjd – Hg|le(Hg|tjnedjd


L|gy` <22<. JJCM <223




• Recg dm Hjsj Ósmj – Cg`deceg`jdg im`åtecjhm`tm – R|e`cerjn Dmtm|he`j`tm DHG – Cg`deceg`j dmsj||gnng dm

Gstmgrg|gses

– Hgdeaecjlnm rg| deqm|sgsajctg|ms

• Jcteqedjd Aèsecj• @}t|eceó` &Cjnceg. Cjaå%• Msteng dm qedj &Tjljcg. Jncgfgn%

• Rjtgngièjs


L|gy` <22<. JJCM <223




• \mhgdmnjdg Ósmg – Smdm`tj|eshg – Desljnj`cm Hm`grj}sej – J}hm`tg \mhgdmnjdg – J}hm`tg Rå|dedj Ósmj – Hjug| m` R|ehm|j

Dåcjdj Hm`grj}sej


JJCM <223. Qennj|mjn <224

Ae e n è G e



Aesegrjtgngièj Gstmgrg|gses• Ajctg|ms dm \emsig Gstmgrg|gses

L|gy` <22<


C t ed






Cg`tm`edgs


Hmdeceó` Hjsj smj



Hmdeceó` Hjsj smj

Ióhm <225


H de eó H Ó



Hmdeceó` Hjsj Ósmj• Tåcècjs

– Msz}mnmtg Jvejn • Jlsg|ceghmt|èj D}jn dm \jugs V &DVJ%• Jlsg|ceghmt|èj ßècg Agtó` &SRJ%• \jdegi|jhmt|èj

– F}msgs Rm|eaå|ecgs• ]nt|jsgèdgs &Cjncê`mg%• Tghgi|jaèj rm|eaå|ecj c}j`tetjteqj &rZCT%• DVJ &Cjncê`mg. |jdeg%

• SRJ &\jdeg%• \jdegi|jhmt|èj &Ajnjìms%• Hec|ge`dm`tjceó` ósmj

L|gy` <22<JJMC <223


Jl e è D n d \ V &DVJ%



Jlsg|ceghmt|èj D}jn dm \jugs V &DVJ%


\ de t è



\jdegi|jhmt|èj


]nt ed



]nt|jsg`edgs


T aè



Tghgi|jaèj


Ó



Hec|ge`dm`tjceó` Ósmj


E t t eó D et t è



E`tm|r|mtjceó` Dm`setghmt|èj






Cg`tm`edgs




• ·Cóhg sjlmhgs nj hjsj ósmj7• ·Z}å rjrmn o}mij mn mom|ceceg u nj jcteqedjd aèsecj m`s} |mc}rm|jceó`7• Mqedm`cej cem`tèaecj


Cg`tm`edgs




Rjrmn dmn Mom|ceceg

• Cg`t|el}um Recg DHG• R|mqem`m

– J}hm`tj hjsj ósmj

• Maecj m` t|jtjhem`tg – Deshe`}um rå|dedj hjsj ósmj &:-'júg%

• R|mqem`m Cjèdjs – Hmog|j? hgqenedjd. jienedjd u a}m|j h}sc}nj|


L|gy` <22<. JJCM <223. Kg|rmnje`m` <2:2



Rjrmn dmn Mom|ceceg

• Gt|gs lm`maecegs – R|mqm`ceó` dm màm|hmdjdms – Cg`t|gn màm|hmdjdms r|mqjnm`tms

– \md}cm cg`s}hg dm aê|hjcgs – \md}cm dmtm|eg|g a}`ceg`jn – Hmog|j a}`ceó` cgièteqj


L|gy` <22<. Umnhgkjs <221. Lmjs <229

Cg`tmèdgs






Cg`tm`edgs


Mqedm`cejs



• Mqedm`cejsHmdece`j Ljsjdj m` nj Mqedm`cej ms nj}tenejceó` cg`scem`tm. mvrnècetj u o}ecegsj dmnj hmog| mqedm`cej cnè`ecj desrg`elnm rj|j

tghj| dmceseg`ms sgl|m mn c}edjdg dm ngsrjcem`tms e`deqed}jnms &Djqed Sjckmtt%

Mqedm`cejs


Mqedm`cejs



dm c js

]S Jim`cu ag| Fmjntf( cj|m \msmj|cf j`d Z}jnetu


Mqedm`cejs



dm c js

R|mi}`tjMst|jtmiejLÿsz}mdj

J`ênesesDgc}hm`tjceó`

Lÿsz}mdj

Smnmcceó` dmLjsms dm Djtgs

Mqedm`cej


Mqedm`cejs? Mom|ceceg u Gstmgrg|gses



o u r

• R|mi}`tjs? Mom|ceceg u Gstmgrg|gses• ·Ms maecj mn mom|ceceg m` nj r|mqm`ceó` u

t|jtjhem`tg dm nj gstmgrg|gses7• ·C}ên ms mn terg dm mom|ceceg hmog| m` nj

gstmgrm`ej7• ·C}ên ms mn mom|ceceg hmog| m` nj gstmgrg|gses7• ·Sg` maecjcms ngs r|gi|jhjs dm mom|ceceg rj|j

r|mqm`e| njs cjèdjs7





o u r

• ·Ms maecj mn mom|ceceg m` nj r|mqm`ceó` u

t|jtjhem`tg dm nj gstmgrg|gses7• Ngs `eúgs z}m fjlet}jnhm`tm fjcm` mom|ceceg tem`m`f}msgs hês a}m|tms &C%

• Mom|cetj|sm d}|j`tm nj r}lm|tjd ms rj|tec}nj|hm`tm

maecj rj|j cg`smi}e| }` msz}mnmtg hês a}m|tm &J%• Mom|cecegs dm ehrjctg g dmrg|tms z}m ngs e`cn}um`.sg` hês maecjcms. j tgdjs njs mdjdms. z}m ngsmom|cecegs dm a}m|j. ag`dg g m` dmscj|ij &C%

• Tj`tg m` fghl|ms cghg m` h}om|ms. nj jcteqedjdaèsecj mvcmseqj. cghg nj jsgcejdj j njs cj||m|js dmnj|ij destj`cej. ms rm|o}decejn &C%


L|gy` <22<. JJCM <223




o u r

• ·Ms maecj mn mom|ceceg m` nj r|mqm`ceó` u

t|jtjhem`tg dm nj gstmgrg|gses7• ]` mnmqjdg `eqmn dm jcteqedjd aèsecj. d}|j`tm njmdjd jd}ntj. sm jsgcej cg` }` hm`g| è`decm dma|jct}|js dm cjdm|j m` mn j`cej`g &C%

• \md}cceó` tjsj rå|dedj hjsj ósmj &:- v júg &J%• Mom|cecegs m` rnjtjag|hjs qel|jtg|ejs j}hm`tj`

DHG &J%


L|gy` <22<. JJCM <223. I}se <221




• ·C}ên ms mn terg dm mom|ceceg hmog| m` nj

gstmgrm`ej7• M` h}om|ms r|mhm`grê}secjs ngs mom|cecegs dm ehrjctg

u `g ehrjctg sg` maecjcms rj|j r|mqm`e| nj rå|dedj dmhjsj ósmj. rm|g ngs dm ehrjctg jnig hês maecjcms &L%


L|gy` <22<. JJCM <223




• ·C}ên ms mn mom|ceceg hmog| m` nj gstmgrg|gses7

• Mom|cecegs dm ehrjctg g dmrg|tms z}m ngs e`cn}um` sg`hês maecjcms j tgdjs njs mdjdms z}m ngs mom|cecegs dma}m|j. ag`dg g m` dmscj|ij &C%

• M` h}om|ms rgsthm`grê}secjs. mn mom|ceceg dm ehrjctg

r}mdm |md}ce| nj tjsj dm rå|dedj ósmj g cg`d}ce| j }`jcem|tj ij`j`cej ósmj. jn hm`gs m` mn cg|tg rnjg Nj|msr}mstj j ngs mom|cecegs dm ljog ehrjctg g dm|msestm`cej ms hm`g| u hês e`cg`sestm`tm &J%


L|gy` <22<. JJCM <223




• ·Sg` maecjcms ngs r|gi|jhjs dm mom|ceceg rj|jr|mqm`e| njs cjèdjs7• R|gi|jhjs dm mom|ceceg e`deqed}jnhm`tm r|msc|etgs. z}m

e`cn}um` ag|tjnmcehem`tg h}sc}nj|. m`t|m`jhem`tg dmnmz}enel|eg u cjhe`j|. dm d}|jceó` s}rm|eg| j }` júg. sg`maecjcms m` |md}ce| njs cjèdjs &J% u njs nmseg`ms &L%

• R|gi|jhjs im`m|jnms m` i|}rg `g sg` maecjcms rj|j|md}ce| njs cjèdjs &L%

• E`tm|qm`ceg`ms h}nteajctg|ejnms sg` maecjcms m` |md}ce|njs cjèdjs tj`tg m` rglnjceó` im`m|jn cghg m`

rjcem`tms cg` j`tmcmdm`tms g |emsigs dm cjèdjs &J%• Rnjtjag|hjs qel|jtg|ejs hmog|j` mz}enel|eg &J%


L|gy` <22<. JJCM <223. I}se <221. Kg|rmnje`m` <2:2

Cg`tm`edgs






Cg`tm`edgs


H o G t e



Hj`mog Gstmgrg|gses• Aê|hjcgs• @}t|eceó`• Mom|ceceg

– Cecng qetjn – E`tm`sedjd – Jdjrtjdg

• Gstmgrm`ej• Gstmgrg|gses• R|msm`cej Cghrnecjceg`ms


Cg`tm`edgs






Cg`tm`edgs


R|gr}mstj Mom|ceceg



r o• J ngs èúgs'js z}m eècej` g mstê` m` nj r}lm|tjd

sm nms dmlm |mcghm`dj| mom|cecegs g dmrg|tms dmehrjctg &Ieh`jsej. Aÿtlgn. Ljng`cmstg. Låeslgn.Tmès. Sjntgs. ‡%

• Rgcgs lm`maecegs? `jtjceó`. m`t|m`jhem`tg dma}m|j

• J ng nj|ig dm tgdj nj qedj. tj`tg j njs h}om|mscghg j ngs fghl|ms sm nms dmlm |mcghm`dj| nj

rj|tecerjceó` m` r|gi|jhjs dm jcteqedjd z}me`cn}uj` mom|cecegs dm ehrjctg. cghg njs rmsjs


L|gy` <22<. JJCM <223

R t Mo e e



R|gr}mstj Mom|ceceg

• J ngs j`cej`gs'js cg` |emsig dm cjèdjs gz}m s}a|m` cjèdjs. ms `mcmsj|eg|mcghm`dj|nms r|gi|jhjs e`deqed}jnejdgs.

z}m cg`tm`ij` mom|cecegs dm ag|tjnmcehem`tg udm mz}enel|eg


L|gy` <22<. JJCM <223

R|gr}mstj Mom|ceceg



R|gr}mstj Mom|ceceg• Fghl|ms u H}om|ms R|m u Rgsthm`grj}sej

• Fghl|ms – R|jctecj| jniÿ` dmrg|tm &Ehrjctg% – Cj||m|j <4 – 3< kh'smh

• R|mhm`grj}sej

– Jm|ólecg jntj e`tm`sedjd. Cj||m|j cg`te`}j. Sjntgs &:.=-% – Mste|jhem`tgs. M`t|m`jhem`tg dm a}m|j u rmsjs &:.<-% – Rnjtjag|hjs qel|jtg|ejs &3hh u :<.1F%

• Rgsthm`grj}sej – Cjhe`j| neim|g. Ljenm. sjntgs – Rnjtjag|hjs Qel|jtg|ejs &3hh u :<.1 F%


L|gy` <22<. I}se <221



I|jcejs rg| s} Jtm`ceó`

Sarcopenia Osteoporosis MEDAC (17 de Febrero de 2012)

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