PMID- 36633517 OWN - NLM STAT- MEDLINE DCOM- 20230217 LR - 20230217 IS - 1699-5198 (Electronic) IS - 0212-1611 (Linking) VI - 40 IP - 1 DP - 2023 Feb 15 TI - [Decreased muscle mass in type-2 diabetes. A hidden comorbidity to consider]. PG - 59-66 LID - 10.20960/nh.04468 [doi] AB - Objectives: an expert report is presented on the situation of loss of muscle mass in people with type 2 diabetes mellitus (T2DM), with a proposal of what the clinical approach to this comorbidity should be, based on the evidence from the literature and clinical experience. Method: a qualitative expert opinion study was carried out using the nominal approach. A literature search on diabetes and muscle was made and submitted to a multidisciplinary group of 7 experts who through a face-to-face meeting discussed different aspects of the role of muscle mass in T2DM. Results: muscle mass must be taken into account in the clinical context of patients with T2DM. It has an enormous impact on patient function and quality of life, and is as important as adequate metabolic control of T2DM. Conclusions: in addition to drug therapy and diet adjustments, aerobic and strength activities are essential for maintaining muscle mass and function in diabetic patients. In concrete situations, artificial oral supplementation specific for muscle care could improve the situation of malnutrition and low muscle mass. Measures such as the walking speed test, chair test, or the SARC-F questionnaire, together with the Barthel index, constitute a first step to diagnose relevant impairment requiring intervention in patients with T2DM. This document seeks to answer some questions about the importance, assessment, and control of muscle mass in T2DM. FAU - de Luis Roman, Daniel AU - de Luis Roman D AD - Centro de Investigacion de Endocrinologia y Nutricion Clinica de Valladolid (IENVA). Facultad de Medicina. Universidad de Valladolid. FAU - Garrachon Vallo, Fernando AU - Garrachon Vallo F AD - Servicio de Medicina Interna. Hospital Universitario Virgen de Macarena. Sevilla. FAU - Carretero Gomez, Juana AU - Carretero Gomez J AD - Servicio de Medicina Interna. Hospital Universitario de Badajoz. Badajoz. FAU - Lopez Gomez, Juan Jose AU - Lopez Gomez JJ AD - Centro de Investigacion de Endocrinologia y Nutricion Clinica de Valladolid (IENVA). Hospital Clinico Universitario de Valladolid. FAU - Tarazona Santabalbina, Francisco Jose AU - Tarazona Santabalbina FJ AD - Servicio de Geriatria. Hospital Universitario de la Ribera. FAU - Guzman Rolo, German AU - Guzman Rolo G AD - Departamento Medico. Laboratorios Abbot. FAU - Garcia Almeida, Jose M AU - Garcia Almeida JM AD - UGC de Endocrinologia y Nutricion. Hospital Clinico Virgen de la Victoria. FAU - Sanz Paris, Alejandro AU - Sanz Paris A AD - Departmento de Endocrinologia y Nutricion. Hospital Universitario Miguel Servet. LA - spa PT - English Abstract PT - Journal Article TT - La masa muscular disminuida en la diabetes de tipo 2. Una comorbilidad oculta que debemos tener en cuenta. PL - Spain TA - Nutr Hosp JT - Nutricion hospitalaria JID - 9100365 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications/epidemiology/drug therapy MH - *Sarcopenia/epidemiology MH - Quality of Life MH - Comorbidity MH - Muscles MH - Muscle Strength/physiology OTO - NOTNLM OT - Masa muscular. Diabetes de tipo 2. Desnutricion. Sarcopenia. HMB. EDAT- 2023/01/13 06:00 MHDA- 2023/02/18 06:00 CRDT- 2023/01/12 10:06 PHST- 2023/01/13 06:00 [pubmed] PHST- 2023/02/18 06:00 [medline] PHST- 2023/01/12 10:06 [entrez] AID - 10.20960/nh.04468 [doi] PST - ppublish SO - Nutr Hosp. 2023 Feb 15;40(1):59-66. doi: 10.20960/nh.04468.