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<article article-type="review-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">geriatr</journal-id><journal-title-group><journal-title xml:lang="ru">Российский журнал гериатрической медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Geriatric Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2686-8636</issn><issn pub-type="epub">2686-8709</issn><publisher><publisher-name>Сайт издателя</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37586/2686-8636-3-2024-225-239</article-id><article-id custom-type="elpub" pub-id-type="custom">geriatr-425</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Остеопороз, саркопения и старение — тройная сочетанная патология в гериатрии (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>The Triple Burden of Osteoporosis, Sarcopenia, and Aging in Geriatrics (review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4114-5233</contrib-id><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><bio xml:lang="ru"><p>Курмаев Дмитрий Петрович, канд. мед. наук, ассистент кафедры эндокринологии и гериатрии</p><p>Самара</p></bio><bio xml:lang="en"><p>Kurmaev Dmitry P., MD, PhD, Assistant Professor of Endocrinology and Geriatrics Department</p><p>Samara</p></bio><email xlink:type="simple">geriatry@mail.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><bio xml:lang="ru"><p>Булгакова Светлана Викторовна, д-р мед. наук, доцент, заведующая кафедрой эндокринологии и гериатрии</p><p>Самара</p></bio><bio xml:lang="en"><p>Bulgakova Svetlana V., MD, PhD, professor, Head of the Department of Endocrinology and Geriatrics</p><p>Samara</p></bio><email xlink:type="simple">geriatry@mail.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/0000-0003-0097-7252</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><bio xml:lang="ru"><p>Тренева Екатерина Вячеславовна, канд. мед. наук, доцент кафедры эндокринологии и гериатрии </p><p>Самара</p></bio><bio xml:lang="en"><p>Treneva Ekaterina V., MD, PhD, Associate Professor, Department of Endocrinology and Geriatrics</p><p>Samara</p></bio><email xlink:type="simple">eka1006@yandex.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/0000-0002-5754-1057</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><bio xml:lang="ru"><p>Косарева Ольга Владиславовна, канд. мед. наук, доцент кафедры эндокринологии и гериатрии</p><p>Самара</p></bio><bio xml:lang="en"><p>Kosareva Olga V., MD, PhD, Associate Professor, Endocrinology and Geriatrics Department</p><p>Samara</p></bio><email xlink:type="simple">o.v.kosareva@samsmu.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/0000-0001-8827-4919</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><bio xml:lang="ru"><p>Шаронова Людмила Александровна, канд. мед. наук, доцент кафедры эндокринологии и гериатрии</p><p>Самара</p></bio><bio xml:lang="en"><p>Sharonova Lyudmila A., MD, PhD, Associate Professor, the Department of Endocrinology and Geriatrics</p><p>Samara</p></bio><email xlink:type="simple">l.a.sharonova@samsmu.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/0000-0001-6678-6411</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><bio xml:lang="ru"><p>Долгих Юлия Александровна, канд. мед. наук, ассистент кафедры эндокринологии и гериатрии</p><p>Самара</p></bio><bio xml:lang="en"><p>Dolgikh Yuliya A., MD, PhD, Assistant of the Department of Endocrinology and Geriatrics</p><p>Samara</p></bio><email xlink:type="simple">yu.a.dolgikh@samsmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Самарский государственный медицинский университет<country>Россия</country></aff><aff xml:lang="en">Samara State Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>20</day><month>09</month><year>2024</year></pub-date><volume>0</volume><issue>3</issue><fpage>225</fpage><lpage>239</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Курмаев Д.П., Булгакова С.В., Тренева Е.В., Косарева О.В., Шаронова Л.А., Долгих Ю.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Курмаев Д.П., Булгакова С.В., Тренева Е.В., Косарева О.В., Шаронова Л.А., Долгих Ю.А.</copyright-holder><copyright-holder xml:lang="en">Kurmaev D.P., Bulgakova S.V., Treneva E.V., Kosareva O.V., Sharonova L.A., Dolgikh Y.A.</copyright-holder><license 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.geriatr-news.com/jour/article/view/425">https://www.geriatr-news.com/jour/article/view/425</self-uri><abstract><p>Взаимодействие между костной и мышечной тканями выходит за рамки простых механических взаимосвязей. Функция скелетных мышц не ограничивается локомоцией тела в пространстве, поддержанием равновесия и осанки, мышечная ткань является метаболически активной. Костная ткань, в свою очередь, обладает эндокринной функцией и вырабатывает активные метаболиты и гормоны, которые оказывают влияние на скелетную мускулатуру, инсулинорезистентность, жировую ткань и метаболизм в целом. На фоне старения возрастает риск развития остеопороза и саркопении. Представляет интерес взаимосвязь остеопороза, саркопении и старения у человека, лечебные и профилактические мероприятия, направленные для предотвращения этих патологических состояний.</p></abstract><trans-abstract xml:lang="en"><p>The interaction between bone and muscle tissues extends beyond simple mechanical relations. Bone tissue performs an endocrine function and generates active metabolites and hormones that influence skeletal muscle, insulin sensitivity, adipose tissue, and metabolism in general. With aging, the risk of osteopenia, osteoporosis, and sarcopenia increases. The relationship between osteoporosis, sarcopenia, and aging in humans is of interest, as well as therapeutic and preventative measures aimed at avoiding these pathological conditions.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеосаркопения</kwd><kwd>старение</kwd><kwd>полиморбидность</kwd><kwd>композиционный состав тела</kwd><kwd>остеопороз</kwd><kwd>саркопения</kwd><kwd>старческая астения</kwd><kwd>двухэнергетическая рентгеновская абсорбциометрия</kwd><kwd>саркопеническое ожирение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteosarcopenia</kwd><kwd>ageing</kwd><kwd>polymorbidity</kwd><kwd>body composition</kwd><kwd>osteoporosis</kwd><kwd>sarcopenia</kwd><kwd>frailty</kwd><kwd>dual-energy X-ray absorptiometry</kwd><kwd>sarcopenic obesity</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">Ткачева О.Н., Котовская Ю.В., Рунихина Н.К. и др. 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