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<article article-type="research-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">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29413/ABS.2023-8.2.8</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-4072</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>ВНУТРЕННИЕ БОЛЕЗНИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>INTERNAL DISEASES</subject></subj-group></article-categories><title-group><article-title>Роль и специфика физических нагрузок при саркопении у пожилых людей</article-title><trans-title-group xml:lang="en"><trans-title>Methods of physical rehabilitation of elderly people for the prevention and treatment of sarcopenia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1737-7328</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Плещёв</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Pleshchev</surname><given-names>I. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Плещёв Игорь Евгеньевич – старший преподаватель кафедры физической культуры и спорта.</p><p>150000, Ярославль, ул. Революционная, 5</p></bio><bio xml:lang="en"><p>Igor’ E. Pleshchev – Senior Lecturer at the Department of Physical Culture and Sports.</p><p>Revolyutsionnaya str. 5, Yaroslavl 150000</p></bio><email xlink:type="simple">doctor.pleshyov@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9964-5199</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ачкасов</surname><given-names>Е. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Achkasov</surname><given-names>E. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ачкасов Евгений Евгеньевич – доктор медицинских наук, профессор, заведующий кафедрой спортивной медицины и медицинской реабилитации.</p><p>119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>Evgeny E. Achkasov – Dr. Sc. (Med.), Professor, Head of the Department of Sports Medicine and Medical Rehabilitation, Sechenov First MSMU (Sechenov University).</p><p>Trubetskaya str. 8, build. 2, Moscow 119991</p></bio><email xlink:type="simple">2215.g23@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9532-9957</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николенко</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolenko</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Николенко Владимир Николаевич – доктор медицинских наук, профессор, заведующий кафедрой анатомии и гистологии человека, Первый Московский ГМУ имени И.М. Сеченова (Сеченовский университет); заведующий кафедрой нормальной и топографической анатомии факультета фундаментальной медицины, МГУ им. М.В. Ломоносова.</p><p>119991, Москва, ул. Трубецкая, 8, стр. 2; 119991, Москва, Ленинские горы, 1</p></bio><bio xml:lang="en"><p>Vladimir N. Nikolenko – Dr. Sc. (Med.), Professor, Head of the Department of Human Anatomy and Histology, Sechenov First Moscow SMU (Sechenov University); Head of the Department of Normal and Topographic Anatomy, Fundamental Medicine Faculty, Lomonosov MSU.</p><p>Trubetskaya str. 8, build. 2, Moscow 119991; Leninskie Gory 1, Moscow 119991</p></bio><email xlink:type="simple">vn.nikolenko@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0234-0768</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкребко</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkrebko</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шкребко Александр Николаевич – доктор медицинских наук, профессор, проректор, заведующий кафедрой медицинской реабилитации и спортивной медицины.</p><p>150000, Ярославль, ул. Революционная, 5</p></bio><bio xml:lang="en"><p>Aleksandr N. Shkrebko – Dr. Sc. (Med.), Professor, Vice-Rector, Head of the Department of Medical Rehabilitation and Sports Medicine.</p><p>Revolyutsionnaya str. 5, Yaroslavl 150000</p></bio><email xlink:type="simple">anshkrebko@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/0000-0002-3553-4470</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иванова Инна Викторовна – доктор медицинских наук, доцент, и. о. ректора, профессор кафедры поликлинической педиатрии.</p><p>153012, Ивановская область, Иваново, Шереметевский просп., 8</p></bio><bio xml:lang="en"><p>Inna V. Ivanova – Dr. Sc. (Med.), Docent, Acting Rector, Professor at the Department of Polyclinic Pediatrics.</p><p>Sheremetyevskiy Ave. 8, Ivanovo 153012</p></bio><email xlink:type="simple">alasel@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава России</institution></aff><aff xml:lang="en"><institution>Yaroslavl State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский Университет); ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»</institution></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University; Lomonosov Moscow State University</institution></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ивановская государственная медицинская академия» Минздрава России</institution></aff><aff xml:lang="en"><institution>Ivanovo State Medical Academy</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>03</day><month>05</month><year>2023</year></pub-date><volume>8</volume><issue>2</issue><fpage>80</fpage><lpage>92</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Плещёв И.Е., Ачкасов Е.Е., Николенко В.Н., Шкребко А.Н., Иванова И.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Плещёв И.Е., Ачкасов Е.Е., Николенко В.Н., Шкребко А.Н., Иванова И.В.</copyright-holder><copyright-holder xml:lang="en">Pleshchev I.E., Achkasov E.E., Nikolenko V.N., Shkrebko A.N., Ivanova I.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" 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.actabiomedica.ru/jour/article/view/4072">https://www.actabiomedica.ru/jour/article/view/4072</self-uri><abstract><p>Цель обзора – проанализировать распространённость саркопении в пожилой возрастной группе, причины её возникновения, представить современные методы профилактики и физической реабилитации. Исследование сосредоточено на взаимосвязи между физической нагрузкой, тренировочными эффектами и физиологическими механизмами, а также на безопасности различных видов силовых, анаэробных и мультимодальных тренировок, которые оказывают положительное влияние во время профилактики и восстановительного лечения при саркопении. Включены обзоры литературы, метаанализы и оригинальные исследования, которые акцентированы на людях пожилого возраста в любых условиях проживания, с применением проверенных инструментов и методов оценки. Был проведён поиск литературы в четырёх электронных базах данных (PubMed, Cochrane Library, Scopus, Springer) за период c 2012 г. по 30 июня 2022 г. Ограничений на языковой уклон публикации введено не было. Стратегия поиска. Ключевые слова, используемые для определения условий участия в обзоре: «пожилой/преклонный возраст», «саркопения» и саркопеническое ожирение». Статьи включались, если они соответствовали следующим критериям – когорты со средним или медианным возрастом ≥ 60 лет и любым из следующих определений саркопении: Европейская рабочая группа по саркопении у пожилых людей (EWGSOP), Азиатская рабочая группа по саркопении (AWGS), Международная рабочая группа по саркопении (IWGS). Для обеспечения сопоставимости вмешательств в обзор включены исследования, которые осуществлялись не менее 8 недель, а распределение пациентов по дизайну исследования было рандомизированным. Также, исключены статьи с участием госпитализированных пациентов.</p></abstract><trans-abstract xml:lang="en"><p>The aim of the review is to analyze the prevalence of sarcopenia in the elderly age group, the causes of its occurrence, and to present modern methods of prevention and physical rehabilitation. The study focuses on the relationship between exercise, training effects and physiological mechanisms, as well as the safety of various types of strength, anaerobic and multimodal training, which have a positive impact during the prevention and rehabilitation treatment of sarcopenia. Literature reviews, meta-analyses, and original studies are included that focus on older people in all settings, using validated assessment tools and methods. A literature search was conducted in four electronic databases – PubMed, Cochrane Library, Scopus, Springer, for the period from 2012 to June 30, 2022. There were no restrictions on the language bias of the publication. Search strategy. The keywords used to define the terms of participation in the review are “older/advanced age”, “sarcopenia” and “sarcopenic obesity”. Articles were included if they met the following criteria – cohorts with mean or median age ≥ 60 years and any of the following definitions of sarcopenia: European Working Group on Sarcopenia in the Elderly (EWGSOP), Asian Working Group on Sarcopenia (AWGS), International Working Group on Sarcopenia (IWGS). To ensure comparability of interventions, the review included studies that were conducted for at least 8 weeks, and the distribution of patients by study design was randomized. Also, articles involving hospitalized patients are excluded.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>саркопения</kwd><kwd>физическая активность</kwd><kwd>реабилитация</kwd><kwd>саркопеническое ожирение</kwd><kwd>пожилой возраст</kwd><kwd>тренировки с отягощением</kwd><kwd>аэробные тренировки</kwd><kwd>лечебная физкультура</kwd><kwd>обзор литературы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>sarcopenia</kwd><kwd>physical activity</kwd><kwd>rehabilitation</kwd><kwd>sarcopenic obesity</kwd><kwd>older adult</kwd><kwd>resistance training</kwd><kwd>aerobic exercise</kwd><kwd>exercise therapy</kwd><kwd>systematic review</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы выражают благодарность и глубокую признательность Кузнецовой Екатерине Борисовне (кафедра иностранных языков ФГБОУ ВО ЯГМУ Минздрава России) за помощь в переводе метаданных статьи</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Yasuda T. 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